Emergency room visit, level 3 (moderate) (CPT 99283)
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.
ER visit level 3 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 99283; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $266Cash ÷ typical 0.5× | $4977 plans | $279 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $266Cash ÷ typical 0.5× | $4977 plans | $279 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $792Cash ÷ typical 1.8× | $4324 plans | $411 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $846Cash ÷ typical 1.6× | $54318 plans | $291 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $892Cash ÷ typical 0.6× | $1,43925 plans | $326 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.8× | $1,26034 plans | $200 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.8× | $1,26035 plans | $200 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.8× | $1,26035 plans | $200 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.7× | $1,29237 plans | $200 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.8× | $1,26031 plans | $200 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $962Cash ÷ typical 0.8× | $1,26034 plans | $200 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $1,121Cash ÷ typical 1.9× | $5923 plans | $447 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $1,218Cash ÷ typical 2.2× | $5483 plans | $447 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $1,218 | $4982 plans | $447 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $1,403= list priceCash ÷ typical 0.9× | $1,52835 plans | $236 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $2,073= list priceCash ÷ typical 1.3× | $1,55846 plans | $348 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $2,073= list priceCash ÷ typical 1.3× | $1,60333 plans | $419 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $2,181= list priceCash ÷ typical 1.4× | $1,58244 plans | $384 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $2,351–$2,372= list priceCash ÷ typical 1.5× | $1,60335 plans | $395 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $2,515–$2,741= list priceCash ÷ typical 1.6× | $1,60335 plans | $423 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $2,563–$3,929= list priceCash ÷ typical 1.6× | $1,60335 plans | $431 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $2,772= list priceCash ÷ typical 1.7× | $1,66345 plans | $488 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $2,772= list priceCash ÷ typical 1.7× | $1,66345 plans | $560 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $3,015= list priceCash ÷ typical 1.7× | $1,77245 plans | $507 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $5,373= list priceCash ÷ typical 2.8× | $1,94745 plans | $805 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $824Cash ÷ typical 1.9× | $4324 plans | $411 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $1,361Cash ÷ typical 1.0× | $1,30017 plans | $1,179 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $1,361Cash ÷ typical 1.0× | $1,30017 plans | $1,179 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $1,361Cash ÷ typical 1.0× | $1,30017 plans | $1,179 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $742–$826 | $497 | $450 | $650 | — | — | — | $51–$266 | $266 |
| Harris Health Lyndon B Johnson Hospital | $742–$826 | $497 | $450 | $650 | — | — | — | $51–$266 | $266 |
| Memorial Hermann Greater Heights Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Katy Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Memorial City Medical Center | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Northeast Hospital | — | $425 | — | — | — | — | — | — | $274–$302 |
| Memorial Hermann Pearland Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Southeast Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Southwest Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Sugar Land Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann The Woodlands Medical Center | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Cypress Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann-Texas Medical Center | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Imaging Center (Bellaire) | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Imaging Center (Cypress) | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $425 | — | — | — | — | — | — | $274–$315 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $425 | — | — | — | — | — | — | $274–$315 |
| St. Luke's Health Brazosport Hospital | $434–$679 | $427–$822 | $3,616 | $430–$1,607 | $586 | — | $402 | $51–$967 | $277–$363 |
| St. Luke's Health Patients Medical Center | $326–$710 | $1,733–$2,251 | $1,439–$3,983 | $1,145–$1,880 | $1,260 | — | $416 | $48.79–$52.39 | $277–$297 |
| St. Luke's Health Sugar Land Hospital | $326–$710 | $427–$2,251 | $1,439–$3,983 | $1,145–$1,880 | $1,260 | — | — | $31–$2,271 | $215–$742 |
| St. Luke's Health The Vintage Hospital | $326–$710 | $427–$2,251 | $1,439–$3,983 | $1,145–$1,880 | $1,260 | — | — | $31–$2,271 | $277–$742 |
| St. Luke's Health Lakeside Hospital | $326–$710 | $427–$2,251 | $1,439–$3,983 | $1,145–$1,880 | $1,260 | — | $416 | $31–$2,271 | $277–$742 |
| Baylor St Luke's Medical Center | $264–$692 | $427–$2,245 | $1,439–$3,983 | $1,210–$1,809 | $1,400 | — | — | $31–$2,271 | $277–$742 |
| St. Luke's Health Springwoods Village Hospital | $326–$710 | $1,866–$2,251 | $416–$3,983 | $1,145–$1,880 | $1,260 | — | — | $31–$1,512 | $277–$742 |
| St. Luke's Health The Woodlands Hospital | $326–$710 | $427–$2,251 | $416–$3,983 | $1,145–$1,880 | $1,260 | — | — | $31–$2,271 | $277–$742 |
| Houston Methodist Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| Houston Methodist Clear Lake Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| Houston Methodist Baytown Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| Houston Methodist Cypress Hospital | — | — | — | — | — | — | — | — | $274–$293 |
| Houston Methodist The Woodlands Hospital | — | — | — | — | — | — | — | — | $274–$293 |
| Houston Methodist Sugar Land Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| Houston Methodist West Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| Houston Methodist Willowbrook Hospital | — | — | — | — | — | — | — | — | $274–$302 |
| HCA Houston Healthcare Medical Center | $491–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $236–$4,000 | $465 | $973 | — | $51–$363 | — |
| HCA Houston Healthcare Kingwood | $726–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $348–$4,027 | $687 | $973 | — | $50–$363 | — |
| HCA Houston Healthcare North Cypress | $726–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $419–$4,027 | — | $973 | — | $51–$363 | — |
| HCA Houston Healthcare Conroe | $763–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $384–$4,027 | $723 | $973 | — | $50–$363 | — |
| HCA Houston Healthcare Tomball | $763–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $395–$4,027 | $779 | $973 | — | $51–$363 | — |
| HCA Houston Healthcare Pearland | $756–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $423–$4,000 | $833 | $973 | — | $51–$363 | — |
| HCA Houston Healthcare Northwest | $763–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $431–$4,027 | $849 | $973 | — | $51–$363 | — |
| HCA Houston Healthcare Clear Lake | $764–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $488–$4,027 | $918 | $973 | — | $50–$363 | — |
| HCA Houston Healthcare Mainland | $764–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $560–$4,027 | $918 | $973 | — | $50–$363 | — |
| HCA Houston Healthcare West | $756–$1,603 | $1,418–$3,540 | $2,281–$2,938 | $507–$4,000 | $999 | $973 | — | $50–$363 | — |
| HCA Houston Healthcare Southeast | $805–$1,881 | $1,418–$3,540 | $2,281–$2,938 | $1,085–$4,027 | $1,780 | $973 | — | $50–$363 | — |
| Children's Memorial Hermann Hospital | — | $425 | — | — | — | — | — | — | $274–$315 |
| Texas Children's Hospital The Woodlands | $1,280 | $1,300 | $1,179–$1,300 | $1,300 | — | — | — | $51–$813 | — |
| Texas Children's Hospital West Campus | $1,280 | $1,300 | $1,179–$1,300 | $1,300 | — | — | — | $51–$813 | — |
| Texas Children's Hospital | $1,280 | $1,300 | $1,179–$1,300 | $1,300 | — | — | — | $51–$813 | — |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| UHC | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| TX Childrens | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| CHC | Medicaid | Medicaid / CHIP | $52.39 | case rate |
| Superior | Medicaid | Medicaid / CHIP | $52.90 | case rate |
| CHC | D-SNP | Medicare Advantage | $266 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $266 | fee schedule |
| CHC | Marketplace | Commercial | $279 | fee schedule |
| Cigna | Commercial | Commercial | $450 | other |
| Aetna | Commercial HMO | Commercial | $497 | case rate |
| Aetna | Commercial PPO | Commercial | $497 | case rate |
| UHC | Commercial | Commercial | $650 | case rate |
| BCBS TX | Blue Advantage | Commercial | $742 | case rate |
| BCBS TX | PPO POS | Commercial | $826 | case rate |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| UHC | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| TX Childrens | Medicaid | Medicaid / CHIP | $51.36 | case rate |
| CHC | Medicaid | Medicaid / CHIP | $52.39 | case rate |
| Superior | Medicaid | Medicaid / CHIP | $52.90 | case rate |
| CHC | D-SNP | Medicare Advantage | $266 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $266 | fee schedule |
| CHC | Marketplace | Commercial | $279 | fee schedule |
| Cigna | Commercial | Commercial | $450 | other |
| Aetna | Commercial HMO | Commercial | $497 | case rate |
| Aetna | Commercial PPO | Commercial | $497 | case rate |
| UHC | Commercial | Commercial | $650 | case rate |
| BCBS TX | Blue Advantage | Commercial | $742 | case rate |
| BCBS TX | PPO POS | Commercial | $826 | case rate |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $51.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $115 | case rate |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $115 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $145 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $145 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $291 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| Aetna | Medicare|All Plans | Medicare Advantage | $363 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $402 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| United | Commercial|Exchange | Commercial | $430 | case rate |
| BCBS-TX | Commercial|Blue Options | Commercial | $434 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $482 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $527 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $558 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $586 | case rate |
| Entrust | Commercial|All Plans | Commercial | $610 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $634 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $679 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $822 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $967 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $967 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $967 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $1,209 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $1,607 | case rate |
| Cigna | Commercial|All Plans | Commercial | $3,616 | case rate |
St. Luke's Health Patients Medical Center: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $48.79 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $48.79 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $51.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,656 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,656 | fee schedule |
| United | Commercial|Charter | Commercial | $1,689 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,733 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,784 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| MultiPlan | Commercial|All Plans | Commercial | $1,911 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 69 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $215 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $220 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $305 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| United | Commercial|Charter | Commercial | $1,689 | case rate |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,869 | fee schedule |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $2,271 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
St. Luke's Health The Vintage Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $220 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $305 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $388 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| United | Commercial|Charter | Commercial | $1,689 | case rate |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,869 | fee schedule |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $2,271 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
St. Luke's Health Lakeside Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $220 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $220 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $305 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Harris Health | Commercial|ERS | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| United | Commercial|Charter | Commercial | $1,689 | case rate |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,869 | fee schedule |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $2,271 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
Baylor St Luke's Medical Center: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $59.07 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $264 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $266 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $291 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $302 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $302 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $302 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $333 | case rate |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $388 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Harris Health | Commercial|ERS | Commercial | $416 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| BCBS - TX | Commercial|PPO Trad | Commercial | $451 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $480 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $692 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,210 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $1,375 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,400 | case rate |
| Humana | Commercial|PPO | Commercial | $1,400 | case rate |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| United | Commercial|Charter | Commercial | $1,629 | case rate |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| United | Commercial|HMO | Commercial | $1,809 | case rate |
| United | Commercial|PPO | Commercial | $1,809 | case rate |
| Aetna | Commercial|KelseyCare | Commercial | $1,866 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,245 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $2,271 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 59 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $51.36 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $275 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $305 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $416 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,869 | fee schedule |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $30.82 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $51.36 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $51.36 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $51.36 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $52.39 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $52.39 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $52.39 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $53.93 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $200 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $275 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $275 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $275 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $277 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $277 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $277 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $280 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $283 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $286 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $297 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $305 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $326 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $374 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $377 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $387 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $416 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $416 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $416 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $416 | case rate |
| Aetna | Commercial|Exchange | Commercial | $427 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $473 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $625 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $710 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $742 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $901 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $995 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,145 | case rate |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| Humana | Commercial|HMO | Commercial | $1,260 | case rate |
| Humana | Commercial|PPO | Commercial | $1,260 | case rate |
| United | Commercial|Optum | Commercial | $1,292 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,439 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,512 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,512 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $1,586 | fee schedule |
| United | Commercial|Charter | Commercial | $1,689 | case rate |
| Coventry | Commercial|PPO | Commercial | $1,787 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,787 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,866 | case rate |
| Aetna | Commercial|PPO | Commercial | $1,869 | fee schedule |
| United | Commercial|HMO | Commercial | $1,880 | case rate |
| United | Commercial|PPO | Commercial | $1,880 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $1,924 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,062 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $2,251 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $2,271 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $2,337 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,749 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $3,983 | fee schedule |
Houston Methodist Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $592 | fee schedule |
| Uae | All Commercial Plans | Commercial | $1,097 | fee schedule |
Houston Methodist Clear Lake Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
Houston Methodist Baytown Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
Houston Methodist Cypress Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
Houston Methodist The Woodlands Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $548 | fee schedule |
Houston Methodist Sugar Land Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
Houston Methodist West Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
| Uae | All Commercial Plans | Commercial | $1,097 | fee schedule |
Houston Methodist Willowbrook Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $274 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $278 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $280 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $282 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $288 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $293 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $302 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $447 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $548 | fee schedule |
HCA Houston Healthcare Medical Center: all 49 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| United | OptionsPPO | Commercial | $236 | percent of total billed charges |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Humana | HMO | Commercial | $465 | percent of total billed charges |
| Humana | PPO | Commercial | $465 | percent of total billed charges |
| BCBS | Traditional | Commercial | $491 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $561 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $631 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $727 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $763 | case rate |
| Oscar | HIX | Commercial | $973 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,052 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $1,193 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
HCA Houston Healthcare Kingwood: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| United | OptionsPPO | Commercial | $348 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Humana | HMO | Commercial | $687 | percent of total billed charges |
| Humana | PPO | Commercial | $687 | percent of total billed charges |
| BCBS | Traditional | Commercial | $726 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $829 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $863 | case rate |
| HealthSmart Preferred Care | ACCEL | Commercial | $891 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $933 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $943 | per diem |
| Oscar | HIX | Commercial | $973 | case rate |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Coventry National First Health | COMM | Commercial | $1,074 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,140 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,140 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,244 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,244 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,244 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,347 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,555 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $1,700 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,762 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,762 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,762 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $1,762 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Affiliated PPO | COMM | Commercial | $1,866 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare North Cypress: all 43 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $419 | percent of total billed charges |
| BCBS | Traditional | Commercial | $726 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $829 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $863 | case rate |
| United | GlobalAppendix | Commercial | $933 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Coventry National First Health | COMM | Commercial | $1,074 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,555 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $1,762 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare Conroe: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $384 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $524 | percent of total billed charges |
| Humana | HMO | Commercial | $723 | percent of total billed charges |
| Humana | PPO | Commercial | $723 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $763 | case rate |
| BCBS | Traditional | Commercial | $763 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $873 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $938 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| United | GlobalAppendix | Commercial | $982 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Coventry National First Health | COMM | Commercial | $1,130 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,200 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,200 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,309 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,309 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,309 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Coastal Comp | COMM | Workers' comp | $1,418 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,636 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $1,789 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,854 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,854 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,854 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Affiliated PPO | COMM | Commercial | $1,963 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare Tomball: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $395 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $763 | case rate |
| Humana | HMO | Commercial | $779 | percent of total billed charges |
| Humana | PPO | Commercial | $779 | percent of total billed charges |
| BCBS | Traditional | Commercial | $823 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $832 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $941 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| United | GlobalAppendix | Commercial | $1,058 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,763 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $1,999 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare Pearland: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $423 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $756 | case rate |
| Humana | HMO | Commercial | $833 | percent of total billed charges |
| Humana | PPO | Commercial | $833 | percent of total billed charges |
| BCBS | Traditional | Commercial | $880 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $1,006 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| United | GlobalAppendix | Commercial | $1,132 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,303 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,886 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $2,138 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
HCA Houston Healthcare Northwest: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $431 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $763 | case rate |
| Humana | HMO | Commercial | $849 | percent of total billed charges |
| Humana | PPO | Commercial | $849 | percent of total billed charges |
| BCBS | Traditional | Commercial | $897 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $1,025 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| United | GlobalAppendix | Commercial | $1,153 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,328 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,922 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $2,179 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare Clear Lake: all 69 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $488 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $665 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $764 | case rate |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Humana | HMO | Commercial | $918 | percent of total billed charges |
| Humana | PPO | Commercial | $918 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $943 | per diem |
| BCBS | Traditional | Commercial | $970 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $1,109 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,192 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,247 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Coventry National First Health | COMM | Commercial | $1,436 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,525 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,525 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Independent Medical System | COMM | Commercial | $1,663 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,663 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,663 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Coastal Comp | COMM | Workers' comp | $1,802 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,079 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,273 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,356 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,356 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,356 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| Affiliated PPO | COMM | Commercial | $2,495 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare Mainland: all 67 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $560 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $693 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $764 | case rate |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Humana | HMO | Commercial | $918 | percent of total billed charges |
| Humana | PPO | Commercial | $918 | percent of total billed charges |
| BCBS | Traditional | Commercial | $970 | percent of total billed charges |
| Oscar | HIX | Commercial | $973 | case rate |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $1,109 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,192 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,247 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Coventry National First Health | COMM | Commercial | $1,436 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,525 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,525 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Independent Medical System | COMM | Commercial | $1,663 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,663 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,663 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Coastal Comp | COMM | Workers' comp | $1,802 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,079 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,273 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,356 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,356 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,356 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| Affiliated PPO | COMM | Commercial | $2,495 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
HCA Houston Healthcare West: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $51.36 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $507 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $724 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $756 | case rate |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Oscar | HIX | Commercial | $973 | case rate |
| Humana | HMO | Commercial | $999 | percent of total billed charges |
| Humana | PPO | Commercial | $999 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,055 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,064 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $1,206 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,296 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,357 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| Coventry National First Health | COMM | Commercial | $1,562 | percent of total billed charges |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,658 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,658 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Independent Medical System | COMM | Commercial | $1,809 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,809 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,809 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,809 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Coastal Comp | COMM | Workers' comp | $1,960 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,261 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $2,472 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,563 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,563 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,563 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Affiliated PPO | COMM | Commercial | $2,714 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
HCA Houston Healthcare Southeast: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $50.33 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $52.39 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $64.20 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $77.04 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $128 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $200 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $200 | case rate |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| BCBS | MyBlueHealth | Commercial | $805 | case rate |
| Imagine Health | PPO | Commercial | $814 | case rate |
| Oscar | HIX | Commercial | $973 | case rate |
| BCBS | BAV | Commercial | $1,064 | case rate |
| United | OptionsPPO | Commercial | $1,085 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,290 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,359 | case rate |
| Aetna | NBHMO | Commercial | $1,418 | case rate |
| Aetna | NBPOS | Commercial | $1,418 | case rate |
| Averde Health | Commercial | Commercial | $1,500 | case rate |
| Aetna | COMMHMO | Commercial | $1,506 | case rate |
| Aetna | COMMPOS | Commercial | $1,506 | case rate |
| BCBS | HMO | Commercial | $1,519 | case rate |
| Evry Health | BroadNetwork | Commercial | $1,528 | case rate |
| BCBS | EPOSOA | Commercial | $1,561 | case rate |
| BCBS | PPO | Commercial | $1,603 | case rate |
| Aetna | OONHMO | Commercial | $1,772 | case rate |
| Aetna | OONPOS | Commercial | $1,772 | case rate |
| Humana | HMO | Commercial | $1,780 | percent of total billed charges |
| Humana | PPO | Commercial | $1,780 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,881 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,914 | case rate |
| Aetna | ASAPOS | Commercial | $1,914 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $1,947 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $2,149 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,281 | case rate |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,310 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,418 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $2,471 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Aetna | NBPPO | Commercial | $2,621 | case rate |
| Coventry National First Health | COMM | Commercial | $2,783 | percent of total billed charges |
| Aetna | COMMPPO | Commercial | $2,787 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Cigna | PPO | Commercial | $2,938 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,955 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,955 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $3,224 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $3,224 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $3,224 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $3,224 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $3,277 | case rate |
| Coastal Comp | COMM | Workers' comp | $3,492 | percent of total billed charges |
| Aetna | ASAPPO | Commercial | $3,540 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Fiesta Mart, Inc | COMM | Commercial | $4,030 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,030 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $4,406 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $4,567 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $4,567 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $4,567 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $4,836 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $274 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $302 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $315 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $411 | fee schedule |
| Aetna | Exchange | Commercial | $425 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $439 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $521 | fee schedule |
Texas Children's Hospital The Woodlands: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.36 | per diem |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $51.36 | per diem |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $549 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $610 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $610 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $711 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $1,179 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $1,280 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $1,300 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $1,300 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $1,300 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $1,300 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $1,300 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $1,300 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $1,321 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $1,422 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $1,524 | percent of total billed charges |
| First Health | Commercial | Commercial | $1,788 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $1,829 | percent of total billed charges |
| First Health | CCN Network | Commercial | $1,930 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $1,930 | percent of total billed charges |
Texas Children's Hospital West Campus: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.36 | per diem |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $51.36 | per diem |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $549 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $610 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $610 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $711 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $1,179 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $1,280 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $1,300 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $1,300 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $1,300 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $1,300 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $1,300 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $1,300 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $1,321 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $1,422 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $1,524 | percent of total billed charges |
| First Health | Commercial | Commercial | $1,788 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $1,829 | percent of total billed charges |
| First Health | CCN Network | Commercial | $1,930 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $1,930 | percent of total billed charges |
Texas Children's Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.36 | per diem |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $51.36 | per diem |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $549 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $549 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $549 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $610 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $610 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $711 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $813 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $1,179 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $1,280 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $1,280 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $1,300 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $1,300 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $1,300 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $1,300 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $1,300 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $1,300 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $1,321 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $1,422 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $1,524 | percent of total billed charges |
| First Health | Commercial | Commercial | $1,788 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $1,829 | percent of total billed charges |
| First Health | CCN Network | Commercial | $1,930 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $1,930 | percent of total billed charges |
Emergency room visit, level 4 (high) (CPT 99284)
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.
ER visit level 4 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 99284; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $409Cash ÷ typical 0.5× | $8257 plans | $429 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $409Cash ÷ typical 0.5× | $8257 plans | $429 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $1,269Cash ÷ typical 1.5× | $85518 plans | $448 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $1,310Cash ÷ typical 2.0× | $6604 plans | $629 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $1,351Cash ÷ typical 0.7× | $2,05225 plans | $514 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,85234 plans | $307 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,84235 plans | $307 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,84235 plans | $307 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,84237 plans | $307 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,86231 plans | $307 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $1,372Cash ÷ typical 0.7× | $1,85234 plans | $307 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $1,908Cash ÷ typical 2.1× | $9053 plans | $683 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $1,951Cash ÷ typical 2.3× | $8383 plans | $683 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $1,951 | $7612 plans | $683 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $2,185= list priceCash ÷ typical 0.7× | $3,19035 plans | $367 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $2,799–$3,691= list priceCash ÷ typical 0.9× | $3,19035 plans | $470 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $3,359–$3,662= list priceCash ÷ typical 1.1× | $3,19035 plans | $564 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $3,440= list priceCash ÷ typical 1.2× | $2,95944 plans | $605 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $3,909= list priceCash ÷ typical 1.2× | $3,20545 plans | $688 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $3,909= list priceCash ÷ typical 1.2× | $3,20545 plans | $790 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $3,970= list priceCash ÷ typical 1.2× | $3,26846 plans | $667 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $3,970= list priceCash ÷ typical 1.2× | $3,31133 plans | $802 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $4,022–$6,522= list priceCash ÷ typical 1.2× | $3,31135 plans | $676 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $4,896= list priceCash ÷ typical 1.5× | $3,24445 plans | $760 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $6,678= list priceCash ÷ typical 1.9× | $3,45945 plans | $1,349 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $1,362Cash ÷ typical 2.1× | $6604 plans | $629 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $2,562Cash ÷ typical 1.0× | $2,44717 plans | $2,218 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $2,562Cash ÷ typical 1.0× | $2,44717 plans | $2,218 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $2,562Cash ÷ typical 1.0× | $2,44717 plans | $2,218 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $1,580–$1,760 | $717 | $825 | $1,200 | — | — | — | $312–$409 | $409 |
| Harris Health Lyndon B Johnson Hospital | $1,580–$1,760 | $717 | $825 | $1,200 | — | — | — | $312–$409 | $409 |
| St. Luke's Health Brazosport Hospital | $704–$1,112 | $657–$1,233 | $5,687 | $661–$3,279 | $922 | — | $618 | $175–$1,944 | $427–$544 |
| Memorial Hermann Greater Heights Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Katy Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Memorial City Medical Center | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Northeast Hospital | — | $650 | — | — | — | — | — | — | $419–$461 |
| Memorial Hermann Pearland Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Southeast Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Southwest Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Sugar Land Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann The Woodlands Medical Center | — | $650 | — | — | — | — | — | — | $419–$482 |
| St. Luke's Health Patients Medical Center | $514–$1,119 | $2,625–$5,609 | $1,862–$5,154 | $1,333–$2,186 | $2,160 | — | $640 | $257–$843 | $427–$456 |
| Memorial Hermann Cypress Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann-Texas Medical Center | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Imaging Center (Bellaire) | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Imaging Center (Cypress) | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $650 | — | — | — | — | — | — | $419–$482 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $650 | — | — | — | — | — | — | $419–$482 |
| St. Luke's Health Sugar Land Hospital | $514–$1,119 | $657–$5,609 | $1,862–$5,154 | $1,333–$2,186 | $2,160 | — | — | $314–$3,239 | $350–$1,058 |
| St. Luke's Health The Vintage Hospital | $514–$1,119 | $657–$5,609 | $1,862–$5,154 | $1,333–$2,186 | $2,160 | — | — | $314–$3,239 | $427–$1,058 |
| St. Luke's Health Lakeside Hospital | $514–$1,119 | $657–$5,609 | $1,862–$5,154 | $1,333–$2,186 | $2,160 | — | $640 | $314–$3,239 | $427–$1,058 |
| Baylor St Luke's Medical Center | $415–$1,091 | $657–$5,594 | $1,862–$5,154 | $1,476–$2,209 | $2,400 | — | — | $431–$3,239 | $427–$1,058 |
| St. Luke's Health Springwoods Village Hospital | $514–$1,119 | $2,666–$5,609 | $640–$5,154 | $1,333–$2,186 | $2,160 | — | — | $392–$2,156 | $427–$1,058 |
| St. Luke's Health The Woodlands Hospital | $514–$1,119 | $657–$5,609 | $640–$5,154 | $1,333–$2,186 | $2,160 | — | — | $392–$3,239 | $427–$1,058 |
| Houston Methodist Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| Houston Methodist Clear Lake Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| Houston Methodist Baytown Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| Houston Methodist Cypress Hospital | — | — | — | — | — | — | — | — | $419–$449 |
| Houston Methodist The Woodlands Hospital | — | — | — | — | — | — | — | — | $419–$449 |
| Houston Methodist Sugar Land Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| Houston Methodist West Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| Houston Methodist Willowbrook Hospital | — | — | — | — | — | — | — | — | $419–$461 |
| HCA Houston Healthcare Medical Center | $765–$3,360 | $3,115–$4,651 | $2,994–$3,857 | $367–$4,000 | $724 | $2,436 | — | $300–$363 | — |
| HCA Houston Healthcare Tomball | $980–$3,360 | $3,115–$4,651 | $2,994–$3,857 | $470–$4,027 | $927 | $2,436 | — | $300–$392 | — |
| HCA Houston Healthcare Pearland | $760–$3,360 | $3,115–$4,651 | $2,994–$3,857 | $564–$4,000 | $1,113 | $2,436 | — | $300–$470 | — |
| HCA Houston Healthcare Conroe | $1,204–$3,360 | $3,115–$4,651 | $2,994–$3,857 | $605–$4,027 | $1,140 | $2,436 | — | $300–$482 | — |
| HCA Houston Healthcare Clear Lake | $1,280–$3,360 | $3,115–$4,651 | $3,448–$4,442 | $688–$4,027 | $1,295 | $2,436 | — | $300–$547 | — |
| HCA Houston Healthcare Mainland | $1,280–$3,360 | $3,115–$4,651 | $3,448–$4,442 | $790–$4,027 | $1,295 | $2,436 | — | $300–$547 | — |
| HCA Houston Healthcare Kingwood | $1,390–$3,360 | $3,115–$4,651 | $3,600–$4,637 | $667–$4,027 | $1,315 | $2,436 | — | $300–$556 | — |
| HCA Houston Healthcare North Cypress | $1,390–$3,360 | $3,115–$4,651 | $3,600–$4,637 | $802–$4,027 | — | $2,436 | — | $300–$556 | — |
| HCA Houston Healthcare Northwest | $1,408–$3,360 | $3,115–$4,651 | $4,545–$5,855 | $676–$4,027 | $1,333 | $2,436 | — | $300–$563 | — |
| HCA Houston Healthcare West | $760–$3,360 | $3,115–$4,651 | $2,994–$3,857 | $823–$4,000 | $1,622 | $2,436 | — | $300–$685 | — |
| HCA Houston Healthcare Southeast | $1,960–$3,360 | $3,115–$4,651 | $4,545–$5,855 | $1,349–$4,027 | $2,212 | $2,436 | — | $300–$363 | — |
| Children's Memorial Hermann Hospital | — | $650 | — | — | — | — | — | — | $419–$482 |
| Texas Children's Hospital The Woodlands | $2,409 | $2,447 | $2,218–$2,447 | $2,447 | — | — | — | $1,032–$1,530 | — |
| Texas Children's Hospital West Campus | $2,409 | $2,447 | $2,218–$2,447 | $2,447 | — | — | — | $1,032–$1,530 | — |
| Texas Children's Hospital | $2,409 | $2,447 | $2,218–$2,447 | $2,447 | — | — | — | $1,032–$1,530 | — |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $319 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $322 | percent of total billed charges |
| CHC | D-SNP | Medicare Advantage | $409 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $409 | fee schedule |
| CHC | Marketplace | Commercial | $429 | fee schedule |
| Aetna | Commercial HMO | Commercial | $717 | case rate |
| Aetna | Commercial PPO | Commercial | $717 | case rate |
| Cigna | Commercial | Commercial | $825 | other |
| UHC | Commercial | Commercial | $1,200 | case rate |
| BCBS TX | Blue Advantage | Commercial | $1,580 | case rate |
| BCBS TX | PPO POS | Commercial | $1,760 | case rate |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $312 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $319 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $322 | percent of total billed charges |
| CHC | D-SNP | Medicare Advantage | $409 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $409 | fee schedule |
| CHC | Marketplace | Commercial | $429 | fee schedule |
| Aetna | Commercial HMO | Commercial | $717 | case rate |
| Aetna | Commercial PPO | Commercial | $717 | case rate |
| Cigna | Commercial | Commercial | $825 | other |
| UHC | Commercial | Commercial | $1,200 | case rate |
| BCBS TX | Blue Advantage | Commercial | $1,580 | case rate |
| BCBS TX | PPO POS | Commercial | $1,760 | case rate |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $175 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $218 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $218 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $229 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $229 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $235 | case rate |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $292 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $292 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $448 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| Aetna | Medicare|All Plans | Medicare Advantage | $544 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $618 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| United | Commercial|Exchange | Commercial | $661 | case rate |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $666 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $704 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $782 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $830 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $879 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $922 | case rate |
| Entrust | Commercial|All Plans | Commercial | $959 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $999 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $1,112 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $1,233 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $1,451 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,451 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $1,814 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $1,944 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $3,279 | case rate |
| Cigna | Commercial|All Plans | Commercial | $5,687 | case rate |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
St. Luke's Health Patients Medical Center: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $257 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $257 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $270 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $276 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $370 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $843 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| United | Commercial|Charter | Commercial | $1,968 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,510 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,510 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,625 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,703 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,896 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 69 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $320 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $320 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $320 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $329 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $350 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $430 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $469 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,372 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| United | Commercial|Charter | Commercial | $1,968 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,666 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $3,239 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
St. Luke's Health The Vintage Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $320 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $320 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $320 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $329 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $430 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $469 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $597 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,372 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| United | Commercial|Charter | Commercial | $1,968 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,666 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $3,239 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
St. Luke's Health Lakeside Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $314 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $314 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $314 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $320 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $320 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $320 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $329 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $420 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $430 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $469 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Harris Health | Commercial|ERS | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $978 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,372 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| United | Commercial|Charter | Commercial | $1,968 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,666 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $3,239 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
Baylor St Luke's Medical Center: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $415 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $419 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $431 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $431 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $431 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $431 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $431 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $431 | fee schedule |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $440 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $440 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $440 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $448 | case rate |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $453 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $512 | case rate |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $578 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $578 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $578 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $591 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $597 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Harris Health | Commercial|ERS | Commercial | $640 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| BCBS - TX | Commercial|PPO Trad | Commercial | $711 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $756 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $1,091 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,345 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,345 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,476 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,607 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $1,960 | fee schedule |
| United | Commercial|Charter | Commercial | $1,989 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| United | Commercial|HMO | Commercial | $2,209 | case rate |
| United | Commercial|PPO | Commercial | $2,209 | case rate |
| Humana | Commercial|HMO | Commercial | $2,400 | case rate |
| Humana | Commercial|PPO | Commercial | $2,400 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $3,239 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,594 | case rate |
St. Luke's Health Springwoods Village Hospital: all 59 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| Montgomery Hospital District | Commercial|All Plans | Public program | $392 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $392 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $392 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $400 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $412 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $440 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $469 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $537 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $640 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,223 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,372 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,666 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
St. Luke's Health The Woodlands Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $307 | case rate |
| Montgomery Hospital District | Commercial|All Plans | Public program | $392 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $392 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $392 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $392 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $392 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $400 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $400 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $412 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $427 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $427 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $427 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $431 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $435 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $439 | case rate |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $440 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $456 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $469 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $514 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $525 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $525 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $525 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $537 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $576 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $595 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $608 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $640 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $640 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $640 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $640 | case rate |
| Aetna | Commercial|Exchange | Commercial | $657 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $746 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $985 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,058 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,119 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,223 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,223 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,333 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,372 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $1,386 | case rate |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,418 | fee schedule |
| United | Commercial|Optum | Commercial | $1,842 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $1,862 | fee schedule |
| United | Commercial|Charter | Commercial | $1,968 | case rate |
| Cigna | Commercial|HMO | Commercial | $2,052 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,156 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,156 | fee schedule |
| Humana | Commercial|HMO | Commercial | $2,160 | case rate |
| Humana | Commercial|PPO | Commercial | $2,160 | case rate |
| United | Commercial|HMO | Commercial | $2,186 | case rate |
| United | Commercial|PPO | Commercial | $2,186 | case rate |
| Coventry | Commercial|PPO | Commercial | $2,548 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $2,548 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $2,666 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $2,744 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $2,940 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $3,239 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $3,332 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $3,920 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $4,649 | case rate |
| Cigna | Commercial|PPO | Commercial | $5,154 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $5,609 | case rate |
Houston Methodist Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $905 | fee schedule |
| Uae | All Commercial Plans | Commercial | $1,677 | fee schedule |
Houston Methodist Clear Lake Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
Houston Methodist Baytown Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
Houston Methodist Cypress Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
Houston Methodist The Woodlands Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $838 | fee schedule |
Houston Methodist Sugar Land Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
Houston Methodist West Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
| Uae | All Commercial Plans | Commercial | $1,677 | fee schedule |
Houston Methodist Willowbrook Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $419 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $425 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $428 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $432 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $440 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $449 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $461 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $683 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $838 | fee schedule |
HCA Houston Healthcare Medical Center: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $306 | percent of total billed charges |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $367 | percent of total billed charges |
| Humana | HMO | Commercial | $724 | percent of total billed charges |
| Humana | PPO | Commercial | $724 | percent of total billed charges |
| BCBS | Traditional | Commercial | $765 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $874 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $983 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,132 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,160 | case rate |
| BCBS | BAV | Commercial | $1,600 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,639 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,858 | percent of total billed charges |
| Oscar | HIX | Commercial | $2,436 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Cigna | CSN | Commercial | $2,994 | case rate |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,244 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | PPO | Commercial | $3,857 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Tomball: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $392 | percent of total billed charges |
| United | OptionsPPO | Commercial | $470 | percent of total billed charges |
| Humana | HMO | Commercial | $927 | percent of total billed charges |
| Humana | PPO | Commercial | $927 | percent of total billed charges |
| BCBS | Traditional | Commercial | $980 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $991 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,120 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,259 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,540 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,099 | percent of total billed charges |
| BCBS | BAV | Commercial | $2,100 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $2,379 | percent of total billed charges |
| Oscar | HIX | Commercial | $2,436 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Cigna | CSN | Commercial | $2,994 | case rate |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,244 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | PPO | Commercial | $3,857 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Pearland: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $470 | percent of total billed charges |
| United | OptionsPPO | Commercial | $564 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $760 | case rate |
| Humana | HMO | Commercial | $1,113 | percent of total billed charges |
| Humana | PPO | Commercial | $1,113 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,176 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,344 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,512 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,600 | case rate |
| Coventry National First Health | COMM | Commercial | $1,740 | percent of total billed charges |
| Oscar | HIX | Commercial | $2,436 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,519 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $2,855 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Cigna | CSN | Commercial | $2,994 | case rate |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,244 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | PPO | Commercial | $3,857 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Conroe: all 60 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $482 | percent of total billed charges |
| United | OptionsPPO | Commercial | $605 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $826 | percent of total billed charges |
| Humana | HMO | Commercial | $1,140 | percent of total billed charges |
| Humana | PPO | Commercial | $1,140 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,204 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,376 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,479 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,540 | case rate |
| United | GlobalAppendix | Commercial | $1,548 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,782 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,892 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,892 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $2,064 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,064 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,064 | percent of total billed charges |
| BCBS | BAV | Commercial | $2,100 | case rate |
| Coastal Comp | COMM | Workers' comp | $2,236 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,580 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,796 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $2,821 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,924 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,924 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,924 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,994 | case rate |
| Affiliated PPO | COMM | Commercial | $3,096 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,244 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | PPO | Commercial | $3,857 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Clear Lake: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $547 | percent of total billed charges |
| United | OptionsPPO | Commercial | $688 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $938 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,280 | case rate |
| Humana | HMO | Commercial | $1,295 | percent of total billed charges |
| Humana | PPO | Commercial | $1,295 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,368 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,563 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,681 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,759 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,800 | case rate |
| Coventry National First Health | COMM | Commercial | $2,025 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,150 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,150 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $2,345 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,345 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,345 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $2,431 | per diem |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Coastal Comp | COMM | Workers' comp | $2,541 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,932 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $3,205 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $3,322 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $3,322 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $3,322 | percent of total billed charges |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Cigna | CSN | Commercial | $3,448 | case rate |
| Affiliated PPO | COMM | Commercial | $3,518 | percent of total billed charges |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,736 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Cigna | PPO | Commercial | $4,442 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Mainland: all 60 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $547 | percent of total billed charges |
| United | OptionsPPO | Commercial | $790 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $977 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,280 | case rate |
| Humana | HMO | Commercial | $1,295 | percent of total billed charges |
| Humana | PPO | Commercial | $1,295 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,368 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,563 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,681 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,759 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,800 | case rate |
| Coventry National First Health | COMM | Commercial | $2,025 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,150 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,150 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $2,345 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,345 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,345 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Coastal Comp | COMM | Workers' comp | $2,541 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,932 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $3,205 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $3,322 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $3,322 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $3,322 | percent of total billed charges |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Cigna | CSN | Commercial | $3,448 | case rate |
| Affiliated PPO | COMM | Commercial | $3,518 | percent of total billed charges |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,736 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Cigna | PPO | Commercial | $4,442 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Kingwood: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $556 | percent of total billed charges |
| United | OptionsPPO | Commercial | $667 | percent of total billed charges |
| Humana | HMO | Commercial | $1,315 | percent of total billed charges |
| Humana | PPO | Commercial | $1,315 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,390 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,588 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,707 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,787 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,940 | case rate |
| Coventry National First Health | COMM | Commercial | $2,056 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,184 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,184 | percent of total billed charges |
| BCBS | BAV | Commercial | $2,200 | case rate |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Independent Medical System | COMM | Commercial | $2,382 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,382 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,382 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $2,431 | per diem |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Coastal Comp | COMM | Workers' comp | $2,581 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,978 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $3,255 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $3,375 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $3,375 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $3,375 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $3,375 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Affiliated PPO | COMM | Commercial | $3,573 | percent of total billed charges |
| Cigna | CSN | Commercial | $3,600 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,900 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Cigna | PPO | Commercial | $4,637 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare North Cypress: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $556 | percent of total billed charges |
| United | OptionsPPO | Commercial | $802 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,390 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,588 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,787 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,940 | case rate |
| Coventry National First Health | COMM | Commercial | $2,056 | percent of total billed charges |
| BCBS | BAV | Commercial | $2,200 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,978 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $3,375 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Cigna | CSN | Commercial | $3,600 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,900 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Cigna | PPO | Commercial | $4,637 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Northwest: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $563 | percent of total billed charges |
| United | OptionsPPO | Commercial | $676 | percent of total billed charges |
| Humana | HMO | Commercial | $1,333 | percent of total billed charges |
| Humana | PPO | Commercial | $1,333 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,408 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,609 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,810 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,940 | case rate |
| Coventry National First Health | COMM | Commercial | $2,083 | percent of total billed charges |
| BCBS | BAV | Commercial | $2,200 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| United | SmallGroup | Commercial | $2,796 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $3,017 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $3,419 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Cigna | CSN | Commercial | $4,545 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
| Cigna | OpenAccessPlus | Commercial | $4,924 | case rate |
| Cigna | PPO | Commercial | $5,855 | case rate |
HCA Houston Healthcare West: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $685 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $760 | case rate |
| United | OptionsPPO | Commercial | $823 | percent of total billed charges |
| BCBS | BAV | Commercial | $1,000 | case rate |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,175 | percent of total billed charges |
| Humana | HMO | Commercial | $1,622 | percent of total billed charges |
| Humana | PPO | Commercial | $1,622 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,714 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,958 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,105 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,203 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| Coventry National First Health | COMM | Commercial | $2,536 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,693 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,693 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,777 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| Independent Medical System | COMM | Commercial | $2,938 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,938 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,938 | percent of total billed charges |
| Triumph | COMM | Commercial | $2,938 | percent of total billed charges |
| Cigna | CSN | Commercial | $2,994 | case rate |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| Coastal Comp | COMM | Workers' comp | $3,182 | percent of total billed charges |
| BCBS | HMO | Commercial | $3,190 | case rate |
| Cigna | OpenAccessPlus | Commercial | $3,244 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $3,672 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Cigna | PPO | Commercial | $3,857 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| United | AllPayerAppendix | Commercial | $4,000 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $4,015 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $4,162 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $4,162 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $4,162 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Affiliated PPO | COMM | Commercial | $4,406 | percent of total billed charges |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
HCA Houston Healthcare Southeast: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $320 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $320 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| United | OptionsPPO | Commercial | $1,349 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,603 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $1,960 | case rate |
| Humana | HMO | Commercial | $2,212 | percent of total billed charges |
| Humana | PPO | Commercial | $2,212 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,337 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $2,362 | case rate |
| Oscar | HIX | Commercial | $2,436 | case rate |
| Averde Health | Commercial | Commercial | $2,500 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $2,508 | case rate |
| BCBS | BAV | Commercial | $2,550 | case rate |
| Christus (USFHP) | TRICARE | Military / VA | $2,671 | percent of total billed charges |
| United | SmallGroup | Commercial | $2,796 | case rate |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,872 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $2,920 | case rate |
| United | GlobalAppendix | Commercial | $3,005 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,115 | case rate |
| Aetna | NBPOS | Commercial | $3,115 | case rate |
| BCBS | HMO | Commercial | $3,190 | case rate |
| BCBS | EPOSOA | Commercial | $3,280 | case rate |
| Aetna | COMMHMO | Commercial | $3,311 | case rate |
| Aetna | COMMPOS | Commercial | $3,311 | case rate |
| BCBS | PPO | Commercial | $3,360 | case rate |
| Aetna | NBPPO | Commercial | $3,443 | case rate |
| Coventry National First Health | COMM | Commercial | $3,459 | percent of total billed charges |
| Aetna | COMMPPO | Commercial | $3,659 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,673 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,673 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $3,704 | case rate |
| Aetna | OONHMO | Commercial | $3,893 | case rate |
| Aetna | OONPOS | Commercial | $3,893 | case rate |
| Independent Medical System | COMM | Commercial | $4,007 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $4,007 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $4,007 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $4,007 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $4,027 | case rate |
| Aetna | ASAHMO | Commercial | $4,206 | case rate |
| Aetna | ASAPOS | Commercial | $4,206 | case rate |
| Curative Administrators | COMM | Commercial | $4,206 | case rate |
| Aetna | OONPPO | Commercial | $4,304 | case rate |
| Coastal Comp | COMM | Workers' comp | $4,341 | percent of total billed charges |
| Cigna | CSN | Commercial | $4,545 | case rate |
| Aetna | ASAPPO | Commercial | $4,651 | case rate |
| Cigna | OpenAccessPlus | Commercial | $4,924 | case rate |
| Fiesta Mart, Inc | COMM | Commercial | $5,009 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $5,009 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $5,476 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $5,676 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $5,676 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $5,676 | percent of total billed charges |
| Cigna | PPO | Commercial | $5,855 | case rate |
| Affiliated PPO | COMM | Commercial | $6,010 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $419 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $461 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $482 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $629 | fee schedule |
| Aetna | Exchange | Commercial | $650 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $671 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $796 | fee schedule |
Texas Children's Hospital The Woodlands: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,032 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,338 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,350 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $2,218 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $2,409 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $2,447 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $2,447 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $2,447 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $2,447 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $2,447 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $2,447 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $2,486 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $2,677 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $2,868 | percent of total billed charges |
| First Health | Commercial | Commercial | $3,365 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $3,442 | percent of total billed charges |
| First Health | CCN Network | Commercial | $3,633 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $3,633 | percent of total billed charges |
Texas Children's Hospital West Campus: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,032 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,338 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,350 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $2,218 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $2,409 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $2,447 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $2,447 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $2,447 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $2,447 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $2,447 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $2,447 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $2,486 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $2,677 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $2,868 | percent of total billed charges |
| First Health | Commercial | Commercial | $3,365 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $3,442 | percent of total billed charges |
| First Health | CCN Network | Commercial | $3,633 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $3,633 | percent of total billed charges |
Texas Children's Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,032 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,032 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,032 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,147 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,338 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,350 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $1,530 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $2,218 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $2,409 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $2,409 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $2,447 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $2,447 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $2,447 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $2,447 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $2,447 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $2,447 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $2,486 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $2,677 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $2,868 | percent of total billed charges |
| First Health | Commercial | Commercial | $3,365 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $3,442 | percent of total billed charges |
| First Health | CCN Network | Commercial | $3,633 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $3,633 | percent of total billed charges |
Emergency room visit, level 5 (highest) (CPT 99285)
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.
ER visit level 5 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 99285; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $588Cash ÷ typical 0.5× | $1,1037 plans | $618 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $588Cash ÷ typical 0.5× | $1,1037 plans | $618 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $1,628Cash ÷ typical 1.3× | $1,22618 plans | $645 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $1,695Cash ÷ typical 1.8× | $9424 plans | $897 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $1,753Cash ÷ typical 0.7× | $2,54625 plans | $737 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,22434 plans | $442 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,11635 plans | $442 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,11635 plans | $442 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,33237 plans | $442 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,33231 plans | $442 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $1,760Cash ÷ typical 0.8× | $2,22434 plans | $442 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $2,376Cash ÷ typical 1.8× | $1,2923 plans | $975 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $2,492Cash ÷ typical 2.1× | $1,1963 plans | $975 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $2,492 | $1,0862 plans | $975 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $3,138= list priceCash ÷ typical 0.7× | $4,44335 plans | $527 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $5,009–$5,032= list priceCash ÷ typical 1.1× | $4,44335 plans | $842 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $5,092–$5,550= list priceCash ÷ typical 1.1× | $4,44335 plans | $855 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $5,484–$9,731= list priceCash ÷ typical 1.2× | $4,52035 plans | $921 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $5,497–$5,665= list priceCash ÷ typical 1.2× | $4,67333 plans | $1,110 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $5,616= list priceCash ÷ typical 1.2× | $4,60545 plans | $988 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $5,616= list priceCash ÷ typical 1.2× | $4,52045 plans | $1,135 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $6,019= list priceCash ÷ typical 1.3× | $4,74246 plans | $1,011 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $6,817= list priceCash ÷ typical 1.4× | $4,74244 plans | $1,200 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $7,151= list priceCash ÷ typical 1.5× | $4,72445 plans | $1,201 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $8,314= list priceCash ÷ typical 1.7× | $4,98845 plans | $1,679 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $1,763Cash ÷ typical 1.9× | $9424 plans | $897 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $3,613Cash ÷ typical 1.0× | $3,45117 plans | $3,127 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $3,613Cash ÷ typical 1.0× | $3,45117 plans | $3,127 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $3,613Cash ÷ typical 1.0× | $3,45117 plans | $3,127 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $2,000–$2,240 | $1,103 | $825 | $1,200 | — | — | — | $402–$588 | $588 |
| Harris Health Lyndon B Johnson Hospital | $2,000–$2,240 | $1,103 | $825 | $1,200 | — | — | — | $402–$588 | $588 |
| St. Luke's Health Brazosport Hospital | $1,031–$1,594 | $946–$1,581 | $5,687 | $952–$3,279 | $1,323 | — | $890 | $279–$3,739 | $614–$698 |
| Memorial Hermann Greater Heights Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Katy Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Memorial City Medical Center | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Northeast Hospital | — | $927 | — | — | — | — | — | — | $598–$658 |
| Memorial Hermann Pearland Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Southeast Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Southwest Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Sugar Land Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann The Woodlands Medical Center | — | $927 | — | — | — | — | — | — | $598–$688 |
| St. Luke's Health Patients Medical Center | $737–$1,604 | $3,406–$7,146 | $2,116–$5,857 | $1,725–$2,829 | $3,060 | — | $921 | $333–$1,094 | $614–$657 |
| St. Luke's Health Sugar Land Hospital | $737–$1,604 | $946–$7,146 | $2,116–$5,857 | $1,725–$2,829 | $3,060 | — | — | $402–$4,155 | $512–$1,358 |
| St. Luke's Health The Vintage Hospital | $737–$1,604 | $946–$7,146 | $2,116–$5,857 | $1,725–$2,829 | $3,060 | — | — | $402–$4,155 | $614–$1,358 |
| St. Luke's Health Lakeside Hospital | $737–$1,604 | $946–$7,146 | $2,116–$5,857 | $1,725–$2,829 | $3,060 | — | $921 | $402–$4,155 | $614–$1,358 |
| Baylor St Luke's Medical Center | $595–$1,564 | $946–$7,127 | $2,116–$5,857 | $2,364–$4,113 | $3,400 | — | — | $553–$4,155 | $614–$1,358 |
| St. Luke's Health Springwoods Village Hospital | $737–$1,604 | $3,420–$7,146 | $921–$5,857 | $1,725–$2,829 | $3,060 | — | — | $503–$2,766 | $614–$1,358 |
| St. Luke's Health The Woodlands Hospital | $737–$1,604 | $946–$7,146 | $921–$5,857 | $1,725–$2,829 | $3,060 | — | — | $503–$4,155 | $614–$1,358 |
| Memorial Hermann Cypress Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann-Texas Medical Center | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Imaging Center (Bellaire) | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Imaging Center (Cypress) | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $927 | — | — | — | — | — | — | $598–$688 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $927 | — | — | — | — | — | — | $598–$688 |
| Houston Methodist Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| Houston Methodist Clear Lake Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| Houston Methodist Baytown Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| Houston Methodist Cypress Hospital | — | — | — | — | — | — | — | — | $598–$640 |
| Houston Methodist The Woodlands Hospital | — | — | — | — | — | — | — | — | $598–$640 |
| Houston Methodist Sugar Land Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| Houston Methodist West Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| Houston Methodist Willowbrook Hospital | — | — | — | — | — | — | — | — | $598–$658 |
| HCA Houston Healthcare Medical Center | $1,098–$7,960 | $3,527–$5,647 | $4,988–$6,425 | $527–$7,600 | $1,040 | $3,343 | — | $300–$439 | — |
| HCA Houston Healthcare Tomball | $1,753–$7,960 | $3,527–$5,647 | $4,988–$6,425 | $842–$7,600 | $1,660 | $3,343 | — | $300–$701 | — |
| HCA Houston Healthcare Pearland | $1,782–$7,960 | $3,527–$5,647 | $4,988–$6,425 | $855–$7,600 | $1,687 | $3,343 | — | $300–$713 | — |
| HCA Houston Healthcare Northwest | $1,919–$7,960 | $3,527–$5,647 | $7,720–$9,945 | $921–$7,600 | $1,817 | $3,343 | — | $300–$768 | — |
| HCA Houston Healthcare North Cypress | $1,924–$7,960 | $3,527–$5,647 | $5,357–$6,901 | $1,110–$7,600 | — | $3,343 | — | $300–$770 | — |
| HCA Houston Healthcare Clear Lake | $1,966–$7,960 | $3,527–$5,647 | $5,357–$6,901 | $988–$7,600 | $1,861 | $3,343 | — | $300–$786 | — |
| HCA Houston Healthcare Mainland | $1,966–$7,960 | $3,527–$5,647 | $5,357–$6,901 | $1,135–$7,600 | $1,861 | $3,343 | — | $300–$786 | — |
| HCA Houston Healthcare Kingwood | $2,107–$7,960 | $3,527–$5,647 | $5,357–$6,901 | $1,011–$7,600 | $1,994 | $3,343 | — | $300–$843 | — |
| HCA Houston Healthcare Conroe | $2,386–$7,960 | $3,527–$5,647 | $4,988–$6,425 | $1,200–$7,600 | $2,259 | $3,343 | — | $300–$954 | — |
| HCA Houston Healthcare West | $2,503–$7,960 | $3,527–$5,647 | $4,988–$6,425 | $1,201–$7,600 | $2,369 | $3,343 | — | $300–$1,001 | — |
| HCA Houston Healthcare Southeast | $2,910–$7,960 | $3,527–$5,647 | $7,720–$9,945 | $1,679–$7,600 | $2,754 | $3,343 | — | $300–$400 | — |
| Children's Memorial Hermann Hospital | — | $927 | — | — | — | — | — | — | $598–$688 |
| Texas Children's Hospital The Woodlands | $3,397 | $3,451 | $3,127–$3,451 | $3,451 | — | — | — | $1,456–$2,157 | — |
| Texas Children's Hospital West Campus | $3,397 | $3,451 | $3,127–$3,451 | $3,451 | — | — | — | $1,456–$2,157 | — |
| Texas Children's Hospital | $3,397 | $3,451 | $3,127–$3,451 | $3,451 | — | — | — | $1,456–$2,157 | — |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $410 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $414 | percent of total billed charges |
| CHC | D-SNP | Medicare Advantage | $588 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $588 | fee schedule |
| CHC | Marketplace | Commercial | $618 | fee schedule |
| Cigna | Commercial | Commercial | $825 | other |
| Aetna | Commercial HMO | Commercial | $1,103 | case rate |
| Aetna | Commercial PPO | Commercial | $1,103 | case rate |
| UHC | Commercial | Commercial | $1,200 | case rate |
| BCBS TX | Blue Advantage | Commercial | $2,000 | case rate |
| BCBS TX | PPO POS | Commercial | $2,240 | case rate |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $402 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $410 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $414 | percent of total billed charges |
| CHC | D-SNP | Medicare Advantage | $588 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $588 | fee schedule |
| CHC | Marketplace | Commercial | $618 | fee schedule |
| Cigna | Commercial | Commercial | $825 | other |
| Aetna | Commercial HMO | Commercial | $1,103 | case rate |
| Aetna | Commercial PPO | Commercial | $1,103 | case rate |
| UHC | Commercial | Commercial | $1,200 | case rate |
| BCBS TX | Blue Advantage | Commercial | $2,000 | case rate |
| BCBS TX | PPO POS | Commercial | $2,240 | case rate |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $279 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $279 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $293 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $293 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $374 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $374 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $645 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| Aetna | Medicare|All Plans | Medicare Advantage | $698 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $854 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $890 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| United | Commercial|Exchange | Commercial | $952 | case rate |
| BCBS-TX | Commercial|Blue Options | Commercial | $1,031 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $1,146 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $1,191 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,261 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $1,323 | case rate |
| Entrust | Commercial|All Plans | Commercial | $1,376 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $1,433 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $1,581 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $1,594 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $1,860 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,860 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $2,325 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $2,492 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $2,790 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $3,279 | case rate |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $3,739 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $5,687 | case rate |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
St. Luke's Health Patients Medical Center: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $333 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $333 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $351 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $358 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $480 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,094 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Charter | Commercial | $2,546 | case rate |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,256 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,256 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,406 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,506 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,757 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
St. Luke's Health Sugar Land Hospital: all 69 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $410 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $410 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $410 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $422 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $512 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $551 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $676 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,760 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,996 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| United | Commercial|Charter | Commercial | $2,546 | case rate |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,420 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $4,155 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
St. Luke's Health The Vintage Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $410 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $410 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $410 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $422 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $551 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $676 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $860 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,760 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,996 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| United | Commercial|Charter | Commercial | $2,546 | case rate |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,420 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $4,155 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
St. Luke's Health Lakeside Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $402 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $402 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $402 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $410 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $410 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $410 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $422 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $539 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $551 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $676 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Ambetter | Commercial|All Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Harris Health | Commercial|ERS | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,255 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,760 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,996 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| United | Commercial|Charter | Commercial | $2,546 | case rate |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,420 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $4,155 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
Baylor St Luke's Medical Center: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $553 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $553 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $553 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $553 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $553 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $553 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $564 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $564 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $564 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $581 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $595 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $600 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $645 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $737 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $741 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $741 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $741 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $758 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $860 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Harris Health | Commercial|ERS | Commercial | $921 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| BCBS - TX | Commercial|PPO Trad | Commercial | $1,019 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $1,085 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $1,564 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,726 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,726 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $1,996 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $2,062 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $2,515 | fee schedule |
| United | Commercial|Exchange | Commercial | $2,750 | case rate |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Humana | Commercial|HMO | Commercial | $3,400 | case rate |
| Humana | Commercial|PPO | Commercial | $3,400 | case rate |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,520 | fee schedule |
| United | Commercial|Charter | Commercial | $3,704 | case rate |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| United | Commercial|HMO | Commercial | $4,113 | case rate |
| United | Commercial|PPO | Commercial | $4,113 | case rate |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $4,155 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,127 | case rate |
St. Luke's Health Springwoods Village Hospital: all 59 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| Montgomery Hospital District | Commercial|All Plans | Public program | $503 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $503 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $503 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $513 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $528 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $564 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $676 | case rate |
| UHC | Medicaid|STAR | Medicaid / CHIP | $689 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $921 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,569 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,760 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $1,996 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,420 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
St. Luke's Health The Woodlands Hospital: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $442 | case rate |
| Montgomery Hospital District | Commercial|All Plans | Public program | $503 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $503 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $503 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $503 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $503 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $513 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $513 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $528 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $564 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $614 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $614 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $614 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $620 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $626 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $633 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $657 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $674 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $674 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $674 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $676 | case rate |
| UHC | Medicaid|STAR | Medicaid / CHIP | $689 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $737 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $829 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $853 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $873 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $921 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $921 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $921 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $921 | case rate |
| Aetna | Commercial|Exchange | Commercial | $946 | case rate |
| BCBS-TX | Commercial|Blue Premier | Commercial | $1,070 | fee schedule |
| KelseyCare | Commercial|All Other Plans | Commercial | $1,240 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $1,358 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $1,413 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $1,569 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $1,569 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $1,604 | fee schedule |
| United | Commercial|Exchange | Commercial | $1,725 | case rate |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $1,760 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $1,820 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $1,996 | case rate |
| Cigna | Commercial|Surefit | Commercial | $2,116 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $2,332 | fee schedule |
| United | Commercial|Optum | Commercial | $2,364 | fee schedule |
| United | Commercial|Charter | Commercial | $2,546 | case rate |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $2,766 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $2,766 | fee schedule |
| United | Commercial|HMO | Commercial | $2,829 | case rate |
| United | Commercial|PPO | Commercial | $2,829 | case rate |
| Humana | Commercial|HMO | Commercial | $3,060 | case rate |
| Humana | Commercial|PPO | Commercial | $3,060 | case rate |
| Coventry | Commercial|PPO | Commercial | $3,269 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $3,269 | fee schedule |
| Aetna | Commercial|PPO | Commercial | $3,420 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $3,520 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $3,772 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $4,155 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $4,275 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $5,029 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $5,857 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $5,925 | case rate |
| Aetna | Commercial|HMO | Commercial | $7,146 | case rate |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Houston Methodist Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,292 | fee schedule |
| Uae | All Commercial Plans | Commercial | $2,393 | fee schedule |
Houston Methodist Clear Lake Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
Houston Methodist Baytown Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
Houston Methodist Cypress Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
Houston Methodist The Woodlands Hospital: all 8 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $1,196 | fee schedule |
Houston Methodist Sugar Land Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
Houston Methodist West Hospital: all 10 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
| Uae | All Commercial Plans | Commercial | $2,393 | fee schedule |
Houston Methodist Willowbrook Hospital: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $598 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $607 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $610 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $616 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $628 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $640 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $658 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $975 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $1,196 | fee schedule |
HCA Houston Healthcare Medical Center: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $439 | percent of total billed charges |
| United | OptionsPPO | Commercial | $527 | percent of total billed charges |
| Humana | HMO | Commercial | $1,040 | percent of total billed charges |
| Humana | PPO | Commercial | $1,040 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,098 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,255 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,412 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,626 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,354 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,668 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Cigna | CSN | Commercial | $4,988 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,404 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,425 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Tomball: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $701 | percent of total billed charges |
| United | OptionsPPO | Commercial | $842 | percent of total billed charges |
| Humana | HMO | Commercial | $1,660 | percent of total billed charges |
| Humana | PPO | Commercial | $1,660 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,753 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,773 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,004 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,254 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $3,757 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $4,258 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Cigna | CSN | Commercial | $4,988 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,404 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,425 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Pearland: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $713 | percent of total billed charges |
| United | OptionsPPO | Commercial | $855 | percent of total billed charges |
| Humana | HMO | Commercial | $1,687 | percent of total billed charges |
| Humana | PPO | Commercial | $1,687 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,782 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,037 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,291 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $2,638 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $3,819 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $4,328 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Cigna | CSN | Commercial | $4,988 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,404 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,425 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Northwest: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $768 | percent of total billed charges |
| United | OptionsPPO | Commercial | $921 | percent of total billed charges |
| Humana | HMO | Commercial | $1,817 | percent of total billed charges |
| Humana | PPO | Commercial | $1,817 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,919 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,194 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,468 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $2,841 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,113 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $4,662 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| Cigna | CSN | Commercial | $7,720 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
| Cigna | OpenAccessPlus | Commercial | $8,364 | case rate |
| Cigna | PPO | Commercial | $9,945 | case rate |
HCA Houston Healthcare North Cypress: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $770 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,110 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,924 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,199 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,474 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $2,848 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,123 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Multiplan | ComplementaryNetwork | Commercial | $4,673 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| Cigna | CSN | Commercial | $5,357 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,804 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,901 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Clear Lake: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $786 | percent of total billed charges |
| United | OptionsPPO | Commercial | $988 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,348 | percent of total billed charges |
| Humana | HMO | Commercial | $1,861 | percent of total billed charges |
| Humana | PPO | Commercial | $1,861 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,966 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,247 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,415 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,527 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $2,909 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,089 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,089 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Independent Medical System | COMM | Commercial | $3,370 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $3,370 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $3,370 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Coastal Comp | COMM | Workers' comp | $3,651 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,212 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $4,605 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $4,774 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $4,774 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $4,774 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $4,863 | per diem |
| Affiliated PPO | COMM | Commercial | $5,055 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| Cigna | CSN | Commercial | $5,357 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,804 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,901 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Mainland: all 60 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $786 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,135 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $1,404 | percent of total billed charges |
| Humana | HMO | Commercial | $1,861 | percent of total billed charges |
| Humana | PPO | Commercial | $1,861 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,966 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,247 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,415 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,527 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $2,909 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,089 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,089 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Independent Medical System | COMM | Commercial | $3,370 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $3,370 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $3,370 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Coastal Comp | COMM | Workers' comp | $3,651 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,212 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $4,605 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $4,774 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $4,774 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $4,774 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $5,055 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| Cigna | CSN | Commercial | $5,357 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,804 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,901 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Kingwood: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $843 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,011 | percent of total billed charges |
| Humana | HMO | Commercial | $1,994 | percent of total billed charges |
| Humana | PPO | Commercial | $1,994 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,107 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,408 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,588 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,709 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $3,118 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,310 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,310 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Independent Medical System | COMM | Commercial | $3,611 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $3,611 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $3,611 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Coastal Comp | COMM | Workers' comp | $3,912 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,514 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $4,863 | per diem |
| HealthSmart Preferred Care | PPO | Commercial | $4,936 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $5,116 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $5,116 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $5,116 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $5,116 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| Cigna | CSN | Commercial | $5,357 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Affiliated PPO | COMM | Commercial | $5,417 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,804 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,901 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Conroe: all 60 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $954 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,200 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $1,636 | percent of total billed charges |
| Humana | HMO | Commercial | $2,259 | percent of total billed charges |
| Humana | PPO | Commercial | $2,259 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,386 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,727 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $2,931 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $3,068 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Coventry National First Health | COMM | Commercial | $3,531 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,750 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,750 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Independent Medical System | COMM | Commercial | $4,090 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $4,090 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $4,090 | percent of total billed charges |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Coastal Comp | COMM | Workers' comp | $4,431 | percent of total billed charges |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Cigna | CSN | Commercial | $4,988 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $5,113 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Cigna | OpenAccessPlus | Commercial | $5,404 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $5,590 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $5,795 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $5,795 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $5,795 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| Affiliated PPO | COMM | Commercial | $6,136 | percent of total billed charges |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,425 | case rate |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare West: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $1,001 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,201 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,716 | percent of total billed charges |
| Humana | HMO | Commercial | $2,369 | percent of total billed charges |
| Humana | PPO | Commercial | $2,369 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,503 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $2,860 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $3,075 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $3,218 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| Coventry National First Health | COMM | Commercial | $3,704 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $3,933 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $3,933 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Independent Medical System | COMM | Commercial | $4,291 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $4,291 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $4,291 | percent of total billed charges |
| Triumph | COMM | Commercial | $4,291 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Coastal Comp | COMM | Workers' comp | $4,648 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Cigna | CSN | Commercial | $4,988 | case rate |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $5,363 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $5,404 | case rate |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $5,864 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $6,078 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $6,078 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $6,078 | percent of total billed charges |
| BCBS | HMO | Commercial | $6,400 | case rate |
| Cigna | PPO | Commercial | $6,425 | case rate |
| Affiliated PPO | COMM | Commercial | $6,436 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
HCA Houston Healthcare Southeast: all 61 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $300 | case rate |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $300 | case rate |
| Amerigroup | MGMCD | Medicaid / CHIP | $363 | case rate |
| Molina Healthcare | CHIP | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STAR | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $400 | case rate |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $400 | case rate |
| United | OptionsPPO | Commercial | $1,679 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $1,995 | percent of total billed charges |
| Humana | HMO | Commercial | $2,754 | percent of total billed charges |
| Humana | PPO | Commercial | $2,754 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,910 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $3,326 | percent of total billed charges |
| Oscar | HIX | Commercial | $3,343 | case rate |
| Aetna | NBHMO | Commercial | $3,527 | case rate |
| Aetna | NBPOS | Commercial | $3,527 | case rate |
| HealthSmart Preferred Care | ACCEL | Commercial | $3,575 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $3,741 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $3,747 | case rate |
| Aetna | COMMPOS | Commercial | $3,747 | case rate |
| Averde Health | Commercial | Commercial | $4,000 | case rate |
| Aetna | NBPPO | Commercial | $4,183 | case rate |
| Healthcare Highways | NarrowNetwork | Commercial | $4,258 | case rate |
| Coventry National First Health | COMM | Commercial | $4,307 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $4,407 | case rate |
| Aetna | OONPOS | Commercial | $4,407 | case rate |
| Aetna | COMMPPO | Commercial | $4,443 | case rate |
| BCBS | MyBlueHealth | Commercial | $4,520 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $4,573 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $4,573 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $4,724 | case rate |
| Aetna | ASAHMO | Commercial | $4,760 | case rate |
| Aetna | ASAPOS | Commercial | $4,760 | case rate |
| Independent Medical System | COMM | Commercial | $4,988 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $4,988 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $4,988 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $4,988 | percent of total billed charges |
| Aetna | OONPPO | Commercial | $5,226 | case rate |
| United | SmallGroup | Commercial | $5,320 | case rate |
| BCBS | BAV | Commercial | $5,360 | case rate |
| Coastal Comp | COMM | Workers' comp | $5,404 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $5,457 | case rate |
| Curative Administrators | COMM | Commercial | $5,622 | case rate |
| Aetna | ASAPPO | Commercial | $5,647 | case rate |
| Evry Health | BroadNetwork | Commercial | $5,904 | case rate |
| Fiesta Mart, Inc | COMM | Commercial | $6,236 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $6,236 | percent of total billed charges |
| BCBS | HMO | Commercial | $6,400 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $6,817 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $7,067 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $7,067 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $7,067 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $7,200 | case rate |
| Affiliated PPO | COMM | Commercial | $7,483 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $7,600 | case rate |
| Cigna | CSN | Commercial | $7,720 | case rate |
| BCBS | PPO | Commercial | $7,960 | case rate |
| Cigna | OpenAccessPlus | Commercial | $8,364 | case rate |
| Cigna | PPO | Commercial | $9,945 | case rate |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $598 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $658 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $688 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $897 | fee schedule |
| Aetna | Exchange | Commercial | $927 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $957 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $1,137 | fee schedule |
Texas Children's Hospital The Woodlands: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,456 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,887 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,903 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $3,127 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $3,397 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $3,451 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $3,451 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $3,451 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $3,451 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $3,451 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $3,451 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $3,505 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $3,774 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $4,044 | percent of total billed charges |
| First Health | Commercial | Commercial | $4,745 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $4,853 | percent of total billed charges |
| First Health | CCN Network | Commercial | $5,122 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $5,122 | percent of total billed charges |
Texas Children's Hospital West Campus: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,456 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,887 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,903 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $3,127 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $3,397 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $3,451 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $3,451 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $3,451 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $3,451 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $3,451 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $3,451 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $3,505 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $3,774 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $4,044 | percent of total billed charges |
| First Health | Commercial | Commercial | $4,745 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $4,853 | percent of total billed charges |
| First Health | CCN Network | Commercial | $5,122 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $5,122 | percent of total billed charges |
Texas Children's Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $1,456 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $1,456 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $1,456 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $1,618 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $1,887 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $1,903 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $2,157 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $3,127 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $3,397 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $3,397 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $3,451 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $3,451 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $3,451 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $3,451 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $3,451 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $3,451 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $3,505 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $3,774 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $4,044 | percent of total billed charges |
| First Health | Commercial | Commercial | $4,745 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $4,853 | percent of total billed charges |
| First Health | CCN Network | Commercial | $5,122 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $5,122 | percent of total billed charges |
What this price covers
These are hospital charges for CPT code 99285 (Emergency room visit, level 5 (highest)). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.