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.
| Hospital | Published cash price | Typical insured rate | Lowest 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 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $110–$122 | $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
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Commercial | Commercial | $29.46 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $41.92 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $42.33 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| UHC | Commercial | Commercial | $219 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $285 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $285 | percent of total billed charges |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Commercial | Commercial | $29.46 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $41.10 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $41.92 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $42.33 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| UHC | Commercial | Commercial | $219 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $285 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $285 | percent of total billed charges |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.92 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $61.08 | case rate |
| CHC | Medicaid|STAR | Medicaid / CHIP | $62.77 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $115 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $115 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $154 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $504 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $850 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $980 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,191 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
St. Luke's Health The Vintage Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.92 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $62.77 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $115 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $115 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $154 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $504 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $850 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $980 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,191 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
St. Luke's Health Lakeside Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.92 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $62.77 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $115 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $115 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $154 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $504 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $850 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $980 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,191 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
Baylor St Luke's Medical Center: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.92 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $62.77 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $92.60 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $95.77 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $103 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $106 | case rate |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $159 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $159 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $212 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $214 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $252 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $279 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Exchange | Commercial | $582 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $591 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $721 | fee schedule |
| United | Commercial|Charter | Commercial | $782 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| United | Commercial|HMO | Commercial | $869 | fee schedule |
| United | Commercial|PPO | Commercial | $869 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $879 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,191 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $41.10 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $144 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $504 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $850 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $980 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.76 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $41.10 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $41.58 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.58 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $41.92 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.87 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $55.84 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $62.77 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $127 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $144 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $144 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $193 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $389 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $504 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $521 | fee schedule |
| United | Commercial|Optum | Commercial | $677 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $793 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $793 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $850 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $937 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $937 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $980 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,009 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,081 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,191 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,225 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,441 | fee schedule |
Houston Methodist Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $129 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $133 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $189 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.76 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $43.16 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $43.16 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.62 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $57.95 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $92.60 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $99.99 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $128 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $134 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $137 | case rate |
| Cigna | Commercial|All Plans | Commercial | $138 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $150 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $152 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $166 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $203 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $205 | case rate |
| Entrust | Commercial|All Plans | Commercial | $213 | case rate |
| BCBS-TX | Commercial|HMO | Commercial | $218 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $243 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $250 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $533 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $567 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $833 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $1,000 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $1,340 | fee schedule |
St. Luke's Health Patients Medical Center: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $39.05 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $39.05 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $41.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $41.92 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $56.31 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| Cigna | Commercial|Surefit | Commercial | $99.99 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $110 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $128 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Cigna | Commercial|PPO | Commercial | $135 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,004 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,106 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,106 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,157 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,191 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,276 | fee schedule |
Houston Methodist Clear Lake Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $195 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Baytown Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Cypress Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist The Woodlands Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Sugar Land Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist West Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
Houston Methodist Willowbrook Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $122 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $126 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
HCA Houston Healthcare Southeast: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $75.95 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $75.95 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $75.95 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $75.95 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $75.95 | percent of total billed charges |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| United | OptionsPPO | Commercial | $256 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $304 | percent of total billed charges |
| BCBS | PPO | Commercial | $311 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $323 | percent of total billed charges |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Evry Health | BroadNetwork | Commercial | $346 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| Humana | HMO | Commercial | $419 | percent of total billed charges |
| Humana | PPO | Commercial | $419 | percent of total billed charges |
| BCBS | Traditional | Commercial | $443 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $443 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $506 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $506 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $544 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $570 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $570 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $570 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $656 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $696 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $696 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $759 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $759 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $759 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $759 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $823 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $949 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $949 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,038 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,076 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,076 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,076 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,139 | percent of total billed charges |
HCA Houston Healthcare West: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $124 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $124 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| United | OptionsPPO | Commercial | $347 | percent of total billed charges |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $496 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $527 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $564 | percent of total billed charges |
| Humana | HMO | Commercial | $684 | percent of total billed charges |
| Humana | PPO | Commercial | $684 | percent of total billed charges |
| BCBS | Traditional | Commercial | $723 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $723 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $826 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $826 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $888 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $930 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $930 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $930 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,070 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,136 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,136 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,240 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,240 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,240 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,240 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,343 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,550 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,694 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,756 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,756 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,756 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,859 | percent of total billed charges |
HCA Houston Healthcare Kingwood: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $127 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $355 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $540 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $578 | percent of total billed charges |
| Humana | HMO | Commercial | $701 | percent of total billed charges |
| Humana | PPO | Commercial | $701 | percent of total billed charges |
| BCBS | Traditional | Commercial | $741 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $741 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $741 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $846 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $846 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $910 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $952 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $952 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $952 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,096 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,164 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,164 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,270 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,270 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,270 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,375 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,587 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,735 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,799 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,799 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,799 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $1,799 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,904 | percent of total billed charges |
HCA Houston Healthcare North Cypress: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $127 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $127 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $427 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $540 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $578 | percent of total billed charges |
| BCBS | Traditional | Commercial | $741 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $846 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $846 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $952 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,096 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,587 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,799 | percent of total billed charges |
HCA Houston Healthcare Tomball: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $131 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $131 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $131 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $131 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $131 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $365 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $555 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $594 | percent of total billed charges |
| Humana | HMO | Commercial | $721 | percent of total billed charges |
| Humana | PPO | Commercial | $721 | percent of total billed charges |
| BCBS | Traditional | Commercial | $761 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $770 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $870 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $870 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $979 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,632 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,849 | percent of total billed charges |
HCA Houston Healthcare Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $135 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $377 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $573 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $613 | percent of total billed charges |
| Humana | HMO | Commercial | $744 | percent of total billed charges |
| Humana | PPO | Commercial | $744 | percent of total billed charges |
| BCBS | Traditional | Commercial | $786 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $899 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $899 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,011 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,164 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,685 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,909 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $138 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $138 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $138 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $138 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $138 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $387 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $587 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $629 | percent of total billed charges |
| Humana | HMO | Commercial | $763 | percent of total billed charges |
| Humana | PPO | Commercial | $763 | percent of total billed charges |
| BCBS | Traditional | Commercial | $806 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $921 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $921 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,036 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,193 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,727 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,957 | percent of total billed charges |
HCA Houston Healthcare Pearland: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $144 | percent of total billed charges |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $402 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $611 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $654 | percent of total billed charges |
| Humana | HMO | Commercial | $793 | percent of total billed charges |
| Humana | PPO | Commercial | $793 | percent of total billed charges |
| BCBS | Traditional | Commercial | $838 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $958 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $958 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,078 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,240 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,796 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,035 | percent of total billed charges |
HCA Houston Healthcare Clear Lake: all 74 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $171 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $501 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $683 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $725 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $776 | percent of total billed charges |
| Humana | HMO | Commercial | $942 | percent of total billed charges |
| Humana | PPO | Commercial | $942 | percent of total billed charges |
| BCBS | Traditional | Commercial | $995 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $995 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $995 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,138 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,138 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,223 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,280 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,280 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,280 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,473 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,564 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,564 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,707 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,707 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,707 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,849 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,133 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,332 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,418 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,418 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,418 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,560 | percent of total billed charges |
HCA Houston Healthcare Mainland: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $171 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $171 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $575 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $711 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $725 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $776 | percent of total billed charges |
| Humana | HMO | Commercial | $942 | percent of total billed charges |
| Humana | PPO | Commercial | $942 | percent of total billed charges |
| BCBS | Traditional | Commercial | $995 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $995 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,138 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,138 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,223 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,280 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,280 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,280 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,473 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,564 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,564 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,707 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,707 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,707 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,849 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,133 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,332 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,418 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,418 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,418 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,560 | percent of total billed charges |
HCA Houston Healthcare Conroe: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $40.28 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.76 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.76 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $41.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $41.10 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $41.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $41.58 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $44.02 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $45.21 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $45.21 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $51.38 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $61.65 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $61.65 | fee schedule |
| Cigna | CSN | Commercial | $115 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $125 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Cigna | PPO | Commercial | $148 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $173 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $173 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $173 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $173 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $173 | percent of total billed charges |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $263 | fee schedule |
| Aetna | NBPOS | Commercial | $263 | fee schedule |
| Aetna | NBPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | COMMHMO | Commercial | $279 | fee schedule |
| Aetna | COMMPOS | Commercial | $279 | fee schedule |
| Aetna | COMMPPO | Commercial | $279 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| Aetna | OONHMO | Commercial | $329 | fee schedule |
| Aetna | OONPOS | Commercial | $329 | fee schedule |
| Aetna | OONPPO | Commercial | $329 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| Aetna | ASAHMO | Commercial | $355 | fee schedule |
| Aetna | ASAPOS | Commercial | $355 | fee schedule |
| Aetna | ASAPPO | Commercial | $355 | fee schedule |
| United | OptionsPPO | Commercial | $507 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $691 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $734 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $786 | percent of total billed charges |
| Humana | HMO | Commercial | $954 | percent of total billed charges |
| Humana | PPO | Commercial | $954 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,008 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $1,008 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,152 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,152 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,238 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,296 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,296 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,296 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,491 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,584 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,584 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,728 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,728 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,728 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,872 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,160 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,361 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,447 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,447 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,447 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,591 | percent of total billed charges |
Texas Children's Hospital The Woodlands: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $41.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $43.16 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $45.21 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $45.21 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $180 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $234 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $236 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $387 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $421 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $428 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $428 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $428 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $428 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $428 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $428 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $434 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $468 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $501 | percent of total billed charges |
| First Health | Commercial | Commercial | $588 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $601 | percent of total billed charges |
| First Health | CCN Network | Commercial | $635 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $635 | percent of total billed charges |
Texas Children's Hospital West Campus: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $41.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $43.16 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $45.21 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $45.21 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $180 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $234 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $236 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $387 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $421 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $428 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $428 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $428 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $428 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $428 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $428 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $434 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $468 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $501 | percent of total billed charges |
| First Health | Commercial | Commercial | $588 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $601 | percent of total billed charges |
| First Health | CCN Network | Commercial | $635 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $635 | percent of total billed charges |
Texas Children's Hospital: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $41.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $43.16 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $45.21 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $45.21 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $180 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $180 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $180 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $234 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $236 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $267 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $387 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $421 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $428 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $428 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $428 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $428 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $428 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $428 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $434 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $468 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $501 | percent of total billed charges |
| First Health | Commercial | Commercial | $588 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $601 | percent of total billed charges |
| First Health | CCN Network | Commercial | $635 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $635 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
What this price covers
These are hospital charges for CPT code 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
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.