How much does a screening mammogram cost in Houston?

42 hospitals and imaging centers in Houston list a self-pay price of $82–$2,367 for a screening mammogram (both breasts) (CPT 77067). The typical commercial rate in the same files is $363.

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

Published cash price
$82–$2,367
what 42 hospitals and imaging centers list for a self-pay screening mammogram
Typical insured rate
$363
median of every commercial plan rate in the files
Lowest insured rate
$87.00
Cigna (Commercial), Harris Health Ben Taub Hospital

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.

Screening mammogram (both breasts) (CPT 77067) — Houston
HospitalPublished cash priceTypical insured rateLowest 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

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
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
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$43.85percent of total billed charges
UHCMedicaidMedicaid / CHIP$43.85percent of total billed charges
TX ChildrensMedicaidMedicaid / CHIP$43.85percent of total billed charges
CHCMedicaidMedicaid / CHIP$44.72percent of total billed charges
SuperiorMedicaidMedicaid / CHIP$45.16percent of total billed charges
CignaCommercialCommercial$87.00percent of total billed charges
UHCCommercialCommercial$87.00percent of total billed charges
AetnaCommercial HMOCommercial$113percent of total billed charges
AetnaCommercial PPOCommercial$113percent of total billed charges
BCBS TXBlue AdvantageCommercial$179fee schedule
BCBS TXPPO POSCommercial$199fee schedule
Harris Health Lyndon B Johnson Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$43.85percent of total billed charges
UHCMedicaidMedicaid / CHIP$43.85percent of total billed charges
TX ChildrensMedicaidMedicaid / CHIP$43.85percent of total billed charges
CHCMedicaidMedicaid / CHIP$44.72percent of total billed charges
SuperiorMedicaidMedicaid / CHIP$45.16percent of total billed charges
CignaCommercialCommercial$87.00percent of total billed charges
UHCCommercialCommercial$87.00percent of total billed charges
AetnaCommercial HMOCommercial$113percent of total billed charges
AetnaCommercial PPOCommercial$113percent of total billed charges
BCBS TXBlue AdvantageCommercial$179fee schedule
BCBS TXPPO POSCommercial$199fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPrem/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee schedule
St. Luke's Health Sugar Land Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|ExchangeCommercial$148fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$298fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$502fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
AetnaCommercial|HMOCommercial$578fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$702fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
St. Luke's Health The Vintage Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|ExchangeCommercial$148fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$298fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$502fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
AetnaCommercial|HMOCommercial$578fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$702fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
St. Luke's Health Lakeside Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|ExchangeCommercial$148fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$298fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$502fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
AetnaCommercial|HMOCommercial$578fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$702fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
Baylor St Luke's Medical Center: all 29 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$119fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$128fee schedule
UnitedCommercial|ExchangeCommercial$144fee schedule
UnitedCommercial|CharterCommercial$196fee schedule
UnitedCommercial|HMOCommercial$215fee schedule
UnitedCommercial|PPOCommercial$215fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
BCBS - TXCommercial|PremierCommercial$267fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
BCBS - TXCommercial|HMOCommercial$314fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS - TXCommercial|PPO TradCommercial$348fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$349fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
ShellCommercial|All PlansCommercial$425fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
AetnaCommercial|KelseyCareCommercial$519fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
AetnaCommercial|HMOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$702fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
St. Luke's Health Springwoods Village Hospital: all 26 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|ExchangeCommercial$148fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$298fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$502fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
AetnaCommercial|HMOCommercial$578fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
St. Luke's Health The Woodlands Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|ExchangeCommercial$148fee schedule
UnitedCommercial|CharterCommercial$219fee schedule
OPTUMMedicare|All PlansMedicare Advantage$230fee schedule
UnitedCommercial|HMOCommercial$243fee schedule
UnitedCommercial|PPOCommercial$243fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$298fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$308fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
UnitedCommercial|OptumCommercial$400fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$468fee schedule
CHCMedicaid|HMOMedicaid / CHIP$468fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$468fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$502fee schedule
CoventryCommercial|PPOCommercial$553fee schedule
First HealthCommercial|All PlansCommercial$553fee schedule
AetnaCommercial|HMOCommercial$578fee schedule
HealthsmartCommercial|PPOCommercial$595fee schedule
MultiPlanCommercial|All PlansCommercial$638fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$702fee schedule
USA Health NetworkCommercial|All PlansCommercial$723fee schedule
MHealth NetworkCommercial|PPOCommercial$850fee schedule
St. Luke's Health Patients Medical Center: all 18 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|ExchangeCommercial$140fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$145fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|Blue PremierCommercial$255fee schedule
CignaCommercial|SurefitCommercial$291fee schedule
BCBS-TXCommercial|HMOCommercial$298fee schedule
CignaCommercial|HMOCommercial$320fee schedule
BCBS-TXCommercial|PPOCommercial$335fee schedule
CignaCommercial|PPOCommercial$393fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$527fee schedule
CoventryCommercial|PPOCommercial$580fee schedule
First HealthCommercial|All PlansCommercial$580fee schedule
AetnaCommercial|HMOCommercial$607fee schedule
HealthsmartCommercial|PPOCommercial$625fee schedule
MultiPlanCommercial|All PlansCommercial$670fee schedule
St. Luke's Health Brazosport Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare|All PlansMedicare Advantage$142fee schedule
BCBS-TXCommercial|Blue Advantage HMOCommercial$190fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$244fee schedule
BCBS-TXCommercial|PPO-POSCommercial$253fee schedule
BCBS-TXCommercial|TraditionalCommercial$271fee schedule
BCBS-TXCommercial|HMOCommercial$272fee schedule
UnitedCommercial|All Other PlansCommercial$302fee schedule
BCBS-TXCommercial|PPOCommercial$303fee schedule
AetnaCommercial|All Other PlansCommercial$321fee schedule
CignaCommercial|All PlansCommercial$401fee schedule
Health FirstCommercial|All PlansCommercial$472fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$566fee schedule
WellpointMedicaid|STARMedicaid / CHIP$759fee schedule
Houston Methodist Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$179fee schedule
UaeAll Commercial PlansCommercial$332fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$374fee schedule
AetnaHmo/Pos/PpoCommercial$386fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist Clear Lake Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
BcbsBlue Advantage ExchangeCommercial$243fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist Baytown Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist Cypress Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist The Woodlands Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$166fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist Sugar Land Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist West Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
UaeAll Commercial PlansCommercial$332fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
Houston Methodist Willowbrook Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$82.98fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$84.22fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$84.64fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$85.47fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$87.13fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$88.79fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$91.28fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$135fee schedule
Molina HealthcareExchangeCommercial$166fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$355fee schedule
AetnaHmo/Pos/PpoCommercial$365fee schedule
BcbsAll Commercial PlansCommercial$394fee schedule
HCA Houston Healthcare Southeast: all 115 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$50.09percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$50.09percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$50.09percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$50.09percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$50.09percent of total billed charges
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
Renaissance IPA RadiologyCOMMCommercial$90.67fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Kindred HospitalMGMCRMedicare Advantage$104fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$109percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$109percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$109percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$109percent of total billed charges
Universal Healthcare GroupMCRMedicare Advantage$109fee schedule
AmerigroupMGMCDMedicaid / CHIP$117percent of total billed charges
Verda Health PlanMCRSkilledNursingMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
UnitedOptionsPPOCommercial$169percent of total billed charges
BCBSMyBlueHealthCommercial$175fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$180fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$190fee schedule
Molina HealthcareHIXCommercial$195fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$200percent of total billed charges
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
Evry HealthBroadNetworkCommercial$228percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
HumanaHMOCommercial$277percent of total billed charges
HumanaPPOCommercial$277percent of total billed charges
BCBSTraditionalCommercial$292percent of total billed charges
Imagine HealthPPOCommercial$292percent of total billed charges
Texas Athletic NetworkPremierCommercial$300case rate
Curative AdministratorsCOMMCommercial$334percent of total billed charges
BCBSHMOCommercial$338fee schedule
HealthSmart Preferred CareACCELCommercial$359percent of total billed charges
BCBSEPOSOACommercial$363fee schedule
Averde HealthCommercialCommercial$376percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$376percent of total billed charges
UnitedGlobalAppendixCommercial$376percent of total billed charges
BCBSPPOCommercial$388fee schedule
Coventry National First HealthCOMMCommercial$432percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$459percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$459percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
Independent Medical SystemCOMMCommercial$501percent of total billed charges
National Healthcare SolutionsCOMMCommercial$501percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$501percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$501percent of total billed charges
CignaCSNCommercial$516case rate
Coastal CompCOMMWorkers' comp$543percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
Fiesta Mart, IncCOMMCommercial$626percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$626percent of total billed charges
CignaPPOCommercial$665case rate
HealthSmart Preferred CarePPOCommercial$685percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$710percent of total billed charges
MultiplanComplementaryNetworkCommercial$710percent of total billed charges
Physicians, INCCOMMCommercial$710percent of total billed charges
Affiliated PPOCOMMCommercial$751percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Tomball: all 92 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$54.09percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$54.09percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$54.09percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$54.09percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$54.09percent of total billed charges
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$117percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$117percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$117percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$117percent of total billed charges
Verda Health PlanMCRMedicare Advantage$118fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$126percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$126percent of total billed charges
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
UnitedOptionsPPOCommercial$151percent of total billed charges
BCBSMyBlueHealthCommercial$175fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
Evry HealthBroadNetworkCommercial$246percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
HumanaHMOCommercial$299percent of total billed charges
HumanaPPOCommercial$299percent of total billed charges
BCBSTraditionalCommercial$316percent of total billed charges
Coventry National First HealthCOMMCommercial$319percent of total billed charges
BCBSHMOCommercial$338fee schedule
Curative AdministratorsCOMMCommercial$361percent of total billed charges
BCBSEPOSOACommercial$375fee schedule
UnitedGlobalAppendixCommercial$406percent of total billed charges
BCBSPPOCommercial$412fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
MultiplanPHCSPrimaryNetworkCommercial$676percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
MultiplanComplementaryNetworkCommercial$766percent of total billed charges
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Kingwood: all 117 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$54.77percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$54.77percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$54.77percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$54.77percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$54.77percent of total billed charges
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
Renaissance IPA RadiologyCOMMCommercial$90.67fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Universal Healthcare GroupMCRMedicare Advantage$109fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$119percent of total billed charges
AmerigroupMCDCHIPBHMedicaid / CHIP$128percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$128percent of total billed charges
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
UnitedOptionsPPOCommercial$153percent of total billed charges
USA Managed CareWORKERSCOMPWorkers' comp$172fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$180fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$190fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
Evry HealthBroadNetworkCommercial$249percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
HumanaHMOCommercial$302percent of total billed charges
HumanaPPOCommercial$302percent of total billed charges
BCBSTraditionalCommercial$320percent of total billed charges
Imagine HealthPPOCommercial$320percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$320percent of total billed charges
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$351fee schedule
BCBSPPOCommercial$363fee schedule
Curative AdministratorsCOMMCommercial$365percent of total billed charges
HealthSmart Preferred CareACCELCommercial$393percent of total billed charges
Averde HealthCommercialCommercial$411percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$411percent of total billed charges
UnitedGlobalAppendixCommercial$411percent of total billed charges
Coventry National First HealthCOMMCommercial$473percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
Physicians Cooperative of TexasWCWorkers' comp$502percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$502percent of total billed charges
CignaCSNCommercial$516case rate
Independent Medical SystemCOMMCommercial$548percent of total billed charges
National Healthcare SolutionsCOMMCommercial$548percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$548percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
Coastal CompCOMMWorkers' comp$593percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
CignaPPOCommercial$665case rate
MultiplanPHCSPrimaryNetworkCommercial$685percent of total billed charges
HealthSmart Preferred CarePPOCommercial$749percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$776percent of total billed charges
MultiplanComplementaryNetworkCommercial$776percent of total billed charges
Physicians, INCCOMMCommercial$776percent of total billed charges
USA Managed CareCOMMCommercial$776percent of total billed charges
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
Affiliated PPOCOMMCommercial$822percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Conroe: all 113 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$55.08percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$55.08percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$55.08percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$55.08percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$55.08percent of total billed charges
OscarMGMCRMedicare Advantage$84.79fee schedule
WellMedMGMCRMedicare Advantage$86.09fee schedule
AmerigroupDualEligibleMedicaid / CHIP$86.52fee schedule
BCBSMCRPPOMedicare Advantage$86.52fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$86.52fee schedule
Christus (USFHP)TRICAREMilitary / VA$86.52fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$86.52fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$86.52fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$86.52fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$86.52fee schedule
Cigna HealthSpringPFFSMedicare Advantage$86.52fee schedule
Devoted HealthMGMCRMedicare Advantage$86.52fee schedule
GEO Group - Joe Corley Detention FacilityGVTPublic program$86.52fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$86.52fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$86.52fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$86.52fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$86.52fee schedule
AetnaMCRMedicare Advantage$87.26fee schedule
Van Lang IPAMCRMedicare Advantage$87.39fee schedule
UnitedMCRMedicare Advantage$88.25fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$89.12fee schedule
WellCareMCRHMOMedicare Advantage$89.12fee schedule
WellCarePFFSMedicare Advantage$89.12fee schedule
WellCarePOSMedicare Advantage$89.12fee schedule
WellCarePPOMedicare Advantage$89.12fee schedule
WellCareSNPMedicare Advantage$89.12fee schedule
American Health PlanMGMCRMedicare Advantage$90.85fee schedule
ProCare AdvantageMGMCRMedicare Advantage$90.85fee schedule
Shared HealthMGMCRMedicare Advantage$90.85fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$90.85fee schedule
Superior Health PlanMCRHMOMedicare Advantage$90.85fee schedule
Superior Health PlanMCRPOSMedicare Advantage$90.85fee schedule
Superior Health PlanMCRPPOMedicare Advantage$90.85fee schedule
Superior Health PlanMCRSNPMedicare Advantage$90.85fee schedule
Superior Health PlanPFFSMedicare Advantage$90.85fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$91.71fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$91.71fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$91.71fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$91.71fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$91.71fee schedule
MolinaMGMCRMedicare Advantage$94.31fee schedule
Universal Healthcare GroupMCRMedicare Advantage$104fee schedule
Verda Health PlanMCRMedicare Advantage$112fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$119percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$119percent of total billed charges
Community Health ChoiceHIXCommercial$125fee schedule
SuperiorValueHMOCommercial$125fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$129percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$129percent of total billed charges
SuperiorEPOCommercial$134fee schedule
SuperiorHMOCommercial$134fee schedule
UnitedOptionsPPOCommercial$162percent of total billed charges
Corvel CorporationWORKERSCOMPWorkers' comp$171fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$182fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$186fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
TX Workforce CommissionGVTPublic program$220percent of total billed charges
BCBSBAVCommercial$222fee schedule
Evry HealthBroadNetworkCommercial$251percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
HumanaHMOCommercial$304percent of total billed charges
HumanaPPOCommercial$304percent of total billed charges
BCBSTraditionalCommercial$321percent of total billed charges
Imagine HealthPPOCommercial$321percent of total billed charges
BCBSHMOCommercial$338fee schedule
Curative AdministratorsCOMMCommercial$367percent of total billed charges
BCBSEPOSOACommercial$375fee schedule
HealthSmart Preferred CareACCELCommercial$395percent of total billed charges
BCBSPPOCommercial$412fee schedule
Averde HealthCommercialCommercial$413percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$413percent of total billed charges
UnitedGlobalAppendixCommercial$413percent of total billed charges
Coventry National First HealthCOMMCommercial$476percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
Physicians Cooperative of TexasWCWorkers' comp$505percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$505percent of total billed charges
CignaCSNCommercial$516case rate
Independent Medical SystemCOMMCommercial$551percent of total billed charges
National Healthcare SolutionsCOMMCommercial$551percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$551percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
Coastal CompCOMMWorkers' comp$597percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
CignaPPOCommercial$665case rate
MultiplanPHCSPrimaryNetworkCommercial$689percent of total billed charges
HealthSmart Preferred CarePPOCommercial$753percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$780percent of total billed charges
MultiplanComplementaryNetworkCommercial$780percent of total billed charges
Physicians, INCCOMMCommercial$780percent of total billed charges
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
Affiliated PPOCOMMCommercial$826percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Clear Lake: all 118 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$63.26percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$63.26percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$63.26percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$63.26percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$63.26percent of total billed charges
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
Renaissance IPA RadiologyCOMMCommercial$90.67fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Kindred HospitalMGMCRMedicare Advantage$104fee schedule
Universal Healthcare GroupMCRMedicare Advantage$109fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$137percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$137percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$137percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$137percent of total billed charges
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$148percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$148percent of total billed charges
BCBSMyBlueHealthCommercial$175fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$180fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
UnitedOptionsPPOCommercial$186percent of total billed charges
BCBSBAVCommercial$189fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$190fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$253percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Evry HealthBroadNetworkCommercial$288percent of total billed charges
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$338fee schedule
HumanaHMOCommercial$349percent of total billed charges
HumanaPPOCommercial$349percent of total billed charges
BCBSEPOSOACommercial$351fee schedule
BCBSPPOCommercial$363fee schedule
Kelsey Care (Boon-Chapman)COMMCommercial$369percent of total billed charges
BCBSTraditionalCommercial$369percent of total billed charges
Imagine HealthPPOCommercial$369percent of total billed charges
Curative AdministratorsCOMMCommercial$422percent of total billed charges
HealthSmart Preferred CareACCELCommercial$453percent of total billed charges
Averde HealthCommercialCommercial$474percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$474percent of total billed charges
UnitedGlobalAppendixCommercial$474percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$528case rate
Coventry National First HealthCOMMCommercial$546percent of total billed charges
CignaOpenAccessPlusCommercial$572case rate
Physicians Cooperative of TexasWCWorkers' comp$580percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$580percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
Independent Medical SystemCOMMCommercial$633percent of total billed charges
National Healthcare SolutionsCOMMCommercial$633percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$633percent of total billed charges
CignaPPOCommercial$680case rate
Coastal CompCOMMWorkers' comp$685percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
MultiplanPHCSPrimaryNetworkCommercial$791percent of total billed charges
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
HealthSmart Preferred CarePPOCommercial$865percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$896percent of total billed charges
MultiplanComplementaryNetworkCommercial$896percent of total billed charges
Physicians, INCCOMMCommercial$896percent of total billed charges
Affiliated PPOCOMMCommercial$949percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Mainland: all 112 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanCHIPMedicaid / CHIP$78.32percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$78.32percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$78.32percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$78.32percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$78.32percent of total billed charges
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Universal Healthcare GroupMCRMedicare Advantage$109fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
UTMBMGMCRMedicare Advantage$148fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$170percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$170percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$170percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$170percent of total billed charges
BCBSMyBlueHealthCommercial$175fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$180fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$183percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$183percent of total billed charges
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
BCBSBAVCommercial$189fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$190fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
UnitedOptionsPPOCommercial$264percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
Texas Athletic NetworkPremierCommercial$300case rate
IPA Management ServicesCOMMCommercial$326percent of total billed charges
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$351fee schedule
Evry HealthBroadNetworkCommercial$356percent of total billed charges
BCBSPPOCommercial$363fee schedule
HumanaHMOCommercial$432percent of total billed charges
HumanaPPOCommercial$432percent of total billed charges
BCBSTraditionalCommercial$457percent of total billed charges
Imagine HealthPPOCommercial$457percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
Curative AdministratorsCOMMCommercial$522percent of total billed charges
CignaCSNCommercial$528case rate
HealthSmart Preferred CareACCELCommercial$561percent of total billed charges
CignaOpenAccessPlusCommercial$572case rate
Averde HealthCommercialCommercial$587percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$587percent of total billed charges
UnitedGlobalAppendixCommercial$587percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
Coventry National First HealthCOMMCommercial$676percent of total billed charges
CignaPPOCommercial$680case rate
Physicians Cooperative of TexasWCWorkers' comp$718percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$718percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
Independent Medical SystemCOMMCommercial$783percent of total billed charges
National Healthcare SolutionsCOMMCommercial$783percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$783percent of total billed charges
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
Coastal CompCOMMWorkers' comp$848percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
MultiplanPHCSPrimaryNetworkCommercial$979percent of total billed charges
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HealthSmart Preferred CarePPOCommercial$1,070percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,109percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,109percent of total billed charges
Physicians, INCCOMMCommercial$1,109percent of total billed charges
Affiliated PPOCOMMCommercial$1,175percent of total billed charges
HCA Houston Healthcare Pearland: all 92 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.30fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.30fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
Superior Health PlanCHIPMedicaid / CHIP$96.38percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$96.38percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$96.38percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$96.38percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$96.38percent of total billed charges
MolinaMGMCRMedicare Advantage$98.83fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$195fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$209percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$209percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$209percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$209percent of total billed charges
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$225percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$225percent of total billed charges
UnitedOptionsPPOCommercial$270percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$362fee schedule
BCBSPPOCommercial$385fee schedule
Evry HealthBroadNetworkCommercial$439percent of total billed charges
CignaCSNCommercial$516case rate
HumanaHMOCommercial$532percent of total billed charges
HumanaPPOCommercial$532percent of total billed charges
CignaOpenAccessPlusCommercial$559case rate
BCBSTraditionalCommercial$562percent of total billed charges
Curative AdministratorsCOMMCommercial$643percent of total billed charges
CignaPPOCommercial$665case rate
UnitedGlobalAppendixCommercial$723percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
Coventry National First HealthCOMMCommercial$832percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
MultiplanPHCSPrimaryNetworkCommercial$1,205percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,365percent of total billed charges
HCA Houston Healthcare West: all 117 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Kelsey SeyboldMGMCRMedicare Advantage$90.67fee schedule
Renaissance IPA RadiologyCOMMCommercial$90.67fee schedule
Renaissance IPA RadiologyMCRMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
AetnaMCRMedicare Advantage$91.44fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Universal Healthcare GroupMCRMedicare Advantage$109fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Superior Health PlanCHIPMedicaid / CHIP$124percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$124percent of total billed charges
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
Corvel CorporationWORKERSCOMPWorkers' comp$180fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
BCBSBAVCommercial$189fee schedule
OMNI HealthcareWORKERSCOMPWorkers' comp$190fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$268percent of total billed charges
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$268percent of total billed charges
Community Health Choice MCDSTARMedicaid / CHIP$268percent of total billed charges
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$268percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$274case rate
AmerigroupMCDCHIPBHMedicaid / CHIP$288percent of total billed charges
AmerigroupMGMCDMedicaid / CHIP$288percent of total billed charges
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$338fee schedule
UnitedOptionsPPOCommercial$346percent of total billed charges
BCBSEPOSOACommercial$351fee schedule
BCBSPPOCommercial$363fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$494percent of total billed charges
Texas Athletic NetworkPremierPlusCommercial$500case rate
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
Evry HealthBroadNetworkCommercial$562percent of total billed charges
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
CignaPPOCommercial$665case rate
HumanaHMOCommercial$682percent of total billed charges
HumanaPPOCommercial$682percent of total billed charges
BCBSTraditionalCommercial$721percent of total billed charges
Imagine HealthPPOCommercial$721percent of total billed charges
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
Curative AdministratorsCOMMCommercial$824percent of total billed charges
HealthSmart Preferred CareACCELCommercial$886percent of total billed charges
Averde HealthCommercialCommercial$927percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$927percent of total billed charges
UnitedGlobalAppendixCommercial$927percent of total billed charges
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
Coventry National First HealthCOMMCommercial$1,067percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,133percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,133percent of total billed charges
Independent Medical SystemCOMMCommercial$1,236percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,236percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,236percent of total billed charges
TriumphCOMMCommercial$1,236percent of total billed charges
Coastal CompCOMMWorkers' comp$1,339percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,545percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,689percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,751percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,751percent of total billed charges
Physicians, INCCOMMCommercial$1,751percent of total billed charges
Affiliated PPOCOMMCommercial$1,854percent of total billed charges
HCA Houston Healthcare Northwest: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$88.86fee schedule
TriWest Healthcare AllianceVeteransPCCCMilitary / VA$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$272fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$351fee schedule
BCBSPPOCommercial$363fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare North Cypress: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
CHC Harris HealthIndigentPublic program$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceVeteransMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$351fee schedule
BCBSPPOCommercial$363fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
HCA Houston Healthcare Medical Center: all 69 plan rates
PayerPlan (as written in the file)TypeRateMethod
OscarMGMCRMedicare Advantage$88.86fee schedule
WellMedMGMCRMedicare Advantage$90.22fee schedule
AmerigroupDualEligibleMedicaid / CHIP$90.67fee schedule
BCBSMCRPPOMedicare Advantage$90.67fee schedule
BCBSMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRHMOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRPPOMedicare Advantage$90.67fee schedule
Cigna HealthSpringMCRSNPMedicare Advantage$90.67fee schedule
Cigna HealthSpringMMPMedicaid / CHIP$90.67fee schedule
Cigna HealthSpringPFFSMedicare Advantage$90.67fee schedule
Devoted HealthMGMCRMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantageHMOMedicare Advantage$90.67fee schedule
HumanaMedicareAdvantagePPOPFFSMedicare Advantage$90.67fee schedule
TriWest Healthcare AllianceFEDMilitary / VA$90.67fee schedule
Christus (USFHP)TRICAREMilitary / VA$90.68fee schedule
TriWest Health AllianceTRCRMilitary / VA$90.68fee schedule
Van Lang IPAMCRMedicare Advantage$91.58fee schedule
UnitedMCRMedicare Advantage$92.48fee schedule
Integranet Amerigroup IPAMCRMedicare Advantage$93.39fee schedule
WellCareMCRHMOMedicare Advantage$93.39fee schedule
WellCarePFFSMedicare Advantage$93.39fee schedule
WellCarePOSMedicare Advantage$93.39fee schedule
WellCarePPOMedicare Advantage$93.39fee schedule
WellCareSNPMedicare Advantage$93.39fee schedule
American Health PlanMGMCRMedicare Advantage$95.20fee schedule
ProCare AdvantageMGMCRMedicare Advantage$95.20fee schedule
Shared HealthMGMCRMedicare Advantage$95.20fee schedule
Superior Health PlanDualEligibleMedicaid / CHIP$95.20fee schedule
Superior Health PlanMCRHMOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPOSMedicare Advantage$95.20fee schedule
Superior Health PlanMCRPPOMedicare Advantage$95.20fee schedule
Superior Health PlanMCRSNPMedicare Advantage$95.20fee schedule
Superior Health PlanPFFSMedicare Advantage$95.20fee schedule
Provider Partners Health Plan of TexasMCRHMOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPFFSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPOSMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasPPOMedicare Advantage$96.11fee schedule
Provider Partners Health Plan of TexasSNPMedicare Advantage$96.11fee schedule
MolinaMGMCRMedicare Advantage$98.83fee schedule
Verda Health PlanMCRMedicare Advantage$118fee schedule
Community Health ChoiceHIXCommercial$131fee schedule
SuperiorValueHMOCommercial$131fee schedule
SuperiorEPOCommercial$141fee schedule
SuperiorHMOCommercial$141fee schedule
BCBSMyBlueHealthCommercial$175fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$184fee schedule
Molina HealthcareHIXCommercial$195fee schedule
UnitedAllPayerAppendixCommercial$217fee schedule
UnitedSmallGroupCommercial$217fee schedule
BCBSBAVCommercial$222fee schedule
Healthcare HighwaysNarrowNetworkCommercial$274case rate
BCBSHMOCommercial$338fee schedule
BCBSEPOSOACommercial$362fee schedule
BCBSPPOCommercial$385fee schedule
CignaCSNCommercial$516case rate
CignaOpenAccessPlusCommercial$559case rate
CignaPPOCommercial$665case rate
AetnaNBHMOCommercial$764fee schedule
AetnaNBPOSCommercial$764fee schedule
AetnaNBPPOCommercial$764fee schedule
AetnaCOMMHMOCommercial$813fee schedule
AetnaCOMMPOSCommercial$813fee schedule
AetnaCOMMPPOCommercial$813fee schedule
AetnaOONHMOCommercial$955fee schedule
AetnaOONPOSCommercial$955fee schedule
AetnaOONPPOCommercial$955fee schedule
AetnaASAHMOCommercial$1,033fee schedule
AetnaASAPOSCommercial$1,033fee schedule
AetnaASAPPOCommercial$1,033fee schedule
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$82.98fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$91.28fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$95.43fee schedule
Community HealthPremier/Select ExchangeCommercial$124fee schedule
AetnaExchangeCommercial$129fee schedule
Community HealthUltra ExchangeCommercial$133fee schedule
90 DegreesAll Commercial PlansCommercial$158fee 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

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

Other mammogram prices in Houston