Published cash price
$10–$2,117
what 45 hospitals and imaging centers list for a self-pay a1c test
Typical insured rate
$40.44
median of every commercial plan rate in the files
Lowest insured rate
$6.99
Renaissance (Commercial|All Plans), St. Luke's Health Sugar Land Hospital
At 11 of 45 hospitals and imaging centers, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
A1c test 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 83036; 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 | $9.71Cash ÷ typical 0.4× | $25.066 plans | $10.20 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $9.71Cash ÷ typical 0.4× | $25.066 plans | $10.20 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $44.10Cash ÷ typical 1.8× | $24.2717 plans | $8.20 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $44.64–$46.88Cash ÷ typical 2.9× | $15.294 plans | $14.57 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $54.95–$89.60Cash ÷ typical 2.4× | $23.1321 plans | $14.18 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 3.2× | $23.1329 plans | $6.99 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 3.6× | $20.7930 plans | $6.99 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 3.6× | $20.7930 plans | $6.99 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 4.2× | $17.9931 plans | $6.99 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 2.6× | $28.5426 plans | $6.99 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $74.90Cash ÷ typical 3.2× | $23.1329 plans | $6.99 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $206Cash ÷ typical 5.1× | $40.397 plans | $15.83 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 6.1× | $40.397 plans | $15.83 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 3.2× | $76.836 plans | $15.83 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 3.2× | $76.836 plans | $15.83 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 3.2× | $76.836 plans | $15.83 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 3.2× | $76.836 plans | $15.83 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 6.1× | $40.397 plans | $15.83 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $248Cash ÷ typical 3.2× | $76.836 plans | $15.83 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $488= list priceCash ÷ typical 9.9× | $49.4539 plans | $9.71 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $566= list priceCash ÷ typical 11× | $49.4539 plans | $9.71 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $575= list priceCash ÷ typical 10× | $57.1650 plans | $9.71 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $588= list priceCash ÷ typical 9.5× | $61.7751 plans | $9.71 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $588= list priceCash ÷ typical 12× | $50.7834 plans | $9.71 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $647= list priceCash ÷ typical 11× | $57.1648 plans | $9.71 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $1,242= list priceCash ÷ typical 25× | $49.4539 plans | $9.71 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $1,321= list priceCash ÷ typical 23× | $57.1650 plans | $9.71 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $1,429= list priceCash ÷ typical 25× | $57.1650 plans | $9.71 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $1,429= list priceCash ÷ typical 23× | $61.7749 plans | $9.71 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $2,117= list priceCash ÷ typical 43× | $49.4539 plans | $9.71 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $53.60–$57.28Cash ÷ typical 3.5× | $15.294 plans | $14.57 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $99.16Cash ÷ typical 1.0× | $94.7216 plans | $85.84 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $99.16Cash ÷ typical 1.0× | $94.7216 plans | $85.84 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $99.16Cash ÷ typical 1.0× | $94.7216 plans | $85.84 |
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Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $23.74–$26.38 | $72.15 | $17.87 | $55.50 | — | — | — | $8.16–$9.71 | $9.71 |
| Harris Health Lyndon B Johnson Hospital | $23.74–$26.38 | $72.15 | $17.87 | $55.50 | — | — | — | $8.16–$9.71 | $9.71 |
| St. Luke's Health Brazosport Hospital | $23.40–$40.77 | $14.95 | $40.68 | $8.20–$15.05 | $24.27 | — | $14.08 | $8–$101 | $9.71–$18.90 |
| Memorial Hermann Greater Heights Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Katy Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Memorial City Medical Center | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Northeast Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$10.68 |
| Memorial Hermann Pearland Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Southeast Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Southwest Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Sugar Land Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann The Woodlands Medical Center | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Cypress Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann-Texas Medical Center | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Imaging Center (Bellaire) | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Imaging Center (Cypress) | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| St. Luke's Health Patients Medical Center | $14.18–$49.81 | $107 | $23.13–$34.90 | $17.99 | — | — | $14.57 | $7.75–$25.46 | $9.71–$10.39 |
| St. Luke's Health Sugar Land Hospital | $14.18–$49.81 | $15–$146 | $23.13–$34.90 | $18–$101 | — | — | — | $8–$177 | $9.71–$57.78 |
| St. Luke's Health The Vintage Hospital | $14.18–$49.81 | $15–$146 | $23.13–$34.90 | $18–$101 | — | — | — | $8–$177 | $9.71–$57.78 |
| St. Luke's Health Lakeside Hospital | $14.18–$49.81 | $15–$146 | $23.13–$34.90 | $18–$101 | — | — | $14.57 | $8–$177 | $9.71–$57.78 |
| Baylor St Luke's Medical Center | $11.65–$38.74 | $14.95 | $23.13–$34.90 | $18–$101 | — | — | — | $8–$177 | $9.71–$57.78 |
| St. Luke's Health Springwoods Village Hospital | $14.18–$49.81 | $146 | $14.57–$34.90 | $18–$101 | — | — | — | $8–$118 | $9.71–$57.78 |
| St. Luke's Health The Woodlands Hospital | $14.18–$49.81 | $15–$146 | $14.57–$34.90 | $18–$101 | — | — | — | $8–$177 | $9.71–$57.78 |
| Houston Methodist Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| Houston Methodist Clear Lake Hospital | $15.92–$40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| Houston Methodist Baytown Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| Houston Methodist Cypress Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.39 |
| Houston Methodist The Woodlands Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.39 |
| Houston Methodist Sugar Land Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| Houston Methodist West Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| Houston Methodist Willowbrook Hospital | $40.39 | — | $113–$120 | — | — | — | — | — | $9.71–$10.68 |
| HCA Houston Healthcare Tomball | $20–$171 | $49.45–$66.79 | $40.44–$52.12 | $10–$220 | $162 | $28.06 | $14.08–$15.05 | $8.16–$29.27 | $9.52–$12.62 |
| HCA Houston Healthcare Medical Center | $20–$198 | $49.45–$66.79 | $40.44–$52.12 | $10–$255 | $188 | $28.06 | $14.08–$15.05 | $8.16–$33.96 | $9.52–$12.62 |
| HCA Houston Healthcare West | $20–$201 | $49.45–$66.79 | $40.44–$52.12 | $10–$259 | $191 | $28.06 | $14.08–$15.05 | $8.00–$34.50 | $10–$259 |
| HCA Houston Healthcare Kingwood | $20–$206 | $49.45–$66.79 | $40.44–$52.12 | $10–$264 | $195 | $28.06 | $14.08–$15.05 | $8.00–$35.26 | $10–$264 |
| HCA Houston Healthcare North Cypress | $20–$206 | $49.45–$66.79 | $40.44–$52.12 | $10–$264 | — | $28.06 | — | $8.16–$35.26 | $9.52–$12.62 |
| HCA Houston Healthcare Conroe | $20–$226 | $49.45–$66.79 | $40.44–$52.12 | $10–$291 | $214 | $28.06 | $14.08–$15.05 | $8.00–$38.79 | $10–$291 |
| HCA Houston Healthcare Pearland | $20–$435 | $49.45–$66.79 | $40.44–$52.12 | $10–$559 | $411 | $28.06 | $14.08–$15.05 | $8.16–$74.51 | $9.52–$12.62 |
| HCA Houston Healthcare Southeast | $20–$462 | $49.45–$66.79 | $40.44–$52.12 | $10–$595 | $438 | $28.06 | $14.08–$15.05 | $8.00–$79.28 | $10–$595 |
| HCA Houston Healthcare Clear Lake | $20–$500 | $49.45–$66.79 | $40.44–$52.12 | $10–$643 | $473 | $28.06 | $14.08–$15.05 | $8.00–$85.73 | $10–$643 |
| HCA Houston Healthcare Mainland | $20–$500 | $49.45–$66.79 | $40.44–$52.12 | $10–$643 | $473 | $28.06 | $14.08–$15.05 | $8.00–$85.73 | $10–$643 |
| HCA Houston Healthcare Northwest | $20–$741 | $49.45–$66.79 | $40.44–$52.12 | $10–$953 | $701 | $28.06 | $14.08–$15.05 | $8–$127 | $9.52–$12.62 |
| Children's Memorial Hermann Hospital | — | $15.05 | — | — | — | — | — | — | $9.71–$11.17 |
| Texas Children's Hospital The Woodlands | $93.24 | $94.72 | $85.84–$94.72 | $94.72 | — | — | — | $9.71–$59.20 | — |
| Texas Children's Hospital West Campus | $93.24 | $94.72 | $85.84–$94.72 | $94.72 | — | — | — | $9.71–$59.20 | — |
| Texas Children's Hospital | $93.24 | $94.72 | $85.84–$94.72 | $94.72 | — | — | — | $9.71–$59.20 | — |
Harris Health Ben Taub Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $8.32 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $8.40 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $9.71 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $9.71 | fee schedule |
| CHC | Marketplace | Commercial | $10.20 | fee schedule |
| Cigna | Commercial | Commercial | $17.87 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $23.74 | fee schedule |
| BCBS TX | PPO POS | Commercial | $26.38 | fee schedule |
| UHC | Commercial | Commercial | $55.50 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $72.15 | percent of total billed charges |
Harris Health Lyndon B Johnson Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $8.32 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $8.40 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $9.71 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $9.71 | fee schedule |
| CHC | Marketplace | Commercial | $10.20 | fee schedule |
| Cigna | Commercial | Commercial | $17.87 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $23.74 | fee schedule |
| BCBS TX | PPO POS | Commercial | $26.38 | fee schedule |
| UHC | Commercial | Commercial | $55.50 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $72.15 | percent of total billed charges |
St. Luke's Health Brazosport Hospital: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $8.20 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $8.57 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $9.51 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| UNITED | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $10.20 | fee schedule |
| Devoted | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $11.51 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $14.08 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| United | Commercial|Exchange | Commercial | $15.05 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $18.90 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $23.40 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $24.27 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $24.97 | fee schedule |
| Entrust | Commercial|All Plans | Commercial | $25.25 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $33.99 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $34.66 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $36.69 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $40.68 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $40.68 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $40.77 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $63.00 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $75.60 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $101 | fee schedule |
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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | fee schedule |
St. Luke's Health Patients Medical Center: all 36 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $7.75 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $7.75 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UNITED | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $102 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $102 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $107 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $110 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $118 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 64 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $10.68 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $11.99 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $12.57 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $31.56 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $74.90 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $146 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $177 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
St. Luke's Health The Vintage Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $10.68 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $12.57 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $13.59 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $31.56 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $74.90 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $146 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $177 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
St. Luke's Health Lakeside Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $10.68 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $12.57 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Harris Health | Commercial|ERS | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $31.56 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $74.90 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $146 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $177 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
Baylor St Luke's Medical Center: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $10.20 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $11.65 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $11.65 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $12.57 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $13.50 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $13.59 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Harris Health | Commercial|ERS | Commercial | $14.57 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $28.06 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $31.56 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $37.29 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $38.74 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $87.74 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $107 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $177 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 54 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $10.68 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $31.56 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $74.90 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $146 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Renaissance | Commercial|All Plans | Commercial | $6.99 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $8.16 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $8.16 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $8.32 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $8.32 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $8.32 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $8.57 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $9.38 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $9.71 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $9.71 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $9.71 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $9.81 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $9.90 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $10.00 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $10.39 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $10.68 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $10.93 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $11.18 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $12.57 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $13.11 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $14.18 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $14.57 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $14.57 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $14.95 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $16.02 | fee schedule |
| United | Commercial|Charter | Commercial | $17.99 | fee schedule |
| United | Commercial|Exchange | Commercial | $17.99 | fee schedule |
| United | Commercial|HMO | Commercial | $17.99 | fee schedule |
| United | Commercial|PPO | Commercial | $17.99 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $18.45 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $23.13 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $25.46 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $25.52 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $31.56 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $31.65 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $34.90 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $42.53 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $49.81 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $57.78 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $74.90 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $77.43 | fee schedule |
| United | Commercial|Optum | Commercial | $101 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $118 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $118 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $139 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $139 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $146 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $150 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $161 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $177 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $182 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $214 | fee schedule |
Houston Methodist Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $20.97 | fee schedule |
| Uae | All Commercial Plans | Commercial | $38.84 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist Clear Lake Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $15.92 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist Baytown Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist Cypress Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist The Woodlands Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist Sugar Land Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist West Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Uae | All Commercial Plans | Commercial | $38.84 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
Houston Methodist Willowbrook Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.71 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $9.86 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $9.90 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $10.20 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $10.39 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $10.68 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $15.83 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $19.42 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $40.39 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $113 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $120 | fee schedule |
HCA Houston Healthcare Tomball: all 102 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $29.27 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $29.27 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $29.27 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $29.27 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $29.27 | percent of total billed charges |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $81.97 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $133 | percent of total billed charges |
| Humana | HMO | Commercial | $162 | percent of total billed charges |
| Humana | PPO | Commercial | $162 | percent of total billed charges |
| BCBS | Traditional | Commercial | $171 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $173 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $220 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $366 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $415 | percent of total billed charges |
HCA Houston Healthcare Medical Center: all 97 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | FED | Military / VA | $9.71 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $33.96 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $33.96 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $33.96 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $33.96 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $33.96 | percent of total billed charges |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $95.09 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $155 | percent of total billed charges |
| Humana | HMO | Commercial | $188 | percent of total billed charges |
| Humana | PPO | Commercial | $188 | percent of total billed charges |
| BCBS | Traditional | Commercial | $198 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $255 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $293 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $425 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $481 | percent of total billed charges |
HCA Houston Healthcare West: all 125 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $9.71 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $34.50 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $34.50 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $34.50 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $34.50 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $34.50 | percent of total billed charges |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $96.60 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $138 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $157 | percent of total billed charges |
| Humana | HMO | Commercial | $191 | percent of total billed charges |
| Humana | PPO | Commercial | $191 | percent of total billed charges |
| BCBS | Traditional | Commercial | $201 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $201 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $247 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $259 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $259 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $259 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $298 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $316 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $316 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $345 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $345 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $345 | percent of total billed charges |
| Triumph | COMM | Commercial | $345 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $374 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $431 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $472 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $489 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $489 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $489 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $518 | percent of total billed charges |
HCA Houston Healthcare Kingwood: all 125 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $9.71 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| USA Managed Care | WORKERSCOMP | Workers' comp | $18.45 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $98.73 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $160 | percent of total billed charges |
| Humana | HMO | Commercial | $195 | percent of total billed charges |
| Humana | PPO | Commercial | $195 | percent of total billed charges |
| BCBS | Traditional | Commercial | $206 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $206 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $206 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $253 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $264 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $264 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $264 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $304 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $323 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $323 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $353 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $353 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $353 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $382 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $441 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $482 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $500 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $500 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $500 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $500 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $529 | percent of total billed charges |
HCA Houston Healthcare North Cypress: all 86 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $35.26 | percent of total billed charges |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $119 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $160 | percent of total billed charges |
| BCBS | Traditional | Commercial | $206 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $264 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $304 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $441 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $500 | percent of total billed charges |
HCA Houston Healthcare Conroe: all 122 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| GEO Group - Joe Corley Detention Facility | GVT | Public program | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $38.79 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $38.79 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $38.79 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $38.79 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $38.79 | percent of total billed charges |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| United | OptionsPPO | Commercial | $114 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $155 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $177 | percent of total billed charges |
| Humana | HMO | Commercial | $214 | percent of total billed charges |
| Humana | PPO | Commercial | $214 | percent of total billed charges |
| BCBS | Traditional | Commercial | $226 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $226 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $278 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $291 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $291 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $291 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $335 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $356 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $356 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $388 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $388 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $388 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $420 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $485 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $530 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $550 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $550 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $550 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $582 | percent of total billed charges |
HCA Houston Healthcare Pearland: all 102 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $74.51 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $74.51 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $74.51 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $74.51 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $74.51 | percent of total billed charges |
| United | OptionsPPO | Commercial | $209 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $339 | percent of total billed charges |
| Humana | HMO | Commercial | $411 | percent of total billed charges |
| Humana | PPO | Commercial | $411 | percent of total billed charges |
| BCBS | Traditional | Commercial | $435 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $559 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $643 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $931 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,056 | percent of total billed charges |
HCA Houston Healthcare Southeast: all 123 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $9.71 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $11.17 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCRSkilledNursing | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $79.28 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $79.28 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $79.28 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $79.28 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $79.28 | percent of total billed charges |
| United | OptionsPPO | Commercial | $267 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $317 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $361 | percent of total billed charges |
| Humana | HMO | Commercial | $438 | percent of total billed charges |
| Humana | PPO | Commercial | $438 | percent of total billed charges |
| BCBS | Traditional | Commercial | $462 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $462 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $568 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $595 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $595 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $595 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $684 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $727 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $727 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $793 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $793 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $793 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $793 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $859 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $991 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $991 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,084 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,123 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,123 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,123 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,189 | percent of total billed charges |
HCA Houston Healthcare Clear Lake: all 127 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| CHC Harris Health | Indigent | Public program | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $9.71 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $9.71 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $9.71 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $11.17 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $85.73 | percent of total billed charges |
| United | OptionsPPO | Commercial | $251 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $343 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $390 | percent of total billed charges |
| Humana | HMO | Commercial | $473 | percent of total billed charges |
| Humana | PPO | Commercial | $473 | percent of total billed charges |
| BCBS | Traditional | Commercial | $500 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $500 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $500 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $614 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $643 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $643 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $643 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $740 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $786 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $786 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $857 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $857 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $857 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $929 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,072 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,172 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,215 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,215 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,215 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,286 | percent of total billed charges |
HCA Houston Healthcare Mainland: all 120 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $8.00 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Aetna | MCR | Medicare Advantage | $9.79 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $11.65 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| UTMB | MGMCR | Medicare Advantage | $15.83 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $19.23 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $20.39 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $85.73 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $85.73 | percent of total billed charges |
| United | OptionsPPO | Commercial | $289 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $357 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $390 | percent of total billed charges |
| Humana | HMO | Commercial | $473 | percent of total billed charges |
| Humana | PPO | Commercial | $473 | percent of total billed charges |
| BCBS | Traditional | Commercial | $500 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $500 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $614 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $643 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $643 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $643 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $740 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $786 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $786 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $857 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $857 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $857 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $929 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,072 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,172 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,215 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,215 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,215 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,286 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 101 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $8.16 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $8.16 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $8.32 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $8.81 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $8.98 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $8.98 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $9.52 | fee schedule |
| TriWest Healthcare Alliance | VeteransPCCC | Military / VA | $9.52 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $9.66 | fee schedule |
| United | AllPayerAppendix | Commercial | $9.71 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $9.71 | fee schedule |
| United | SmallGroup | Commercial | $9.71 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $9.71 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $9.71 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $9.71 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $9.71 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $9.71 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $9.71 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $9.81 | fee schedule |
| United | MCR | Medicare Advantage | $9.90 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $10.00 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | POS | Medicare Advantage | $10.00 | fee schedule |
| WellCare | PPO | Medicare Advantage | $10.00 | fee schedule |
| WellCare | SNP | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $10.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $10.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $10.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $10.29 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $10.29 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $10.51 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $10.51 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $10.58 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $12.24 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $12.24 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $12.62 | fee schedule |
| Community Health Choice | HIX | Commercial | $14.08 | fee schedule |
| Superior | ValueHMO | Commercial | $14.08 | fee schedule |
| Superior | EPO | Commercial | $15.05 | fee schedule |
| Superior | HMO | Commercial | $15.05 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $19.61 | fee schedule |
| Molina Healthcare | HIX | Commercial | $20.88 | fee schedule |
| BCBS | BAV | Commercial | $21.65 | fee schedule |
| BCBS | HMO | Commercial | $27.09 | fee schedule |
| Oscar | HIX | Commercial | $28.06 | fee schedule |
| BCBS | EPOSOA | Commercial | $29.03 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.13 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $29.14 | fee schedule |
| BCBS | PPO | Commercial | $30.97 | fee schedule |
| Cigna | CSN | Commercial | $40.44 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $43.80 | fee schedule |
| Aetna | NBHMO | Commercial | $49.45 | fee schedule |
| Aetna | NBPOS | Commercial | $49.45 | fee schedule |
| Aetna | NBPPO | Commercial | $49.45 | fee schedule |
| Cigna | PPO | Commercial | $52.12 | fee schedule |
| Aetna | COMMHMO | Commercial | $52.55 | fee schedule |
| Aetna | COMMPOS | Commercial | $52.55 | fee schedule |
| Aetna | COMMPPO | Commercial | $52.55 | fee schedule |
| Aetna | OONHMO | Commercial | $61.77 | fee schedule |
| Aetna | OONPOS | Commercial | $61.77 | fee schedule |
| Aetna | OONPPO | Commercial | $61.77 | fee schedule |
| Aetna | ASAHMO | Commercial | $66.79 | fee schedule |
| Aetna | ASAPOS | Commercial | $66.79 | fee schedule |
| Aetna | ASAPPO | Commercial | $66.79 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $127 | percent of total billed charges |
| United | OptionsPPO | Commercial | $356 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $578 | percent of total billed charges |
| Humana | HMO | Commercial | $701 | percent of total billed charges |
| Humana | PPO | Commercial | $701 | percent of total billed charges |
| BCBS | Traditional | Commercial | $741 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $953 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,096 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,588 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,799 | 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 | $9.71 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $10.68 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $11.17 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $14.57 | fee schedule |
| Aetna | Exchange | Commercial | $15.05 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $15.54 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $18.45 | fee schedule |
Texas Children's Hospital The Woodlands: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $9.71 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $10.20 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $10.68 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $10.68 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $16.99 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $39.96 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $44.40 | 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 | $51.80 | 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 | $59.20 | 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 | $59.20 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $85.84 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $93.24 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $94.72 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $94.72 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $94.72 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $94.72 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $94.72 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $96.20 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $104 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $111 | percent of total billed charges |
| First Health | Commercial | Commercial | $130 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $133 | percent of total billed charges |
| First Health | CCN Network | Commercial | $141 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $141 | percent of total billed charges |
Texas Children's Hospital West Campus: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $9.71 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $10.20 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $10.68 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $10.68 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $16.99 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $39.96 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $44.40 | 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 | $51.80 | 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 | $59.20 | 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 | $59.20 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $85.84 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $93.24 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $94.72 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $94.72 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $94.72 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $94.72 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $94.72 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $96.20 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $104 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $111 | percent of total billed charges |
| First Health | Commercial | Commercial | $130 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $133 | percent of total billed charges |
| First Health | CCN Network | Commercial | $141 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $141 | percent of total billed charges |
Texas Children's Hospital: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $9.71 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $10.20 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $10.68 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $10.68 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $16.99 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $39.96 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $39.96 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $39.96 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $44.40 | 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 | $51.80 | 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 | $59.20 | 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 | $59.20 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $85.84 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $93.24 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $93.24 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $94.72 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $94.72 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $94.72 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $94.72 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $94.72 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $96.20 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $104 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $111 | percent of total billed charges |
| First Health | Commercial | Commercial | $130 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $133 | percent of total billed charges |
| First Health | CCN Network | Commercial | $141 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $141 | percent of total billed charges |
What this price covers
These are hospital charges for CPT code 83036 (Hemoglobin A1c test). 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.