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.
Screening 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 77067; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $82.30Cash ÷ typical 0.7× | $1136 plans | $87.00 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $82.30Cash ÷ typical 0.7× | $1136 plans | $87.00 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.9× | $33521 plans | $140 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.9× | $33521 plans | $140 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.9× | $33521 plans | $140 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.8× | $37122 plans | $119 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.8× | $36420 plans | $140 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $298Cash ÷ typical 0.9× | $33521 plans | $140 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $313Cash ÷ typical 1.0× | $30918 plans | $140 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $330Cash ÷ typical 1.2× | $28710 plans | $190 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $333Cash ÷ typical 0.9× | $3536 plans | $135 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.4× | $2996 plans | $135 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.0× | $3555 plans | $135 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.0× | $3555 plans | $135 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.0× | $3555 plans | $135 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.0× | $3555 plans | $135 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.1× | $3436 plans | $135 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $716Cash ÷ typical 2.0× | $3555 plans | $135 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $835= list priceCash ÷ typical 1.9× | $43253 plans | $90.67 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $902= list priceCash ÷ typical 2.4× | $37539 plans | $131 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $913= list priceCash ÷ typical 2.1× | $44254 plans | $90.67 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $918= list priceCash ÷ typical 1.9× | $47651 plans | $125 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $1,054–$2,367= list priceCash ÷ typical 2.2× | $47453 plans | $90.67 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $1,305= list priceCash ÷ typical 2.3× | $56752 plans | $131 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $1,606= list priceCash ÷ typical 2.9× | $55939 plans | $131 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $2,060= list priceCash ÷ typical 2.9× | $72153 plans | $90.67 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | — | $51629 plans | $131 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | — | $61226 plans | $131 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | — | $51629 plans | $131 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $144Cash ÷ typical 1.1× | $1314 plans | $124 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $179–$199 | $113 | $87.00 | $87.00 | — | — | $43.85–$45.16 | — |
| Harris Health Lyndon B Johnson Hospital | $179–$199 | $113 | $87.00 | $87.00 | — | — | $43.85–$45.16 | — |
| Memorial Hermann Cypress Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Greater Heights Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Katy Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Memorial City Medical Center | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Northeast Hospital | — | $129 | — | — | — | — | — | $82.98–$91.28 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Pearland Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Southeast Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Southwest Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Sugar Land Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann-Texas Medical Center | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann The Woodlands Medical Center | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Imaging Center (Bellaire) | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Imaging Center (Cypress) | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $129 | — | — | — | — | — | $82.98–$95.43 |
| St. Luke's Health Sugar Land Hospital | $140–$335 | $502–$578 | $291–$393 | $148–$400 | — | — | $298–$702 | $230 |
| St. Luke's Health The Vintage Hospital | $140–$335 | $502–$578 | $291–$393 | $148–$400 | — | — | $298–$702 | $230 |
| St. Luke's Health Lakeside Hospital | $140–$335 | $502–$578 | $291–$393 | $148–$400 | — | — | $298–$702 | $230 |
| Baylor St Luke's Medical Center | $119–$348 | $519–$595 | $291–$393 | $144–$400 | — | — | $308–$702 | $230 |
| St. Luke's Health Springwoods Village Hospital | $140–$335 | $502–$578 | $291–$393 | $148–$400 | — | — | $298–$468 | $230 |
| St. Luke's Health The Woodlands Hospital | $140–$335 | $502–$578 | $291–$393 | $148–$400 | — | — | $298–$702 | $230 |
| St. Luke's Health Patients Medical Center | $140–$335 | $527–$607 | $291–$393 | $140–$230 | — | — | — | — |
| St. Luke's Health Brazosport Hospital | $190–$303 | $321 | $401 | $302 | — | — | $566–$759 | $142 |
| Houston Methodist Hospital | $394 | $374–$386 | — | — | — | — | — | $82.98–$91.28 |
| Houston Methodist Clear Lake Hospital | $243–$394 | $355–$365 | — | — | — | — | — | $82.98–$91.28 |
| Houston Methodist Baytown Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$91.28 |
| Houston Methodist Cypress Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$88.79 |
| Houston Methodist The Woodlands Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$88.79 |
| Houston Methodist Sugar Land Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$91.28 |
| Houston Methodist West Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$91.28 |
| Houston Methodist Willowbrook Hospital | $394 | $355–$365 | — | — | — | — | — | $82.98–$91.28 |
| HCA Houston Healthcare Southeast | $175–$388 | $764–$1,033 | $516–$665 | $169–$376 | $277 | $131–$141 | $50–$117 | $89–$376 |
| HCA Houston Healthcare Tomball | $175–$412 | $764–$1,033 | $516–$665 | $151–$406 | $299 | $131–$141 | $54–$126 | $89–$118 |
| HCA Houston Healthcare Kingwood | $175–$363 | $764–$1,033 | $516–$665 | $153–$411 | $302 | $131–$141 | $55–$128 | $89–$411 |
| HCA Houston Healthcare Conroe | $175–$412 | $764–$1,033 | $516–$665 | $162–$413 | $304 | $125–$134 | $55–$129 | $85–$413 |
| HCA Houston Healthcare Clear Lake | $175–$369 | $764–$1,033 | $528–$680 | $184–$474 | $349 | $131–$141 | $63–$148 | $89–$474 |
| HCA Houston Healthcare Mainland | $175–$457 | $764–$1,033 | $528–$680 | $184–$587 | $432 | $131–$141 | $78–$183 | $89–$587 |
| HCA Houston Healthcare Pearland | $175–$562 | $764–$1,033 | $516–$665 | $184–$723 | $532 | $131–$141 | $91–$225 | $89–$118 |
| HCA Houston Healthcare West | $175–$721 | $764–$1,033 | $516–$665 | $184–$927 | $682 | $131–$141 | $91–$288 | $89–$927 |
| HCA Houston Healthcare Northwest | $175–$363 | $764–$1,033 | $516–$665 | $184–$217 | — | $131–$141 | $90.67–$95.20 | $89–$118 |
| HCA Houston Healthcare North Cypress | $175–$363 | $764–$1,033 | $516–$665 | $184–$217 | — | — | $90.67–$95.20 | $89–$118 |
| HCA Houston Healthcare Medical Center | $175–$385 | $764–$1,033 | $516–$665 | $184–$217 | — | $131–$141 | $90.67–$95.20 | $89–$118 |
| Children's Memorial Hermann Hospital | — | $129 | — | — | — | — | — | $82.98–$95.43 |
Harris Health Ben Taub Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $44.72 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $45.16 | percent of total billed charges |
| Cigna | Commercial | Commercial | $87.00 | percent of total billed charges |
| UHC | Commercial | Commercial | $87.00 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $113 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $113 | percent of total billed charges |
| BCBS TX | Blue Advantage | Commercial | $179 | fee schedule |
| BCBS TX | PPO POS | Commercial | $199 | fee schedule |
Harris Health Lyndon B Johnson Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| UHC | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| TX Childrens | Medicaid | Medicaid / CHIP | $43.85 | percent of total billed charges |
| CHC | Medicaid | Medicaid / CHIP | $44.72 | percent of total billed charges |
| Superior | Medicaid | Medicaid / CHIP | $45.16 | percent of total billed charges |
| Cigna | Commercial | Commercial | $87.00 | percent of total billed charges |
| UHC | Commercial | Commercial | $87.00 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $113 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $113 | percent of total billed charges |
| BCBS TX | Blue Advantage | Commercial | $179 | fee schedule |
| BCBS TX | PPO POS | Commercial | $199 | fee schedule |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Exchange | Commercial | $148 | fee schedule |
| United | Commercial|Charter | Commercial | $219 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| United | Commercial|HMO | Commercial | $243 | fee schedule |
| United | Commercial|PPO | Commercial | $243 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $298 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $502 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $578 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $702 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
St. Luke's Health The Vintage Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Exchange | Commercial | $148 | fee schedule |
| United | Commercial|Charter | Commercial | $219 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| United | Commercial|HMO | Commercial | $243 | fee schedule |
| United | Commercial|PPO | Commercial | $243 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $298 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $502 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $578 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $702 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
St. Luke's Health Lakeside Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Exchange | Commercial | $148 | fee schedule |
| United | Commercial|Charter | Commercial | $219 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| United | Commercial|HMO | Commercial | $243 | fee schedule |
| United | Commercial|PPO | Commercial | $243 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $298 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $502 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $578 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $702 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
Baylor St Luke's Medical Center: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $119 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $128 | fee schedule |
| United | Commercial|Exchange | Commercial | $144 | fee schedule |
| United | Commercial|Charter | Commercial | $196 | fee schedule |
| United | Commercial|HMO | Commercial | $215 | fee schedule |
| United | Commercial|PPO | Commercial | $215 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $267 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $314 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $348 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $349 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $425 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $519 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $702 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 26 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Exchange | Commercial | $148 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| United | Commercial|HMO | Commercial | $243 | fee schedule |
| United | Commercial|PPO | Commercial | $243 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $298 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $502 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $578 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Exchange | Commercial | $148 | fee schedule |
| United | Commercial|Charter | Commercial | $219 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $230 | fee schedule |
| United | Commercial|HMO | Commercial | $243 | fee schedule |
| United | Commercial|PPO | Commercial | $243 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $298 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $308 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| United | Commercial|Optum | Commercial | $400 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $468 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $468 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $502 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $553 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $553 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $578 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $595 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $638 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $702 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $723 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $850 | fee schedule |
St. Luke's Health Patients Medical Center: all 18 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $145 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $255 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $291 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $298 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $320 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $335 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $393 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $527 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $580 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $580 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $607 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $625 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $670 | fee schedule |
St. Luke's Health Brazosport Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare|All Plans | Medicare Advantage | $142 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $190 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $244 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $253 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $271 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $272 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $302 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $303 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $321 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $401 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $472 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $566 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $759 | fee schedule |
Houston Methodist Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $179 | fee schedule |
| Uae | All Commercial Plans | Commercial | $332 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $374 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $386 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist Clear Lake Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $243 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist Baytown Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist Cypress Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist The Woodlands Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $166 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist Sugar Land Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist West Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Uae | All Commercial Plans | Commercial | $332 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
Houston Methodist Willowbrook Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $82.98 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $84.22 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $84.64 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $85.47 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $87.13 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $88.79 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $91.28 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $135 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $166 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $355 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $365 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $394 | fee schedule |
HCA Houston Healthcare Southeast: all 115 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $50.09 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $50.09 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $50.09 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $50.09 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $50.09 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $90.67 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $104 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $109 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $109 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $109 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $109 | percent of total billed charges |
| Universal Healthcare Group | MCR | Medicare Advantage | $109 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $117 | percent of total billed charges |
| Verda Health Plan | MCRSkilledNursing | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| United | OptionsPPO | Commercial | $169 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $180 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $190 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $200 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $228 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Humana | HMO | Commercial | $277 | percent of total billed charges |
| Humana | PPO | Commercial | $277 | percent of total billed charges |
| BCBS | Traditional | Commercial | $292 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $292 | percent of total billed charges |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| Curative Administrators | COMM | Commercial | $334 | percent of total billed charges |
| BCBS | HMO | Commercial | $338 | fee schedule |
| HealthSmart Preferred Care | ACCEL | Commercial | $359 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $363 | fee schedule |
| Averde Health | Commercial | Commercial | $376 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $376 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $376 | percent of total billed charges |
| BCBS | PPO | Commercial | $388 | fee schedule |
| Coventry National First Health | COMM | Commercial | $432 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $459 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $459 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Independent Medical System | COMM | Commercial | $501 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $501 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $501 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $501 | percent of total billed charges |
| Cigna | CSN | Commercial | $516 | case rate |
| Coastal Comp | COMM | Workers' comp | $543 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Fiesta Mart, Inc | COMM | Commercial | $626 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $626 | percent of total billed charges |
| Cigna | PPO | Commercial | $665 | case rate |
| HealthSmart Preferred Care | PPO | Commercial | $685 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $710 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $710 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $710 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $751 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Tomball: all 92 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $54.09 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $54.09 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $54.09 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $54.09 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $54.09 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $117 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $117 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $117 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $117 | percent of total billed charges |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $126 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $126 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| United | OptionsPPO | Commercial | $151 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $246 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Humana | HMO | Commercial | $299 | percent of total billed charges |
| Humana | PPO | Commercial | $299 | percent of total billed charges |
| BCBS | Traditional | Commercial | $316 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $319 | percent of total billed charges |
| BCBS | HMO | Commercial | $338 | fee schedule |
| Curative Administrators | COMM | Commercial | $361 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $375 | fee schedule |
| United | GlobalAppendix | Commercial | $406 | percent of total billed charges |
| BCBS | PPO | Commercial | $412 | fee schedule |
| Cigna | CSN | Commercial | $516 | case rate |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $676 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Multiplan | ComplementaryNetwork | Commercial | $766 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Kingwood: all 117 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $54.77 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $54.77 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $54.77 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $54.77 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $54.77 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $90.67 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $109 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $119 | percent of total billed charges |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $128 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $128 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| United | OptionsPPO | Commercial | $153 | percent of total billed charges |
| USA Managed Care | WORKERSCOMP | Workers' comp | $172 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $180 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $190 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $249 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| Humana | HMO | Commercial | $302 | percent of total billed charges |
| Humana | PPO | Commercial | $302 | percent of total billed charges |
| BCBS | Traditional | Commercial | $320 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $320 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $320 | percent of total billed charges |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Curative Administrators | COMM | Commercial | $365 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $393 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $411 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $411 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $411 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $473 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $502 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $502 | percent of total billed charges |
| Cigna | CSN | Commercial | $516 | case rate |
| Independent Medical System | COMM | Commercial | $548 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $548 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $548 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Coastal Comp | COMM | Workers' comp | $593 | percent of total billed charges |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $685 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $749 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $776 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $776 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $776 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $776 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Affiliated PPO | COMM | Commercial | $822 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Conroe: all 113 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $55.08 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $55.08 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $55.08 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $55.08 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $55.08 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $84.79 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $86.09 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $86.52 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $86.52 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $86.52 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| GEO Group - Joe Corley Detention Facility | GVT | Public program | $86.52 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $86.52 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $87.26 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $87.39 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | POS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | SNP | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $90.85 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $90.85 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $90.85 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $90.85 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $90.85 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $91.71 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $91.71 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $91.71 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $91.71 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $94.31 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $104 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $112 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $119 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $125 | fee schedule |
| Superior | ValueHMO | Commercial | $125 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $129 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $129 | percent of total billed charges |
| Superior | EPO | Commercial | $134 | fee schedule |
| Superior | HMO | Commercial | $134 | fee schedule |
| United | OptionsPPO | Commercial | $162 | percent of total billed charges |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $171 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $182 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $186 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| TX Workforce Commission | GVT | Public program | $220 | percent of total billed charges |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $251 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| Humana | HMO | Commercial | $304 | percent of total billed charges |
| Humana | PPO | Commercial | $304 | percent of total billed charges |
| BCBS | Traditional | Commercial | $321 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $321 | percent of total billed charges |
| BCBS | HMO | Commercial | $338 | fee schedule |
| Curative Administrators | COMM | Commercial | $367 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $375 | fee schedule |
| HealthSmart Preferred Care | ACCEL | Commercial | $395 | percent of total billed charges |
| BCBS | PPO | Commercial | $412 | fee schedule |
| Averde Health | Commercial | Commercial | $413 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $413 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $413 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $476 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $505 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $505 | percent of total billed charges |
| Cigna | CSN | Commercial | $516 | case rate |
| Independent Medical System | COMM | Commercial | $551 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $551 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $551 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Coastal Comp | COMM | Workers' comp | $597 | percent of total billed charges |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Multiplan | PHCSPrimaryNetwork | Commercial | $689 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $753 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $780 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $780 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $780 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Affiliated PPO | COMM | Commercial | $826 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Clear Lake: all 118 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $63.26 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $63.26 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $63.26 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $63.26 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $63.26 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $90.67 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Kindred Hospital | MGMCR | Medicare Advantage | $104 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $109 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $137 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $137 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $137 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $137 | percent of total billed charges |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $148 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $148 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $180 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| United | OptionsPPO | Commercial | $186 | percent of total billed charges |
| BCBS | BAV | Commercial | $189 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $190 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $253 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Evry Health | BroadNetwork | Commercial | $288 | percent of total billed charges |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| Humana | HMO | Commercial | $349 | percent of total billed charges |
| Humana | PPO | Commercial | $349 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $369 | percent of total billed charges |
| BCBS | Traditional | Commercial | $369 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $369 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $422 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $453 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $474 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $474 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $474 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Cigna | CSN | Commercial | $528 | case rate |
| Coventry National First Health | COMM | Commercial | $546 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $572 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $580 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $580 | percent of total billed charges |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Independent Medical System | COMM | Commercial | $633 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $633 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $633 | percent of total billed charges |
| Cigna | PPO | Commercial | $680 | case rate |
| Coastal Comp | COMM | Workers' comp | $685 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $791 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| HealthSmart Preferred Care | PPO | Commercial | $865 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $896 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $896 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $896 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $949 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Mainland: all 112 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | CHIP | Medicaid / CHIP | $78.32 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $78.32 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $78.32 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $78.32 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $78.32 | percent of total billed charges |
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $109 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| UTMB | MGMCR | Medicare Advantage | $148 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $170 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $170 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $170 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $170 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $180 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $183 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $183 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| BCBS | BAV | Commercial | $189 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $190 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| United | OptionsPPO | Commercial | $264 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| IPA Management Services | COMM | Commercial | $326 | percent of total billed charges |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $356 | percent of total billed charges |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Humana | HMO | Commercial | $432 | percent of total billed charges |
| Humana | PPO | Commercial | $432 | percent of total billed charges |
| BCBS | Traditional | Commercial | $457 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $457 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Curative Administrators | COMM | Commercial | $522 | percent of total billed charges |
| Cigna | CSN | Commercial | $528 | case rate |
| HealthSmart Preferred Care | ACCEL | Commercial | $561 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $572 | case rate |
| Averde Health | Commercial | Commercial | $587 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $587 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $587 | percent of total billed charges |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Coventry National First Health | COMM | Commercial | $676 | percent of total billed charges |
| Cigna | PPO | Commercial | $680 | case rate |
| Physicians Cooperative of Texas | WC | Workers' comp | $718 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $718 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Independent Medical System | COMM | Commercial | $783 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $783 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $783 | percent of total billed charges |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Coastal Comp | COMM | Workers' comp | $848 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $979 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
| HealthSmart Preferred Care | PPO | Commercial | $1,070 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,109 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,109 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,109 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,175 | percent of total billed charges |
HCA Houston Healthcare Pearland: all 92 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.30 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.30 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $96.38 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $96.38 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $96.38 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $96.38 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $96.38 | percent of total billed charges |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $209 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $209 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $209 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $209 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $225 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $225 | percent of total billed charges |
| United | OptionsPPO | Commercial | $270 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $362 | fee schedule |
| BCBS | PPO | Commercial | $385 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $439 | percent of total billed charges |
| Cigna | CSN | Commercial | $516 | case rate |
| Humana | HMO | Commercial | $532 | percent of total billed charges |
| Humana | PPO | Commercial | $532 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| BCBS | Traditional | Commercial | $562 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $643 | percent of total billed charges |
| Cigna | PPO | Commercial | $665 | case rate |
| United | GlobalAppendix | Commercial | $723 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Coventry National First Health | COMM | Commercial | $832 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,205 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,365 | percent of total billed charges |
HCA Houston Healthcare West: all 117 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Kelsey Seybold | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Renaissance IPA Radiology | COMM | Commercial | $90.67 | fee schedule |
| Renaissance IPA Radiology | MCR | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| Aetna | MCR | Medicare Advantage | $91.44 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Universal Healthcare Group | MCR | Medicare Advantage | $109 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $124 | percent of total billed charges |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| Corvel Corporation | WORKERSCOMP | Workers' comp | $180 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| BCBS | BAV | Commercial | $189 | fee schedule |
| OMNI Healthcare | WORKERSCOMP | Workers' comp | $190 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $268 | percent of total billed charges |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $268 | percent of total billed charges |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $268 | percent of total billed charges |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $268 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $288 | percent of total billed charges |
| Amerigroup | MGMCD | Medicaid / CHIP | $288 | percent of total billed charges |
| Texas Athletic Network | Premier | Commercial | $300 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| United | OptionsPPO | Commercial | $346 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $494 | percent of total billed charges |
| Texas Athletic Network | PremierPlus | Commercial | $500 | case rate |
| Cigna | CSN | Commercial | $516 | case rate |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Evry Health | BroadNetwork | Commercial | $562 | percent of total billed charges |
| Texas Athletic Network | TexasCustomUC | Commercial | $600 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Humana | HMO | Commercial | $682 | percent of total billed charges |
| Humana | PPO | Commercial | $682 | percent of total billed charges |
| BCBS | Traditional | Commercial | $721 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $721 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Curative Administrators | COMM | Commercial | $824 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $886 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $927 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $927 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $927 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
| Coventry National First Health | COMM | Commercial | $1,067 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,133 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,133 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,236 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,236 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,236 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,236 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,339 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,545 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,689 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,751 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,751 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,751 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,854 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 70 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| TriWest Healthcare Alliance | VeteransPCCC | Military / VA | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $272 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Cigna | CSN | Commercial | $516 | case rate |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare North Cypress: all 64 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| CHC Harris Health | Indigent | Public program | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | Veterans | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $351 | fee schedule |
| BCBS | PPO | Commercial | $363 | fee schedule |
| Cigna | CSN | Commercial | $516 | case rate |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
HCA Houston Healthcare Medical Center: all 69 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Oscar | MGMCR | Medicare Advantage | $88.86 | fee schedule |
| WellMed | MGMCR | Medicare Advantage | $90.22 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $90.67 | fee schedule |
| BCBS | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| BCBS | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRHMO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRPPO | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MCRSNP | Medicare Advantage | $90.67 | fee schedule |
| Cigna HealthSpring | MMP | Medicaid / CHIP | $90.67 | fee schedule |
| Cigna HealthSpring | PFFS | Medicare Advantage | $90.67 | fee schedule |
| Devoted Health | MGMCR | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantageHMO | Medicare Advantage | $90.67 | fee schedule |
| Humana | MedicareAdvantagePPOPFFS | Medicare Advantage | $90.67 | fee schedule |
| TriWest Healthcare Alliance | FED | Military / VA | $90.67 | fee schedule |
| Christus (USFHP) | TRICARE | Military / VA | $90.68 | fee schedule |
| TriWest Health Alliance | TRCR | Military / VA | $90.68 | fee schedule |
| Van Lang IPA | MCR | Medicare Advantage | $91.58 | fee schedule |
| United | MCR | Medicare Advantage | $92.48 | fee schedule |
| Integranet Amerigroup IPA | MCR | Medicare Advantage | $93.39 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | POS | Medicare Advantage | $93.39 | fee schedule |
| WellCare | PPO | Medicare Advantage | $93.39 | fee schedule |
| WellCare | SNP | Medicare Advantage | $93.39 | fee schedule |
| American Health Plan | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| ProCare Advantage | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Shared Health | MGMCR | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | DualEligible | Medicaid / CHIP | $95.20 | fee schedule |
| Superior Health Plan | MCRHMO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPOS | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRPPO | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | MCRSNP | Medicare Advantage | $95.20 | fee schedule |
| Superior Health Plan | PFFS | Medicare Advantage | $95.20 | fee schedule |
| Provider Partners Health Plan of Texas | MCRHMO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PFFS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | POS | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | PPO | Medicare Advantage | $96.11 | fee schedule |
| Provider Partners Health Plan of Texas | SNP | Medicare Advantage | $96.11 | fee schedule |
| Molina | MGMCR | Medicare Advantage | $98.83 | fee schedule |
| Verda Health Plan | MCR | Medicare Advantage | $118 | fee schedule |
| Community Health Choice | HIX | Commercial | $131 | fee schedule |
| Superior | ValueHMO | Commercial | $131 | fee schedule |
| Superior | EPO | Commercial | $141 | fee schedule |
| Superior | HMO | Commercial | $141 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $175 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $184 | fee schedule |
| Molina Healthcare | HIX | Commercial | $195 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BAV | Commercial | $222 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $274 | case rate |
| BCBS | HMO | Commercial | $338 | fee schedule |
| BCBS | EPOSOA | Commercial | $362 | fee schedule |
| BCBS | PPO | Commercial | $385 | fee schedule |
| Cigna | CSN | Commercial | $516 | case rate |
| Cigna | OpenAccessPlus | Commercial | $559 | case rate |
| Cigna | PPO | Commercial | $665 | case rate |
| Aetna | NBHMO | Commercial | $764 | fee schedule |
| Aetna | NBPOS | Commercial | $764 | fee schedule |
| Aetna | NBPPO | Commercial | $764 | fee schedule |
| Aetna | COMMHMO | Commercial | $813 | fee schedule |
| Aetna | COMMPOS | Commercial | $813 | fee schedule |
| Aetna | COMMPPO | Commercial | $813 | fee schedule |
| Aetna | OONHMO | Commercial | $955 | fee schedule |
| Aetna | OONPOS | Commercial | $955 | fee schedule |
| Aetna | OONPPO | Commercial | $955 | fee schedule |
| Aetna | ASAHMO | Commercial | $1,033 | fee schedule |
| Aetna | ASAPOS | Commercial | $1,033 | fee schedule |
| Aetna | ASAPPO | Commercial | $1,033 | fee schedule |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $82.98 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $91.28 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $95.43 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $124 | fee schedule |
| Aetna | Exchange | Commercial | $129 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $133 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $158 | fee schedule |
What this price covers
These are hospital charges for CPT code 77067 (Screening 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
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.