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.
Chest X-ray 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 71046; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $84.49Cash ÷ typical 0.5× | $1837 plans | $88.71 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $84.49Cash ÷ typical 0.5× | $1837 plans | $88.71 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $515–$550Cash ÷ typical 2.5× | $20722 plans | $72.61 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $535–$635Cash ÷ typical 3.4× | $15918 plans | $92.60 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.8× | $20730 plans | $63.50 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.8× | $20431 plans | $63.50 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.8× | $20431 plans | $63.50 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.3× | $25233 plans | $63.50 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.5× | $23027 plans | $63.50 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $572Cash ÷ typical 2.8× | $20730 plans | $63.50 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $625Cash ÷ typical 3.8× | $1666 plans | $95.01 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 6.3× | $1596 plans | $89.99 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 7.0× | $1435 plans | $89.99 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 7.0× | $1435 plans | $89.99 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 7.0× | $1435 plans | $89.99 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 7.0× | $1435 plans | $89.99 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 6.3× | $1596 plans | $89.99 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $998Cash ÷ typical 7.0× | $1435 plans | $89.99 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $1,706= list priceCash ÷ typical 6.9× | $24834 plans | $84.71 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $1,933–$1,934= list priceCash ÷ typical 7.8× | $24834 plans | $84.71 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $1,941= list priceCash ÷ typical 6.7× | $29145 plans | $84.71 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $1,941= list priceCash ÷ typical 8.1× | $23932 plans | $84.71 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $2,018= list priceCash ÷ typical 8.1× | $24834 plans | $84.71 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $2,022= list priceCash ÷ typical 7.1× | $28744 plans | $84.71 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $2,022= list priceCash ÷ typical 7.1× | $28744 plans | $84.71 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $2,121= list priceCash ÷ typical 7.0× | $30143 plans | $84.71 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $2,199= list priceCash ÷ typical 7.3× | $30144 plans | $84.71 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $2,372= list priceCash ÷ typical 9.6× | $24834 plans | $84.71 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $2,728= list priceCash ÷ typical 9.5× | $28744 plans | $84.71 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $362Cash ÷ typical 1.0× | $34617 plans | $313 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $362Cash ÷ typical 1.0× | $34617 plans | $313 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $362Cash ÷ typical 1.0× | $34617 plans | $313 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $389Cash ÷ typical 2.8× | $1384 plans | $131 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $110–$122 | $237 | $183 | $183 | — | — | $33.75–$84.49 | $84.49 |
| Harris Health Lyndon B Johnson Hospital | $110–$122 | $237 | $183 | $183 | — | — | $33.75–$84.49 | $84.49 |
| Memorial Hermann Cypress Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Greater Heights Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Katy Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Memorial City Medical Center | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Northeast Hospital | — | $136 | — | — | — | — | — | $87.42–$96.16 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Pearland Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Southeast Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Southwest Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Sugar Land Hospital | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann-Texas Medical Center | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann The Woodlands Medical Center | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Imaging Center (Bellaire) | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Imaging Center (Cypress) | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $136 | — | — | — | — | — | $87–$101 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $136 | — | — | — | — | — | $87–$101 |
| St. Luke's Health Patients Medical Center | $113–$269 | $868–$1,000 | $72.61–$98.10 | $140–$230 | — | $132 | $32–$105 | $88.19–$94.36 |
| St. Luke's Health Brazosport Hospital | $150–$243 | $136–$520 | $100 | $137–$489 | $205 | $128 | $30–$1,229 | $88–$229 |
| St. Luke's Health Sugar Land Hospital | $113–$269 | $136–$1,112 | $72.61–$98.10 | $140–$768 | — | — | $34–$1,351 | $61–$441 |
| St. Luke's Health The Vintage Hospital | $113–$269 | $136–$1,112 | $72.61–$98.10 | $140–$768 | — | — | $34–$1,351 | $88–$441 |
| St. Luke's Health Lakeside Hospital | $113–$269 | $136–$1,112 | $72.61–$98.10 | $140–$768 | — | $132 | $34–$1,351 | $88–$441 |
| Baylor St Luke's Medical Center | $96–$279 | $136–$1,145 | $72.61–$98.10 | $582–$869 | — | — | $34–$1,351 | $88–$441 |
| St. Luke's Health Springwoods Village Hospital | $113–$269 | $965–$1,112 | $73–$132 | $140–$768 | — | — | $34–$899 | $88–$441 |
| St. Luke's Health The Woodlands Hospital | $113–$269 | $136–$1,112 | $73–$132 | $140–$768 | — | — | $34–$1,351 | $88–$441 |
| Houston Methodist Hospital | $316 | $95.01–$97.98 | — | — | — | — | — | $87.42–$96.16 |
| Houston Methodist Clear Lake Hospital | $195–$316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$96.16 |
| Houston Methodist Baytown Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$96.16 |
| Houston Methodist Cypress Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$93.54 |
| Houston Methodist The Woodlands Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$93.54 |
| Houston Methodist Sugar Land Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$96.16 |
| Houston Methodist West Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$96.16 |
| Houston Methodist Willowbrook Hospital | $316 | $89.99–$92.73 | — | — | — | — | — | $87.42–$96.16 |
| HCA Houston Healthcare Pearland | $140–$597 | $191–$258 | $85–$109 | $154–$768 | $565 | — | $34–$102 | — |
| HCA Houston Healthcare Medical Center | $140–$677 | $191–$258 | $85–$109 | $154–$870 | $641 | — | $34–$116 | — |
| HCA Houston Healthcare Kingwood | $140–$679 | $191–$258 | $85–$109 | $154–$873 | $643 | — | $33–$116 | $873 |
| HCA Houston Healthcare North Cypress | $140–$679 | $191–$258 | $85–$109 | $154–$873 | — | — | $34–$116 | — |
| HCA Houston Healthcare Tomball | $140–$706 | $191–$258 | $85–$109 | $154–$908 | $669 | — | $34–$121 | — |
| HCA Houston Healthcare Clear Lake | $140–$708 | $191–$258 | $85–$109 | $154–$910 | $670 | — | $33–$121 | $910 |
| HCA Houston Healthcare Mainland | $140–$708 | $191–$258 | $85–$109 | $154–$910 | $670 | — | $33–$121 | $910 |
| HCA Houston Healthcare Conroe | $140–$742 | $191–$258 | $85–$109 | $154–$954 | $703 | — | $33–$127 | $954 |
| HCA Houston Healthcare Southeast | $140–$770 | $191–$258 | $85–$109 | $154–$990 | $729 | — | $33–$132 | $990 |
| HCA Houston Healthcare Northwest | $140–$830 | $191–$258 | $85–$109 | $154–$1,068 | $786 | — | $34–$142 | — |
| HCA Houston Healthcare West | $140–$955 | $191–$258 | $85–$109 | $154–$1,228 | $904 | — | $33–$164 | $1,228 |
| Texas Children's Hospital The Woodlands | $340 | $346 | $313–$346 | $346 | — | — | $34–$216 | — |
| Texas Children's Hospital West Campus | $340 | $346 | $313–$346 | $346 | — | — | $34–$216 | — |
| Texas Children's Hospital | $340 | $346 | $313–$346 | $346 | — | — | $34–$216 | — |
| Children's Memorial Hermann Hospital | — | $136 | — | — | — | — | — | $87–$101 |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $34.42 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $34.76 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| Cigna | Commercial | Commercial | $183 | fee schedule |
| UHC | Commercial | Commercial | $183 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $237 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $237 | percent of total billed charges |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Molina | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $34.42 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $34.76 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| Cigna | Commercial | Commercial | $183 | fee schedule |
| UHC | Commercial | Commercial | $183 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $237 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $237 | percent of total billed charges |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
St. Luke's Health Patients Medical Center: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $32.06 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $32.06 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $33.75 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $868 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $956 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $956 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,000 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,030 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,103 | fee schedule |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|CHIP | Medicaid / CHIP | $30.18 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $35.44 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $47.59 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $91.68 | fee schedule |
| Community Health Choice | Commercial|Exchange | Commercial | $92.60 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| Cigna | Commercial|All Plans | Commercial | $100 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $103 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $123 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $128 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $137 | case rate |
| BCBS-TX | Commercial|Blue Options | Commercial | $150 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $152 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $166 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $203 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $205 | case rate |
| Entrust | Commercial|All Plans | Commercial | $213 | case rate |
| BCBS-TX | Commercial|HMO | Commercial | $218 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $229 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $243 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $489 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $520 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $764 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $917 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $1,229 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.98 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $61.08 | case rate |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $131 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $131 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $175 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $572 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $965 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,112 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,351 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
St. Luke's Health The Vintage Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.98 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $131 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $131 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $175 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $572 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $965 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,112 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,351 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
St. Luke's Health Lakeside Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.98 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $131 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $131 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $175 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $572 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $965 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,112 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,351 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
Baylor St Luke's Medical Center: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.98 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $92.60 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $95.77 | fee schedule |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $103 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $106 | case rate |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $180 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $180 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $214 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $241 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $252 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $279 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| United | Commercial|Exchange | Commercial | $582 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $670 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| United | Commercial|Charter | Commercial | $782 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $818 | fee schedule |
| United | Commercial|HMO | Commercial | $869 | fee schedule |
| United | Commercial|PPO | Commercial | $869 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $997 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,351 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Montgomery Hospital District | Commercial|All Plans | Public program | $33.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $164 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $572 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $965 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,112 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Montgomery Hospital District | Commercial|All Plans | Public program | $33.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $33.75 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $34.42 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $34.42 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.42 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $35.44 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $38.81 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $45.23 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $46.24 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $51.98 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $72.61 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $79.97 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $98.10 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $105 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $164 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $164 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $219 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $441 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $572 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $592 | fee schedule |
| United | Commercial|Optum | Commercial | $768 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $899 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $899 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $965 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,063 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,063 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,112 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,145 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,226 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,351 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,390 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,635 | fee schedule |
Houston Methodist Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $95.01 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $97.98 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $189 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
Houston Methodist Clear Lake Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $195 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Baytown Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Cypress Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist The Woodlands Hospital: all 11 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Sugar Land Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist West Hospital: all 13 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
Houston Methodist Willowbrook Hospital: all 12 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $89.99 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $92.73 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
HCA Houston Healthcare Pearland: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $102 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $102 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $102 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $102 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $102 | percent of total billed charges |
| Cigna | PPO | Commercial | $109 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| United | OptionsPPO | Commercial | $287 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $435 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $466 | percent of total billed charges |
| Humana | HMO | Commercial | $565 | percent of total billed charges |
| Humana | PPO | Commercial | $565 | percent of total billed charges |
| BCBS | Traditional | Commercial | $597 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $682 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $682 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $768 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $884 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,279 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,450 | percent of total billed charges |
HCA Houston Healthcare Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $116 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| United | OptionsPPO | Commercial | $325 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $493 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $528 | percent of total billed charges |
| Humana | HMO | Commercial | $641 | percent of total billed charges |
| Humana | PPO | Commercial | $641 | percent of total billed charges |
| BCBS | Traditional | Commercial | $677 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $773 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $773 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $870 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,002 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,450 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,643 | percent of total billed charges |
HCA Houston Healthcare Kingwood: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $116 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $326 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $495 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $530 | percent of total billed charges |
| Humana | HMO | Commercial | $643 | percent of total billed charges |
| Humana | PPO | Commercial | $643 | percent of total billed charges |
| BCBS | Traditional | Commercial | $679 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $679 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $679 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $776 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $776 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $835 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $873 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $873 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $873 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,005 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,068 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,068 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,165 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,165 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,165 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,262 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,456 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,592 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,650 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,650 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,650 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $1,650 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,747 | percent of total billed charges |
HCA Houston Healthcare North Cypress: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $116 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $392 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $495 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $530 | percent of total billed charges |
| BCBS | Traditional | Commercial | $679 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $776 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $776 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $873 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,005 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,456 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,650 | percent of total billed charges |
HCA Houston Healthcare Tomball: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $121 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| United | OptionsPPO | Commercial | $339 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $515 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $551 | percent of total billed charges |
| Humana | HMO | Commercial | $669 | percent of total billed charges |
| Humana | PPO | Commercial | $669 | percent of total billed charges |
| BCBS | Traditional | Commercial | $706 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $714 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $807 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $807 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $908 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,514 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,715 | percent of total billed charges |
HCA Houston Healthcare Clear Lake: all 74 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $121 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $356 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $485 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $516 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $552 | percent of total billed charges |
| Humana | HMO | Commercial | $670 | percent of total billed charges |
| Humana | PPO | Commercial | $670 | percent of total billed charges |
| BCBS | Traditional | Commercial | $708 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $708 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $708 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $809 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $809 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $869 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $910 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $910 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $910 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,047 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,112 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,112 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,213 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,213 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,213 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,314 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,516 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,658 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,718 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,718 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,718 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,820 | percent of total billed charges |
HCA Houston Healthcare Mainland: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $121 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $121 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $408 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $505 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $516 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $552 | percent of total billed charges |
| Humana | HMO | Commercial | $670 | percent of total billed charges |
| Humana | PPO | Commercial | $670 | percent of total billed charges |
| BCBS | Traditional | Commercial | $708 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $708 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $809 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $809 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $869 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $910 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $910 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $910 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,047 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,112 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,112 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,213 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,213 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,213 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,314 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,516 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,658 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,718 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,718 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,718 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,820 | percent of total billed charges |
HCA Houston Healthcare Conroe: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $127 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| United | OptionsPPO | Commercial | $373 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $509 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $541 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $579 | percent of total billed charges |
| Humana | HMO | Commercial | $703 | percent of total billed charges |
| Humana | PPO | Commercial | $703 | percent of total billed charges |
| BCBS | Traditional | Commercial | $742 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $742 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $848 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $848 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $912 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $954 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $954 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $954 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,099 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,167 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,167 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,273 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,273 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,273 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,379 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,591 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,739 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,803 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,803 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,803 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,909 | percent of total billed charges |
HCA Houston Healthcare Southeast: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $132 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $311 | fee schedule |
| United | OptionsPPO | Commercial | $444 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $528 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $561 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $600 | percent of total billed charges |
| Humana | HMO | Commercial | $729 | percent of total billed charges |
| Humana | PPO | Commercial | $729 | percent of total billed charges |
| BCBS | Traditional | Commercial | $770 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $770 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $880 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $880 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $946 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $990 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $990 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $990 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,139 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,210 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,210 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,320 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,320 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $1,320 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,320 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,430 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $1,649 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,649 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,803 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,869 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,869 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,869 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,979 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $142 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $399 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $605 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $648 | percent of total billed charges |
| Humana | HMO | Commercial | $786 | percent of total billed charges |
| Humana | PPO | Commercial | $786 | percent of total billed charges |
| BCBS | Traditional | Commercial | $830 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $949 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $949 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,068 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,229 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,779 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,016 | percent of total billed charges |
HCA Houston Healthcare West: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $33.08 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $33.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $34.42 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $36.45 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $37.13 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $37.13 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $42.19 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $50.63 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $50.63 | fee schedule |
| Cigna | CSN | Commercial | $84.71 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $91.68 | fee schedule |
| Cigna | PPO | Commercial | $109 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $164 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $191 | fee schedule |
| Aetna | NBPOS | Commercial | $191 | fee schedule |
| Aetna | NBPPO | Commercial | $191 | fee schedule |
| Aetna | COMMHMO | Commercial | $203 | fee schedule |
| Aetna | COMMPOS | Commercial | $203 | fee schedule |
| Aetna | COMMPPO | Commercial | $203 | fee schedule |
| Aetna | OONHMO | Commercial | $239 | fee schedule |
| Aetna | OONPOS | Commercial | $239 | fee schedule |
| Aetna | OONPPO | Commercial | $239 | fee schedule |
| Aetna | ASAHMO | Commercial | $258 | fee schedule |
| Aetna | ASAPOS | Commercial | $258 | fee schedule |
| Aetna | ASAPPO | Commercial | $258 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $458 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $655 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $696 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $745 | percent of total billed charges |
| Humana | HMO | Commercial | $904 | percent of total billed charges |
| Humana | PPO | Commercial | $904 | percent of total billed charges |
| BCBS | Traditional | Commercial | $955 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $955 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,091 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,091 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,173 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,228 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,228 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,228 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,413 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,500 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,500 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,637 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,637 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,637 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,637 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,773 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,046 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,237 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,319 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,319 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,319 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,455 | percent of total billed charges |
Texas Children's Hospital The Woodlands: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $37.12 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $37.12 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $146 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $162 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $189 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $191 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $313 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $340 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $346 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $346 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $346 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $346 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $346 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $346 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $351 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $378 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $405 | percent of total billed charges |
| First Health | Commercial | Commercial | $475 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $486 | percent of total billed charges |
| First Health | CCN Network | Commercial | $513 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $513 | percent of total billed charges |
Texas Children's Hospital West Campus: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $37.12 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $37.12 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $146 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $162 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $189 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $191 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $313 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $340 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $346 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $346 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $346 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $346 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $346 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $346 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $351 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $378 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $405 | percent of total billed charges |
| First Health | Commercial | Commercial | $475 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $486 | percent of total billed charges |
| First Health | CCN Network | Commercial | $513 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $513 | percent of total billed charges |
Texas Children's Hospital: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $33.75 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $37.12 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $37.12 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $146 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $146 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $146 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $162 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $189 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $191 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $216 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $313 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $340 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $346 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $346 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $346 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $346 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $346 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $346 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $351 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $378 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $405 | percent of total billed charges |
| First Health | Commercial | Commercial | $475 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $486 | percent of total billed charges |
| First Health | CCN Network | Commercial | $513 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $513 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
What this price covers
These are hospital charges for CPT code 71046 (Chest X-ray (2 views)). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.