How much does a pelvic ultrasound cost in Houston?

45 hospitals and imaging centers in Houston list a self-pay price of $102–$6,351 for a complete pelvic ultrasound (CPT 76856). The typical commercial rate in the same files is $549.

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–$6,351
what 45 hospitals and imaging centers list for a self-pay pelvic ultrasound
Typical insured rate
$549
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 11 of 45 hospitals and imaging centers, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.

Pelvic 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 76856; Medicaid and Medicare Advantage are shown separately below.

Complete pelvic ultrasound (CPT 76856) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$102Cash ÷ typical 0.5×$2257 plans$96.47
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$102Cash ÷ typical 0.5×$2257 plans$96.47
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$34130 plans$76.69
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$33631 plans$76.69
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$33631 plans$76.69
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$34633 plans$76.69
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$34627 plans$76.69
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$990Cash ÷ typical 2.9×$34130 plans$76.69
Houston Methodist HospitalHouston Methodist · file Apr 2026$996Cash ÷ typical 2.4×$4209 plans$171
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$1,041Cash ÷ typical 3.0×$34922 plans$158
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$1,094Cash ÷ typical 3.9×$28018 plans$112
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 7.1×$2879 plans$171
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 5.6×$3658 plans$171
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 5.6×$3658 plans$171
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 5.6×$3658 plans$171
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 5.6×$3658 plans$171
Houston Methodist West HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 4.8×$4209 plans$171
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$2,034Cash ÷ typical 5.6×$3658 plans$171
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$3,192= list priceCash ÷ typical 4.0×$79644 plans$197
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$4,198= list priceCash ÷ typical 5.3×$79644 plans$197
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$4,793= list priceCash ÷ typical 6.3×$76531 plans$197
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$4,826= list priceCash ÷ typical 6.3×$76531 plans$197
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$5,445= list priceCash ÷ typical 7.1×$76531 plans$197
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$5,512= list priceCash ÷ typical 6.7×$82745 plans$197
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$5,512= list priceCash ÷ typical 8.5×$65129 plans$197
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$5,589= list priceCash ÷ typical 6.8×$82743 plans$197
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$5,619= list priceCash ÷ typical 7.3×$76531 plans$197
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$6,351= list priceCash ÷ typical 7.7×$82744 plans$197
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$6,351= list priceCash ÷ typical 7.7×$82744 plans$197
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$1,009Cash ÷ typical 6.1×$1654 plans$158
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$1,015Cash ÷ typical 1.0×$97017 plans$343
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$1,015Cash ÷ typical 1.0×$97017 plans$343
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$1,015Cash ÷ typical 1.0×$97017 plans$343

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Harris Health Ben Taub Hospital$203–$225$586$96.47$451——$96–$102$102
Harris Health Lyndon B Johnson Hospital$203–$225$586$96.47$451——$96–$102$102
St. Luke's Health Sugar Land Hospital$158–$378$164–$1,923$233–$315$362–$1,329——$96–$2,337$107–$764
St. Luke's Health The Vintage Hospital$158–$378$164–$1,923$233–$315$362–$1,329——$96–$2,337$107–$764
St. Luke's Health Lakeside Hospital$158–$378$164–$1,923$233–$315$362–$1,329—$160$96–$2,337$107–$764
Baylor St Luke's Medical Center$135–$392$164–$1,980$233–$315$414–$1,329——$96–$2,337$107–$764
St. Luke's Health Springwoods Village Hospital$158–$378$1,669–$1,923$160–$315$362–$1,329——$96–$1,555$107–$764
St. Luke's Health The Woodlands Hospital$158–$378$164–$1,923$160–$315$362–$1,329——$96–$2,337$107–$764
Houston Methodist Hospital$444$294–$303$519–$549————$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 Patients Medical Center$158–$378$1,756–$2,023$233–$315$362–$592—$160$91–$300$107–$114
St. Luke's Health Brazosport Hospital$214–$342$164–$1,063$321$165–$1,001$276$154$96–$1,340$107–$469
Houston Methodist Clear Lake Hospital$273–$444$278–$287$519–$549————$105–$116
Houston Methodist Baytown Hospital$444$278–$287$519–$549————$105–$116
Houston Methodist Cypress Hospital$444$278–$287$519–$549————$105–$112
Houston Methodist The Woodlands Hospital$444$278–$287$519–$549————$105–$112
Houston Methodist Sugar Land Hospital$444$278–$287$519–$549————$105–$116
Houston Methodist West Hospital$444$278–$287$519–$549————$105–$116
Houston Methodist Willowbrook Hospital$444$278–$287$519–$549————$105–$116
HCA Houston Healthcare Southeast$197–$1,117$611–$827—$207–$1,436$1,058—$94–$192$1,436
HCA Houston Healthcare West$197–$1,469$611–$827—$207–$1,889$1,391—$94–$252$1,889
HCA Houston Healthcare Medical Center$197–$1,678$611–$827—$207–$2,157$1,588—$96–$288—
HCA Houston Healthcare Pearland$197–$1,689$611–$827—$207–$2,172$1,599—$96–$290—
HCA Houston Healthcare Tomball$197–$1,906$611–$827—$207–$2,450$1,804—$96–$327—
HCA Houston Healthcare Kingwood$197–$1,929$611–$827—$207–$2,481$1,826—$94–$331$2,481
HCA Houston Healthcare North Cypress$197–$1,929$611–$827—$207–$2,481——$96–$331—
HCA Houston Healthcare Conroe$197–$1,956$611–$827—$207–$2,515$1,852—$94–$335$2,515
HCA Houston Healthcare Northwest$197–$1,967$611–$827—$207–$2,529$1,862—$96–$337—
HCA Houston Healthcare Clear Lake$197–$2,223$611–$827—$207–$2,858$2,104—$94–$381$2,858
HCA Houston Healthcare Mainland$197–$2,223$611–$827—$207–$2,858$2,104—$94–$381$2,858
Children's Memorial Hermann Hospital—$163—————$105–$121
Texas Children's Hospital The Woodlands$954$970$626–$879$343——$96–$606—
Texas Children's Hospital West Campus$954$970$626–$879$343——$96–$606—
Texas Children's Hospital$954$970$626–$879$343——$96–$606—
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$96.28fee schedule
UHCMedicaidMedicaid / CHIP$96.28fee schedule
TX ChildrensMedicaidMedicaid / CHIP$96.28fee schedule
CignaCommercialCommercial$96.47other
CHCMedicaidMedicaid / CHIP$98.21fee schedule
SuperiorMedicaidMedicaid / CHIP$99.17fee schedule
CHCD-SNPMedicare Advantage$102fee schedule
MolinaMedicare & MMPMedicaid / CHIP$102fee schedule
CHCMarketplaceCommercial$107fee schedule
BCBS TXBlue AdvantageCommercial$203fee schedule
BCBS TXPPO POSCommercial$225fee schedule
UHCCommercialCommercial$451percent of total billed charges
AetnaCommercial HMOCommercial$586percent of total billed charges
AetnaCommercial PPOCommercial$586percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$96.28fee schedule
UHCMedicaidMedicaid / CHIP$96.28fee schedule
TX ChildrensMedicaidMedicaid / CHIP$96.28fee schedule
CignaCommercialCommercial$96.47other
CHCMedicaidMedicaid / CHIP$98.21fee schedule
SuperiorMedicaidMedicaid / CHIP$99.17fee schedule
CHCD-SNPMedicare Advantage$102fee schedule
MolinaMedicare & MMPMedicaid / CHIP$102fee schedule
CHCMarketplaceCommercial$107fee schedule
BCBS TXBlue AdvantageCommercial$203fee schedule
BCBS TXPPO POSCommercial$225fee schedule
UHCCommercialCommercial$451percent of total billed charges
AetnaCommercial HMOCommercial$586percent of total billed charges
AetnaCommercial PPOCommercial$586percent of total billed charges
St. Luke's Health Sugar Land Hospital: all 65 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
KELSEYMedicare|All PlansMedicare Advantage$113case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
WellpointMedicaid|STARMedicaid / CHIP$129fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$132fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
Bright HealthCommercial|All PlansCommercial$182case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$226fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$226fee schedule
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
TCHPMedicaid|STARMedicaid / CHIP$303fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
NX HealthCommercial|PPOCommercial$346case rate
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
UnitedCommercial|CharterCommercial$533fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$990fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,669fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
AetnaCommercial|HMOCommercial$1,923fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$2,337fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
St. Luke's Health The Vintage Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
WellpointMedicaid|STARMedicaid / CHIP$129fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$132fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
Employer DirectCommercial|PPOCommercial$149case rate
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
Bright HealthCommercial|All PlansCommercial$182case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$226fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$226fee schedule
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
TCHPMedicaid|STARMedicaid / CHIP$303fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
NX HealthCommercial|PPOCommercial$346case rate
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
UnitedCommercial|CharterCommercial$533fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$990fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,669fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
AetnaCommercial|HMOCommercial$1,923fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$2,337fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
St. Luke's Health Lakeside Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
WellpointMedicaid|STARMedicaid / CHIP$129fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$132fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
AmbetterCommercial|All PlansCommercial$160case rate
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Harris HealthCommercial|ERSCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
Bright HealthCommercial|All PlansCommercial$182case rate
TCHPMedicaid|LakesideMedicaid / CHIP$226fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$226fee schedule
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
TCHPMedicaid|STARMedicaid / CHIP$303fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
NX HealthCommercial|PPOCommercial$346case rate
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
UnitedCommercial|CharterCommercial$533fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$990fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,669fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
AetnaCommercial|HMOCommercial$1,923fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$2,337fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
Baylor St Luke's Medical Center: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HumanaMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All Other PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
SELECTCAREMedicare|All PlansMedicare Advantage$112case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$128case rate
WellpointMedicaid|STARMedicaid / CHIP$129fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$132fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$135fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$145fee schedule
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
Employer DirectCommercial|PPOCommercial$149case rate
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Harris HealthCommercial|ERSCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
AetnaCommercial|ExchangeCommercial$164case rate
Bright HealthCommercial|All PlansCommercial$182case rate
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
BCBS - TXCommercial|PremierCommercial$300fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$311fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$311fee schedule
CignaCommercial|PPOCommercial$315fee schedule
NX HealthCommercial|PPOCommercial$346case rate
BCBS - TXCommercial|HMOCommercial$354fee schedule
BCBS - TXCommercial|PPO TradCommercial$392fee schedule
UnitedCommercial|ExchangeCommercial$414fee schedule
TCHPMedicaid|STARMedicaid / CHIP$417fee schedule
UnitedCommercial|CharterCommercial$559fee schedule
UnitedCommercial|HMOCommercial$618fee schedule
UnitedCommercial|PPOCommercial$618fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$1,159fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
ShellCommercial|All PlansCommercial$1,414fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
AetnaCommercial|KelseyCareCommercial$1,725fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
AetnaCommercial|HMOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$2,337fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$96.28fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
UHCMedicaid|STARMedicaid / CHIP$132fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
CignaCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$283fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
NXHealthCommercial|All PlansCommercial$346case rate
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$990fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,669fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
AetnaCommercial|HMOCommercial$1,923fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
St. Luke's Health The Woodlands Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$96.28fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$96.28fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$96.28fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$98.21fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$98.21fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$111fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
WellpointMedicaid|STARMedicaid / CHIP$129fee schedule
UHCMedicaid|STARMedicaid / CHIP$132fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
CignaCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
Bright HealthCommercial|All PlansCommercial$182case rate
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$283fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$283fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
NXHealthCommercial|All PlansCommercial$346case rate
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
TCHPMedicaid|STARMedicaid / CHIP$379fee schedule
UnitedCommercial|CharterCommercial$533fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
OPTUMMedicare|All PlansMedicare Advantage$764fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$990fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$1,023fee schedule
UnitedCommercial|OptumCommercial$1,329fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
CHCMedicaid|HMOMedicaid / CHIP$1,555fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$1,555fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,669fee schedule
CoventryCommercial|PPOCommercial$1,838fee schedule
First HealthCommercial|All PlansCommercial$1,838fee schedule
AetnaCommercial|HMOCommercial$1,923fee schedule
HealthsmartCommercial|PPOCommercial$1,980fee schedule
MultiPlanCommercial|All PlansCommercial$2,121fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$2,337fee schedule
USA Health NetworkCommercial|All PlansCommercial$2,404fee schedule
MHealth NetworkCommercial|PPOCommercial$2,828fee schedule
Houston Methodist Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$227fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$294fee schedule
AetnaHmo/Pos/PpoCommercial$303fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
St. Luke's Health Patients Medical Center: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$91.47fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$91.47fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$96.28fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$98.21fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$107case rate
HUMANAMedicare|All PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicare|All PlansMedicare Advantage$109case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$110case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
UNITEDMedicaid|STARMedicaid / CHIP$132fee schedule
BCBS-TXCommercial|ExchangeCommercial$158fee schedule
AmbetterCommercial|All PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
CignaCommercial|SurefitCommercial$233fee schedule
CignaCommercial|HMOCommercial$256fee schedule
BCBS-TXCommercial|Blue PremierCommercial$287fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$300fee schedule
CignaCommercial|PPOCommercial$315fee schedule
BCBS-TXCommercial|HMOCommercial$336fee schedule
UnitedCommercial|ExchangeCommercial$362fee schedule
BCBS-TXCommercial|PPOCommercial$378fee schedule
UnitedCommercial|CharterCommercial$533fee schedule
UnitedCommercial|HMOCommercial$592fee schedule
UnitedCommercial|PPOCommercial$592fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,756fee schedule
CoventryCommercial|PPOCommercial$1,934fee schedule
First HealthCommercial|All PlansCommercial$1,934fee schedule
AetnaCommercial|HMOCommercial$2,023fee schedule
HealthsmartCommercial|PPOCommercial$2,083fee schedule
MultiPlanCommercial|All PlansCommercial$2,232fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITEDMedicaid|All Other PlansMedicaid / CHIP$96.28fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$101fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$101fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$101fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$101fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$107case rate
HUMANAMedicare|All PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
UNITEDMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$110case rate
WellcareTPMedicare|All PlansMedicare Advantage$110case rate
WellpointMedicare|All PlansMedicare Advantage$110case rate
Community Health ChoiceCommercial|ExchangeCommercial$112case rate
DevotedMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
UNITEDMedicaid|STARMedicaid / CHIP$129fee schedule
CHCMedicaid|STARMedicaid / CHIP$136fee schedule
AmbetterCommercial|All PlansCommercial$154case rate
WellpointCommercial|ExchangeCommercial$160case rate
AetnaCommercial|ExchangeCommercial$164case rate
UnitedCommercial|ExchangeCommercial$165case rate
Bright HealthCommercial|All PlansCommercial$182case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
BCBS-TXCommercial|Blue Advantage HMOCommercial$214fee schedule
TCHPMedicaid|STARMedicaid / CHIP$251fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$276fee schedule
HumanaCommercial|All PlansCommercial$276case rate
BCBS-TXCommercial|PPO-POSCommercial$285fee schedule
EntrustCommercial|All PlansCommercial$287case rate
UNITEDMedicaid|STARPLUSMedicaid / CHIP$295fee schedule
BCBS-TXCommercial|HMOCommercial$306fee schedule
BCBS-TXCommercial|TraditionalCommercial$307fee schedule
CignaCommercial|All PlansCommercial$321fee schedule
BCBS-TXCommercial|PPOCommercial$342fee schedule
AetnaMedicare|All PlansMedicare Advantage$469fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
UnitedCommercial|All Other PlansCommercial$1,001fee schedule
AetnaCommercial|All Other PlansCommercial$1,063fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
Health FirstCommercial|All PlansCommercial$1,564fee schedule
Houston Methodist Clear Lake Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
BcbsBlue Advantage ExchangeCommercial$273fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist Baytown Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist Cypress Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist The Woodlands Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist Sugar Land Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist West Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
Houston Methodist Willowbrook Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$278fee schedule
AetnaHmo/Pos/PpoCommercial$287fee schedule
BcbsAll Commercial PlansCommercial$444fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$519fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$519fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$549fee schedule
HCA Houston Healthcare Southeast: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
Superior Health PlanCHIPMedicaid / CHIP$192percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$192percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$192percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$192percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$192percent of total billed charges
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$409fee schedule
BCBSPPOCommercial$437fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
UnitedOptionsPPOCommercial$645percent of total billed charges
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$766percent of total billed charges
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
Evry HealthBroadNetworkCommercial$871percent of total billed charges
HumanaHMOCommercial$1,058percent of total billed charges
HumanaPPOCommercial$1,058percent of total billed charges
BCBSTraditionalCommercial$1,117percent of total billed charges
Imagine HealthPPOCommercial$1,117percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,277percent of total billed charges
Curative AdministratorsCOMMCommercial$1,277percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,373percent of total billed charges
Averde HealthCommercialCommercial$1,436percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,436percent of total billed charges
UnitedGlobalAppendixCommercial$1,436percent of total billed charges
Coventry National First HealthCOMMCommercial$1,654percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,756percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,756percent of total billed charges
Independent Medical SystemCOMMCommercial$1,915percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,915percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$1,915percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,915percent of total billed charges
Coastal CompCOMMWorkers' comp$2,075percent of total billed charges
Fiesta Mart, IncCOMMCommercial$2,394percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,394percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,618percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,713percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,713percent of total billed charges
Physicians, INCCOMMCommercial$2,713percent of total billed charges
Affiliated PPOCOMMCommercial$2,873percent of total billed charges
HCA Houston Healthcare West: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSBAVCommercial$213fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
Superior Health PlanCHIPMedicaid / CHIP$252percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$252percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$252percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$252percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$252percent of total billed charges
Texas Athletic NetworkPremierCommercial$300case rate
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
UnitedOptionsPPOCommercial$705percent of total billed charges
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$1,008percent of total billed charges
Evry HealthBroadNetworkCommercial$1,146percent of total billed charges
HumanaHMOCommercial$1,391percent of total billed charges
HumanaPPOCommercial$1,391percent of total billed charges
BCBSTraditionalCommercial$1,469percent of total billed charges
Imagine HealthPPOCommercial$1,469percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,679percent of total billed charges
Curative AdministratorsCOMMCommercial$1,679percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,805percent of total billed charges
Averde HealthCommercialCommercial$1,889percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,889percent of total billed charges
UnitedGlobalAppendixCommercial$1,889percent of total billed charges
Coventry National First HealthCOMMCommercial$2,175percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$2,309percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$2,309percent of total billed charges
Independent Medical SystemCOMMCommercial$2,519percent of total billed charges
National Healthcare SolutionsCOMMCommercial$2,519percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$2,519percent of total billed charges
TriumphCOMMCommercial$2,519percent of total billed charges
Coastal CompCOMMWorkers' comp$2,729percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$3,149percent of total billed charges
HealthSmart Preferred CarePPOCommercial$3,442percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$3,568percent of total billed charges
MultiplanComplementaryNetworkCommercial$3,568percent of total billed charges
Physicians, INCCOMMCommercial$3,568percent of total billed charges
Affiliated PPOCOMMCommercial$3,778percent of total billed charges
HCA Houston Healthcare Medical Center: all 50 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Superior Health PlanCHIPMedicaid / CHIP$288percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$288percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$288percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$288percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$288percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$408fee schedule
BCBSPPOCommercial$434fee schedule
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
UnitedOptionsPPOCommercial$805percent of total billed charges
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
Evry HealthBroadNetworkCommercial$1,309percent of total billed charges
HumanaHMOCommercial$1,588percent of total billed charges
HumanaPPOCommercial$1,588percent of total billed charges
BCBSTraditionalCommercial$1,678percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,917percent of total billed charges
Curative AdministratorsCOMMCommercial$1,917percent of total billed charges
UnitedGlobalAppendixCommercial$2,157percent of total billed charges
Coventry National First HealthCOMMCommercial$2,483percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$3,595percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,074percent of total billed charges
HCA Houston Healthcare Pearland: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Superior Health PlanCHIPMedicaid / CHIP$290percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$290percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$290percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$290percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$290percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$408fee schedule
BCBSPPOCommercial$434fee schedule
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
UnitedOptionsPPOCommercial$811percent of total billed charges
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
Evry HealthBroadNetworkCommercial$1,317percent of total billed charges
HumanaHMOCommercial$1,599percent of total billed charges
HumanaPPOCommercial$1,599percent of total billed charges
BCBSTraditionalCommercial$1,689percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,930percent of total billed charges
Curative AdministratorsCOMMCommercial$1,930percent of total billed charges
UnitedGlobalAppendixCommercial$2,172percent of total billed charges
Coventry National First HealthCOMMCommercial$2,500percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$3,619percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,102percent of total billed charges
HCA Houston Healthcare Tomball: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Superior Health PlanCHIPMedicaid / CHIP$327percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$327percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$327percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$327percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$327percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$423fee schedule
BCBSPPOCommercial$464fee schedule
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$915percent of total billed charges
Evry HealthBroadNetworkCommercial$1,486percent of total billed charges
HumanaHMOCommercial$1,804percent of total billed charges
HumanaPPOCommercial$1,804percent of total billed charges
BCBSTraditionalCommercial$1,906percent of total billed charges
Coventry National First HealthCOMMCommercial$1,927percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,178percent of total billed charges
Curative AdministratorsCOMMCommercial$2,178percent of total billed charges
UnitedGlobalAppendixCommercial$2,450percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,084percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,628percent of total billed charges
HCA Houston Healthcare Kingwood: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Texas Athletic NetworkPremierCommercial$300case rate
Superior Health PlanCHIPMedicaid / CHIP$331percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$331percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$926percent of total billed charges
Evry HealthBroadNetworkCommercial$1,505percent of total billed charges
HumanaHMOCommercial$1,826percent of total billed charges
HumanaPPOCommercial$1,826percent of total billed charges
BCBSTraditionalCommercial$1,929percent of total billed charges
Imagine HealthPPOCommercial$1,929percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$1,929percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,205percent of total billed charges
Curative AdministratorsCOMMCommercial$2,205percent of total billed charges
HealthSmart Preferred CareACCELCommercial$2,370percent of total billed charges
Averde HealthCommercialCommercial$2,481percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$2,481percent of total billed charges
UnitedGlobalAppendixCommercial$2,481percent of total billed charges
Coventry National First HealthCOMMCommercial$2,855percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$3,032percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$3,032percent of total billed charges
Independent Medical SystemCOMMCommercial$3,307percent of total billed charges
National Healthcare SolutionsCOMMCommercial$3,307percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$3,307percent of total billed charges
Coastal CompCOMMWorkers' comp$3,583percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,134percent of total billed charges
HealthSmart Preferred CarePPOCommercial$4,520percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$4,686percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,686percent of total billed charges
Physicians, INCCOMMCommercial$4,686percent of total billed charges
USA Managed CareCOMMCommercial$4,686percent of total billed charges
Affiliated PPOCOMMCommercial$4,961percent of total billed charges
HCA Houston Healthcare North Cypress: all 44 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Superior Health PlanCHIPMedicaid / CHIP$331percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$331percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$331percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$1,114percent of total billed charges
Evry HealthBroadNetworkCommercial$1,505percent of total billed charges
BCBSTraditionalCommercial$1,929percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,205percent of total billed charges
Curative AdministratorsCOMMCommercial$2,205percent of total billed charges
UnitedGlobalAppendixCommercial$2,481percent of total billed charges
Coventry National First HealthCOMMCommercial$2,855percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,134percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,686percent of total billed charges
HCA Houston Healthcare Conroe: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
Liberty County IndigentLOCALGOVPublic program$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Texas Athletic NetworkPremierCommercial$300case rate
Superior Health PlanCHIPMedicaid / CHIP$335percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$335percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$335percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$335percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$335percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$423fee schedule
BCBSPPOCommercial$464fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$984percent of total billed charges
TX Workforce CommissionGVTPublic program$1,341percent of total billed charges
Evry HealthBroadNetworkCommercial$1,526percent of total billed charges
HumanaHMOCommercial$1,852percent of total billed charges
HumanaPPOCommercial$1,852percent of total billed charges
BCBSTraditionalCommercial$1,956percent of total billed charges
Imagine HealthPPOCommercial$1,956percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,236percent of total billed charges
Curative AdministratorsCOMMCommercial$2,236percent of total billed charges
HealthSmart Preferred CareACCELCommercial$2,403percent of total billed charges
Averde HealthCommercialCommercial$2,515percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$2,515percent of total billed charges
UnitedGlobalAppendixCommercial$2,515percent of total billed charges
Coventry National First HealthCOMMCommercial$2,895percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$3,074percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$3,074percent of total billed charges
Independent Medical SystemCOMMCommercial$3,353percent of total billed charges
National Healthcare SolutionsCOMMCommercial$3,353percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$3,353percent of total billed charges
Coastal CompCOMMWorkers' comp$3,633percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,192percent of total billed charges
HealthSmart Preferred CarePPOCommercial$4,583percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$4,751percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,751percent of total billed charges
Physicians, INCCOMMCommercial$4,751percent of total billed charges
Affiliated PPOCOMMCommercial$5,030percent of total billed charges
HCA Houston Healthcare Northwest: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$250fee schedule
Superior Health PlanCHIPMedicaid / CHIP$337percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$337percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$337percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$337percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$337percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$944percent of total billed charges
Evry HealthBroadNetworkCommercial$1,534percent of total billed charges
HumanaHMOCommercial$1,862percent of total billed charges
HumanaPPOCommercial$1,862percent of total billed charges
BCBSTraditionalCommercial$1,967percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,248percent of total billed charges
Curative AdministratorsCOMMCommercial$2,248percent of total billed charges
UnitedGlobalAppendixCommercial$2,529percent of total billed charges
Coventry National First HealthCOMMCommercial$2,911percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,214percent of total billed charges
MultiplanComplementaryNetworkCommercial$4,776percent of total billed charges
HCA Houston Healthcare Clear Lake: all 74 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UTMBMGMCDMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSBAVCommercial$213fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
Texas Athletic NetworkPremierCommercial$300case rate
Superior Health PlanCHIPMedicaid / CHIP$381percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$381percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$1,118percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$1,524percent of total billed charges
Evry HealthBroadNetworkCommercial$1,734percent of total billed charges
HumanaHMOCommercial$2,104percent of total billed charges
HumanaPPOCommercial$2,104percent of total billed charges
BCBSTraditionalCommercial$2,223percent of total billed charges
Imagine HealthPPOCommercial$2,223percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$2,223percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,540percent of total billed charges
Curative AdministratorsCOMMCommercial$2,540percent of total billed charges
HealthSmart Preferred CareACCELCommercial$2,731percent of total billed charges
Averde HealthCommercialCommercial$2,858percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$2,858percent of total billed charges
UnitedGlobalAppendixCommercial$2,858percent of total billed charges
Coventry National First HealthCOMMCommercial$3,290percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$3,493percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$3,493percent of total billed charges
Independent Medical SystemCOMMCommercial$3,811percent of total billed charges
National Healthcare SolutionsCOMMCommercial$3,811percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$3,811percent of total billed charges
Coastal CompCOMMWorkers' comp$4,128percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,763percent of total billed charges
HealthSmart Preferred CarePPOCommercial$5,208percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$5,398percent of total billed charges
MultiplanComplementaryNetworkCommercial$5,398percent of total billed charges
Physicians, INCCOMMCommercial$5,398percent of total billed charges
Affiliated PPOCOMMCommercial$5,716percent of total billed charges
HCA Houston Healthcare Mainland: all 72 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$94.35fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$96.28fee schedule
AmerigroupMGMCDMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$96.28fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$96.28fee schedule
UnitedMGMCDMedicaid / CHIP$98.21fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$104fee schedule
Molina HealthcareCHIPMedicaid / CHIP$106fee schedule
Molina HealthcareSTARMedicaid / CHIP$106fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$106fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$106fee schedule
HumanaMCDMedicaid / CHIP$120fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$144fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$144fee schedule
BCBSMyBlueHealthCommercial$197fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSBAVCommercial$213fee schedule
Healthcare HighwaysNarrowNetworkCommercial$213case rate
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
Texas Athletic NetworkPremierCommercial$300case rate
Superior Health PlanCHIPMedicaid / CHIP$381percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$381percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$381percent of total billed charges
BCBSHMOCommercial$381fee schedule
BCBSEPOSOACommercial$396fee schedule
BCBSPPOCommercial$409fee schedule
Texas Athletic NetworkPremierPlusCommercial$500case rate
Texas Athletic NetworkTexasCustomUCCommercial$600case rate
AetnaNBHMOCommercial$611fee schedule
AetnaNBPOSCommercial$611fee schedule
AetnaNBPPOCommercial$611fee schedule
AetnaCOMMHMOCommercial$651fee schedule
AetnaCOMMPOSCommercial$651fee schedule
AetnaCOMMPPOCommercial$651fee schedule
AetnaOONHMOCommercial$765fee schedule
AetnaOONPOSCommercial$765fee schedule
AetnaOONPPOCommercial$765fee schedule
AetnaASAHMOCommercial$827fee schedule
AetnaASAPOSCommercial$827fee schedule
AetnaASAPPOCommercial$827fee schedule
UnitedOptionsPPOCommercial$1,283percent of total billed charges
IPA Management ServicesCOMMCommercial$1,588percent of total billed charges
Evry HealthBroadNetworkCommercial$1,734percent of total billed charges
HumanaHMOCommercial$2,104percent of total billed charges
HumanaPPOCommercial$2,104percent of total billed charges
BCBSTraditionalCommercial$2,223percent of total billed charges
Imagine HealthPPOCommercial$2,223percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$2,540percent of total billed charges
Curative AdministratorsCOMMCommercial$2,540percent of total billed charges
HealthSmart Preferred CareACCELCommercial$2,731percent of total billed charges
Averde HealthCommercialCommercial$2,858percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$2,858percent of total billed charges
UnitedGlobalAppendixCommercial$2,858percent of total billed charges
Coventry National First HealthCOMMCommercial$3,290percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$3,493percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$3,493percent of total billed charges
Independent Medical SystemCOMMCommercial$3,811percent of total billed charges
National Healthcare SolutionsCOMMCommercial$3,811percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$3,811percent of total billed charges
Coastal CompCOMMWorkers' comp$4,128percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$4,763percent of total billed charges
HealthSmart Preferred CarePPOCommercial$5,208percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$5,398percent of total billed charges
MultiplanComplementaryNetworkCommercial$5,398percent of total billed charges
Physicians, INCCOMMCommercial$5,398percent of total billed charges
Affiliated PPOCOMMCommercial$5,716percent of total billed charges
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Texas Children's Hospital The Woodlands: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$96.28fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$101fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$106fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$106fee schedule
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$409percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$409percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$409percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$409percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$455percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$530percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$535percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$606percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$606percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$626fee schedule
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$879percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$954percent of total billed charges
AetnaAetna HMOCommercial$970percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$970percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$970percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$970percent of total billed charges
KelseyCareKelseyCareCommercial$985percent of total billed charges
HealthSmartHealthSmart OtherCommercial$1,061percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$1,136percent of total billed charges
First HealthCommercialCommercial$1,333percent of total billed charges
MultiplanMultiplan OtherCommercial$1,364percent of total billed charges
First HealthCCN NetworkCommercial$1,439percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$1,439percent of total billed charges
Texas Children's Hospital West Campus: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$96.28fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$101fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$106fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$106fee schedule
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$409percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$409percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$409percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$409percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$455percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$530percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$535percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$606percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$606percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$626fee schedule
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$879percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$954percent of total billed charges
AetnaAetna HMOCommercial$970percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$970percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$970percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$970percent of total billed charges
KelseyCareKelseyCareCommercial$985percent of total billed charges
HealthSmartHealthSmart OtherCommercial$1,061percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$1,136percent of total billed charges
First HealthCommercialCommercial$1,333percent of total billed charges
MultiplanMultiplan OtherCommercial$1,364percent of total billed charges
First HealthCCN NetworkCommercial$1,439percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$1,439percent of total billed charges
Texas Children's Hospital: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$96.28fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$101fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$106fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$106fee schedule
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$409percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$409percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$409percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$409percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$455percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$530percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$535percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$606percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$606percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$626fee schedule
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$879percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$954percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$954percent of total billed charges
AetnaAetna HMOCommercial$970percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$970percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$970percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$970percent of total billed charges
KelseyCareKelseyCareCommercial$985percent of total billed charges
HealthSmartHealthSmart OtherCommercial$1,061percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$1,136percent of total billed charges
First HealthCommercialCommercial$1,333percent of total billed charges
MultiplanMultiplan OtherCommercial$1,364percent of total billed charges
First HealthCCN NetworkCommercial$1,439percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$1,439percent of total billed charges

What this price covers

These are hospital charges for CPT code 76856 (Complete pelvic 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

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

Other ultrasound prices in Houston