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.
Lower back 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 72100; 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 | $102Cash ÷ typical 0.5× | $2257 plans | $32.90 |
| Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026 | $102Cash ÷ typical 0.5× | $2257 plans | $32.90 |
| Houston Methodist HospitalHouston Methodist · file Apr 2026 | $351Cash ÷ typical 1.5× | $2279 plans | $118 |
| Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026 | $444Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026 | $582Cash ÷ typical 2.1× | $27618 plans | $112 |
| St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.3× | $22030 plans | $76.69 |
| St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.4× | $20931 plans | $76.69 |
| St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.4× | $20931 plans | $76.69 |
| Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 2.1× | $34633 plans | $76.69 |
| St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.1× | $23027 plans | $76.69 |
| St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.3× | $22030 plans | $76.69 |
| St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026 | $714Cash ÷ typical 3.3× | $22022 plans | $91.58 |
| Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.2× | $2279 plans | $112 |
| Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.3× | $2198 plans | $112 |
| Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.3× | $2198 plans | $112 |
| Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.3× | $2198 plans | $112 |
| Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.3× | $2198 plans | $112 |
| Houston Methodist West HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.2× | $2279 plans | $112 |
| Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026 | $732Cash ÷ typical 3.3× | $2198 plans | $112 |
| HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026 | $1,885= list priceCash ÷ typical 4.8× | $39544 plans | $107 |
| HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026 | $1,979= list priceCash ÷ typical 6.3× | $31334 plans | $107 |
| HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026 | $2,078= list priceCash ÷ typical 5.3× | $39645 plans | $107 |
| HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026 | $2,078= list priceCash ÷ typical 6.9× | $30132 plans | $107 |
| HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026 | $2,149= list priceCash ÷ typical 6.9× | $31334 plans | $107 |
| HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026 | $2,222–$2,223= list priceCash ÷ typical 7.1× | $31334 plans | $107 |
| HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026 | $2,276= list priceCash ÷ typical 7.3× | $31334 plans | $107 |
| HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026 | $2,352= list priceCash ÷ typical 5.8× | $40244 plans | $107 |
| HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026 | $2,352= list priceCash ÷ typical 5.8× | $40244 plans | $107 |
| HCA Houston Healthcare WestHCA Healthcare · file Sep 2026 | $3,296= list priceCash ÷ typical 8.2× | $40244 plans | $107 |
| HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026 | $3,837= list priceCash ÷ typical 9.1× | $42343 plans | $107 |
| Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026 | $450Cash ÷ typical 2.7× | $1654 plans | $158 |
| Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $450–$519Cash ÷ typical 1.0× | $42917 plans | $389 |
| Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $450–$519Cash ÷ typical 1.0× | $42917 plans | $389 |
| Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026 | $450–$519Cash ÷ typical 1.0× | $42917 plans | $389 |
↓ 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 | $203–$225 | $345 | $32.90 | $265 | — | — | $40–$102 | $102 |
| Harris Health Lyndon B Johnson Hospital | $203–$225 | $345 | $32.90 | $265 | — | — | $40–$102 | $102 |
| Houston Methodist Hospital | $444 | $118–$122 | $227–$240 | — | — | — | — | $105–$116 |
| Memorial Hermann Greater Heights Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Katy Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Memorial City Medical Center | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Northeast Hospital | — | $163 | — | — | — | — | — | $105–$116 |
| Memorial Hermann Pearland Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Southeast Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Southwest Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Sugar Land Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann The Woodlands Medical Center | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Cypress Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Rockets Orthopedic Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann-Texas Medical Center | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Imaging Center (Bellaire) | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Imaging Center (Cypress) | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Imaging Center (Texas Medical Center) | — | $163 | — | — | — | — | — | $105–$121 |
| Memorial Hermann Imaging Center (Upper Kirby) | — | $163 | — | — | — | — | — | $105–$121 |
| St. Luke's Health Brazosport Hospital | $214–$342 | $164–$565 | $126 | $165–$532 | $276 | $154 | $35–$1,337 | $107–$249 |
| St. Luke's Health Sugar Land Hospital | $158–$378 | $164–$1,387 | $92–$124 | $140–$958 | — | — | $40–$1,685 | $107–$551 |
| St. Luke's Health The Vintage Hospital | $158–$378 | $164–$1,387 | $92–$124 | $140–$958 | — | — | $40–$1,685 | $107–$551 |
| St. Luke's Health Lakeside Hospital | $158–$378 | $164–$1,387 | $92–$124 | $140–$958 | — | $160 | $40–$1,685 | $107–$551 |
| Baylor St Luke's Medical Center | $135–$392 | $164–$1,427 | $92–$124 | $582–$958 | — | — | $40–$1,685 | $107–$551 |
| St. Luke's Health Springwoods Village Hospital | $158–$378 | $1,203–$1,387 | $92–$160 | $140–$958 | — | — | $40–$1,121 | $107–$551 |
| St. Luke's Health The Woodlands Hospital | $158–$378 | $164–$1,387 | $92–$160 | $140–$958 | — | — | $40–$1,685 | $107–$551 |
| St. Luke's Health Patients Medical Center | $158–$378 | $1,204–$1,387 | $92–$124 | $140–$230 | — | $160 | $38–$125 | $107–$114 |
| Houston Methodist Clear Lake Hospital | $273–$444 | $112–$115 | $227–$240 | — | — | — | — | $105–$116 |
| Houston Methodist Baytown Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$116 |
| Houston Methodist Cypress Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$112 |
| Houston Methodist The Woodlands Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$112 |
| Houston Methodist Sugar Land Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$116 |
| Houston Methodist West Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$116 |
| Houston Methodist Willowbrook Hospital | $444 | $112–$115 | $227–$240 | — | — | — | — | $105–$116 |
| HCA Houston Healthcare Southeast | $197–$660 | $240–$325 | $107–$137 | $207–$848 | $625 | — | $39–$113 | $848 |
| HCA Houston Healthcare Pearland | $197–$693 | $240–$325 | $107–$137 | $207–$891 | $656 | — | $40–$119 | — |
| HCA Houston Healthcare Kingwood | $197–$727 | $240–$325 | $107–$137 | $207–$935 | $688 | — | $39–$125 | $935 |
| HCA Houston Healthcare North Cypress | $197–$727 | $240–$325 | $107–$137 | $207–$935 | — | — | $40–$125 | — |
| HCA Houston Healthcare Tomball | $197–$752 | $240–$325 | $107–$137 | $207–$967 | $712 | — | $40–$129 | — |
| HCA Houston Healthcare Medical Center | $197–$778 | $240–$325 | $107–$137 | $207–$1,000 | $736 | — | $40–$133 | — |
| HCA Houston Healthcare Northwest | $197–$797 | $240–$325 | $107–$137 | $207–$1,024 | $754 | — | $40–$137 | — |
| HCA Houston Healthcare Clear Lake | $197–$823 | $240–$325 | $107–$137 | $207–$1,058 | $779 | — | $39–$141 | $1,058 |
| HCA Houston Healthcare Mainland | $197–$823 | $240–$325 | $107–$137 | $207–$1,058 | $779 | — | $39–$141 | $1,058 |
| HCA Houston Healthcare West | $197–$1,154 | $240–$325 | $107–$137 | $207–$1,483 | $1,092 | — | $39–$198 | $1,483 |
| HCA Houston Healthcare Conroe | $197–$1,343 | $240–$325 | $107–$137 | $207–$1,727 | $1,271 | — | $39–$230 | $1,727 |
| Children's Memorial Hermann Hospital | — | $163 | — | — | — | — | — | $105–$121 |
| Texas Children's Hospital The Woodlands | $423 | $429 | $389–$429 | $429 | — | — | $40–$268 | — |
| Texas Children's Hospital West Campus | $423 | $429 | $389–$429 | $429 | — | — | $40–$268 | — |
| Texas Children's Hospital | $423 | $429 | $389–$429 | $429 | — | — | $40–$268 | — |
Harris Health Ben Taub Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Commercial | Commercial | $32.90 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $40.90 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $41.30 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $102 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $102 | fee schedule |
| CHC | Marketplace | Commercial | $107 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $203 | fee schedule |
| BCBS TX | PPO POS | Commercial | $225 | fee schedule |
| UHC | Commercial | Commercial | $265 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $345 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $345 | 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 | $32.90 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $40.10 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $40.90 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $41.30 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $102 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $102 | fee schedule |
| CHC | Marketplace | Commercial | $107 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $203 | fee schedule |
| BCBS TX | PPO POS | Commercial | $225 | fee schedule |
| UHC | Commercial | Commercial | $265 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $345 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $345 | percent of total billed charges |
Houston Methodist Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $118 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $122 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $227 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Uae | All Commercial Plans | Commercial | $420 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | fee schedule |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|CHIP | Medicaid / CHIP | $34.73 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $42.10 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $56.54 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $99.78 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $112 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $123 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $126 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $134 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $154 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| United | Commercial|Exchange | Commercial | $165 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $214 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $249 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $276 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $276 | case rate |
| BCBS-TX | Commercial|PPO-POS | Commercial | $285 | fee schedule |
| Entrust | Commercial|All Plans | Commercial | $287 | case rate |
| BCBS-TX | Commercial|HMO | Commercial | $306 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $307 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $342 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $532 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $565 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $832 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $998 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $1,337 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $61.75 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $113 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $117 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $163 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $163 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $219 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $346 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $714 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,203 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,685 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | fee schedule |
St. Luke's Health The Vintage Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $61.75 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $117 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $149 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $163 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $163 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $219 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $346 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $714 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,203 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,685 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | fee schedule |
St. Luke's Health Lakeside Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $61.75 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $117 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Harris Health | Commercial|ERS | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $163 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $163 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $219 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $346 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $714 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,203 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,685 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | fee schedule |
Baylor St Luke's Medical Center: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $61.75 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $112 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $128 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $135 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $145 | fee schedule |
| Employer Direct | Commercial|PPO | Commercial | $149 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Harris Health | Commercial|ERS | Commercial | $160 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $224 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $224 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $300 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $301 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $346 | case rate |
| BCBS - TX | Commercial|HMO | Commercial | $354 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $392 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| United | Commercial|Exchange | Commercial | $582 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Charter | Commercial | $782 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $836 | fee schedule |
| United | Commercial|HMO | Commercial | $869 | fee schedule |
| United | Commercial|PPO | Commercial | $869 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $1,020 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $1,244 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,685 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Montgomery Hospital District | Commercial|All Plans | Public program | $40.10 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $117 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $160 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $204 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $346 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $714 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,203 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Montgomery Hospital District | Commercial|All Plans | Public program | $40.10 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $40.10 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $40.90 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $42.10 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $46.12 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $53.73 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $61.75 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $76.69 | case rate |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $108 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $117 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $144 | case rate |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Cigna | Commercial|All Other Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Aetna | Commercial|Exchange | Commercial | $164 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $204 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $273 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $346 | case rate |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| OPTUM | Medicare|All Plans | Medicare Advantage | $551 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $714 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $738 | fee schedule |
| United | Commercial|Optum | Commercial | $958 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $1,121 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $1,121 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,203 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,325 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,325 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,427 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,529 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,685 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,733 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $2,039 | 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 | $38.09 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $38.09 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $40.10 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $40.90 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $54.94 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $91.58 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $101 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $107 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $109 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $110 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $114 | case rate |
| Cigna | Commercial|PPO | Commercial | $124 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $125 | fee schedule |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $158 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $160 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $160 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $160 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $164 | fee schedule |
| Bright Health | Commercial|All Plans | Commercial | $182 | case rate |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $287 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $336 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $378 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,204 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,326 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,326 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,387 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,428 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,530 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $273 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Uae | All Commercial Plans | Commercial | $420 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $105 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $107 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $107 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $108 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $110 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $112 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $112 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $115 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $116 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $171 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $210 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $227 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $240 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $444 | 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 | $39.30 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $113 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $113 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $113 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $113 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $113 | percent of total billed charges |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| United | OptionsPPO | Commercial | $381 | percent of total billed charges |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $409 | fee schedule |
| BCBS | PPO | Commercial | $437 | fee schedule |
| Texas Workforce Commission | WCOMP | Workers' comp | $452 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $481 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $515 | percent of total billed charges |
| Humana | HMO | Commercial | $625 | percent of total billed charges |
| Humana | PPO | Commercial | $625 | percent of total billed charges |
| BCBS | Traditional | Commercial | $660 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $660 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $754 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $754 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $811 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $848 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $848 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $848 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $977 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,037 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,037 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,131 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,131 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $1,131 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,131 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,225 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $1,414 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,414 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,546 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,602 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,602 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,602 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,697 | percent of total billed charges |
HCA Houston Healthcare Pearland: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $119 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $119 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $119 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| United | OptionsPPO | Commercial | $332 | percent of total billed charges |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $408 | fee schedule |
| BCBS | PPO | Commercial | $434 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $505 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $540 | percent of total billed charges |
| Humana | HMO | Commercial | $656 | percent of total billed charges |
| Humana | PPO | Commercial | $656 | percent of total billed charges |
| BCBS | Traditional | Commercial | $693 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $792 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $792 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $891 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,025 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,484 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,682 | 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 | $39.30 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $125 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| United | OptionsPPO | Commercial | $349 | percent of total billed charges |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $530 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $567 | percent of total billed charges |
| Humana | HMO | Commercial | $688 | percent of total billed charges |
| Humana | PPO | Commercial | $688 | percent of total billed charges |
| BCBS | Traditional | Commercial | $727 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $727 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $727 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $831 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $831 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $894 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $935 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $935 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $935 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,076 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,143 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,143 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,247 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,247 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,247 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,351 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,559 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,704 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,766 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,766 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,766 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $1,766 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $1,870 | percent of total billed charges |
HCA Houston Healthcare North Cypress: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $125 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| United | OptionsPPO | Commercial | $420 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $530 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $567 | percent of total billed charges |
| BCBS | Traditional | Commercial | $727 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $831 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $831 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $935 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,076 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,559 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,766 | percent of total billed charges |
HCA Houston Healthcare Tomball: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $129 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $129 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $129 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $129 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $129 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| United | OptionsPPO | Commercial | $361 | percent of total billed charges |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $423 | fee schedule |
| BCBS | PPO | Commercial | $464 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $548 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $587 | percent of total billed charges |
| Humana | HMO | Commercial | $712 | percent of total billed charges |
| Humana | PPO | Commercial | $712 | percent of total billed charges |
| BCBS | Traditional | Commercial | $752 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $761 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $860 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $860 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $967 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,612 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,827 | percent of total billed charges |
HCA Houston Healthcare Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $133 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $133 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $133 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $133 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $133 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| United | OptionsPPO | Commercial | $373 | percent of total billed charges |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $408 | fee schedule |
| BCBS | PPO | Commercial | $434 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $567 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $607 | percent of total billed charges |
| Humana | HMO | Commercial | $736 | percent of total billed charges |
| Humana | PPO | Commercial | $736 | percent of total billed charges |
| BCBS | Traditional | Commercial | $778 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $889 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $889 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,000 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,151 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,667 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,889 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $137 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $137 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $137 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $137 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $137 | percent of total billed charges |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| United | OptionsPPO | Commercial | $382 | percent of total billed charges |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $580 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $621 | percent of total billed charges |
| Humana | HMO | Commercial | $754 | percent of total billed charges |
| Humana | PPO | Commercial | $754 | percent of total billed charges |
| BCBS | Traditional | Commercial | $797 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $910 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $910 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,024 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,179 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,707 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,935 | 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 | $39.30 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Cigna | PPO | Commercial | $137 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $141 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| BCBS | BAV | Commercial | $213 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| United | OptionsPPO | Commercial | $414 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $564 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $600 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $642 | percent of total billed charges |
| Humana | HMO | Commercial | $779 | percent of total billed charges |
| Humana | PPO | Commercial | $779 | percent of total billed charges |
| BCBS | Traditional | Commercial | $823 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $823 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $823 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $941 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $941 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,011 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,058 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,058 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,058 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,218 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,293 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,293 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,411 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,411 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,411 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,529 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,764 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,928 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,999 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,999 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,999 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,117 | 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 | $39.30 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Cigna | PPO | Commercial | $137 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $141 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $141 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| BCBS | BAV | Commercial | $213 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| United | OptionsPPO | Commercial | $475 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $588 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $600 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $642 | percent of total billed charges |
| Humana | HMO | Commercial | $779 | percent of total billed charges |
| Humana | PPO | Commercial | $779 | percent of total billed charges |
| BCBS | Traditional | Commercial | $823 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $823 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $941 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $941 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,011 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,058 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,058 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,058 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,218 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,293 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,293 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,411 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,411 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,411 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,529 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,764 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,928 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,999 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,999 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,999 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,117 | 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 | $39.30 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $198 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $198 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $198 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $198 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $198 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| BCBS | BAV | Commercial | $213 | fee schedule |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $396 | fee schedule |
| BCBS | PPO | Commercial | $409 | fee schedule |
| United | OptionsPPO | Commercial | $554 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $791 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $840 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $900 | percent of total billed charges |
| Humana | HMO | Commercial | $1,092 | percent of total billed charges |
| Humana | PPO | Commercial | $1,092 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,154 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $1,154 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,318 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,318 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,417 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,483 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,483 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,483 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,707 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,813 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,813 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,978 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,978 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,978 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,978 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $2,142 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,472 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,703 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,802 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,802 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,802 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,966 | 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 | $39.30 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $40.10 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $40.10 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $40.10 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $40.10 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $40.90 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $43.31 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $44.11 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $44.11 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $50.13 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $60.15 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $60.15 | fee schedule |
| Cigna | CSN | Commercial | $107 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $115 | fee schedule |
| Cigna | PPO | Commercial | $137 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $197 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $207 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $230 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $230 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $230 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $230 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $230 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $240 | fee schedule |
| Aetna | NBPOS | Commercial | $240 | fee schedule |
| Aetna | NBPPO | Commercial | $240 | fee schedule |
| United | AllPayerAppendix | Commercial | $245 | fee schedule |
| United | SmallGroup | Commercial | $245 | fee schedule |
| BCBS | BAV | Commercial | $250 | fee schedule |
| Aetna | COMMHMO | Commercial | $256 | fee schedule |
| Aetna | COMMPOS | Commercial | $256 | fee schedule |
| Aetna | COMMPPO | Commercial | $256 | fee schedule |
| Aetna | OONHMO | Commercial | $301 | fee schedule |
| Aetna | OONPOS | Commercial | $301 | fee schedule |
| Aetna | OONPPO | Commercial | $301 | fee schedule |
| Aetna | ASAHMO | Commercial | $325 | fee schedule |
| Aetna | ASAPOS | Commercial | $325 | fee schedule |
| Aetna | ASAPPO | Commercial | $325 | fee schedule |
| BCBS | HMO | Commercial | $381 | fee schedule |
| BCBS | EPOSOA | Commercial | $423 | fee schedule |
| BCBS | PPO | Commercial | $464 | fee schedule |
| United | OptionsPPO | Commercial | $675 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $921 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $978 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $1,048 | percent of total billed charges |
| Humana | HMO | Commercial | $1,271 | percent of total billed charges |
| Humana | PPO | Commercial | $1,271 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,343 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $1,343 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,535 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,535 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,650 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,727 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,727 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,727 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,988 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $2,110 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $2,110 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $2,302 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $2,302 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $2,302 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $2,494 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,878 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $3,146 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $3,262 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $3,262 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $3,262 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $3,453 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $105 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $116 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $121 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $158 | fee schedule |
| Aetna | Exchange | Commercial | $163 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $168 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $200 | fee schedule |
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 | $40.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $42.10 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $44.11 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $44.11 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $181 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $201 | 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 | $235 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $237 | 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 | $268 | 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 | $268 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $389 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $423 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $429 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $429 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $429 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $429 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $429 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $429 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $436 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $470 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $503 | percent of total billed charges |
| First Health | Commercial | Commercial | $590 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $604 | percent of total billed charges |
| First Health | CCN Network | Commercial | $637 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $637 | 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 | $40.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $42.10 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $44.11 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $44.11 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $181 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $201 | 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 | $235 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $237 | 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 | $268 | 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 | $268 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $389 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $423 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $429 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $429 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $429 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $429 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $429 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $429 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $436 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $470 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $503 | percent of total billed charges |
| First Health | Commercial | Commercial | $590 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $604 | percent of total billed charges |
| First Health | CCN Network | Commercial | $637 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $637 | 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 | $40.10 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $42.10 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $44.11 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $44.11 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $181 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $181 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $181 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $201 | 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 | $235 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $237 | 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 | $268 | 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 | $268 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $389 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $423 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $423 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $429 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $429 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $429 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $429 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $429 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $429 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $436 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $470 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $503 | percent of total billed charges |
| First Health | Commercial | Commercial | $590 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $604 | percent of total billed charges |
| First Health | CCN Network | Commercial | $637 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $637 | percent of total billed charges |
What this price covers
These are hospital charges for CPT code 72100 (Lower back X-ray (2–3 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.