How much does a breast ultrasound cost in Houston?

43 hospitals and imaging centers in Houston list a self-pay price of $102–$6,954 for a complete breast ultrasound (CPT 76641). The typical commercial rate in the same files is $464.

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

$102–$6,954

what 43 hospitals and imaging centers list for a self-pay breast ultrasound

Typical insured rate

$464

median of every commercial plan rate in the files

Lowest insured rate

$76.69

Renaissance (Commercial|All Plans), St. Luke's Health Sugar Land Hospital

At 9 of 43 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.

Breast ultrasound 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 76641; Medicaid and Medicare Advantage are shown separately below.

Complete breast ultrasound (CPT 76641) — Houston
Hospital	Published cash price	Typical insured rate	Lowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026	$102Cash ÷ typical 0.3×	$3847 plans	$107
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026	$102Cash ÷ typical 0.3×	$3847 plans	$107
Houston Methodist HospitalHouston Methodist · file Apr 2026	$563Cash ÷ typical 2.0×	$2776 plans	$171
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026	$865Cash ÷ typical 3.1×	$28018 plans	$112
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026	$926Cash ÷ typical 2.7×	$34922 plans	$158
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026	$944–$3,063= list priceCash ÷ typical 1.8×	$53344 plans	$191
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.9×	$34130 plans	$76.69
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.9×	$33631 plans	$76.69
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.9×	$33631 plans	$76.69
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.8×	$34633 plans	$76.69
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.8×	$34627 plans	$76.69
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026	$980Cash ÷ typical 2.9×	$34130 plans	$76.69
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.7×	$2636 plans	$171
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.8×	$2595 plans	$171
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.8×	$2595 plans	$171
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.8×	$2595 plans	$171
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.8×	$2595 plans	$171
Houston Methodist West HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.7×	$2636 plans	$171
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026	$1,500Cash ÷ typical 5.8×	$2595 plans	$171
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026	$2,754= list priceCash ÷ typical 4.5×	$60931 plans	$197
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026	$2,826= list priceCash ÷ typical 3.8×	$74444 plans	$197
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026	$2,826= list priceCash ÷ typical 3.9×	$71644 plans	$197
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026	$2,904= list priceCash ÷ typical 4.1×	$71643 plans	$197
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026	$4,895= list priceCash ÷ typical 6.3×	$77544 plans	$197
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026	$6,870= list priceCash ÷ typical 9.6×	$71631 plans	$197
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026	$6,954= list priceCash ÷ typical 9.0×	$77545 plans	$197
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026	$6,954= list priceCash ÷ typical 11×	$60929 plans	$197
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026	—	$57321 plans	$197
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026	—	$57321 plans	$197
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026	$571Cash ÷ typical 1.0×	$54516 plans	$494
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026	$571Cash ÷ typical 1.0×	$54516 plans	$494
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026	$571Cash ÷ typical 1.0×	$54516 plans	$494
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026	$737–$1,106Cash ÷ typical 4.5×	$1654 plans	$158

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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
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Ambetter	Medicaid / CHIP	Medicare Advantage
Harris Health Ben Taub Hospital	$203–$225	$499	$384	$384	—	—	$102–$106	$102
Harris Health Lyndon B Johnson Hospital	$203–$225	$499	$384	$384	—	—	$102–$106	$102
Houston Methodist Hospital	$444	$273–$282	—	—	—	—	—	$105–$116
Memorial Hermann Cypress Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Greater Heights Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Katy Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Memorial City Medical Center	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Northeast Hospital	—	$163	—	—	—	—	—	$105–$116
Memorial Hermann Rockets Orthopedic Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Pearland Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Southeast Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Southwest Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Sugar Land Hospital	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann-Texas Medical Center	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann The Woodlands Medical Center	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Imaging Center (Bellaire)	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Imaging Center (Cypress)	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Imaging Center (Texas Medical Center)	—	$163	—	—	—	—	—	$105–$121
Memorial Hermann Imaging Center (Upper Kirby)	—	$163	—	—	—	—	—	$105–$121
St. Luke's Health Brazosport Hospital	$214–$342	$164–$840	$301	$165–$790	$276	$154	$104–$1,340	$107–$371
St. Luke's Health Patients Medical Center	$158–$378	$1,561–$1,799	$218–$295	$362–$592	—	$160	$98–$321	$107–$114
HCA Houston Healthcare Southeast	$197–$437	$573–$775	—	$191–$425	$313	—	$57–$154	$425
St. Luke's Health Sugar Land Hospital	$158–$378	$164–$1,905	$218–$295	$362–$1,316	—	—	$103–$2,314	$107–$756
St. Luke's Health The Vintage Hospital	$158–$378	$164–$1,905	$218–$295	$362–$1,316	—	—	$103–$2,314	$107–$756
St. Luke's Health Lakeside Hospital	$158–$378	$164–$1,905	$218–$295	$362–$1,316	—	$160	$103–$2,314	$107–$756
Baylor St Luke's Medical Center	$135–$392	$164–$1,961	$218–$295	$414–$1,316	—	—	$103–$2,314	$107–$756
St. Luke's Health Springwoods Village Hospital	$158–$378	$1,653–$1,905	$160–$295	$362–$1,316	—	—	$103–$1,541	$107–$756
St. Luke's Health The Woodlands Hospital	$158–$378	$164–$1,905	$160–$295	$362–$1,316	—	—	$103–$2,314	$107–$756
Houston Methodist Clear Lake Hospital	$273–$444	$259–$267	—	—	—	—	—	$105–$116
Houston Methodist Baytown Hospital	$444	$259–$267	—	—	—	—	—	$105–$116
Houston Methodist Cypress Hospital	$444	$259–$267	—	—	—	—	—	$105–$112
Houston Methodist The Woodlands Hospital	$444	$259–$267	—	—	—	—	—	$105–$112
Houston Methodist Sugar Land Hospital	$444	$259–$267	—	—	—	—	—	$105–$116
Houston Methodist West Hospital	$444	$259–$267	—	—	—	—	—	$105–$116
Houston Methodist Willowbrook Hospital	$444	$259–$267	—	—	—	—	—	$105–$116
HCA Houston Healthcare Pearland	$197–$964	$573–$775	—	$207–$1,239	$912	—	$103–$165	—
HCA Houston Healthcare Clear Lake	$197–$989	$573–$775	—	$207–$1,272	$936	—	$101–$170	$1,272
HCA Houston Healthcare Mainland	$197–$989	$573–$775	—	$207–$1,272	$936	—	$101–$170	$1,272
HCA Houston Healthcare Conroe	$197–$1,017	$573–$775	—	$207–$1,307	$962	—	$101–$174	$1,307
HCA Houston Healthcare West	$197–$1,713	$573–$775	—	$207–$2,203	$1,622	—	$101–$294	$2,203
HCA Houston Healthcare Tomball	$197–$2,404	$573–$775	—	$207–$3,091	$2,276	—	$103–$412	—
HCA Houston Healthcare Kingwood	$197–$2,434	$573–$775	—	$207–$3,129	$2,304	—	$101–$417	$3,129
HCA Houston Healthcare North Cypress	$197–$2,434	$573–$775	—	$207–$3,129	—	—	$103–$417	—
HCA Houston Healthcare Northwest	$197–$409	$573–$775	—	$207–$245	—	—	$103–$154	—
HCA Houston Healthcare Medical Center	$197–$434	$573–$775	—	$207–$245	—	—	$103–$129	—
Texas Children's Hospital The Woodlands	$537	$545	$494–$545	—	—	—	$103–$341	—
Texas Children's Hospital West Campus	$537	$545	$494–$545	—	—	—	$103–$341	—
Texas Children's Hospital	$537	$545	$494–$545	—	—	—	$103–$341	—
Children's Memorial Hermann Hospital	—	$163	—	—	—	—	—	$105–$121

Harris Health Ben Taub Hospital: all 14 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
CHC	D-SNP	Medicare Advantage	$102	fee schedule
Molina	Medicare & MMP	Medicaid / CHIP	$102	fee schedule
Molina	Medicaid	Medicaid / CHIP	$103	fee schedule
UHC	Medicaid	Medicaid / CHIP	$103	fee schedule
TX Childrens	Medicaid	Medicaid / CHIP	$103	fee schedule
CHC	Medicaid	Medicaid / CHIP	$105	fee schedule
Superior	Medicaid	Medicaid / CHIP	$106	fee schedule
CHC	Marketplace	Commercial	$107	fee schedule
BCBS TX	Blue Advantage	Commercial	$203	percent of total billed charges
BCBS TX	PPO POS	Commercial	$225	percent of total billed charges
Cigna	Commercial	Commercial	$384	fee schedule
UHC	Commercial	Commercial	$384	percent of total billed charges
Aetna	Commercial HMO	Commercial	$499	percent of total billed charges
Aetna	Commercial PPO	Commercial	$499	percent of total billed charges

Harris Health Lyndon B Johnson Hospital: all 14 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
CHC	D-SNP	Medicare Advantage	$102	fee schedule
Molina	Medicare & MMP	Medicaid / CHIP	$102	fee schedule
Molina	Medicaid	Medicaid / CHIP	$103	fee schedule
UHC	Medicaid	Medicaid / CHIP	$103	fee schedule
TX Childrens	Medicaid	Medicaid / CHIP	$103	fee schedule
CHC	Medicaid	Medicaid / CHIP	$105	fee schedule
Superior	Medicaid	Medicaid / CHIP	$106	fee schedule
CHC	Marketplace	Commercial	$107	fee schedule
BCBS TX	Blue Advantage	Commercial	$203	percent of total billed charges
BCBS TX	PPO POS	Commercial	$225	percent of total billed charges
Cigna	Commercial	Commercial	$384	fee schedule
UHC	Commercial	Commercial	$384	percent of total billed charges
Aetna	Commercial HMO	Commercial	$499	percent of total billed charges
Aetna	Commercial PPO	Commercial	$499	percent of total billed charges

Houston Methodist Hospital: all 13 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$227	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$273	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$282	fee schedule
Uae	All Commercial Plans	Commercial	$420	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Memorial Hermann Cypress Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Greater Heights Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Katy Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Memorial City Medical Center: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Northeast Hospital: all 6 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Pearland Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Southeast Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Southwest Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Sugar Land Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann-Texas Medical Center: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann The Woodlands Medical Center: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Prem/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Imaging Center (Bellaire): all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Imaging Center (Cypress): all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

St. Luke's Health Brazosport Hospital: all 41 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$104	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA-HEALTHSPRING	Medicare\|All Plans	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
UNITED	Medicare\|All Plans	Medicare Advantage	$107	case rate
CHC	Medicaid\|CHIP	Medicaid / CHIP	$107	fee schedule
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$108	fee schedule
SUPERIOR	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$110	case rate
WellcareTP	Medicare\|All Plans	Medicare Advantage	$110	case rate
Wellpoint	Medicare\|All Plans	Medicare Advantage	$110	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$112	case rate
Devoted	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
UNITED	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
CHC	Medicaid\|STAR	Medicaid / CHIP	$145	fee schedule
TCHP	Medicaid\|All Other Plans	Medicaid / CHIP	$148	fee schedule
Ambetter	Commercial\|All Plans	Commercial	$154	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
Aetna	Commercial\|Exchange	Commercial	$164	case rate
United	Commercial\|Exchange	Commercial	$165	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
TCHP	Medicaid\|STAR	Medicaid / CHIP	$199	fee schedule
BCBS-TX	Commercial\|Blue Advantage HMO	Commercial	$214	fee schedule
BCBS-TX	Commercial\|Blue Options	Commercial	$276	fee schedule
Humana	Commercial\|All Plans	Commercial	$276	case rate
BCBS-TX	Commercial\|PPO-POS	Commercial	$285	fee schedule
Entrust	Commercial\|All Plans	Commercial	$287	case rate
Cigna	Commercial\|All Plans	Commercial	$301	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$306	fee schedule
BCBS-TX	Commercial\|Traditional	Commercial	$307	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$318	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$342	fee schedule
Aetna	Medicare\|All Plans	Medicare Advantage	$371	fee schedule
United	Commercial\|All Other Plans	Commercial	$790	fee schedule
Aetna	Commercial\|All Other Plans	Commercial	$840	fee schedule
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$1,000	fee schedule
Health First	Commercial\|All Plans	Commercial	$1,235	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$1,340	fee schedule

St. Luke's Health Patients Medical Center: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
CHC	Medicaid\|All Plans	Medicaid / CHIP	$97.76	fee schedule
TCHP	Medicaid\|All Plans	Medicaid / CHIP	$97.76	fee schedule
Wellpoint	Medicaid\|All Plans	Medicaid / CHIP	$103	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$105	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA-HEALTHSPRING	Medicare\|All Plans	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UNITED	Medicare\|All Plans	Medicare Advantage	$109	case rate
AMERIVANTAGE	Medicare\|All Plans	Medicare Advantage	$110	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
UNITED	Medicaid\|STAR	Medicaid / CHIP	$141	fee schedule
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Ambetter	Commercial\|All Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
BCBS - TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$321	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
United	Commercial\|Exchange	Commercial	$362	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|Charter	Commercial	$533	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,561	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,719	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,719	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,799	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,852	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$1,984	fee schedule

HCA Houston Healthcare Southeast: all 73 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	CHIP	Medicaid / CHIP	$56.67	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$56.67	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$56.67	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$56.67	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$56.67	percent of total billed charges
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
United	OptionsPPO	Commercial	$191	percent of total billed charges
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
Texas Workforce Commission	WCOMP	Workers' comp	$227	percent of total billed charges
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
Evry Health	BroadNetwork	Commercial	$258	percent of total billed charges
Texas Athletic Network	Premier	Commercial	$300	case rate
Humana	HMO	Commercial	$313	percent of total billed charges
Humana	PPO	Commercial	$313	percent of total billed charges
BCBS	Traditional	Commercial	$331	percent of total billed charges
Imagine Health	PPO	Commercial	$331	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$378	percent of total billed charges
Curative Administrators	COMM	Commercial	$378	percent of total billed charges
BCBS	HMO	Commercial	$381	fee schedule
HealthSmart Preferred Care	ACCEL	Commercial	$406	percent of total billed charges
BCBS	EPOSOA	Commercial	$409	fee schedule
Averde Health	Commercial	Commercial	$425	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$425	percent of total billed charges
United	GlobalAppendix	Commercial	$425	percent of total billed charges
BCBS	PPO	Commercial	$437	fee schedule
Coventry National First Health	COMM	Commercial	$489	percent of total billed charges
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
Physicians Cooperative of Texas	WC	Workers' comp	$519	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$519	percent of total billed charges
Independent Medical System	COMM	Commercial	$567	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$567	percent of total billed charges
Prime Health Services	WORKERSCOMP	Workers' comp	$567	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$567	percent of total billed charges
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Coastal Comp	COMM	Workers' comp	$614	percent of total billed charges
Fiesta Mart, Inc	COMM	Commercial	$708	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$708	percent of total billed charges
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
HealthSmart Preferred Care	PPO	Commercial	$774	percent of total billed charges
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$803	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$803	percent of total billed charges
Physicians, INC	COMM	Commercial	$803	percent of total billed charges
Affiliated PPO	COMM	Commercial	$850	percent of total billed charges

St. Luke's Health Sugar Land Hospital: all 65 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$113	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
KINDRED	Medicare\|All Plans	Medicare Advantage	$117	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
UNITED	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Community Health Choice	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Superior Health Plan	Commercial\|All Plans	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
CHC	Medicaid\|STAR	Medicaid / CHIP	$160	fee schedule
BCBS-TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Aetna	Commercial\|Exchange	Commercial	$164	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
TCHP	Medicaid\|All Other Plans	Medicaid / CHIP	$224	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$224	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
TCHP	Medicaid\|STAR	Medicaid / CHIP	$300	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
NX Health	Commercial\|PPO	Commercial	$346	case rate
United	Commercial\|Exchange	Commercial	$362	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|Charter	Commercial	$533	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$980	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,653	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,905	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
OPTUM	Medicaid\|STARPLUS	Medicaid / CHIP	$2,314	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

St. Luke's Health The Vintage Hospital: all 66 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
KINDRED	Medicare\|All Plans	Medicare Advantage	$117	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
UNITED	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
Employer Direct	Commercial\|PPO	Commercial	$149	case rate
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Community Health Choice	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Superior Health Plan	Commercial\|All Plans	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
CHC	Medicaid\|STAR	Medicaid / CHIP	$160	fee schedule
BCBS-TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Aetna	Commercial\|Exchange	Commercial	$164	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
TCHP	Medicaid\|All Other Plans	Medicaid / CHIP	$224	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$224	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
TCHP	Medicaid\|STAR	Medicaid / CHIP	$300	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
NX Health	Commercial\|PPO	Commercial	$346	case rate
United	Commercial\|Exchange	Commercial	$362	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|Charter	Commercial	$533	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$980	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,653	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,905	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
OPTUM	Medicaid\|STARPLUS	Medicaid / CHIP	$2,314	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

St. Luke's Health Lakeside Hospital: all 66 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
KINDRED	Medicare\|All Plans	Medicare Advantage	$117	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
UNITED	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Ambetter	Commercial\|All Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Harris Health	Commercial\|ERS	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
CHC	Medicaid\|STAR	Medicaid / CHIP	$160	fee schedule
BCBS - TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Aetna	Commercial\|Exchange	Commercial	$164	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
TCHP	Medicaid\|Lakeside	Medicaid / CHIP	$224	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$224	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
TCHP	Medicaid\|STAR	Medicaid / CHIP	$300	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
NX Health	Commercial\|PPO	Commercial	$346	case rate
United	Commercial\|Exchange	Commercial	$362	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|Charter	Commercial	$533	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$980	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,653	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,905	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
OPTUM	Medicaid\|STARPLUS	Medicaid / CHIP	$2,314	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

Baylor St Luke's Medical Center: all 68 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
Humana	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Other Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$112	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
KINDRED	Medicare\|All Plans	Medicare Advantage	$128	case rate
BCBS - TX	Commercial\|MyBlue Health Exchange	Commercial	$135	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
UNITED	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
BCBS - TX	Commercial\|Blue Advantage Exchange	Commercial	$145	fee schedule
Employer Direct	Commercial\|PPO	Commercial	$149	case rate
Community Health Choice	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Harris Health	Commercial\|ERS	Commercial	$160	case rate
Superior Health Plan	Commercial\|All Plans	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
CHC	Medicaid\|STAR	Medicaid / CHIP	$160	fee schedule
Aetna	Commercial\|Exchange	Commercial	$164	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
BCBS - TX	Commercial\|Premier	Commercial	$300	fee schedule
TCHP	Medicaid\|All Other Plans	Medicaid / CHIP	$308	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$308	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
NX Health	Commercial\|PPO	Commercial	$346	case rate
BCBS - TX	Commercial\|HMO	Commercial	$354	fee schedule
BCBS - TX	Commercial\|PPO Trad	Commercial	$392	fee schedule
TCHP	Medicaid\|STAR	Medicaid / CHIP	$413	fee schedule
United	Commercial\|Exchange	Commercial	$414	fee schedule
United	Commercial\|Charter	Commercial	$559	fee schedule
United	Commercial\|HMO	Commercial	$618	fee schedule
United	Commercial\|PPO	Commercial	$618	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$1,148	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
Shell	Commercial\|All Plans	Commercial	$1,401	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna	Commercial\|KelseyCare	Commercial	$1,709	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
OPTUM	Medicaid\|STARPLUS	Medicaid / CHIP	$2,314	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

St. Luke's Health Springwoods Village Hospital: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Montgomery Hospital District	Commercial\|All Plans	Public program	$103	fee schedule
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
KINDRED	Medicare\|All Plans	Medicare Advantage	$117	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
UHC	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Cigna	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Superior Health Plan	Commercial\|All Plans	Commercial	$160	case rate
BCBS-TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$280	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
NXHealth	Commercial\|All Plans	Commercial	$346	case rate
United	Commercial\|Exchange	Commercial	$362	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$980	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,653	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,905	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

St. Luke's Health The Woodlands Hospital: all 66 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Renaissance	Commercial\|All Plans	Commercial	$76.69	case rate
Montgomery Hospital District	Commercial\|All Plans	Public program	$103	fee schedule
Wellpoint	Medicaid\|All Other Plans	Medicaid / CHIP	$103	fee schedule
Wellpoint	Medicaid\|CHIP	Medicaid / CHIP	$104	fee schedule
Wellpoint	Medicaid\|STARKIDS	Medicaid / CHIP	$104	fee schedule
UHC	Medicaid\|STARKIDS	Medicaid / CHIP	$105	fee schedule
UHC	Medicaid\|CHIP	Medicaid / CHIP	$106	fee schedule
UNITED	Medicaid\|All Other Plans	Medicaid / CHIP	$106	fee schedule
BCBS	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|HMO	Medicare Advantage	$107	case rate
HUMANA	Medicare\|All Other Plans	Medicare Advantage	$107	case rate
KELSEY	Medicare\|All Plans	Medicare Advantage	$107	case rate
SELECTCARE	Medicare\|All Plans	Medicare Advantage	$107	case rate
CIGNA HEALTHSPRING	Medicare\|PPO	Medicare Advantage	$108	case rate
BCBS	Medicaid\|All Plans	Medicaid / CHIP	$108	fee schedule
AETNA	Medicare\|All Plans	Medicare Advantage	$109	case rate
UHC-SecureHorizons	Medicare\|All Plans	Medicare Advantage	$109	case rate
Amerivantage	Medicare\|All Plans	Medicare Advantage	$110	case rate
DEVOTED	Medicare\|All Plans	Medicare Advantage	$114	case rate
SCANHealth	Medicare\|All Plans	Medicare Advantage	$114	case rate
KINDRED	Medicare\|All Plans	Medicare Advantage	$117	case rate
CHC	Medicaid\|All Other Plans	Medicaid / CHIP	$120	fee schedule
Wellpoint	Medicaid\|STAR	Medicaid / CHIP	$139	fee schedule
UHC	Medicaid\|STAR	Medicaid / CHIP	$142	fee schedule
KelseyCare	Commercial\|Exchange	Commercial	$144	case rate
BCBS-TX	Commercial\|Exchange	Commercial	$158	fee schedule
Cigna	Commercial\|All Other Plans	Commercial	$160	case rate
Community Health Choice	Commercial\|Exchange	Commercial	$160	case rate
Superior Health Plan	Commercial\|All Plans	Commercial	$160	case rate
Wellpoint	Commercial\|Exchange	Commercial	$160	case rate
CHC	Medicaid\|STAR	Medicaid / CHIP	$160	fee schedule
BCBS-TX	Commercial\|MyBlue Health Exchange	Commercial	$164	fee schedule
Aetna	Commercial\|Exchange	Commercial	$164	case rate
Bright Health	Commercial\|All Plans	Commercial	$182	case rate
Cigna	Commercial\|Surefit	Commercial	$218	fee schedule
Cigna	Commercial\|HMO	Commercial	$240	fee schedule
TCHP	Medicaid\|All Other Plans	Medicaid / CHIP	$280	fee schedule
TCHP	Medicaid\|STARKIDS	Medicaid / CHIP	$280	fee schedule
BCBS-TX	Commercial\|Blue Premier	Commercial	$287	fee schedule
Cigna	Commercial\|PPO	Commercial	$295	fee schedule
UHC	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
UNITED	Medicaid\|STARPLUS	Medicaid / CHIP	$324	fee schedule
BCBS-TX	Commercial\|HMO	Commercial	$336	fee schedule
NXHealth	Commercial\|All Plans	Commercial	$346	case rate
United	Commercial\|Exchange	Commercial	$362	fee schedule
TCHP	Medicaid\|STAR	Medicaid / CHIP	$375	fee schedule
BCBS-TX	Commercial\|PPO	Commercial	$378	fee schedule
United	Commercial\|Charter	Commercial	$533	fee schedule
United	Commercial\|HMO	Commercial	$592	fee schedule
United	Commercial\|PPO	Commercial	$592	fee schedule
OPTUM	Medicare\|All Plans	Medicare Advantage	$756	fee schedule
TCHPCHIP	Medicaid\|HMO	Medicaid / CHIP	$980	fee schedule
OPTUM	Medicaid\|STAR	Medicaid / CHIP	$1,013	fee schedule
United	Commercial\|Optum	Commercial	$1,316	fee schedule
CHC	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
CHC	Medicaid\|HMO	Medicaid / CHIP	$1,541	fee schedule
TEXASTRUECHOICE	Medicaid\|CHIP	Medicaid / CHIP	$1,541	fee schedule
Aetna-Kelsey Care	Commercial\|HMO	Commercial	$1,653	fee schedule
Coventry	Commercial\|PPO	Commercial	$1,821	fee schedule
First Health	Commercial\|All Plans	Commercial	$1,821	fee schedule
Aetna	Commercial\|HMO	Commercial	$1,905	fee schedule
Healthsmart	Commercial\|PPO	Commercial	$1,961	fee schedule
MultiPlan	Commercial\|All Plans	Commercial	$2,101	fee schedule
OPTUM	Medicaid\|STARPLUS	Medicaid / CHIP	$2,314	fee schedule
USA Health Network	Commercial\|All Plans	Commercial	$2,381	fee schedule
MHealth Network	Commercial\|PPO	Commercial	$2,801	fee schedule

Houston Methodist Clear Lake Hospital: all 13 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	Blue Advantage Exchange	Commercial	$273	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist Baytown Hospital: all 12 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist Cypress Hospital: all 11 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Devoted Health	Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist The Woodlands Hospital: all 11 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Advanced Medical Pricing Solutions	All Commercial Plans	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist Sugar Land Hospital: all 12 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist West Hospital: all 13 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Uae	All Commercial Plans	Commercial	$420	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

Houston Methodist Willowbrook Hospital: all 12 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Bcbs	Medicare Managed Care - Hmo	Medicare Advantage	$105	fee schedule
Aetna	Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$107	fee schedule
Unitedhealthcare	Medicare Managed Care - Hmo	Medicare Advantage	$107	fee schedule
Cigna	Texas Healthspring Medicare Managed Care - Hmo/Ppo	Medicare Advantage	$108	fee schedule
Molina Healthcare	Advantage Medicare Managed Care Plan	Medicare Advantage	$110	fee schedule
Community Health Choice	D-Snp Medicare Managed Care - Hmo	Medicare Advantage	$112	fee schedule
Procare Advantage	Medicare Managed Care - Hmo	Medicare Advantage	$116	fee schedule
Community Health Choice	Silver & Gold Exchange	Commercial	$171	fee schedule
Molina Healthcare	Exchange	Commercial	$210	fee schedule
Aetna	New Business Discount Other Commercial Plan	Commercial	$259	fee schedule
Aetna	Hmo/Pos/Ppo	Commercial	$267	fee schedule
Bcbs	All Commercial Plans	Commercial	$444	fee schedule

HCA Houston Healthcare Pearland: all 53 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$165	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$165	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$165	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$165	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$165	percent of total billed charges
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$408	fee schedule
BCBS	PPO	Commercial	$434	fee schedule
United	OptionsPPO	Commercial	$463	percent of total billed charges
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Evry Health	BroadNetwork	Commercial	$752	percent of total billed charges
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
Humana	HMO	Commercial	$912	percent of total billed charges
Humana	PPO	Commercial	$912	percent of total billed charges
BCBS	Traditional	Commercial	$964	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$1,102	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,102	percent of total billed charges
United	GlobalAppendix	Commercial	$1,239	percent of total billed charges
Coventry National First Health	COMM	Commercial	$1,427	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,066	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,341	percent of total billed charges

HCA Houston Healthcare Clear Lake: all 74 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
UTMB	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$170	percent of total billed charges
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
BCBS	BAV	Commercial	$213	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
Texas Athletic Network	Premier	Commercial	$300	case rate
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
United	OptionsPPO	Commercial	$497	percent of total billed charges
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Texas Workforce Commission	WCOMP	Workers' comp	$678	percent of total billed charges
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Evry Health	BroadNetwork	Commercial	$771	percent of total billed charges
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
Humana	HMO	Commercial	$936	percent of total billed charges
Humana	PPO	Commercial	$936	percent of total billed charges
Kelsey Care (Boon-Chapman)	COMM	Commercial	$989	percent of total billed charges
BCBS	Traditional	Commercial	$989	percent of total billed charges
Imagine Health	PPO	Commercial	$989	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$1,130	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,130	percent of total billed charges
HealthSmart Preferred Care	ACCEL	Commercial	$1,215	percent of total billed charges
Averde Health	Commercial	Commercial	$1,272	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$1,272	percent of total billed charges
United	GlobalAppendix	Commercial	$1,272	percent of total billed charges
Coventry National First Health	COMM	Commercial	$1,464	percent of total billed charges
Physicians Cooperative of Texas	WC	Workers' comp	$1,554	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$1,554	percent of total billed charges
Independent Medical System	COMM	Commercial	$1,695	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$1,695	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$1,695	percent of total billed charges
Coastal Comp	COMM	Workers' comp	$1,837	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,119	percent of total billed charges
HealthSmart Preferred Care	PPO	Commercial	$2,317	percent of total billed charges
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$2,402	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,402	percent of total billed charges
Physicians, INC	COMM	Commercial	$2,402	percent of total billed charges
Affiliated PPO	COMM	Commercial	$2,543	percent of total billed charges

HCA Houston Healthcare Mainland: all 72 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$170	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$170	percent of total billed charges
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
BCBS	BAV	Commercial	$213	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
Texas Athletic Network	Premier	Commercial	$300	case rate
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
United	OptionsPPO	Commercial	$571	percent of total billed charges
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
IPA Management Services	COMM	Commercial	$706	percent of total billed charges
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Evry Health	BroadNetwork	Commercial	$771	percent of total billed charges
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
Humana	HMO	Commercial	$936	percent of total billed charges
Humana	PPO	Commercial	$936	percent of total billed charges
BCBS	Traditional	Commercial	$989	percent of total billed charges
Imagine Health	PPO	Commercial	$989	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$1,130	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,130	percent of total billed charges
HealthSmart Preferred Care	ACCEL	Commercial	$1,215	percent of total billed charges
Averde Health	Commercial	Commercial	$1,272	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$1,272	percent of total billed charges
United	GlobalAppendix	Commercial	$1,272	percent of total billed charges
Coventry National First Health	COMM	Commercial	$1,464	percent of total billed charges
Physicians Cooperative of Texas	WC	Workers' comp	$1,554	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$1,554	percent of total billed charges
Independent Medical System	COMM	Commercial	$1,695	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$1,695	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$1,695	percent of total billed charges
Coastal Comp	COMM	Workers' comp	$1,837	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,119	percent of total billed charges
HealthSmart Preferred Care	PPO	Commercial	$2,317	percent of total billed charges
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$2,402	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,402	percent of total billed charges
Physicians, INC	COMM	Commercial	$2,402	percent of total billed charges
Affiliated PPO	COMM	Commercial	$2,543	percent of total billed charges

HCA Houston Healthcare Conroe: all 73 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Liberty County Indigent	LOCALGOV	Public program	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$174	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$174	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$174	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$174	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$174	percent of total billed charges
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
Texas Athletic Network	Premier	Commercial	$300	case rate
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$423	fee schedule
BCBS	PPO	Commercial	$464	fee schedule
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
United	OptionsPPO	Commercial	$511	percent of total billed charges
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
TX Workforce Commission	GVT	Public program	$697	percent of total billed charges
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
Evry Health	BroadNetwork	Commercial	$793	percent of total billed charges
Humana	HMO	Commercial	$962	percent of total billed charges
Humana	PPO	Commercial	$962	percent of total billed charges
BCBS	Traditional	Commercial	$1,017	percent of total billed charges
Imagine Health	PPO	Commercial	$1,017	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$1,162	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,162	percent of total billed charges
HealthSmart Preferred Care	ACCEL	Commercial	$1,249	percent of total billed charges
Averde Health	Commercial	Commercial	$1,307	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$1,307	percent of total billed charges
United	GlobalAppendix	Commercial	$1,307	percent of total billed charges
Coventry National First Health	COMM	Commercial	$1,504	percent of total billed charges
Physicians Cooperative of Texas	WC	Workers' comp	$1,597	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$1,597	percent of total billed charges
Independent Medical System	COMM	Commercial	$1,743	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$1,743	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$1,743	percent of total billed charges
Coastal Comp	COMM	Workers' comp	$1,888	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,178	percent of total billed charges
HealthSmart Preferred Care	PPO	Commercial	$2,382	percent of total billed charges
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$2,469	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,469	percent of total billed charges
Physicians, INC	COMM	Commercial	$2,469	percent of total billed charges
Affiliated PPO	COMM	Commercial	$2,614	percent of total billed charges

HCA Houston Healthcare West: all 73 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
BCBS	BAV	Commercial	$213	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$294	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$294	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$294	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$294	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$294	percent of total billed charges
Texas Athletic Network	Premier	Commercial	$300	case rate
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
United	OptionsPPO	Commercial	$822	percent of total billed charges
Texas Workforce Commission	WCOMP	Workers' comp	$1,175	percent of total billed charges
Evry Health	BroadNetwork	Commercial	$1,336	percent of total billed charges
Humana	HMO	Commercial	$1,622	percent of total billed charges
Humana	PPO	Commercial	$1,622	percent of total billed charges
BCBS	Traditional	Commercial	$1,713	percent of total billed charges
Imagine Health	PPO	Commercial	$1,713	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$1,958	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,958	percent of total billed charges
HealthSmart Preferred Care	ACCEL	Commercial	$2,105	percent of total billed charges
Averde Health	Commercial	Commercial	$2,203	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$2,203	percent of total billed charges
United	GlobalAppendix	Commercial	$2,203	percent of total billed charges
Coventry National First Health	COMM	Commercial	$2,536	percent of total billed charges
Physicians Cooperative of Texas	WC	Workers' comp	$2,692	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$2,692	percent of total billed charges
Independent Medical System	COMM	Commercial	$2,937	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$2,937	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$2,937	percent of total billed charges
Triumph	COMM	Commercial	$2,937	percent of total billed charges
Coastal Comp	COMM	Workers' comp	$3,182	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$3,671	percent of total billed charges
HealthSmart Preferred Care	PPO	Commercial	$4,014	percent of total billed charges
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$4,161	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$4,161	percent of total billed charges
Physicians, INC	COMM	Commercial	$4,161	percent of total billed charges
Affiliated PPO	COMM	Commercial	$4,406	percent of total billed charges

HCA Houston Healthcare Tomball: all 53 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
BCBS	HMO	Commercial	$381	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$412	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$412	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$412	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$412	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$412	percent of total billed charges
BCBS	EPOSOA	Commercial	$423	fee schedule
BCBS	PPO	Commercial	$464	fee schedule
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
United	OptionsPPO	Commercial	$1,154	percent of total billed charges
Evry Health	BroadNetwork	Commercial	$1,875	percent of total billed charges
Humana	HMO	Commercial	$2,276	percent of total billed charges
Humana	PPO	Commercial	$2,276	percent of total billed charges
BCBS	Traditional	Commercial	$2,404	percent of total billed charges
Coventry National First Health	COMM	Commercial	$2,432	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$2,748	percent of total billed charges
Curative Administrators	COMM	Commercial	$2,748	percent of total billed charges
United	GlobalAppendix	Commercial	$3,091	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$5,152	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$5,839	percent of total billed charges

HCA Houston Healthcare Kingwood: all 73 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Health Network	MCD	Medicaid / CHIP	$101	fee schedule
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
Texas Athletic Network	Premier	Commercial	$300	case rate
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$417	percent of total billed charges
Texas Athletic Network	PremierPlus	Commercial	$500	case rate
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Texas Athletic Network	TexasCustomUC	Commercial	$600	case rate
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
United	OptionsPPO	Commercial	$1,168	percent of total billed charges
Evry Health	BroadNetwork	Commercial	$1,898	percent of total billed charges
Humana	HMO	Commercial	$2,304	percent of total billed charges
Humana	PPO	Commercial	$2,304	percent of total billed charges
Kelsey Care (Boon-Chapman)	COMM	Commercial	$2,434	percent of total billed charges
BCBS	Traditional	Commercial	$2,434	percent of total billed charges
Imagine Health	PPO	Commercial	$2,434	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$2,782	percent of total billed charges
Curative Administrators	COMM	Commercial	$2,782	percent of total billed charges
HealthSmart Preferred Care	ACCEL	Commercial	$2,990	percent of total billed charges
Averde Health	Commercial	Commercial	$3,129	percent of total billed charges
Fidelis SecureCare of TX	MGMCR	Medicare Advantage	$3,129	percent of total billed charges
United	GlobalAppendix	Commercial	$3,129	percent of total billed charges
Coventry National First Health	COMM	Commercial	$3,602	percent of total billed charges
Physicians Cooperative of Texas	WC	Workers' comp	$3,825	percent of total billed charges
Rockport Workers Comp	COMM	Workers' comp	$3,825	percent of total billed charges
Independent Medical System	COMM	Commercial	$4,172	percent of total billed charges
National Healthcare Solutions	COMM	Commercial	$4,172	percent of total billed charges
SouthWest Medical	WORKERSCOMP	Workers' comp	$4,172	percent of total billed charges
Coastal Comp	COMM	Workers' comp	$4,520	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$5,216	percent of total billed charges
HealthSmart Preferred Care	PPO	Commercial	$5,702	percent of total billed charges
HealthSmart Preferred Care	ACCOUNTABLEPPO	Commercial	$5,911	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$5,911	percent of total billed charges
Physicians, INC	COMM	Commercial	$5,911	percent of total billed charges
USA Managed Care	COMM	Commercial	$5,911	percent of total billed charges
Affiliated PPO	COMM	Commercial	$6,259	percent of total billed charges

HCA Houston Healthcare North Cypress: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
Superior Health Plan	CHIP	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	CHPFC	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STAR	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STARKids	Medicaid / CHIP	$417	percent of total billed charges
Superior Health Plan	STARPLUS	Medicaid / CHIP	$417	percent of total billed charges
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule
United	OptionsPPO	Commercial	$1,405	percent of total billed charges
Evry Health	BroadNetwork	Commercial	$1,898	percent of total billed charges
BCBS	Traditional	Commercial	$2,434	percent of total billed charges
Christus (USFHP)	TRICARE	Military / VA	$2,782	percent of total billed charges
Curative Administrators	COMM	Commercial	$2,782	percent of total billed charges
United	GlobalAppendix	Commercial	$3,129	percent of total billed charges
Coventry National First Health	COMM	Commercial	$3,602	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$5,216	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$5,911	percent of total billed charges

HCA Houston Healthcare Northwest: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
Texas Childrens Health Plans	CHIP	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STAR	Medicaid / CHIP	$154	fee schedule
Texas Childrens Health Plans	STARKIDS	Medicaid / CHIP	$154	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$396	fee schedule
BCBS	PPO	Commercial	$409	fee schedule
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule

HCA Houston Healthcare Medical Center: all 34 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	MCDCHIPBH	Medicaid / CHIP	$103	fee schedule
Amerigroup	MGMCD	Medicaid / CHIP	$103	fee schedule
Community Health Choice MCD	CHIP	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	CHIPPerinatal	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR	Medicaid / CHIP	$104	fee schedule
Community Health Choice MCD	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
United	MGMCD	Medicaid / CHIP	$106	fee schedule
Aetna Better Health	MGMCD	Medicaid / CHIP	$112	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STAR	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$113	fee schedule
Molina Healthcare	STARPLUS	Medicaid / CHIP	$113	fee schedule
Humana	MCD	Medicaid / CHIP	$129	fee schedule
BCBS	MyBlueHealth	Commercial	$197	fee schedule
United	NarrowNetworkIndivExchange	Commercial	$207	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$213	case rate
United	AllPayerAppendix	Commercial	$245	fee schedule
United	SmallGroup	Commercial	$245	fee schedule
BCBS	BAV	Commercial	$250	fee schedule
BCBS	HMO	Commercial	$381	fee schedule
BCBS	EPOSOA	Commercial	$408	fee schedule
BCBS	PPO	Commercial	$434	fee schedule
Aetna	NBHMO	Commercial	$573	fee schedule
Aetna	NBPOS	Commercial	$573	fee schedule
Aetna	NBPPO	Commercial	$573	fee schedule
Aetna	COMMHMO	Commercial	$609	fee schedule
Aetna	COMMPOS	Commercial	$609	fee schedule
Aetna	COMMPPO	Commercial	$609	fee schedule
Aetna	OONHMO	Commercial	$716	fee schedule
Aetna	OONPOS	Commercial	$716	fee schedule
Aetna	OONPPO	Commercial	$716	fee schedule
Aetna	ASAHMO	Commercial	$775	fee schedule
Aetna	ASAPOS	Commercial	$775	fee schedule
Aetna	ASAPPO	Commercial	$775	fee schedule

Texas Children's Hospital The Woodlands: all 29 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior CHIP	STAR KIDS/STAR/STAR+PLUS	Medicaid / CHIP	$103	fee schedule
Superior CHIP	Superior CHIP/Superior Perinate CHIP	Medicaid / CHIP	$108	fee schedule
Driscoll Children's Health Plan MCD	Driscoll CHIP/STAR Kids	Medicaid / CHIP	$113	fee schedule
Driscoll Children's Health Plan MCD	Driscoll Star MCD	Medicaid / CHIP	$113	fee schedule
First Care Health Plan	First Care CHIP/First Care Star Plus	Medicaid / CHIP	$230	percent of total billed charges
First Care Health Plan	First Care Star MCD	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare CHIP	United Healthcare CHIP	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare MCD	United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD	Medicaid / CHIP	$230	percent of total billed charges
Molina MCD	Molina CHIP/Molina Star MCD/Molina Star Plus MCD	Medicaid / CHIP	$256	percent of total billed charges
Blue Cross Blue Shield MCD	BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD	Medicaid / CHIP	$298	percent of total billed charges
Community Health Choice	Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP	Medicaid / CHIP	$301	percent of total billed charges
Community First Health Plan MCD	Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cook Children's Health Plan	Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cigna	Cigna Local Plus/Cigna Sure Fit HMO	Commercial	$494	percent of total billed charges
Blue Cross Blue Shield	BCBS HMO Blue Essentials TX	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS PPO	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS Traditional	Commercial	$537	percent of total billed charges
Aetna	Aetna HMO	Commercial	$545	percent of total billed charges
Aetna	Aetna EPO/Aetna POS/Aetna PPO	Commercial	$545	percent of total billed charges
Community Health Choice	Community HC Marketplace	Commercial	$545	percent of total billed charges
Cigna	Cigna Harris County PPO/HMO/Cigna PPO	Commercial	$545	fee schedule
First Care Health Plan	First Care HMO/PPO/EPO	Commercial	$545	percent of total billed charges
KelseyCare	KelseyCare	Commercial	$554	percent of total billed charges
HealthSmart	HealthSmart Other	Commercial	$596	percent of total billed charges
Evolutions Healthcare	Evolutions PPO	Commercial	$639	percent of total billed charges
First Health	Commercial	Commercial	$750	percent of total billed charges
Multiplan	Multiplan Other	Commercial	$767	percent of total billed charges
First Health	CCN Network	Commercial	$809	percent of total billed charges
Galaxy Health Network	Galaxy Health Network	Commercial	$809	percent of total billed charges

Texas Children's Hospital West Campus: all 29 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior CHIP	STAR KIDS/STAR/STAR+PLUS	Medicaid / CHIP	$103	fee schedule
Superior CHIP	Superior CHIP/Superior Perinate CHIP	Medicaid / CHIP	$108	fee schedule
Driscoll Children's Health Plan MCD	Driscoll CHIP/STAR Kids	Medicaid / CHIP	$113	fee schedule
Driscoll Children's Health Plan MCD	Driscoll Star MCD	Medicaid / CHIP	$113	fee schedule
First Care Health Plan	First Care CHIP/First Care Star Plus	Medicaid / CHIP	$230	percent of total billed charges
First Care Health Plan	First Care Star MCD	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare CHIP	United Healthcare CHIP	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare MCD	United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD	Medicaid / CHIP	$230	percent of total billed charges
Molina MCD	Molina CHIP/Molina Star MCD/Molina Star Plus MCD	Medicaid / CHIP	$256	percent of total billed charges
Blue Cross Blue Shield MCD	BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD	Medicaid / CHIP	$298	percent of total billed charges
Community Health Choice	Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP	Medicaid / CHIP	$301	percent of total billed charges
Community First Health Plan MCD	Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cook Children's Health Plan	Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cigna	Cigna Local Plus/Cigna Sure Fit HMO	Commercial	$494	percent of total billed charges
Blue Cross Blue Shield	BCBS HMO Blue Essentials TX	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS PPO	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS Traditional	Commercial	$537	percent of total billed charges
Aetna	Aetna HMO	Commercial	$545	percent of total billed charges
Aetna	Aetna EPO/Aetna POS/Aetna PPO	Commercial	$545	percent of total billed charges
Community Health Choice	Community HC Marketplace	Commercial	$545	percent of total billed charges
Cigna	Cigna Harris County PPO/HMO/Cigna PPO	Commercial	$545	fee schedule
First Care Health Plan	First Care HMO/PPO/EPO	Commercial	$545	percent of total billed charges
KelseyCare	KelseyCare	Commercial	$554	percent of total billed charges
HealthSmart	HealthSmart Other	Commercial	$596	percent of total billed charges
Evolutions Healthcare	Evolutions PPO	Commercial	$639	percent of total billed charges
First Health	Commercial	Commercial	$750	percent of total billed charges
Multiplan	Multiplan Other	Commercial	$767	percent of total billed charges
First Health	CCN Network	Commercial	$809	percent of total billed charges
Galaxy Health Network	Galaxy Health Network	Commercial	$809	percent of total billed charges

Texas Children's Hospital: all 29 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior CHIP	STAR KIDS/STAR/STAR+PLUS	Medicaid / CHIP	$103	fee schedule
Superior CHIP	Superior CHIP/Superior Perinate CHIP	Medicaid / CHIP	$108	fee schedule
Driscoll Children's Health Plan MCD	Driscoll CHIP/STAR Kids	Medicaid / CHIP	$113	fee schedule
Driscoll Children's Health Plan MCD	Driscoll Star MCD	Medicaid / CHIP	$113	fee schedule
First Care Health Plan	First Care CHIP/First Care Star Plus	Medicaid / CHIP	$230	percent of total billed charges
First Care Health Plan	First Care Star MCD	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare CHIP	United Healthcare CHIP	Medicaid / CHIP	$230	percent of total billed charges
United Healthcare MCD	United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD	Medicaid / CHIP	$230	percent of total billed charges
Molina MCD	Molina CHIP/Molina Star MCD/Molina Star Plus MCD	Medicaid / CHIP	$256	percent of total billed charges
Blue Cross Blue Shield MCD	BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD	Medicaid / CHIP	$298	percent of total billed charges
Community Health Choice	Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP	Medicaid / CHIP	$301	percent of total billed charges
Community First Health Plan MCD	Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cook Children's Health Plan	Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD	Medicaid / CHIP	$341	percent of total billed charges
Cigna	Cigna Local Plus/Cigna Sure Fit HMO	Commercial	$494	percent of total billed charges
Blue Cross Blue Shield	BCBS HMO Blue Essentials TX	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS PPO	Commercial	$537	percent of total billed charges
Blue Cross Blue Shield	BCBS Traditional	Commercial	$537	percent of total billed charges
Aetna	Aetna HMO	Commercial	$545	percent of total billed charges
Aetna	Aetna EPO/Aetna POS/Aetna PPO	Commercial	$545	percent of total billed charges
Community Health Choice	Community HC Marketplace	Commercial	$545	percent of total billed charges
Cigna	Cigna Harris County PPO/HMO/Cigna PPO	Commercial	$545	fee schedule
First Care Health Plan	First Care HMO/PPO/EPO	Commercial	$545	percent of total billed charges
KelseyCare	KelseyCare	Commercial	$554	percent of total billed charges
HealthSmart	HealthSmart Other	Commercial	$596	percent of total billed charges
Evolutions Healthcare	Evolutions PPO	Commercial	$639	percent of total billed charges
First Health	Commercial	Commercial	$750	percent of total billed charges
Multiplan	Multiplan Other	Commercial	$767	percent of total billed charges
First Health	CCN Network	Commercial	$809	percent of total billed charges
Galaxy Health Network	Galaxy Health Network	Commercial	$809	percent of total billed charges

Children's Memorial Hermann Hospital: all 7 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	Medicare Managed Care Plan	Medicare Advantage	$105	fee schedule
Community Health	Medicare Managed Care Plan	Medicare Advantage	$116	fee schedule
Procare Advantage	Medicare Managed Care Plan	Medicare Advantage	$121	fee schedule
Community Health	Premier/Select Exchange	Commercial	$158	fee schedule
Aetna	Exchange	Commercial	$163	fee schedule
Community Health	Ultra Exchange	Commercial	$168	fee schedule
90 Degrees	All Commercial Plans	Commercial	$200	fee schedule

What this price covers

These are hospital charges for CPT code 76641 (Complete breast ultrasound). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

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

Breast ultrasound in other cities

Compare Breast ultrasound prices across all cities →

Dallas–Fort Worth, TXCash $167–$766 Phoenix, AZCash $57–$1,072 Austin, TXCash $129–$387

Other ultrasound prices in Houston

Abdominal ultrasoundCPT 76700 Pelvic ultrasoundCPT 76856 Transvaginal ultrasoundCPT 76830 Thyroid ultrasoundCPT 76536