How much does a diagnostic mammogram cost in Houston?

42 hospitals and imaging centers in Houston list a self-pay price of $153–$4,554 for a diagnostic mammogram (both breasts) (CPT 77066). The typical commercial rate in the same files is $476.

Hospital files dated February 28, 2026 – September 1, 2026 · Data checked October 2, 2026 · How we read these files · Report an error

Published cash price
$153–$4,554
what 42 hospitals and imaging centers list for a self-pay diagnostic mammogram
Typical insured rate
$476
median of every commercial plan rate in the files
Lowest insured rate
$110
Renaissance IPA Radiology (COMM), HCA Houston Healthcare Southeast

At 8 of 42 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.

Diagnostic mammogram 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 77066; Medicaid and Medicare Advantage are shown separately below.

Diagnostic mammogram (both breasts) (CPT 77066) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$179Cash ÷ typical 0.8×$2296 plans$190
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$179Cash ÷ typical 0.8×$2296 plans$190
Houston Methodist HospitalHouston Methodist · file Apr 2026$476Cash ÷ typical 1.1×$4366 plans$171
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$595–$1,400= list priceCash ÷ typical 1.5×$40953 plans$110
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.7×$40621 plans$148
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.7×$40621 plans$148
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.7×$40621 plans$148
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.5×$44822 plans$144
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.5×$44120 plans$148
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$681Cash ÷ typical 1.7×$40621 plans$148
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$771Cash ÷ typical 2.1×$37418 plans$140
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$815Cash ÷ typical 2.3×$34810 plans$230
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.9×$3616 plans$171
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.1×$4295 plans$171
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.1×$4295 plans$171
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.1×$4295 plans$171
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.1×$4295 plans$171
Houston Methodist West HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.2×$4246 plans$171
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$1,763Cash ÷ typical 4.1×$4295 plans$171
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$1,791= list priceCash ÷ typical 3.0×$59339 plans$160
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$1,813= list priceCash ÷ typical 2.8×$65054 plans$110
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$2,741= list priceCash ÷ typical 3.0×$92451 plans$152
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$3,269= list priceCash ÷ typical 3.5×$92439 plans$160
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$3,708= list priceCash ÷ typical 3.8×$98353 plans$110
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$4,303= list priceCash ÷ typical 4.4×$98352 plans$160
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$4,554= list priceCash ÷ typical 4.6×$98353 plans$110
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026—$51629 plans$160
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026—$61226 plans$160
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026—$51629 plans$160
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$153Cash ÷ typical 0.9×$1654 plans$157

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Memorial Hermann Cypress Hospital—$163—————$105–$121
Memorial Hermann Greater Heights Hospital—$163—————$105–$121
Memorial Hermann Katy Hospital—$163—————$105–$121
Memorial Hermann Memorial City Medical Center—$163—————$105–$121
Memorial Hermann Northeast Hospital—$163—————$105–$115
Memorial Hermann Rockets Orthopedic Hospital—$163—————$105–$121
Memorial Hermann Pearland Hospital—$163—————$105–$121
Memorial Hermann Southeast Hospital—$163—————$105–$121
Memorial Hermann Southwest Hospital—$163—————$105–$121
Memorial Hermann Sugar Land Hospital—$163—————$105–$121
Memorial Hermann-Texas Medical Center—$163—————$105–$121
Memorial Hermann The Woodlands Medical Center—$163—————$105–$121
Memorial Hermann Imaging Center (Bellaire)—$163—————$105–$121
Memorial Hermann Imaging Center (Cypress)—$163—————$105–$121
Memorial Hermann Imaging Center (Texas Medical Center)—$163—————$105–$121
Memorial Hermann Imaging Center (Upper Kirby)—$163—————$105–$121
Harris Health Ben Taub Hospital$217–$241$246$190$190——$95.51–$98.37—
Harris Health Lyndon B Johnson Hospital$217–$241$246$190$190——$95.51–$98.37—
Houston Methodist Hospital$477$453–$467—————$105–$115
HCA Houston Healthcare Southeast$208–$469$924–$1,250$516–$665$120–$268$197$160–$171$36–$116$108–$268
St. Luke's Health Sugar Land Hospital$170–$406$1,148–$1,323$352–$476$148–$914——$681–$1,607$525
St. Luke's Health The Vintage Hospital$170–$406$1,148–$1,323$352–$476$148–$914——$681–$1,607$525
St. Luke's Health Lakeside Hospital$170–$406$1,148–$1,323$352–$476$148–$914——$681–$1,607$525
Baylor St Luke's Medical Center$144–$421$1,186–$1,362$352–$476$144–$914——$704–$1,607$525
St. Luke's Health Springwoods Village Hospital$170–$406$1,148–$1,323$352–$476$148–$914——$681–$1,070$525
St. Luke's Health The Woodlands Hospital$170–$406$1,148–$1,323$352–$476$148–$914——$681–$1,607$525
St. Luke's Health Patients Medical Center$170–$406$1,300–$1,498$352–$476$140–$230————
St. Luke's Health Brazosport Hospital$230–$367$792$485$745——$1,000–$1,340$349
Houston Methodist Clear Lake Hospital$294–$477$429–$442—————$105–$115
Houston Methodist Baytown Hospital$477$429–$442—————$105–$115
Houston Methodist Cypress Hospital$477$429–$442—————$105–$112
Houston Methodist The Woodlands Hospital$477$429–$442—————$105–$112
Houston Methodist Sugar Land Hospital$477$429–$442—————$105–$115
Houston Methodist West Hospital$477$429–$442—————$105–$115
Houston Methodist Willowbrook Hospital$477$429–$442—————$105–$115
HCA Houston Healthcare Tomball$212–$627$924–$1,250$516–$665$222–$806$593$160–$171$107–$251$108–$143
HCA Houston Healthcare Kingwood$212–$635$924–$1,250$516–$665$222–$816$601$160–$171$109–$254$108–$816
HCA Houston Healthcare Conroe$212–$959$924–$1,250$516–$665$222–$1,234$908$152–$163$105–$384$103–$1,234
HCA Houston Healthcare Pearland$212–$1,144$924–$1,250$516–$665$222–$1,471$1,083$160–$171$110–$458$108–$143
HCA Houston Healthcare West$212–$1,298$924–$1,250$516–$665$222–$1,669$1,228$160–$171$110–$519$108–$1,669
HCA Houston Healthcare Mainland$212–$1,506$924–$1,250$528–$680$222–$1,936$1,425$160–$171$110–$602$108–$1,936
HCA Houston Healthcare Clear Lake$212–$1,594$924–$1,250$528–$680$222–$2,049$1,509$160–$171$110–$638$108–$2,049
HCA Houston Healthcare Northwest$212–$439$924–$1,250$516–$665$222–$263—$160–$171$110–$116$108–$143
HCA Houston Healthcare North Cypress$212–$439$924–$1,250$516–$665$222–$263——$110–$116$108–$143
HCA Houston Healthcare Medical Center$212–$466$924–$1,250$516–$665$222–$263—$160–$171$110–$116$108–$143
Children's Memorial Hermann Hospital—$163—————$105–$121
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule
Harris Health Ben Taub Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$95.51percent of total billed charges
UHCMedicaidMedicaid / CHIP$95.51percent of total billed charges
TX ChildrensMedicaidMedicaid / CHIP$95.51percent of total billed charges
CHCMedicaidMedicaid / CHIP$97.42percent of total billed charges
SuperiorMedicaidMedicaid / CHIP$98.37percent of total billed charges
CignaCommercialCommercial$190percent of total billed charges
UHCCommercialCommercial$190percent of total billed charges
BCBS TXBlue AdvantageCommercial$217fee schedule
BCBS TXPPO POSCommercial$241fee schedule
AetnaCommercial HMOCommercial$246percent of total billed charges
AetnaCommercial PPOCommercial$246percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$95.51percent of total billed charges
UHCMedicaidMedicaid / CHIP$95.51percent of total billed charges
TX ChildrensMedicaidMedicaid / CHIP$95.51percent of total billed charges
CHCMedicaidMedicaid / CHIP$97.42percent of total billed charges
SuperiorMedicaidMedicaid / CHIP$98.37percent of total billed charges
CignaCommercialCommercial$190percent of total billed charges
UHCCommercialCommercial$190percent of total billed charges
BCBS TXBlue AdvantageCommercial$217fee schedule
BCBS TXPPO POSCommercial$241fee schedule
AetnaCommercial HMOCommercial$246percent of total billed charges
AetnaCommercial PPOCommercial$246percent of total billed charges
Houston Methodist Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$227fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$453fee schedule
AetnaHmo/Pos/PpoCommercial$467fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
HCA Houston Healthcare Southeast: all 115 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$35.67percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$35.67percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$35.67percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$35.67percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$35.67percent of total billed charges
Community Health Choice MCDCHIPMedicaid / CHIP$77.29percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$77.29percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$77.29percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$77.29percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$83.24percent of total billed charges
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
Renaissance IPA RadiologyCOMMCommercial$110fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
UnitedOptionsPPOCommercial$120percent of total billed charges
Kindred HospitalMGMCRMedicare Advantage$127fee schedule
Universal Healthcare GroupMCRMedicare Advantage$132fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$143percent of total billed charges
Verda Health PlanMCRSkilledNursingMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
Evry HealthBroadNetworkCommercial$162percent of total billed charges
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
HumanaHMOCommercial$197percent of total billed charges
HumanaPPOCommercial$197percent of total billed charges
BCBSTraditionalCommercial$208percent of total billed charges
Imagine HealthPPOCommercial$208percent of total billed charges
BCBSMyBlueHealthCommercial$212fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$218fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$231fee schedule
Molina HealthcareHIXCommercial$237fee schedule
Curative AdministratorsCOMMCommercial$238percent of total billed charges
HealthSmart Preferred CareACCELCommercial$256percent of total billed charges
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
Averde HealthCommercialCommercial$268percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$268percent of total billed charges
UnitedGlobalAppendixCommercial$268percent of total billed charges
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
Coventry National First HealthCOMMCommercial$308percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$327percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$327percent of total billed charges
Independent Medical SystemCOMMCommercial$357percent of total billed charges
National Healthcare SolutionsCOMMCommercial$357percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$357percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$357percent of total billed charges
Coastal CompCOMMWorkers' comp$386percent of total billed charges
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$439fee schedule
Fiesta Mart, IncCOMMCommercial$446percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$446percent of total billed charges
BCBSPPOCommercial$469fee schedule
HealthSmart Preferred CarePPOCommercial$488percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$505percent of total billed charges
MultiplanComplementaryNetworkCommercial$505percent of total billed charges
Physicians, INCCOMMCommercial$505percent of total billed charges
CignaCSNCommercial$516case rate
Affiliated PPOCOMMCommercial$535percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
St. Luke's Health Sugar Land Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$681fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,148fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
AetnaCommercial|HMOCommercial$1,323fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,607fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
St. Luke's Health The Vintage Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$681fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,148fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
AetnaCommercial|HMOCommercial$1,323fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,607fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
St. Luke's Health Lakeside Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$681fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,148fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
AetnaCommercial|HMOCommercial$1,323fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,607fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
Baylor St Luke's Medical Center: all 29 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$144fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$144fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$155fee schedule
UnitedCommercial|CharterCommercial$196fee schedule
UnitedCommercial|HMOCommercial$215fee schedule
UnitedCommercial|PPOCommercial$215fee schedule
BCBS - TXCommercial|PremierCommercial$323fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS - TXCommercial|HMOCommercial$380fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS - TXCommercial|PPO TradCommercial$421fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$797fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
ShellCommercial|All PlansCommercial$973fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
AetnaCommercial|KelseyCareCommercial$1,186fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
AetnaCommercial|HMOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,607fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
St. Luke's Health Springwoods Village Hospital: all 26 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$681fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,148fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
AetnaCommercial|HMOCommercial$1,323fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
St. Luke's Health The Woodlands Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
OPTUMMedicare|All PlansMedicare Advantage$525fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$681fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$704fee schedule
UnitedCommercial|OptumCommercial$914fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,070fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,070fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,148fee schedule
CoventryCommercial|PPOCommercial$1,264fee schedule
First HealthCommercial|All PlansCommercial$1,264fee schedule
AetnaCommercial|HMOCommercial$1,323fee schedule
HealthsmartCommercial|PPOCommercial$1,362fee schedule
MultiPlanCommercial|All PlansCommercial$1,459fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,607fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,653fee schedule
MHealth NetworkCommercial|PPOCommercial$1,945fee schedule
St. Luke's Health Patients Medical Center: all 18 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|ExchangeCommercial$170fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$176fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|Blue PremierCommercial$308fee schedule
CignaCommercial|SurefitCommercial$352fee schedule
BCBS-TXCommercial|HMOCommercial$361fee schedule
CignaCommercial|HMOCommercial$388fee schedule
BCBS-TXCommercial|PPOCommercial$406fee schedule
CignaCommercial|PPOCommercial$476fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,300fee schedule
CoventryCommercial|PPOCommercial$1,432fee schedule
First HealthCommercial|All PlansCommercial$1,432fee schedule
AetnaCommercial|HMOCommercial$1,498fee schedule
HealthsmartCommercial|PPOCommercial$1,542fee schedule
MultiPlanCommercial|All PlansCommercial$1,652fee schedule
St. Luke's Health Brazosport Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|Blue Advantage HMOCommercial$230fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$295fee schedule
BCBS-TXCommercial|PPO-POSCommercial$306fee schedule
BCBS-TXCommercial|TraditionalCommercial$328fee schedule
BCBS-TXCommercial|HMOCommercial$329fee schedule
AetnaMedicare|All PlansMedicare Advantage$349fee schedule
BCBS-TXCommercial|PPOCommercial$367fee schedule
CignaCommercial|All PlansCommercial$485fee schedule
UnitedCommercial|All Other PlansCommercial$745fee schedule
AetnaCommercial|All Other PlansCommercial$792fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
Health FirstCommercial|All PlansCommercial$1,165fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
Houston Methodist Clear Lake Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
BcbsBlue Advantage ExchangeCommercial$294fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist Baytown Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist Cypress Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist The Woodlands Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist Sugar Land Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist West Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
Houston Methodist Willowbrook Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$106fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$115fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$429fee schedule
AetnaHmo/Pos/PpoCommercial$442fee schedule
BcbsAll Commercial PlansCommercial$477fee schedule
HCA Houston Healthcare Tomball: all 92 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$107percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$107percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$107percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$107percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$107percent of total billed charges
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$233percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$233percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$233percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$233percent of total billed charges
Molina HealthcareHIXCommercial$237fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$251percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$251percent of total billed charges
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
UnitedOptionsPPOCommercial$301percent of total billed charges
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$454fee schedule
Evry HealthBroadNetworkCommercial$489percent of total billed charges
BCBSPPOCommercial$498fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
HumanaHMOCommercial$593percent of total billed charges
HumanaPPOCommercial$593percent of total billed charges
BCBSTraditionalCommercial$627percent of total billed charges
Coventry National First HealthCOMMCommercial$634percent of total billed charges
CignaPPOCommercial$665case rate
Curative AdministratorsCOMMCommercial$716percent of total billed charges
UnitedGlobalAppendixCommercial$806percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
MultiplanPHCSPrimaryNetworkCommercial$1,343percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,523percent of total billed charges
HCA Houston Healthcare Kingwood: all 117 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
Superior Health PlanCHIPMedicaid / CHIP$109percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$109percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$109percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$109percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$109percent of total billed charges
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
Renaissance IPA RadiologyCOMMCommercial$110fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Universal Healthcare GroupMCRMedicare Advantage$132fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
USA Managed CareWORKERSCOMPWorkers' comp$209fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$218fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$231fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$236percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$236percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$236percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$236percent of total billed charges
Molina HealthcareHIXCommercial$237fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$254percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$254percent of total billed charges
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
UnitedOptionsPPOCommercial$305percent of total billed charges
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
Evry HealthBroadNetworkCommercial$495percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
HumanaHMOCommercial$601percent of total billed charges
HumanaPPOCommercial$601percent of total billed charges
BCBSTraditionalCommercial$635percent of total billed charges
Imagine HealthPPOCommercial$635percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$635percent of total billed charges
CignaPPOCommercial$665case rate
Curative AdministratorsCOMMCommercial$725percent of total billed charges
HealthSmart Preferred CareACCELCommercial$780percent of total billed charges
Averde HealthCommercialCommercial$816percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$816percent of total billed charges
UnitedGlobalAppendixCommercial$816percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
Coventry National First HealthCOMMCommercial$939percent of total billed charges
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
Physicians Cooperative of TexasWCWorkers' comp$997percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$997percent of total billed charges
Independent Medical SystemCOMMCommercial$1,088percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,088percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,088percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
Coastal CompCOMMWorkers' comp$1,179percent of total billed charges
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
MultiplanPHCSPrimaryNetworkCommercial$1,360percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,487percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,541percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,541percent of total billed charges
Physicians, INCCOMMCommercial$1,541percent of total billed charges
USA Managed CareCOMMCommercial$1,541percent of total billed charges
Affiliated PPOCOMMCommercial$1,632percent of total billed charges
HCA Houston Healthcare Conroe: all 113 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$103fee schedule
WellMedMGMCRMedicare Advantage$104fee schedule
Christus (USFHP)TRICAREMilitary / VA$105fee schedule
AmerigroupDualEligibleMedicaid / CHIP$105fee schedule
BCBSMCRPPOMedicare Advantage$105fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$105fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$105fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$105fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$105fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$105fee schedule
Cigna HealthSpringPFFSMedicare Advantage$105fee schedule
Devoted HealthMGMCRMedicare Advantage$105fee schedule
GEO Group - Joe Corley Detention FacilityGVTPublic program$105fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$105fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$105fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$105fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$105fee schedule
AetnaMCRMedicare Advantage$106fee schedule
Van Lang IPAMCRMedicare Advantage$106fee schedule
UnitedMCRMedicare Advantage$107fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$108fee schedule
WellCareMCRHMOMedicare Advantage$108fee schedule
WellCarePFFSMedicare Advantage$108fee schedule
WellCarePOSMedicare Advantage$108fee schedule
WellCarePPOMedicare Advantage$108fee schedule
WellCareSNPMedicare Advantage$108fee schedule
American Health PlanMGMCRMedicare Advantage$110fee schedule
ProCare AdvantageMGMCRMedicare Advantage$110fee schedule
Shared HealthMGMCRMedicare Advantage$110fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$110fee schedule
Superior Health PlanMCRHMOMedicare Advantage$110fee schedule
Superior Health PlanMCRPOSMedicare Advantage$110fee schedule
Superior Health PlanMCRPPOMedicare Advantage$110fee schedule
Superior Health PlanMCRSNPMedicare Advantage$110fee schedule
Superior Health PlanPFFSMedicare Advantage$110fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$111fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$111fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$111fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$111fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$111fee schedule
MolinaMGMCRMedicare Advantage$114fee schedule
Universal Healthcare GroupMCRMedicare Advantage$126fee schedule
Verda Health PlanMCRMedicare Advantage$136fee schedule
Community Health ChoiceHIXCommercial$152fee schedule
SuperiorValueHMOCommercial$152fee schedule
SuperiorEPOCommercial$163fee schedule
SuperiorHMOCommercial$163fee schedule
Superior Health PlanCHIPMedicaid / CHIP$164percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$164percent of total billed charges
Corvel CorporationWORKERSCOMPWorkers' comp$208fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$220fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Molina HealthcareHIXCommercial$226fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
Community Health Choice MCDCHIPMedicaid / CHIP$356percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$356percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$356percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$356percent of total billed charges
AmerigroupMCDCHIPBHMedicaid / CHIP$384percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$384percent of total billed charges
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$454fee schedule
UnitedOptionsPPOCommercial$482percent of total billed charges
BCBSPPOCommercial$498fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
TX Workforce CommissionGVTPublic program$658percent of total billed charges
CignaPPOCommercial$665case rate
Evry HealthBroadNetworkCommercial$748percent of total billed charges
HumanaHMOCommercial$908percent of total billed charges
HumanaPPOCommercial$908percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
BCBSTraditionalCommercial$959percent of total billed charges
Imagine HealthPPOCommercial$959percent of total billed charges
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
Curative AdministratorsCOMMCommercial$1,096percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
HealthSmart Preferred CareACCELCommercial$1,179percent of total billed charges
Averde HealthCommercialCommercial$1,234percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,234percent of total billed charges
UnitedGlobalAppendixCommercial$1,234percent of total billed charges
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
Coventry National First HealthCOMMCommercial$1,420percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,508percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,508percent of total billed charges
Independent Medical SystemCOMMCommercial$1,645percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,645percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,645percent of total billed charges
Coastal CompCOMMWorkers' comp$1,782percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,056percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,248percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,330percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,330percent of total billed charges
Physicians, INCCOMMCommercial$2,330percent of total billed charges
Affiliated PPOCOMMCommercial$2,467percent of total billed charges
HCA Houston Healthcare Pearland: all 92 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
Christus (USFHP)TRICAREMilitary / VA$109fee schedule
TriWest Health AllianceTRCRMilitary / VA$109fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
Superior Health PlanCHIPMedicaid / CHIP$196percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$196percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$196percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$196percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$196percent of total billed charges
BCBSMyBlueHealthCommercial$212fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$409fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$425percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$425percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$425percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$425percent of total billed charges
BCBSEPOSOACommercial$438fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$458percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$458percent of total billed charges
BCBSPPOCommercial$466fee schedule
CignaCSNCommercial$516case rate
UnitedOptionsPPOCommercial$549percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
Evry HealthBroadNetworkCommercial$892percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
HumanaHMOCommercial$1,083percent of total billed charges
HumanaPPOCommercial$1,083percent of total billed charges
BCBSTraditionalCommercial$1,144percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
Curative AdministratorsCOMMCommercial$1,308percent of total billed charges
UnitedGlobalAppendixCommercial$1,471percent of total billed charges
Coventry National First HealthCOMMCommercial$1,693percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,452percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,779percent of total billed charges
HCA Houston Healthcare West: all 117 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
Renaissance IPA RadiologyCOMMCommercial$110fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Universal Healthcare GroupMCRMedicare Advantage$132fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$218fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Superior Health PlanCHIPMedicaid / CHIP$222percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$222percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$222percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$222percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$222percent of total billed charges
BCBSBAVCommercial$229fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$231fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$482percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$482percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$482percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$482percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$516case rate
AmerigroupMCDCHIPBHMedicaid / CHIP$519percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$519percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
UnitedOptionsPPOCommercial$623percent of total billed charges
CignaPPOCommercial$665case rate
Texas Workforce CommissionWCOMPWorkers' comp$890percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
Evry HealthBroadNetworkCommercial$1,012percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
HumanaHMOCommercial$1,228percent of total billed charges
HumanaPPOCommercial$1,228percent of total billed charges
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
BCBSTraditionalCommercial$1,298percent of total billed charges
Imagine HealthPPOCommercial$1,298percent of total billed charges
Curative AdministratorsCOMMCommercial$1,483percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,594percent of total billed charges
Averde HealthCommercialCommercial$1,669percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,669percent of total billed charges
UnitedGlobalAppendixCommercial$1,669percent of total billed charges
Coventry National First HealthCOMMCommercial$1,921percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$2,039percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$2,039percent of total billed charges
Independent Medical SystemCOMMCommercial$2,225percent of total billed charges
National Healthcare SolutionsCOMMCommercial$2,225percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$2,225percent of total billed charges
TriumphCOMMCommercial$2,225percent of total billed charges
Coastal CompCOMMWorkers' comp$2,410percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,781percent of total billed charges
HealthSmart Preferred CarePPOCommercial$3,041percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$3,152percent of total billed charges
MultiplanComplementaryNetworkCommercial$3,152percent of total billed charges
Physicians, INCCOMMCommercial$3,152percent of total billed charges
Affiliated PPOCOMMCommercial$3,337percent of total billed charges
HCA Houston Healthcare Mainland: all 112 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Universal Healthcare GroupMCRMedicare Advantage$132fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
UTMBMGMCRMedicare Advantage$179fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$218fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
BCBSBAVCommercial$229fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$231fee schedule
Molina HealthcareHIXCommercial$237fee schedule
Superior Health PlanCHIPMedicaid / CHIP$258percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$258percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$258percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$258percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$258percent of total billed charges
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$528case rate
Community Health Choice MCDCHIPMedicaid / CHIP$559percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$559percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$559percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$559percent of total billed charges
CignaOpenAccessPlusCommercial$572case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AmerigroupMCDCHIPBHMedicaid / CHIP$602percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$602percent of total billed charges
CignaPPOCommercial$680case rate
UnitedOptionsPPOCommercial$869percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
IPA Management ServicesCOMMCommercial$1,076percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
Evry HealthBroadNetworkCommercial$1,175percent of total billed charges
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
HumanaHMOCommercial$1,425percent of total billed charges
HumanaPPOCommercial$1,425percent of total billed charges
BCBSTraditionalCommercial$1,506percent of total billed charges
Imagine HealthPPOCommercial$1,506percent of total billed charges
Curative AdministratorsCOMMCommercial$1,721percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,850percent of total billed charges
Averde HealthCommercialCommercial$1,936percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,936percent of total billed charges
UnitedGlobalAppendixCommercial$1,936percent of total billed charges
Coventry National First HealthCOMMCommercial$2,229percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$2,367percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$2,367percent of total billed charges
Independent Medical SystemCOMMCommercial$2,582percent of total billed charges
National Healthcare SolutionsCOMMCommercial$2,582percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$2,582percent of total billed charges
Coastal CompCOMMWorkers' comp$2,797percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$3,227percent of total billed charges
HealthSmart Preferred CarePPOCommercial$3,528percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$3,657percent of total billed charges
MultiplanComplementaryNetworkCommercial$3,657percent of total billed charges
Physicians, INCCOMMCommercial$3,657percent of total billed charges
Affiliated PPOCOMMCommercial$3,872percent of total billed charges
HCA Houston Healthcare Clear Lake: all 118 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$110fee schedule
Renaissance IPA RadiologyCOMMCommercial$110fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
AetnaMCRMedicare Advantage$111fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Kindred HospitalMGMCRMedicare Advantage$127fee schedule
Universal Healthcare GroupMCRMedicare Advantage$132fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$218fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
BCBSBAVCommercial$229fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$231fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
Superior Health PlanCHIPMedicaid / CHIP$273percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$273percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$273percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$273percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$273percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$528case rate
CignaOpenAccessPlusCommercial$572case rate
Community Health Choice MCDCHIPMedicaid / CHIP$592percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$592percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$592percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$592percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AmerigroupMCDCHIPBHMedicaid / CHIP$638percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$638percent of total billed charges
CignaPPOCommercial$680case rate
UnitedOptionsPPOCommercial$801percent of total billed charges
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$1,093percent of total billed charges
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
Evry HealthBroadNetworkCommercial$1,243percent of total billed charges
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
HumanaHMOCommercial$1,509percent of total billed charges
HumanaPPOCommercial$1,509percent of total billed charges
BCBSTraditionalCommercial$1,594percent of total billed charges
Imagine HealthPPOCommercial$1,594percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$1,594percent of total billed charges
Curative AdministratorsCOMMCommercial$1,821percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,958percent of total billed charges
Averde HealthCommercialCommercial$2,049percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$2,049percent of total billed charges
UnitedGlobalAppendixCommercial$2,049percent of total billed charges
Coventry National First HealthCOMMCommercial$2,359percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$2,505percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$2,505percent of total billed charges
Independent Medical SystemCOMMCommercial$2,732percent of total billed charges
National Healthcare SolutionsCOMMCommercial$2,732percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$2,732percent of total billed charges
Coastal CompCOMMWorkers' comp$2,960percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$3,415percent of total billed charges
HealthSmart Preferred CarePPOCommercial$3,734percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$3,871percent of total billed charges
MultiplanComplementaryNetworkCommercial$3,871percent of total billed charges
Physicians, INCCOMMCommercial$3,871percent of total billed charges
Affiliated PPOCOMMCommercial$4,098percent of total billed charges
HCA Houston Healthcare Northwest: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
TriWest Healthcare AllianceVeteransPCCCMilitary / VA$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
TriWest Healthcare AllianceVeteransMilitary / VA$330fee schedule
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
HCA Houston Healthcare North Cypress: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
CHC Harris HealthIndigentPublic program$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$110fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$425fee schedule
BCBSPPOCommercial$439fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
HCA Houston Healthcare Medical Center: all 69 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$108fee schedule
WellMedMGMCRMedicare Advantage$109fee schedule
AmerigroupDualEligibleMedicaid / CHIP$110fee schedule
BCBSMCRPPOMedicare Advantage$110fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$110fee schedule
Christus (USFHP)TRICAREMilitary / VA$110fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$110fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$110fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$110fee schedule
Cigna HealthSpringPFFSMedicare Advantage$110fee schedule
Devoted HealthMGMCRMedicare Advantage$110fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$110fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$110fee schedule
TriWest Health AllianceTRCRMilitary / VA$110fee schedule
TriWest Healthcare AllianceFEDMilitary / VA$110fee schedule
Van Lang IPAMCRMedicare Advantage$111fee schedule
UnitedMCRMedicare Advantage$112fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$113fee schedule
WellCareMCRHMOMedicare Advantage$113fee schedule
WellCarePFFSMedicare Advantage$113fee schedule
WellCarePOSMedicare Advantage$113fee schedule
WellCarePPOMedicare Advantage$113fee schedule
WellCareSNPMedicare Advantage$113fee schedule
American Health PlanMGMCRMedicare Advantage$116fee schedule
ProCare AdvantageMGMCRMedicare Advantage$116fee schedule
Shared HealthMGMCRMedicare Advantage$116fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$116fee schedule
Superior Health PlanMCRHMOMedicare Advantage$116fee schedule
Superior Health PlanMCRPOSMedicare Advantage$116fee schedule
Superior Health PlanMCRPPOMedicare Advantage$116fee schedule
Superior Health PlanMCRSNPMedicare Advantage$116fee schedule
Superior Health PlanPFFSMedicare Advantage$116fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$117fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$117fee schedule
MolinaMGMCRMedicare Advantage$120fee schedule
Verda Health PlanMCRMedicare Advantage$143fee schedule
Community Health ChoiceHIXCommercial$160fee schedule
SuperiorValueHMOCommercial$160fee schedule
SuperiorEPOCommercial$171fee schedule
SuperiorHMOCommercial$171fee schedule
BCBSMyBlueHealthCommercial$212fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$222fee schedule
Molina HealthcareHIXCommercial$237fee schedule
UnitedAllPayerAppendixCommercial$263fee schedule
UnitedSmallGroupCommercial$263fee schedule
BCBSBAVCommercial$268fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$409fee schedule
BCBSEPOSOACommercial$438fee schedule
BCBSPPOCommercial$466fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$924fee schedule
AetnaNBPOSCommercial$924fee schedule
AetnaNBPPOCommercial$924fee schedule
AetnaCOMMHMOCommercial$983fee schedule
AetnaCOMMPOSCommercial$983fee schedule
AetnaCOMMPPOCommercial$983fee schedule
AetnaOONHMOCommercial$1,156fee schedule
AetnaOONPOSCommercial$1,156fee schedule
AetnaOONPPOCommercial$1,156fee schedule
AetnaASAHMOCommercial$1,250fee schedule
AetnaASAPOSCommercial$1,250fee schedule
AetnaASAPPOCommercial$1,250fee schedule
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$115fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$157fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$199fee schedule

What this price covers

These are hospital charges for CPT code 77066 (Diagnostic mammogram (both breasts)). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

  1. Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
  2. Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
  3. Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

Other mammogram prices in Houston