How much does a knee X-ray cost in Houston?

45 hospitals and imaging centers in Houston list a self-pay price of $84–$2,879 for a knee X-ray (3 views) (CPT 73562). The typical commercial rate in the same files is $269.

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

Published cash price
$84–$2,879
what 45 hospitals and imaging centers list for a self-pay knee X-ray
Typical insured rate
$269
median of every commercial plan rate in the files
Lowest insured rate
$29.46
Cigna (Commercial), Harris Health Ben Taub Hospital

At 11 of 45 hospitals and imaging centers, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.

Knee 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 73562; Medicaid and Medicare Advantage are shown separately below.

Knee X-ray (3 views) (CPT 73562) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$84.49Cash ÷ typical 0.7×$1227 plans$29.46
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$84.49Cash ÷ typical 0.7×$1227 plans$29.46
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$421–$631Cash ÷ typical 3.1×$1384 plans$131
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.4×$20730 plans$63.50
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.5×$20431 plans$63.50
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.5×$20431 plans$63.50
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.0×$25233 plans$63.50
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.2×$23027 plans$63.50
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$504Cash ÷ typical 2.4×$20730 plans$63.50
Houston Methodist HospitalHouston Methodist · file Apr 2026$508Cash ÷ typical 2.6×$1949 plans$129
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$583Cash ÷ typical 3.7×$15918 plans$92.60
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$595Cash ÷ typical 2.9×$20722 plans$99.99
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 3.8×$1949 plans$122
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 4.0×$1848 plans$122
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 4.0×$1848 plans$122
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 4.0×$1848 plans$122
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 4.0×$1848 plans$122
Houston Methodist West HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 3.8×$1949 plans$122
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$732Cash ÷ typical 4.0×$1848 plans$122
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$1,266= list priceCash ÷ typical 3.8×$33744 plans$115
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$2,066= list priceCash ÷ typical 5.8×$35544 plans$115
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$2,116= list priceCash ÷ typical 6.0×$35545 plans$115
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$2,116= list priceCash ÷ typical 7.4×$28732 plans$115
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$2,175= list priceCash ÷ typical 6.6×$32934 plans$115
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$2,246–$2,247= list priceCash ÷ typical 7.0×$31934 plans$115
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$2,303= list priceCash ÷ typical 7.4×$31034 plans$115
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$2,395= list priceCash ÷ typical 7.5×$31934 plans$115
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$2,844= list priceCash ÷ typical 8.0×$35544 plans$115
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$2,844= list priceCash ÷ typical 8.0×$35544 plans$115
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$2,879= list priceCash ÷ typical 8.1×$35543 plans$115
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$448Cash ÷ typical 1.0×$42817 plans$387
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$448Cash ÷ typical 1.0×$42817 plans$387
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$448Cash ÷ typical 1.0×$42817 plans$387
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$490–$735Cash ÷ typical 3.6×$1384 plans$131

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Harris Health Ben Taub Hospital$110–$122$285$29.46$219——$41.10–$84.49$84.49
Harris Health Lyndon B Johnson Hospital$110–$122$285$29.46$219——$41.10–$84.49$84.49
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 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 The Woodlands Medical Center—$136—————$87–$101
Memorial Hermann Cypress Hospital—$136—————$87–$101
Memorial Hermann Rockets Orthopedic Hospital—$136—————$87–$101
Memorial Hermann-Texas 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 Sugar Land Hospital$113–$269$136–$980$100–$135$140–$677——$41–$1,191$61–$389
St. Luke's Health The Vintage Hospital$113–$269$136–$980$100–$135$140–$677——$41–$1,191$88–$389
St. Luke's Health Lakeside Hospital$113–$269$136–$980$100–$135$140–$677—$132$41–$1,191$88–$389
Baylor St Luke's Medical Center$96–$279$136–$1,009$100–$135$582–$869——$41–$1,191$88–$389
St. Luke's Health Springwoods Village Hospital$113–$269$850–$980$100–$135$140–$677——$41–$793$88–$389
St. Luke's Health The Woodlands Hospital$113–$269$136–$980$100–$135$140–$677——$41–$1,191$88–$389
Houston Methodist Hospital$316$129–$133$194–$206————$87.42–$96.16
St. Luke's Health Brazosport Hospital$150–$243$136–$567$138$137–$533$205$128$35–$1,340$88–$250
St. Luke's Health Patients Medical Center$113–$269$1,004–$1,157$100–$135$140–$230—$132$39–$128$88.19–$94.36
Houston Methodist Clear Lake Hospital$195–$316$122–$126$194–$206————$87.42–$96.16
Houston Methodist Baytown Hospital$316$122–$126$194–$206————$87.42–$96.16
Houston Methodist Cypress Hospital$316$122–$126$194–$206————$87.42–$93.54
Houston Methodist The Woodlands Hospital$316$122–$126$194–$206————$87.42–$93.54
Houston Methodist Sugar Land Hospital$316$122–$126$194–$206————$87.42–$96.16
Houston Methodist West Hospital$316$122–$126$194–$206————$87.42–$96.16
Houston Methodist Willowbrook Hospital$316$122–$126$194–$206————$87.42–$96.16
HCA Houston Healthcare Southeast$140–$443$263–$355$115–$148$154–$570$419—$40.28–$75.95$570
HCA Houston Healthcare West$140–$723$263–$355$115–$148$154–$930$684—$40–$124$930
HCA Houston Healthcare Kingwood$140–$741$263–$355$115–$148$154–$952$701—$40–$127$952
HCA Houston Healthcare North Cypress$140–$741$263–$355$115–$148$154–$952——$41–$127—
HCA Houston Healthcare Tomball$140–$761$263–$355$115–$148$154–$979$721—$41–$131—
HCA Houston Healthcare Medical Center$140–$786$263–$355$115–$148$154–$1,011$744—$41–$135—
HCA Houston Healthcare Northwest$140–$806$263–$355$115–$148$154–$1,036$763—$41–$138—
HCA Houston Healthcare Pearland$140–$838$263–$355$115–$148$154–$1,078$793—$41–$144—
HCA Houston Healthcare Clear Lake$140–$995$263–$355$115–$148$154–$1,280$942—$40–$171$1,280
HCA Houston Healthcare Mainland$140–$995$263–$355$115–$148$154–$1,280$942—$40–$171$1,280
HCA Houston Healthcare Conroe$140–$1,008$263–$355$115–$148$154–$1,296$954—$40–$173$1,296
Texas Children's Hospital The Woodlands$421$428$387–$428$428——$41–$267—
Texas Children's Hospital West Campus$421$428$387–$428$428——$41–$267—
Texas Children's Hospital$421$428$387–$428$428——$41–$267—
Children's Memorial Hermann Hospital—$136—————$87–$101
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CignaCommercialCommercial$29.46fee schedule
MolinaMedicaidMedicaid / CHIP$41.10fee schedule
UHCMedicaidMedicaid / CHIP$41.10fee schedule
TX ChildrensMedicaidMedicaid / CHIP$41.10fee schedule
CHCMedicaidMedicaid / CHIP$41.92fee schedule
SuperiorMedicaidMedicaid / CHIP$42.33fee schedule
CHCD-SNPMedicare Advantage$84.49fee schedule
MolinaMedicare & MMPMedicaid / CHIP$84.49fee schedule
CHCMarketplaceCommercial$88.71fee schedule
BCBS TXBlue AdvantageCommercial$110fee schedule
BCBS TXPPO POSCommercial$122fee schedule
UHCCommercialCommercial$219percent of total billed charges
AetnaCommercial HMOCommercial$285percent of total billed charges
AetnaCommercial PPOCommercial$285percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CignaCommercialCommercial$29.46fee schedule
MolinaMedicaidMedicaid / CHIP$41.10fee schedule
UHCMedicaidMedicaid / CHIP$41.10fee schedule
TX ChildrensMedicaidMedicaid / CHIP$41.10fee schedule
CHCMedicaidMedicaid / CHIP$41.92fee schedule
SuperiorMedicaidMedicaid / CHIP$42.33fee schedule
CHCD-SNPMedicare Advantage$84.49fee schedule
MolinaMedicare & MMPMedicaid / CHIP$84.49fee schedule
CHCMarketplaceCommercial$88.71fee schedule
BCBS TXBlue AdvantageCommercial$110fee schedule
BCBS TXPPO POSCommercial$122fee schedule
UHCCommercialCommercial$219percent of total billed charges
AetnaCommercial HMOCommercial$285percent of total billed charges
AetnaCommercial PPOCommercial$285percent of total billed charges
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
St. Luke's Health Sugar Land Hospital: all 65 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.58fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.92fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
WellpointMedicaid|STARMedicaid / CHIP$54.62fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$55.84fee schedule
KELSEYMedicare|All PlansMedicare Advantage$61.08case rate
CHCMedicaid|STARMedicaid / CHIP$62.77fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$115fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$115fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$154fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$504fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$850fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
AetnaCommercial|HMOCommercial$980fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,191fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
St. Luke's Health The Vintage Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.58fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.92fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
WellpointMedicaid|STARMedicaid / CHIP$54.62fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$55.84fee schedule
CHCMedicaid|STARMedicaid / CHIP$62.77fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$115fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$115fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
Employer DirectCommercial|PPOCommercial$123case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$154fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$504fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$850fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
AetnaCommercial|HMOCommercial$980fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,191fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
St. Luke's Health Lakeside Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.58fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.92fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
WellpointMedicaid|STARMedicaid / CHIP$54.62fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$55.84fee schedule
CHCMedicaid|STARMedicaid / CHIP$62.77fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
TCHPMedicaid|LakesideMedicaid / CHIP$115fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$115fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
AmbetterCommercial|All PlansCommercial$132case rate
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Harris HealthCommercial|ERSCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$154fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$504fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$850fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
AetnaCommercial|HMOCommercial$980fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,191fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
Baylor St Luke's Medical Center: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.58fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.92fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
WellpointMedicaid|STARMedicaid / CHIP$54.62fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$55.84fee schedule
CHCMedicaid|STARMedicaid / CHIP$62.77fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HumanaMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All Other PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
SELECTCAREMedicare|All PlansMedicare Advantage$92.60case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$95.77fee schedule
CignaCommercial|SurefitCommercial$99.99fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$103fee schedule
KINDREDMedicare|All PlansMedicare Advantage$106case rate
CignaCommercial|HMOCommercial$110fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
Employer DirectCommercial|PPOCommercial$123case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Harris HealthCommercial|ERSCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$159fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$159fee schedule
TCHPMedicaid|STARMedicaid / CHIP$212fee schedule
BCBS - TXCommercial|PremierCommercial$214fee schedule
BCBS - TXCommercial|HMOCommercial$252fee schedule
BCBS - TXCommercial|PPO TradCommercial$279fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|ExchangeCommercial$582fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$591fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
ShellCommercial|All PlansCommercial$721fee schedule
UnitedCommercial|CharterCommercial$782fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
UnitedCommercial|HMOCommercial$869fee schedule
UnitedCommercial|PPOCommercial$869fee schedule
AetnaCommercial|KelseyCareCommercial$879fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
AetnaCommercial|HMOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,191fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
Montgomery Hospital DistrictCommercial|All PlansPublic program$41.10fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.58fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
UHCMedicaid|STARMedicaid / CHIP$55.84fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
CignaCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$144fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NXHealthCommercial|All PlansCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$504fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$850fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
AetnaCommercial|HMOCommercial$980fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
St. Luke's Health The Woodlands Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$40.76fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$40.76fee schedule
Montgomery Hospital DistrictCommercial|All PlansPublic program$41.10fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$41.10fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$41.58fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.58fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$41.92fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$46.87fee schedule
WellpointMedicaid|STARMedicaid / CHIP$54.62fee schedule
UHCMedicaid|STARMedicaid / CHIP$55.84fee schedule
CHCMedicaid|STARMedicaid / CHIP$62.77fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
UHCMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$127fee schedule
CignaCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$144fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$144fee schedule
TCHPMedicaid|STARMedicaid / CHIP$193fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NXHealthCommercial|All PlansCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$389fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$504fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$521fee schedule
UnitedCommercial|OptumCommercial$677fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$793fee schedule
CHCMedicaid|HMOMedicaid / CHIP$793fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$793fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$850fee schedule
CoventryCommercial|PPOCommercial$937fee schedule
First HealthCommercial|All PlansCommercial$937fee schedule
AetnaCommercial|HMOCommercial$980fee schedule
HealthsmartCommercial|PPOCommercial$1,009fee schedule
MultiPlanCommercial|All PlansCommercial$1,081fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,191fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,225fee schedule
MHealth NetworkCommercial|PPOCommercial$1,441fee schedule
Houston Methodist Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$129fee schedule
AetnaHmo/Pos/PpoCommercial$133fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$189fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
UaeAll Commercial PlansCommercial$350fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|CHIPMedicaid / CHIP$35.44fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$40.76fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$43.16fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$43.16fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$54.62fee schedule
CHCMedicaid|STARMedicaid / CHIP$57.95fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$88.19case rate
HUMANAMedicare|All PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
UNITEDMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$90.84case rate
WellcareTPMedicare|All PlansMedicare Advantage$90.84case rate
WellpointMedicare|All PlansMedicare Advantage$90.84case rate
Community Health ChoiceCommercial|ExchangeCommercial$92.60case rate
DevotedMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$99.99fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$125fee schedule
AmbetterCommercial|All PlansCommercial$128case rate
WellpointCommercial|ExchangeCommercial$132case rate
TCHPMedicaid|STARMedicaid / CHIP$134fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$137case rate
CignaCommercial|All PlansCommercial$138fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$150fee schedule
BCBS-TXCommercial|Blue Advantage HMOCommercial$152fee schedule
BCBS-TXCommercial|TraditionalCommercial$166fee schedule
BCBS-TXCommercial|PPO-POSCommercial$203fee schedule
HumanaCommercial|All PlansCommercial$205case rate
EntrustCommercial|All PlansCommercial$213case rate
BCBS-TXCommercial|HMOCommercial$218fee schedule
BCBS-TXCommercial|PPOCommercial$243fee schedule
AetnaMedicare|All PlansMedicare Advantage$250fee schedule
UnitedCommercial|All Other PlansCommercial$533fee schedule
AetnaCommercial|All Other PlansCommercial$567fee schedule
Health FirstCommercial|All PlansCommercial$833fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
St. Luke's Health Patients Medical Center: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$39.05fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$39.05fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$41.10fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$41.92fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$56.31fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$88.19case rate
HUMANAMedicare|All PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UNITEDMedicare|All PlansMedicare Advantage$89.95case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
CignaCommercial|SurefitCommercial$99.99fee schedule
CignaCommercial|HMOCommercial$110fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$128fee schedule
AmbetterCommercial|All PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
CignaCommercial|PPOCommercial$135fee schedule
Bright HealthCommercial|All PlansCommercial$135case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,004fee schedule
CoventryCommercial|PPOCommercial$1,106fee schedule
First HealthCommercial|All PlansCommercial$1,106fee schedule
AetnaCommercial|HMOCommercial$1,157fee schedule
HealthsmartCommercial|PPOCommercial$1,191fee schedule
MultiPlanCommercial|All PlansCommercial$1,276fee schedule
Houston Methodist Clear Lake Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
BcbsBlue Advantage ExchangeCommercial$195fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Baytown Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Cypress Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$93.54fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist The Woodlands Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Sugar Land Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist West Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
UaeAll Commercial PlansCommercial$350fee schedule
Houston Methodist Willowbrook Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$122fee schedule
AetnaHmo/Pos/PpoCommercial$126fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
HCA Houston Healthcare Southeast: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
Superior Health PlanCHIPMedicaid / CHIP$75.95percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$75.95percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$75.95percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$75.95percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$75.95percent of total billed charges
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
UnitedOptionsPPOCommercial$256percent of total billed charges
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$291fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$304percent of total billed charges
BCBSPPOCommercial$311fee schedule
Healthcare HighwaysNarrowNetworkCommercial$323percent of total billed charges
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
Evry HealthBroadNetworkCommercial$346percent of total billed charges
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
HumanaHMOCommercial$419percent of total billed charges
HumanaPPOCommercial$419percent of total billed charges
BCBSTraditionalCommercial$443percent of total billed charges
Imagine HealthPPOCommercial$443percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$506percent of total billed charges
Curative AdministratorsCOMMCommercial$506percent of total billed charges
HealthSmart Preferred CareACCELCommercial$544percent of total billed charges
Averde HealthCommercialCommercial$570percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$570percent of total billed charges
UnitedGlobalAppendixCommercial$570percent of total billed charges
Coventry National First HealthCOMMCommercial$656percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$696percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$696percent of total billed charges
Independent Medical SystemCOMMCommercial$759percent of total billed charges
National Healthcare SolutionsCOMMCommercial$759percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$759percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$759percent of total billed charges
Coastal CompCOMMWorkers' comp$823percent of total billed charges
Fiesta Mart, IncCOMMCommercial$949percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$949percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,038percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,076percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,076percent of total billed charges
Physicians, INCCOMMCommercial$1,076percent of total billed charges
Affiliated PPOCOMMCommercial$1,139percent of total billed charges
HCA Houston Healthcare West: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
Superior Health PlanCHIPMedicaid / CHIP$124percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$124percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$124percent of total billed charges
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
UnitedOptionsPPOCommercial$347percent of total billed charges
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
Texas Workforce CommissionWCOMPWorkers' comp$496percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$527percent of total billed charges
Evry HealthBroadNetworkCommercial$564percent of total billed charges
HumanaHMOCommercial$684percent of total billed charges
HumanaPPOCommercial$684percent of total billed charges
BCBSTraditionalCommercial$723percent of total billed charges
Imagine HealthPPOCommercial$723percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$826percent of total billed charges
Curative AdministratorsCOMMCommercial$826percent of total billed charges
HealthSmart Preferred CareACCELCommercial$888percent of total billed charges
Averde HealthCommercialCommercial$930percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$930percent of total billed charges
UnitedGlobalAppendixCommercial$930percent of total billed charges
Coventry National First HealthCOMMCommercial$1,070percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,136percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,136percent of total billed charges
Independent Medical SystemCOMMCommercial$1,240percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,240percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,240percent of total billed charges
TriumphCOMMCommercial$1,240percent of total billed charges
Coastal CompCOMMWorkers' comp$1,343percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,550percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,694percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,756percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,756percent of total billed charges
Physicians, INCCOMMCommercial$1,756percent of total billed charges
Affiliated PPOCOMMCommercial$1,859percent of total billed charges
HCA Houston Healthcare Kingwood: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
Superior Health PlanCHIPMedicaid / CHIP$127percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$127percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$355percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$540percent of total billed charges
Evry HealthBroadNetworkCommercial$578percent of total billed charges
HumanaHMOCommercial$701percent of total billed charges
HumanaPPOCommercial$701percent of total billed charges
BCBSTraditionalCommercial$741percent of total billed charges
Imagine HealthPPOCommercial$741percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$741percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$846percent of total billed charges
Curative AdministratorsCOMMCommercial$846percent of total billed charges
HealthSmart Preferred CareACCELCommercial$910percent of total billed charges
Averde HealthCommercialCommercial$952percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$952percent of total billed charges
UnitedGlobalAppendixCommercial$952percent of total billed charges
Coventry National First HealthCOMMCommercial$1,096percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,164percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,164percent of total billed charges
Independent Medical SystemCOMMCommercial$1,270percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,270percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,270percent of total billed charges
Coastal CompCOMMWorkers' comp$1,375percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,587percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,735percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,799percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,799percent of total billed charges
Physicians, INCCOMMCommercial$1,799percent of total billed charges
USA Managed CareCOMMCommercial$1,799percent of total billed charges
Affiliated PPOCOMMCommercial$1,904percent of total billed charges
HCA Houston Healthcare North Cypress: all 47 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
Superior Health PlanCHIPMedicaid / CHIP$127percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$127percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$127percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$427percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$540percent of total billed charges
Evry HealthBroadNetworkCommercial$578percent of total billed charges
BCBSTraditionalCommercial$741percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$846percent of total billed charges
Curative AdministratorsCOMMCommercial$846percent of total billed charges
UnitedGlobalAppendixCommercial$952percent of total billed charges
Coventry National First HealthCOMMCommercial$1,096percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,587percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,799percent of total billed charges
HCA Houston Healthcare Tomball: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
Superior Health PlanCHIPMedicaid / CHIP$131percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$131percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$131percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$131percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$131percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$301fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
BCBSPPOCommercial$330fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$365percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$555percent of total billed charges
Evry HealthBroadNetworkCommercial$594percent of total billed charges
HumanaHMOCommercial$721percent of total billed charges
HumanaPPOCommercial$721percent of total billed charges
BCBSTraditionalCommercial$761percent of total billed charges
Coventry National First HealthCOMMCommercial$770percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$870percent of total billed charges
Curative AdministratorsCOMMCommercial$870percent of total billed charges
UnitedGlobalAppendixCommercial$979percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,632percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,849percent of total billed charges
HCA Houston Healthcare Medical Center: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
Superior Health PlanCHIPMedicaid / CHIP$135percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$135percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$291fee schedule
BCBSPPOCommercial$309fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$377percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$573percent of total billed charges
Evry HealthBroadNetworkCommercial$613percent of total billed charges
HumanaHMOCommercial$744percent of total billed charges
HumanaPPOCommercial$744percent of total billed charges
BCBSTraditionalCommercial$786percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$899percent of total billed charges
Curative AdministratorsCOMMCommercial$899percent of total billed charges
UnitedGlobalAppendixCommercial$1,011percent of total billed charges
Coventry National First HealthCOMMCommercial$1,164percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,685percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,909percent of total billed charges
HCA Houston Healthcare Northwest: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
Superior Health PlanCHIPMedicaid / CHIP$138percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$138percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$138percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$138percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$138percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$387percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$587percent of total billed charges
Evry HealthBroadNetworkCommercial$629percent of total billed charges
HumanaHMOCommercial$763percent of total billed charges
HumanaPPOCommercial$763percent of total billed charges
BCBSTraditionalCommercial$806percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$921percent of total billed charges
Curative AdministratorsCOMMCommercial$921percent of total billed charges
UnitedGlobalAppendixCommercial$1,036percent of total billed charges
Coventry National First HealthCOMMCommercial$1,193percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,727percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,957percent of total billed charges
HCA Houston Healthcare Pearland: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
Superior Health PlanCHIPMedicaid / CHIP$144percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$144percent of total billed charges
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$291fee schedule
BCBSPPOCommercial$309fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$402percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$611percent of total billed charges
Evry HealthBroadNetworkCommercial$654percent of total billed charges
HumanaHMOCommercial$793percent of total billed charges
HumanaPPOCommercial$793percent of total billed charges
BCBSTraditionalCommercial$838percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$958percent of total billed charges
Curative AdministratorsCOMMCommercial$958percent of total billed charges
UnitedGlobalAppendixCommercial$1,078percent of total billed charges
Coventry National First HealthCOMMCommercial$1,240percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,796percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,035percent of total billed charges
HCA Houston Healthcare Clear Lake: all 74 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UTMBMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$171percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$171percent of total billed charges
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$501percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$683percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$725percent of total billed charges
Evry HealthBroadNetworkCommercial$776percent of total billed charges
HumanaHMOCommercial$942percent of total billed charges
HumanaPPOCommercial$942percent of total billed charges
BCBSTraditionalCommercial$995percent of total billed charges
Imagine HealthPPOCommercial$995percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$995percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,138percent of total billed charges
Curative AdministratorsCOMMCommercial$1,138percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,223percent of total billed charges
Averde HealthCommercialCommercial$1,280percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,280percent of total billed charges
UnitedGlobalAppendixCommercial$1,280percent of total billed charges
Coventry National First HealthCOMMCommercial$1,473percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,564percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,564percent of total billed charges
Independent Medical SystemCOMMCommercial$1,707percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,707percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,707percent of total billed charges
Coastal CompCOMMWorkers' comp$1,849percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,133percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,332percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,418percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,418percent of total billed charges
Physicians, INCCOMMCommercial$2,418percent of total billed charges
Affiliated PPOCOMMCommercial$2,560percent of total billed charges
HCA Houston Healthcare Mainland: all 72 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$171percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$171percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$171percent of total billed charges
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$282fee schedule
BCBSPPOCommercial$291fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$575percent of total billed charges
IPA Management ServicesCOMMCommercial$711percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$725percent of total billed charges
Evry HealthBroadNetworkCommercial$776percent of total billed charges
HumanaHMOCommercial$942percent of total billed charges
HumanaPPOCommercial$942percent of total billed charges
BCBSTraditionalCommercial$995percent of total billed charges
Imagine HealthPPOCommercial$995percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,138percent of total billed charges
Curative AdministratorsCOMMCommercial$1,138percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,223percent of total billed charges
Averde HealthCommercialCommercial$1,280percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,280percent of total billed charges
UnitedGlobalAppendixCommercial$1,280percent of total billed charges
Coventry National First HealthCOMMCommercial$1,473percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,564percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,564percent of total billed charges
Independent Medical SystemCOMMCommercial$1,707percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,707percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,707percent of total billed charges
Coastal CompCOMMWorkers' comp$1,849percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,133percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,332percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,418percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,418percent of total billed charges
Physicians, INCCOMMCommercial$2,418percent of total billed charges
Affiliated PPOCOMMCommercial$2,560percent of total billed charges
HCA Houston Healthcare Conroe: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$40.28fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$40.76fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$40.76fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$41.10fee schedule
AmerigroupMGMCDMedicaid / CHIP$41.10fee schedule
Liberty County IndigentLOCALGOVPublic program$41.10fee schedule
UnitedMGMCDMedicaid / CHIP$41.58fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$44.02fee schedule
Molina HealthcareCHIPMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$45.21fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$45.21fee schedule
HumanaMCDMedicaid / CHIP$51.38fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$61.65fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$61.65fee schedule
CignaCSNCommercial$115fee schedule
CignaOpenAccessPlusCommercial$125fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
CignaPPOCommercial$148fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$173percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$173percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$173percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$173percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$173percent of total billed charges
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$263fee schedule
AetnaNBPOSCommercial$263fee schedule
AetnaNBPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaCOMMHMOCommercial$279fee schedule
AetnaCOMMPOSCommercial$279fee schedule
AetnaCOMMPPOCommercial$279fee schedule
BCBSEPOSOACommercial$301fee schedule
AetnaOONHMOCommercial$329fee schedule
AetnaOONPOSCommercial$329fee schedule
AetnaOONPPOCommercial$329fee schedule
BCBSPPOCommercial$330fee schedule
AetnaASAHMOCommercial$355fee schedule
AetnaASAPOSCommercial$355fee schedule
AetnaASAPPOCommercial$355fee schedule
UnitedOptionsPPOCommercial$507percent of total billed charges
TX Workforce CommissionGVTPublic program$691percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$734percent of total billed charges
Evry HealthBroadNetworkCommercial$786percent of total billed charges
HumanaHMOCommercial$954percent of total billed charges
HumanaPPOCommercial$954percent of total billed charges
BCBSTraditionalCommercial$1,008percent of total billed charges
Imagine HealthPPOCommercial$1,008percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,152percent of total billed charges
Curative AdministratorsCOMMCommercial$1,152percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,238percent of total billed charges
Averde HealthCommercialCommercial$1,296percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,296percent of total billed charges
UnitedGlobalAppendixCommercial$1,296percent of total billed charges
Coventry National First HealthCOMMCommercial$1,491percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,584percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,584percent of total billed charges
Independent Medical SystemCOMMCommercial$1,728percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,728percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,728percent of total billed charges
Coastal CompCOMMWorkers' comp$1,872percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,160percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,361percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,447percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,447percent of total billed charges
Physicians, INCCOMMCommercial$2,447percent of total billed charges
Affiliated PPOCOMMCommercial$2,591percent of total billed charges
Texas Children's Hospital The Woodlands: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$41.10fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$43.16fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$45.21fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$45.21fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$180percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$180percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$180percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$180percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$234percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$236percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$267percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$267percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$387percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$421percent of total billed charges
AetnaAetna HMOCommercial$428percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$428percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$428percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$428percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$428percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$428percent of total billed charges
KelseyCareKelseyCareCommercial$434percent of total billed charges
HealthSmartHealthSmart OtherCommercial$468percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$501percent of total billed charges
First HealthCommercialCommercial$588percent of total billed charges
MultiplanMultiplan OtherCommercial$601percent of total billed charges
First HealthCCN NetworkCommercial$635percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$635percent of total billed charges
Texas Children's Hospital West Campus: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$41.10fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$43.16fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$45.21fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$45.21fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$180percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$180percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$180percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$180percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$234percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$236percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$267percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$267percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$387percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$421percent of total billed charges
AetnaAetna HMOCommercial$428percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$428percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$428percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$428percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$428percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$428percent of total billed charges
KelseyCareKelseyCareCommercial$434percent of total billed charges
HealthSmartHealthSmart OtherCommercial$468percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$501percent of total billed charges
First HealthCommercialCommercial$588percent of total billed charges
MultiplanMultiplan OtherCommercial$601percent of total billed charges
First HealthCCN NetworkCommercial$635percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$635percent of total billed charges
Texas Children's Hospital: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$41.10fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$43.16fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$45.21fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$45.21fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$180percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$180percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$180percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$180percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$234percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$236percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$267percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$267percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$387percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$421percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$421percent of total billed charges
AetnaAetna HMOCommercial$428percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$428percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$428percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$428percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$428percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$428percent of total billed charges
KelseyCareKelseyCareCommercial$434percent of total billed charges
HealthSmartHealthSmart OtherCommercial$468percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$501percent of total billed charges
First HealthCommercialCommercial$588percent of total billed charges
MultiplanMultiplan OtherCommercial$601percent of total billed charges
First HealthCCN NetworkCommercial$635percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$635percent of total billed charges
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule

What this price covers

These are hospital charges for CPT code 73562 (Knee X-ray (3 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

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

Other X-ray prices in Houston