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.
Vitamin D 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 82306; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.2× | $1237 plans | $48.25 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $20–$241Cash ÷ typical 0.2× | $1237 plans | $48.25 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.1× | $2206 plans | $48.25 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.1× | $2206 plans | $48.25 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.1× | $2206 plans | $48.25 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.1× | $2206 plans | $48.25 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.2× | $1237 plans | $48.25 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $20–$308Cash ÷ typical 0.1× | $2206 plans | $48.25 |
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $29.60Cash ÷ typical 0.4× | $80.417 plans | $31.08 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $29.60Cash ÷ typical 0.4× | $80.417 plans | $31.08 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $51.68Cash ÷ typical 1.1× | $46.624 plans | $44.40 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $76.23–$77.18Cash ÷ typical 1.0× | $74.0017 plans | $25.00 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $95.80Cash ÷ typical 1.3× | $71.0421 plans | $43.22 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 1.8× | $71.0429 plans | $21.31 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 2.0× | $63.6430 plans | $21.31 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 2.0× | $63.6430 plans | $21.31 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 2.3× | $54.8331 plans | $21.31 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 1.5× | $87.3026 plans | $21.31 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $129Cash ÷ typical 1.8× | $71.0429 plans | $21.31 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $173= list priceCash ÷ typical 1.9× | $88.8239 plans | $29.03 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $663= list priceCash ÷ typical 4.1× | $16050 plans | $29.60 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $699= list priceCash ÷ typical 4.6× | $15139 plans | $29.60 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $803–$1,297= list priceCash ÷ typical 4.6× | $17450 plans | $29.60 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $1,258–$1,376= list priceCash ÷ typical 7.2× | $17450 plans | $29.60 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $1,297= list priceCash ÷ typical 6.9× | $18849 plans | $29.60 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $1,527= list priceCash ÷ typical 10× | $15139 plans | $29.60 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $2,412= list priceCash ÷ typical 13× | $18851 plans | $29.60 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $2,412= list priceCash ÷ typical 16× | $15434 plans | $29.60 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $2,843= list priceCash ÷ typical 16× | $17448 plans | $29.60 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $6,453= list priceCash ÷ typical 43× | $15139 plans | $29.60 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $63.20Cash ÷ typical 1.4× | $46.624 plans | $44.40 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $175Cash ÷ typical 1.0× | $16716 plans | $151 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $175Cash ÷ typical 1.0× | $16716 plans | $151 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $175Cash ÷ typical 1.0× | $16716 plans | $151 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Houston Methodist Clear Lake Hospital | $49–$123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Houston Methodist Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Houston Methodist Baytown Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Houston Methodist Cypress Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$31.67 |
| Houston Methodist The Woodlands Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$31.67 |
| Houston Methodist Sugar Land Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Houston Methodist West Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Houston Methodist Willowbrook Hospital | $123 | — | $317–$335 | — | — | — | — | — | $29.60–$32.56 |
| Harris Health Ben Taub Hospital | $72.37–$80.41 | $116 | $54.08 | $89.00 | — | — | — | $24.86–$29.60 | $29.60 |
| Harris Health Lyndon B Johnson Hospital | $72.37–$80.41 | $116 | $54.08 | $89.00 | — | — | — | $24.86–$29.60 | $29.60 |
| Memorial Hermann Greater Heights Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Katy Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Memorial City Medical Center | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Northeast Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$32.56 |
| Memorial Hermann Pearland Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Southeast Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Southwest Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Sugar Land Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann The Woodlands Medical Center | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Cypress Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann-Texas Medical Center | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Imaging Center (Bellaire) | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Imaging Center (Cypress) | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| St. Luke's Health Brazosport Hospital | $71–$124 | $45.58 | $125 | $25.00–$45.88 | $74.00 | — | $42.92 | $25–$175 | $29.60–$32.67 |
| St. Luke's Health Patients Medical Center | $43–$152 | $186 | $71–$107 | $54.83 | — | — | $44.40 | $23.62–$77.56 | $29.60–$31.67 |
| St. Luke's Health Sugar Land Hospital | $43–$152 | $46–$250 | $71–$107 | $55–$173 | — | — | — | $25–$304 | $29.60–$99.36 |
| St. Luke's Health The Vintage Hospital | $43–$152 | $46–$250 | $71–$107 | $55–$173 | — | — | — | $25–$304 | $29.60–$99.36 |
| St. Luke's Health Lakeside Hospital | $43–$152 | $46–$250 | $71–$107 | $55–$173 | — | — | $44.40 | $25–$304 | $29.60–$99.36 |
| Baylor St Luke's Medical Center | $36–$118 | $45.58 | $71–$107 | $55–$173 | — | — | — | $25–$304 | $29.60–$99.36 |
| St. Luke's Health Springwoods Village Hospital | $43–$152 | $250 | $44–$107 | $55–$173 | — | — | — | $25–$202 | $29.60–$99.36 |
| St. Luke's Health The Woodlands Hospital | $43–$152 | $46–$250 | $44–$107 | $55–$173 | — | — | — | $25–$304 | $29.60–$99.36 |
| HCA Houston Healthcare Medical Center | $59.79–$94.42 | $151–$204 | $121–$156 | $29.03–$77.75 | $57.24 | $85.54 | $42.92–$45.88 | $10.37–$31.08 | $29.01–$38.48 |
| HCA Houston Healthcare West | $60–$232 | $151–$204 | $121–$156 | $30–$298 | $220 | $85.54 | $42.92–$45.88 | $24.36–$39.78 | $29–$298 |
| HCA Houston Healthcare Pearland | $60–$245 | $151–$204 | $121–$156 | $30–$315 | $232 | $85.54 | $42.92–$45.88 | $24.86–$41.96 | $29.01–$38.48 |
| HCA Houston Healthcare Clear Lake | $60–$454 | $151–$204 | $121–$156 | $30–$584 | $430 | $85.54 | $42.92–$45.88 | $24.36–$77.80 | $29–$584 |
| HCA Houston Healthcare Southeast | $60–$440 | $151–$204 | $121–$156 | $30–$566 | $417 | $85.54 | $42.92–$45.88 | $24.36–$75.50 | $29–$566 |
| HCA Houston Healthcare Mainland | $60–$454 | $151–$204 | $121–$156 | $30–$584 | $430 | $85.54 | $42.92–$45.88 | $24.36–$77.80 | $29–$584 |
| HCA Houston Healthcare Tomball | $60–$534 | $151–$204 | $121–$156 | $30–$687 | $506 | $85.54 | $42.92–$45.88 | $24.86–$91.60 | $29.01–$38.48 |
| HCA Houston Healthcare Kingwood | $60–$844 | $151–$204 | $121–$156 | $30–$1,085 | $799 | $85.54 | $42.92–$45.88 | $24–$145 | $29–$1,085 |
| HCA Houston Healthcare North Cypress | $60–$844 | $151–$204 | $121–$156 | $30–$1,085 | — | $85.54 | — | $25–$145 | $29.01–$38.48 |
| HCA Houston Healthcare Conroe | $60–$995 | $151–$204 | $121–$156 | $30–$1,279 | $942 | $85.54 | $42.92–$45.88 | $24–$171 | $29–$1,279 |
| HCA Houston Healthcare Northwest | $60–$2,258 | $151–$204 | $121–$156 | $30–$2,904 | $2,138 | $85.54 | $42.92–$45.88 | $25–$387 | $29.01–$38.48 |
| Children's Memorial Hermann Hospital | — | $45.88 | — | — | — | — | — | — | $29.60–$34.04 |
| Texas Children's Hospital The Woodlands | $164 | $167 | $151–$167 | $167 | — | — | — | $30–$104 | — |
| Texas Children's Hospital West Campus | $164 | $167 | $151–$167 | $167 | — | — | — | $30–$104 | — |
| Texas Children's Hospital | $164 | $167 | $151–$167 | $167 | — | — | — | $30–$104 | — |
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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $48.54 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $63.94 | fee schedule |
| Uae | All Commercial Plans | Commercial | $118 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Uae | All Commercial Plans | Commercial | $118 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | 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 | $29.60 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $30.04 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $30.19 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $31.08 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $31.67 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $32.56 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $48.25 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $59.20 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $123 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $317 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $335 | fee schedule |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $25.36 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $25.61 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $29.60 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $29.60 | fee schedule |
| CHC | Marketplace | Commercial | $31.08 | fee schedule |
| Cigna | Commercial | Commercial | $54.08 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $72.37 | fee schedule |
| BCBS TX | PPO POS | Commercial | $80.41 | fee schedule |
| UHC | Commercial | Commercial | $89.00 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $116 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $116 | percent of total billed charges |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $25.36 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $25.61 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $29.60 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $29.60 | fee schedule |
| CHC | Marketplace | Commercial | $31.08 | fee schedule |
| Cigna | Commercial | Commercial | $54.08 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $72.37 | fee schedule |
| BCBS TX | PPO POS | Commercial | $80.41 | fee schedule |
| UHC | Commercial | Commercial | $89.00 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $116 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $116 | percent of total billed charges |
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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | fee schedule |
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 | $24.86 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $25.00 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $26.10 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $29.01 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| UNITED | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $31.08 | fee schedule |
| Devoted | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $32.67 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $35.05 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $42.92 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| United | Commercial|Exchange | Commercial | $45.88 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $71.34 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $74.00 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $76.07 | fee schedule |
| Entrust | Commercial|All Plans | Commercial | $76.96 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $104 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $106 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $109 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $112 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $124 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $124 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $125 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $131 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $175 | 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 | $23.62 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $23.62 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $24.86 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UNITED | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $178 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $178 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $186 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $192 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $205 | 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 | $21.31 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $32.56 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $36.55 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $38.28 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $96.20 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $129 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $250 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $304 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | 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 | $21.31 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $32.56 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $38.28 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $41.44 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $96.20 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $129 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $250 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $304 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | 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 | $21.31 | fee schedule |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $32.56 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $38.28 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Harris Health | Commercial|ERS | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $96.20 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $129 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $250 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $304 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | 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 | $21.31 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $31.08 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $35.52 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $35.52 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $38.28 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $41.14 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $41.44 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Harris Health | Commercial|ERS | Commercial | $44.40 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $85.54 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $96.20 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $114 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $118 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $151 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $184 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $304 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | 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 | $21.31 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $32.56 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $96.20 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $129 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $250 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | 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 | $21.31 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $24.86 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $24.86 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $25.36 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $25.36 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $25.36 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $26.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $28.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $29.60 | fee schedule |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $29.60 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $29.60 | fee schedule |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $29.90 | fee schedule |
| AETNA | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $30.19 | fee schedule |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $30.49 | fee schedule |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $31.67 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $32.56 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $33.31 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $34.06 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $38.28 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $39.96 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $43.22 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $44.40 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Superior Health Plan | Commercial|All Plans | Commercial | $44.40 | fee schedule |
| Wellpoint | Commercial|Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $45.58 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $48.84 | fee schedule |
| United | Commercial|Charter | Commercial | $54.83 | fee schedule |
| United | Commercial|Exchange | Commercial | $54.83 | fee schedule |
| United | Commercial|HMO | Commercial | $54.83 | fee schedule |
| United | Commercial|PPO | Commercial | $54.83 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $56.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $71.04 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $77.56 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $78.39 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $96.20 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $96.50 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $99.36 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $107 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $129 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $130 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $133 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $152 | fee schedule |
| United | Commercial|Optum | Commercial | $173 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $202 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $202 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $239 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $239 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $250 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $258 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $276 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $304 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $313 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $368 | fee schedule |
HCA Houston Healthcare Medical Center: all 97 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $10.37 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $10.37 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $10.37 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $10.37 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $10.37 | percent of total billed charges |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| United | OptionsPPO | Commercial | $29.03 | percent of total billed charges |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | FED | Military / VA | $29.60 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $47.17 | percent of total billed charges |
| Humana | HMO | Commercial | $57.24 | percent of total billed charges |
| Humana | PPO | Commercial | $57.24 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| BCBS | Traditional | Commercial | $60.47 | percent of total billed charges |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| United | GlobalAppendix | Commercial | $77.75 | percent of total billed charges |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| Coventry National First Health | COMM | Commercial | $89.49 | percent of total billed charges |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $130 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Multiplan | ComplementaryNetwork | Commercial | $147 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
HCA Houston Healthcare West: all 125 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $24.36 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $29.60 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $39.78 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $39.78 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $39.78 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $39.78 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $39.78 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| United | OptionsPPO | Commercial | $111 | percent of total billed charges |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $159 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $181 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| Humana | HMO | Commercial | $220 | percent of total billed charges |
| Humana | PPO | Commercial | $220 | percent of total billed charges |
| BCBS | Traditional | Commercial | $232 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $232 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $285 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $298 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $298 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $298 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $343 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $365 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $365 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $398 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $398 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $398 | percent of total billed charges |
| Triumph | COMM | Commercial | $398 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $431 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $497 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $544 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $564 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $564 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $564 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $597 | 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 | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $41.96 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $41.96 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $41.96 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $41.96 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $41.96 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| United | OptionsPPO | Commercial | $117 | percent of total billed charges |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $191 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| Humana | HMO | Commercial | $232 | percent of total billed charges |
| Humana | PPO | Commercial | $232 | percent of total billed charges |
| BCBS | Traditional | Commercial | $245 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $315 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $362 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $524 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $594 | 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 | $24.36 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $29.60 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $34.04 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $77.80 | percent of total billed charges |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $228 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $311 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $354 | percent of total billed charges |
| Humana | HMO | Commercial | $430 | percent of total billed charges |
| Humana | PPO | Commercial | $430 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $454 | percent of total billed charges |
| BCBS | Traditional | Commercial | $454 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $454 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $558 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $584 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $584 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $584 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $672 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $713 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $713 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $778 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $778 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $778 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $843 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $973 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,063 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,102 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,102 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,102 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,167 | 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 | $24.36 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $29.60 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $34.04 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCRSkilledNursing | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $75.50 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $75.50 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $75.50 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $75.50 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $75.50 | percent of total billed charges |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $254 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $302 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $344 | percent of total billed charges |
| Humana | HMO | Commercial | $417 | percent of total billed charges |
| Humana | PPO | Commercial | $417 | percent of total billed charges |
| BCBS | Traditional | Commercial | $440 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $440 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $541 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $566 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $566 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $566 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $652 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $692 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $692 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $755 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $755 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $755 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $755 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $818 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $944 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $944 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,032 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,070 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,070 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,070 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,132 | 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 | $24.36 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| UTMB | MGMCR | Medicare Advantage | $48.25 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $77.80 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $77.80 | percent of total billed charges |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $262 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $324 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $354 | percent of total billed charges |
| Humana | HMO | Commercial | $430 | percent of total billed charges |
| Humana | PPO | Commercial | $430 | percent of total billed charges |
| BCBS | Traditional | Commercial | $454 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $454 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $558 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $584 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $584 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $584 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $672 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $713 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $713 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $778 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $778 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $778 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $843 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $973 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,063 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,102 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,102 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,102 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,167 | percent of total billed charges |
HCA Houston Healthcare Tomball: all 102 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $91.60 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $91.60 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $91.60 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $91.60 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $91.60 | percent of total billed charges |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $256 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $417 | percent of total billed charges |
| Humana | HMO | Commercial | $506 | percent of total billed charges |
| Humana | PPO | Commercial | $506 | percent of total billed charges |
| BCBS | Traditional | Commercial | $534 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $540 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $687 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,145 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,298 | 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 | $24.36 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $29.60 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| USA Managed Care | WORKERSCOMP | Workers' comp | $56.24 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $145 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $405 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $658 | percent of total billed charges |
| Humana | HMO | Commercial | $799 | percent of total billed charges |
| Humana | PPO | Commercial | $799 | percent of total billed charges |
| BCBS | Traditional | Commercial | $844 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $844 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $844 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,037 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,085 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,085 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,085 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,249 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,326 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,326 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,447 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,447 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,447 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,568 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,809 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,978 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,050 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,050 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,050 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $2,050 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,171 | 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 | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| CHC Harris Health | Indigent | Public program | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $145 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $487 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $658 | percent of total billed charges |
| BCBS | Traditional | Commercial | $844 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,085 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,249 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,809 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,050 | 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 | $24.36 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| GEO Group - Joe Corley Detention Facility | GVT | Public program | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $29.60 | fee schedule |
| Aetna | MCR | Medicare Advantage | $29.85 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $35.52 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $58.61 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $62.16 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $171 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| United | OptionsPPO | Commercial | $500 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $682 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $776 | percent of total billed charges |
| Humana | HMO | Commercial | $942 | percent of total billed charges |
| Humana | PPO | Commercial | $942 | percent of total billed charges |
| BCBS | Traditional | Commercial | $995 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $995 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,222 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,279 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,279 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,279 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,473 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,564 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,564 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,706 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,706 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,706 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,848 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,132 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,331 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,416 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,416 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,416 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,559 | 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 | $24.86 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $24.86 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $24.86 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $25.36 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $26.85 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $27.35 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $27.35 | fee schedule |
| Oscar | MGMCR | Medicare Advantage | $29.01 | fee schedule |
| TriWest Healthcare Alliance | VeteransPCCC | Military / VA | $29.01 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $29.45 | fee schedule |
| United | AllPayerAppendix | Commercial | $29.60 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $29.60 | fee schedule |
| United | SmallGroup | Commercial | $29.60 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $29.60 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $29.60 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $29.60 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $29.60 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $29.60 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $29.60 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $29.90 | fee schedule |
| United | MCR | Medicare Advantage | $30.19 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $30.49 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | POS | Medicare Advantage | $30.49 | fee schedule |
| WellCare | PPO | Medicare Advantage | $30.49 | fee schedule |
| WellCare | SNP | Medicare Advantage | $30.49 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $31.07 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $31.08 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $31.08 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $31.38 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $31.38 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $32.04 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $32.04 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $32.26 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $37.29 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $37.29 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $38.48 | fee schedule |
| Community Health Choice | HIX | Commercial | $42.92 | fee schedule |
| Superior | ValueHMO | Commercial | $42.92 | fee schedule |
| Superior | EPO | Commercial | $45.88 | fee schedule |
| Superior | HMO | Commercial | $45.88 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $59.79 | fee schedule |
| Molina Healthcare | HIX | Commercial | $63.64 | fee schedule |
| BCBS | BAV | Commercial | $66.01 | fee schedule |
| BCBS | HMO | Commercial | $82.58 | fee schedule |
| Oscar | HIX | Commercial | $85.54 | fee schedule |
| BCBS | EPOSOA | Commercial | $88.50 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $88.80 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $88.82 | fee schedule |
| BCBS | PPO | Commercial | $94.42 | fee schedule |
| Cigna | CSN | Commercial | $121 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $131 | fee schedule |
| Aetna | NBHMO | Commercial | $151 | fee schedule |
| Aetna | NBPOS | Commercial | $151 | fee schedule |
| Aetna | NBPPO | Commercial | $151 | fee schedule |
| Cigna | PPO | Commercial | $156 | fee schedule |
| Aetna | COMMHMO | Commercial | $160 | fee schedule |
| Aetna | COMMPOS | Commercial | $160 | fee schedule |
| Aetna | COMMPPO | Commercial | $160 | fee schedule |
| Aetna | OONHMO | Commercial | $188 | fee schedule |
| Aetna | OONPOS | Commercial | $188 | fee schedule |
| Aetna | OONPPO | Commercial | $188 | fee schedule |
| Aetna | ASAHMO | Commercial | $204 | fee schedule |
| Aetna | ASAPOS | Commercial | $204 | fee schedule |
| Aetna | ASAPPO | Commercial | $204 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $387 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $387 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $387 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $387 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $387 | percent of total billed charges |
| United | OptionsPPO | Commercial | $1,084 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $1,762 | percent of total billed charges |
| Humana | HMO | Commercial | $2,138 | percent of total billed charges |
| Humana | PPO | Commercial | $2,138 | percent of total billed charges |
| BCBS | Traditional | Commercial | $2,258 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $2,904 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $3,343 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $4,840 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $5,485 | 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 | $29.60 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $32.56 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $34.04 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $44.40 | fee schedule |
| Aetna | Exchange | Commercial | $45.88 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $47.36 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $56.24 | 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 | $29.60 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $31.08 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $32.56 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $32.56 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.80 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $70.47 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $78.30 | 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 | $91.35 | 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 | $104 | 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 | $104 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $151 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $164 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $167 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $167 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $167 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $167 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $167 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $170 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $183 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $196 | percent of total billed charges |
| First Health | Commercial | Commercial | $230 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $235 | percent of total billed charges |
| First Health | CCN Network | Commercial | $248 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $248 | 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 | $29.60 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $31.08 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $32.56 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $32.56 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.80 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $70.47 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $78.30 | 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 | $91.35 | 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 | $104 | 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 | $104 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $151 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $164 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $167 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $167 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $167 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $167 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $167 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $170 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $183 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $196 | percent of total billed charges |
| First Health | Commercial | Commercial | $230 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $235 | percent of total billed charges |
| First Health | CCN Network | Commercial | $248 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $248 | 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 | $29.60 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $31.08 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $32.56 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $32.56 | fee schedule |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $51.80 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $70.47 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $70.47 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $70.47 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $78.30 | 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 | $91.35 | 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 | $104 | 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 | $104 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $151 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $164 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $164 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $167 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $167 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $167 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $167 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $167 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $170 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $183 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $196 | percent of total billed charges |
| First Health | Commercial | Commercial | $230 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $235 | percent of total billed charges |
| First Health | CCN Network | Commercial | $248 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $248 | percent of total billed charges |
What this price covers
These are hospital charges for CPT code 82306 (Vitamin D (25-hydroxy) 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.