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

45 hospitals and imaging centers in Houston list a self-pay price of $84–$3,035 for a shoulder X-ray (2+ views) (CPT 73030). The typical commercial rate in the same files is $223.

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

Published cash price
$84–$3,035
what 45 hospitals and imaging centers list for a self-pay shoulder X-ray
Typical insured rate
$223
median of every commercial plan rate in the files
Lowest insured rate
$24.73
Cigna (Commercial), Harris Health Ben Taub Hospital

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

Shoulder 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 73030; Medicaid and Medicare Advantage are shown separately below.

Shoulder X-ray (2+ views) (CPT 73030) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$84.49Cash ÷ typical 0.7×$1227 plans$24.73
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$84.49Cash ÷ typical 0.7×$1227 plans$24.73
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.7×$20730 plans$63.50
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.7×$20431 plans$63.50
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.7×$20431 plans$63.50
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.2×$25233 plans$63.50
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.4×$23027 plans$63.50
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$559Cash ÷ typical 2.7×$20730 plans$63.50
Houston Methodist HospitalHouston Methodist · file Apr 2026$591Cash ÷ typical 3.0×$1949 plans$104
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$617Cash ÷ typical 3.9×$15918 plans$92.60
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$635Cash ÷ typical 3.1×$20722 plans$79.98
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.1×$1949 plans$98.93
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.3×$1848 plans$98.93
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.3×$1848 plans$98.93
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.3×$1848 plans$98.93
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.3×$1848 plans$98.93
Houston Methodist West HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.1×$1949 plans$98.93
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$798Cash ÷ typical 4.3×$1848 plans$98.93
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$1,807–$2,248= list priceCash ÷ typical 6.0×$30144 plans$93.19
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$2,255= list priceCash ÷ typical 7.7×$29145 plans$93.19
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$2,255= list priceCash ÷ typical 8.6×$26332 plans$93.19
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$2,310= list priceCash ÷ typical 8.7×$26734 plans$93.19
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$2,314= list priceCash ÷ typical 8.7×$26734 plans$93.19
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$2,394= list priceCash ÷ typical 9.0×$26734 plans$93.19
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$2,449= list priceCash ÷ typical 9.2×$26734 plans$93.19
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$2,600= list priceCash ÷ typical 9.0×$28844 plans$93.19
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$2,737= list priceCash ÷ typical 9.5×$28844 plans$93.19
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$2,737= list priceCash ÷ typical 9.5×$28844 plans$93.19
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$3,035= list priceCash ÷ typical 10×$30143 plans$93.19
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$439–$659Cash ÷ typical 3.2×$1384 plans$131
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$496Cash ÷ typical 1.0×$47417 plans$430
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$496Cash ÷ typical 1.0×$47417 plans$430
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$496Cash ÷ typical 1.0×$47417 plans$430

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Harris Health Ben Taub Hospital$110–$122$319$24.73$245——$35.09–$84.49$84.49
Harris Health Lyndon B Johnson Hospital$110–$122$319$24.73$245——$35.09–$84.49$84.49
Memorial Hermann Cypress Hospital—$136—————$87–$101
Memorial Hermann Greater Heights Hospital—$136—————$87–$101
Memorial Hermann Katy Hospital—$136—————$87–$101
Memorial Hermann Memorial City Medical Center—$136—————$87–$101
Memorial Hermann Northeast Hospital—$136—————$87.42–$96.16
Memorial Hermann Rockets Orthopedic Hospital—$136—————$87–$101
Memorial Hermann Pearland Hospital—$136—————$87–$101
Memorial Hermann Southeast Hospital—$136—————$87–$101
Memorial Hermann Southwest Hospital—$136—————$87–$101
Memorial Hermann Sugar Land Hospital—$136—————$87–$101
Memorial Hermann-Texas Medical Center—$136—————$87–$101
Memorial Hermann The Woodlands Medical Center—$136—————$87–$101
Memorial Hermann Imaging Center (Bellaire)—$136—————$87–$101
Memorial Hermann Imaging Center (Cypress)—$136—————$87–$101
Memorial Hermann Imaging Center (Texas Medical Center)—$136—————$87–$101
Memorial Hermann Imaging Center (Upper Kirby)—$136—————$87–$101
St. Luke's Health Sugar Land Hospital$113–$269$136–$1,085$80–$108$140–$750——$35–$1,319$61–$431
St. Luke's Health The Vintage Hospital$113–$269$136–$1,085$80–$108$140–$750——$35–$1,319$88–$431
St. Luke's Health Lakeside Hospital$113–$269$136–$1,085$80–$108$140–$750—$132$35–$1,319$88–$431
Baylor St Luke's Medical Center$96–$279$136–$1,117$80–$108$582–$869——$35–$1,319$88–$431
St. Luke's Health Springwoods Village Hospital$113–$269$942–$1,085$80–$132$140–$750——$35–$878$88–$431
St. Luke's Health The Woodlands Hospital$113–$269$136–$1,085$80–$132$140–$750——$35–$1,319$88–$431
Houston Methodist Hospital$316$104–$108$194–$206————$87.42–$96.16
St. Luke's Health Brazosport Hospital$150–$243$136–$600$110$137–$564$205$128$29–$1,340$88–$265
St. Luke's Health Patients Medical Center$113–$269$1,070–$1,234$80–$108$140–$230—$132$33–$109$88.19–$94.36
Houston Methodist Clear Lake Hospital$195–$316$99–$102$194–$206————$87.42–$96.16
Houston Methodist Baytown Hospital$316$99–$102$194–$206————$87.42–$96.16
Houston Methodist Cypress Hospital$316$99–$102$194–$206————$87.42–$93.54
Houston Methodist The Woodlands Hospital$316$99–$102$194–$206————$87.42–$93.54
Houston Methodist Sugar Land Hospital$316$99–$102$194–$206————$87.42–$96.16
Houston Methodist West Hospital$316$99–$102$194–$206————$87.42–$96.16
Houston Methodist Willowbrook Hospital$316$99–$102$194–$206————$87.42–$96.16
HCA Houston Healthcare Southeast$140–$787$210–$284$93–$120$154–$1,011$745—$34–$135$1,011
HCA Houston Healthcare Kingwood$140–$789$210–$284$93–$120$154–$1,015$747—$34–$135$1,015
HCA Houston Healthcare North Cypress$140–$789$210–$284$93–$120$154–$1,015——$35–$135—
HCA Houston Healthcare Pearland$140–$809$210–$284$93–$120$154–$1,040$765—$35–$139—
HCA Houston Healthcare Tomball$140–$810$210–$284$93–$120$154–$1,041$767—$35–$139—
HCA Houston Healthcare Medical Center$140–$838$210–$284$93–$120$154–$1,077$793—$35–$144—
HCA Houston Healthcare Northwest$140–$857$210–$284$93–$120$154–$1,102$811—$35–$147—
HCA Houston Healthcare West$140–$910$210–$284$93–$120$154–$1,170$861—$34–$156$1,170
HCA Houston Healthcare Clear Lake$140–$958$210–$284$93–$120$154–$1,232$907—$34–$164$1,232
HCA Houston Healthcare Mainland$140–$958$210–$284$93–$120$154–$1,232$907—$34–$164$1,232
HCA Houston Healthcare Conroe$140–$1,062$210–$284$93–$120$154–$1,366$1,005—$34–$182$1,366
Children's Memorial Hermann Hospital—$136—————$87–$101
Texas Children's Hospital The Woodlands$467$474$430–$474$474——$35–$296—
Texas Children's Hospital West Campus$467$474$430–$474$474——$35–$296—
Texas Children's Hospital$467$474$430–$474$474——$35–$296—
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CignaCommercialCommercial$24.73fee schedule
MolinaMedicaidMedicaid / CHIP$35.09fee schedule
UHCMedicaidMedicaid / CHIP$35.09fee schedule
TX ChildrensMedicaidMedicaid / CHIP$35.09fee schedule
CHCMedicaidMedicaid / CHIP$35.79fee schedule
SuperiorMedicaidMedicaid / CHIP$36.14fee schedule
CHCD-SNPMedicare Advantage$84.49fee schedule
MolinaMedicare & MMPMedicaid / CHIP$84.49fee schedule
CHCMarketplaceCommercial$88.71fee schedule
BCBS TXBlue AdvantageCommercial$110fee schedule
BCBS TXPPO POSCommercial$122fee schedule
UHCCommercialCommercial$245percent of total billed charges
AetnaCommercial HMOCommercial$319percent of total billed charges
AetnaCommercial PPOCommercial$319percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CignaCommercialCommercial$24.73fee schedule
MolinaMedicaidMedicaid / CHIP$35.09fee schedule
UHCMedicaidMedicaid / CHIP$35.09fee schedule
TX ChildrensMedicaidMedicaid / CHIP$35.09fee schedule
CHCMedicaidMedicaid / CHIP$35.79fee schedule
SuperiorMedicaidMedicaid / CHIP$36.14fee schedule
CHCD-SNPMedicare Advantage$84.49fee schedule
MolinaMedicare & MMPMedicaid / CHIP$84.49fee schedule
CHCMarketplaceCommercial$88.71fee schedule
BCBS TXBlue AdvantageCommercial$110fee schedule
BCBS TXPPO POSCommercial$122fee schedule
UHCCommercialCommercial$245percent of total billed charges
AetnaCommercial HMOCommercial$319percent of total billed charges
AetnaCommercial PPOCommercial$319percent of total billed charges
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPrem/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
St. Luke's Health Sugar Land Hospital: all 65 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.45fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.79fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
WellpointMedicaid|STARMedicaid / CHIP$46.56fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$47.61fee schedule
CHCMedicaid|STARMedicaid / CHIP$53.52fee schedule
KELSEYMedicare|All PlansMedicare Advantage$61.08case rate
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$128fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$128fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$171fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$559fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$942fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
AetnaCommercial|HMOCommercial$1,085fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,319fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
St. Luke's Health The Vintage Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.45fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.79fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
WellpointMedicaid|STARMedicaid / CHIP$46.56fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$47.61fee schedule
CHCMedicaid|STARMedicaid / CHIP$53.52fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
Employer DirectCommercial|PPOCommercial$123case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$128fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$128fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$171fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$559fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$942fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
AetnaCommercial|HMOCommercial$1,085fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,319fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
St. Luke's Health Lakeside Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.45fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.79fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
WellpointMedicaid|STARMedicaid / CHIP$46.56fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$47.61fee schedule
CHCMedicaid|STARMedicaid / CHIP$53.52fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
TCHPMedicaid|LakesideMedicaid / CHIP$128fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$128fee schedule
AmbetterCommercial|All PlansCommercial$132case rate
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Harris HealthCommercial|ERSCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARMedicaid / CHIP$171fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$559fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$942fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
AetnaCommercial|HMOCommercial$1,085fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,319fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
Baylor St Luke's Medical Center: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.45fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.79fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
WellpointMedicaid|STARMedicaid / CHIP$46.56fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$47.61fee schedule
CHCMedicaid|STARMedicaid / CHIP$53.52fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HumanaMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All Other PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
SELECTCAREMedicare|All PlansMedicare Advantage$92.60case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$95.77fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$103fee schedule
KINDREDMedicare|All PlansMedicare Advantage$106case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
Employer DirectCommercial|PPOCommercial$123case rate
Community Health ChoiceCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Harris HealthCommercial|ERSCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$176fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$176fee schedule
BCBS - TXCommercial|PremierCommercial$214fee schedule
TCHPMedicaid|STARMedicaid / CHIP$235fee schedule
BCBS - TXCommercial|HMOCommercial$252fee schedule
BCBS - TXCommercial|PPO TradCommercial$279fee schedule
NX HealthCommercial|PPOCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|ExchangeCommercial$582fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$654fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
UnitedCommercial|CharterCommercial$782fee schedule
ShellCommercial|All PlansCommercial$798fee schedule
UnitedCommercial|HMOCommercial$869fee schedule
UnitedCommercial|PPOCommercial$869fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
AetnaCommercial|KelseyCareCommercial$974fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
AetnaCommercial|HMOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,319fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
Montgomery Hospital DistrictCommercial|All PlansPublic program$35.09fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.45fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
UHCMedicaid|STARMedicaid / CHIP$47.61fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
CignaCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$160fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NXHealthCommercial|All PlansCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$559fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$942fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
AetnaCommercial|HMOCommercial$1,085fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
St. Luke's Health The Woodlands Hospital: all 66 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellpointMedicaid|CHIPMedicaid / CHIP$34.75fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$34.75fee schedule
Montgomery Hospital DistrictCommercial|All PlansPublic program$35.09fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$35.09fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$35.45fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.45fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$35.79fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$39.96fee schedule
WellpointMedicaid|STARMedicaid / CHIP$46.56fee schedule
UHCMedicaid|STARMedicaid / CHIP$47.61fee schedule
CHCMedicaid|STARMedicaid / CHIP$53.52fee schedule
RenaissanceCommercial|All PlansCommercial$63.50case rate
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$88.19case rate
HUMANAMedicare|All Other PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$89.07case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$89.95case rate
AmerivantageMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
KINDREDMedicare|All PlansMedicare Advantage$97.01case rate
CignaCommercial|PPOCommercial$108fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$108fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
KelseyCareCommercial|ExchangeCommercial$119case rate
CignaCommercial|All Other PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
Superior Health PlanCommercial|All PlansCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$160fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$160fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
TCHPMedicaid|STARMedicaid / CHIP$214fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
NXHealthCommercial|All PlansCommercial$287case rate
OPTUMMedicare|All PlansMedicare Advantage$431fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$559fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$577fee schedule
UnitedCommercial|OptumCommercial$750fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$878fee schedule
CHCMedicaid|HMOMedicaid / CHIP$878fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$878fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$942fee schedule
CoventryCommercial|PPOCommercial$1,037fee schedule
First HealthCommercial|All PlansCommercial$1,037fee schedule
AetnaCommercial|HMOCommercial$1,085fee schedule
HealthsmartCommercial|PPOCommercial$1,117fee schedule
MultiPlanCommercial|All PlansCommercial$1,197fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$1,319fee schedule
USA Health NetworkCommercial|All PlansCommercial$1,357fee schedule
MHealth NetworkCommercial|PPOCommercial$1,596fee schedule
Houston Methodist Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$104fee schedule
AetnaHmo/Pos/PpoCommercial$108fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$189fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
UaeAll Commercial PlansCommercial$350fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|CHIPMedicaid / CHIP$29.13fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$34.75fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$36.84fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$36.84fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$46.56fee schedule
CHCMedicaid|STARMedicaid / CHIP$49.48fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$88.19case rate
HUMANAMedicare|All PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
UNITEDMedicare|All PlansMedicare Advantage$88.19case rate
SELECTCAREMedicare|All PlansMedicare Advantage$90.84case rate
WellcareTPMedicare|All PlansMedicare Advantage$90.84case rate
WellpointMedicare|All PlansMedicare Advantage$90.84case rate
Community Health ChoiceCommercial|ExchangeCommercial$92.60case rate
DevotedMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
TCHPMedicaid|All Other PlansMedicaid / CHIP$106fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$106fee schedule
CignaCommercial|All PlansCommercial$110fee schedule
AmbetterCommercial|All PlansCommercial$128case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
AetnaCommercial|ExchangeCommercial$136case rate
UnitedCommercial|ExchangeCommercial$137case rate
TCHPMedicaid|STARMedicaid / CHIP$142fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$150fee schedule
BCBS-TXCommercial|Blue Advantage HMOCommercial$152fee schedule
BCBS-TXCommercial|TraditionalCommercial$166fee schedule
BCBS-TXCommercial|PPO-POSCommercial$203fee schedule
HumanaCommercial|All PlansCommercial$205case rate
EntrustCommercial|All PlansCommercial$213case rate
BCBS-TXCommercial|HMOCommercial$218fee schedule
BCBS-TXCommercial|PPOCommercial$243fee schedule
AetnaMedicare|All PlansMedicare Advantage$265fee schedule
UnitedCommercial|All Other PlansCommercial$564fee schedule
AetnaCommercial|All Other PlansCommercial$600fee schedule
Health FirstCommercial|All PlansCommercial$882fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
St. Luke's Health Patients Medical Center: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$33.34fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$33.34fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$35.09fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$35.79fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$48.07fee schedule
CignaCommercial|SurefitCommercial$79.98fee schedule
CignaCommercial|HMOCommercial$88.09fee schedule
BCBSMedicare|All PlansMedicare Advantage$88.19case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$88.19case rate
HUMANAMedicare|All PlansMedicare Advantage$88.19case rate
KELSEYMedicare|All PlansMedicare Advantage$88.19case rate
AETNAMedicare|All PlansMedicare Advantage$89.95case rate
UNITEDMedicare|All PlansMedicare Advantage$89.95case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$90.84case rate
DEVOTEDMedicare|All PlansMedicare Advantage$94.36case rate
SCANHealthMedicare|All PlansMedicare Advantage$94.36case rate
CignaCommercial|PPOCommercial$108fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$109fee schedule
BCBS-TXCommercial|ExchangeCommercial$113fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$117fee schedule
AmbetterCommercial|All PlansCommercial$132case rate
Community Health ChoiceCommercial|ExchangeCommercial$132case rate
WellpointCommercial|ExchangeCommercial$132case rate
Bright HealthCommercial|All PlansCommercial$135case rate
UnitedCommercial|ExchangeCommercial$140fee schedule
BCBS-TXCommercial|Blue PremierCommercial$204fee schedule
UnitedCommercial|CharterCommercial$209fee schedule
UnitedCommercial|HMOCommercial$230fee schedule
UnitedCommercial|PPOCommercial$230fee schedule
BCBS-TXCommercial|HMOCommercial$239fee schedule
BCBS-TXCommercial|PPOCommercial$269fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$1,070fee schedule
CoventryCommercial|PPOCommercial$1,179fee schedule
First HealthCommercial|All PlansCommercial$1,179fee schedule
AetnaCommercial|HMOCommercial$1,234fee schedule
HealthsmartCommercial|PPOCommercial$1,270fee schedule
MultiPlanCommercial|All PlansCommercial$1,361fee schedule
Houston Methodist Clear Lake Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
BcbsBlue Advantage ExchangeCommercial$195fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Baytown Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Cypress Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$93.54fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist The Woodlands Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist Sugar Land Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
Houston Methodist West Hospital: all 16 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
UaeAll Commercial PlansCommercial$350fee schedule
Houston Methodist Willowbrook Hospital: all 15 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$87.42fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$88.73fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$89.17fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$90.04fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$91.79fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$93.54fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$96.16fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$98.93fee schedule
AetnaHmo/Pos/PpoCommercial$102fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$143fee schedule
Molina HealthcareExchangeCommercial$175fee schedule
CignaLocal Plus/Surefit Hmo/PpoCommercial$194fee schedule
CignaNetwork C-24 Hmo/PpoCommercial$194fee schedule
CignaPcp Optional/Pcp Required Benefit Plans HmoCommercial$206fee schedule
BcbsAll Commercial PlansCommercial$316fee schedule
HCA Houston Healthcare Southeast: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
Superior Health PlanCHIPMedicaid / CHIP$135percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$135percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSEPOSOACommercial$291fee schedule
BCBSPPOCommercial$311fee schedule
UnitedOptionsPPOCommercial$454percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$539percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$573percent of total billed charges
Evry HealthBroadNetworkCommercial$614percent of total billed charges
HumanaHMOCommercial$745percent of total billed charges
HumanaPPOCommercial$745percent of total billed charges
BCBSTraditionalCommercial$787percent of total billed charges
Imagine HealthPPOCommercial$787percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$899percent of total billed charges
Curative AdministratorsCOMMCommercial$899percent of total billed charges
HealthSmart Preferred CareACCELCommercial$966percent of total billed charges
Averde HealthCommercialCommercial$1,011percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,011percent of total billed charges
UnitedGlobalAppendixCommercial$1,011percent of total billed charges
Coventry National First HealthCOMMCommercial$1,164percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,236percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,236percent of total billed charges
Independent Medical SystemCOMMCommercial$1,349percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,349percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$1,349percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,349percent of total billed charges
Coastal CompCOMMWorkers' comp$1,461percent of total billed charges
Fiesta Mart, IncCOMMCommercial$1,686percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,686percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,843percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,911percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,911percent of total billed charges
Physicians, INCCOMMCommercial$1,911percent of total billed charges
Affiliated PPOCOMMCommercial$2,023percent of total billed charges
HCA Houston Healthcare Kingwood: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
Superior Health PlanCHIPMedicaid / CHIP$135percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$135percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$379percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$575percent of total billed charges
Evry HealthBroadNetworkCommercial$616percent of total billed charges
HumanaHMOCommercial$747percent of total billed charges
HumanaPPOCommercial$747percent of total billed charges
BCBSTraditionalCommercial$789percent of total billed charges
Imagine HealthPPOCommercial$789percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$789percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$902percent of total billed charges
Curative AdministratorsCOMMCommercial$902percent of total billed charges
HealthSmart Preferred CareACCELCommercial$970percent of total billed charges
Averde HealthCommercialCommercial$1,015percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,015percent of total billed charges
UnitedGlobalAppendixCommercial$1,015percent of total billed charges
Coventry National First HealthCOMMCommercial$1,168percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,240percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,240percent of total billed charges
Independent Medical SystemCOMMCommercial$1,353percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,353percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,353percent of total billed charges
Coastal CompCOMMWorkers' comp$1,466percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,691percent of total billed charges
HealthSmart Preferred CarePPOCommercial$1,849percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$1,917percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,917percent of total billed charges
Physicians, INCCOMMCommercial$1,917percent of total billed charges
USA Managed CareCOMMCommercial$1,917percent of total billed charges
Affiliated PPOCOMMCommercial$2,030percent of total billed charges
HCA Houston Healthcare North Cypress: all 47 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
Superior Health PlanCHIPMedicaid / CHIP$135percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$135percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$135percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$456percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$575percent of total billed charges
Evry HealthBroadNetworkCommercial$616percent of total billed charges
BCBSTraditionalCommercial$789percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$902percent of total billed charges
Curative AdministratorsCOMMCommercial$902percent of total billed charges
UnitedGlobalAppendixCommercial$1,015percent of total billed charges
Coventry National First HealthCOMMCommercial$1,168percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,691percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,917percent of total billed charges
HCA Houston Healthcare Pearland: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
Superior Health PlanCHIPMedicaid / CHIP$139percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$139percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSEPOSOACommercial$291fee schedule
BCBSPPOCommercial$309fee schedule
UnitedOptionsPPOCommercial$388percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$589percent of total billed charges
Evry HealthBroadNetworkCommercial$631percent of total billed charges
HumanaHMOCommercial$765percent of total billed charges
HumanaPPOCommercial$765percent of total billed charges
BCBSTraditionalCommercial$809percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$924percent of total billed charges
Curative AdministratorsCOMMCommercial$924percent of total billed charges
UnitedGlobalAppendixCommercial$1,040percent of total billed charges
Coventry National First HealthCOMMCommercial$1,197percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,733percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,964percent of total billed charges
HCA Houston Healthcare Tomball: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
Superior Health PlanCHIPMedicaid / CHIP$139percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$139percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$139percent of total billed charges
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSEPOSOACommercial$301fee schedule
BCBSPPOCommercial$330fee schedule
UnitedOptionsPPOCommercial$389percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$590percent of total billed charges
Evry HealthBroadNetworkCommercial$632percent of total billed charges
HumanaHMOCommercial$767percent of total billed charges
HumanaPPOCommercial$767percent of total billed charges
BCBSTraditionalCommercial$810percent of total billed charges
Coventry National First HealthCOMMCommercial$819percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$926percent of total billed charges
Curative AdministratorsCOMMCommercial$926percent of total billed charges
UnitedGlobalAppendixCommercial$1,041percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,736percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,967percent of total billed charges
HCA Houston Healthcare Medical Center: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
Superior Health PlanCHIPMedicaid / CHIP$144percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$144percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$144percent of total billed charges
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSEPOSOACommercial$291fee schedule
BCBSPPOCommercial$309fee schedule
UnitedOptionsPPOCommercial$402percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$610percent of total billed charges
Evry HealthBroadNetworkCommercial$653percent of total billed charges
HumanaHMOCommercial$793percent of total billed charges
HumanaPPOCommercial$793percent of total billed charges
BCBSTraditionalCommercial$838percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$957percent of total billed charges
Curative AdministratorsCOMMCommercial$957percent of total billed charges
UnitedGlobalAppendixCommercial$1,077percent of total billed charges
Coventry National First HealthCOMMCommercial$1,240percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,795percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,035percent of total billed charges
HCA Houston Healthcare Northwest: all 56 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
Superior Health PlanCHIPMedicaid / CHIP$147percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$147percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$147percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$147percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$147percent of total billed charges
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$412percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$625percent of total billed charges
Evry HealthBroadNetworkCommercial$669percent of total billed charges
HumanaHMOCommercial$811percent of total billed charges
HumanaPPOCommercial$811percent of total billed charges
BCBSTraditionalCommercial$857percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$980percent of total billed charges
Curative AdministratorsCOMMCommercial$980percent of total billed charges
UnitedGlobalAppendixCommercial$1,102percent of total billed charges
Coventry National First HealthCOMMCommercial$1,269percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,837percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,082percent of total billed charges
HCA Houston Healthcare West: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$156percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$156percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$156percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$156percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$156percent of total billed charges
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$437percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$624percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$663percent of total billed charges
Evry HealthBroadNetworkCommercial$710percent of total billed charges
HumanaHMOCommercial$861percent of total billed charges
HumanaPPOCommercial$861percent of total billed charges
BCBSTraditionalCommercial$910percent of total billed charges
Imagine HealthPPOCommercial$910percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,040percent of total billed charges
Curative AdministratorsCOMMCommercial$1,040percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,118percent of total billed charges
Averde HealthCommercialCommercial$1,170percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,170percent of total billed charges
UnitedGlobalAppendixCommercial$1,170percent of total billed charges
Coventry National First HealthCOMMCommercial$1,347percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,430percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,430percent of total billed charges
Independent Medical SystemCOMMCommercial$1,560percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,560percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,560percent of total billed charges
TriumphCOMMCommercial$1,560percent of total billed charges
Coastal CompCOMMWorkers' comp$1,690percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,950percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,132percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,210percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,210percent of total billed charges
Physicians, INCCOMMCommercial$2,210percent of total billed charges
Affiliated PPOCOMMCommercial$2,340percent of total billed charges
HCA Houston Healthcare Clear Lake: all 74 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UTMBMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$164percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$164percent of total billed charges
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$482percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$657percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$698percent of total billed charges
Evry HealthBroadNetworkCommercial$747percent of total billed charges
HumanaHMOCommercial$907percent of total billed charges
HumanaPPOCommercial$907percent of total billed charges
Kelsey Care (Boon-Chapman)COMMCommercial$958percent of total billed charges
BCBSTraditionalCommercial$958percent of total billed charges
Imagine HealthPPOCommercial$958percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,095percent of total billed charges
Curative AdministratorsCOMMCommercial$1,095percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,177percent of total billed charges
Averde HealthCommercialCommercial$1,232percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,232percent of total billed charges
UnitedGlobalAppendixCommercial$1,232percent of total billed charges
Coventry National First HealthCOMMCommercial$1,418percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,505percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,505percent of total billed charges
Independent Medical SystemCOMMCommercial$1,642percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,642percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,642percent of total billed charges
Coastal CompCOMMWorkers' comp$1,779percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,053percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,244percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,327percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,327percent of total billed charges
Physicians, INCCOMMCommercial$2,327percent of total billed charges
Affiliated PPOCOMMCommercial$2,463percent of total billed charges
HCA Houston Healthcare Mainland: all 72 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
BCBSBAVCommercial$152fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
Superior Health PlanCHIPMedicaid / CHIP$164percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$164percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$164percent of total billed charges
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
BCBSEPOSOACommercial$282fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSPPOCommercial$291fee schedule
UnitedOptionsPPOCommercial$553percent of total billed charges
IPA Management ServicesCOMMCommercial$684percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$698percent of total billed charges
Evry HealthBroadNetworkCommercial$747percent of total billed charges
HumanaHMOCommercial$907percent of total billed charges
HumanaPPOCommercial$907percent of total billed charges
BCBSTraditionalCommercial$958percent of total billed charges
Imagine HealthPPOCommercial$958percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,095percent of total billed charges
Curative AdministratorsCOMMCommercial$1,095percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,177percent of total billed charges
Averde HealthCommercialCommercial$1,232percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,232percent of total billed charges
UnitedGlobalAppendixCommercial$1,232percent of total billed charges
Coventry National First HealthCOMMCommercial$1,418percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,505percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,505percent of total billed charges
Independent Medical SystemCOMMCommercial$1,642percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,642percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,642percent of total billed charges
Coastal CompCOMMWorkers' comp$1,779percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,053percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,244percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,327percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,327percent of total billed charges
Physicians, INCCOMMCommercial$2,327percent of total billed charges
Affiliated PPOCOMMCommercial$2,463percent of total billed charges
HCA Houston Healthcare Conroe: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$34.39fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$34.75fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$34.75fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$35.09fee schedule
AmerigroupMGMCDMedicaid / CHIP$35.09fee schedule
Liberty County IndigentLOCALGOVPublic program$35.09fee schedule
UnitedMGMCDMedicaid / CHIP$35.45fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$38.60fee schedule
HumanaMCDMedicaid / CHIP$43.86fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$52.64fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$52.64fee schedule
CignaCSNCommercial$93.19fee schedule
CignaOpenAccessPlusCommercial$101fee schedule
CignaPPOCommercial$120fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$154fee schedule
BCBSBAVCommercial$178fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
Superior Health PlanCHIPMedicaid / CHIP$182percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$182percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$182percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$182percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$182percent of total billed charges
AetnaNBHMOCommercial$210fee schedule
AetnaNBPOSCommercial$210fee schedule
AetnaNBPPOCommercial$210fee schedule
AetnaCOMMHMOCommercial$223fee schedule
AetnaCOMMPOSCommercial$223fee schedule
AetnaCOMMPPOCommercial$223fee schedule
AetnaOONHMOCommercial$263fee schedule
AetnaOONPOSCommercial$263fee schedule
AetnaOONPPOCommercial$263fee schedule
BCBSHMOCommercial$271fee schedule
AetnaASAHMOCommercial$284fee schedule
AetnaASAPOSCommercial$284fee schedule
AetnaASAPPOCommercial$284fee schedule
BCBSEPOSOACommercial$301fee schedule
BCBSPPOCommercial$330fee schedule
UnitedOptionsPPOCommercial$534percent of total billed charges
TX Workforce CommissionGVTPublic program$728percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$774percent of total billed charges
Evry HealthBroadNetworkCommercial$829percent of total billed charges
HumanaHMOCommercial$1,005percent of total billed charges
HumanaPPOCommercial$1,005percent of total billed charges
BCBSTraditionalCommercial$1,062percent of total billed charges
Imagine HealthPPOCommercial$1,062percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$1,214percent of total billed charges
Curative AdministratorsCOMMCommercial$1,214percent of total billed charges
HealthSmart Preferred CareACCELCommercial$1,305percent of total billed charges
Averde HealthCommercialCommercial$1,366percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$1,366percent of total billed charges
UnitedGlobalAppendixCommercial$1,366percent of total billed charges
Coventry National First HealthCOMMCommercial$1,572percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$1,669percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$1,669percent of total billed charges
Independent Medical SystemCOMMCommercial$1,821percent of total billed charges
National Healthcare SolutionsCOMMCommercial$1,821percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$1,821percent of total billed charges
Coastal CompCOMMWorkers' comp$1,973percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,276percent of total billed charges
HealthSmart Preferred CarePPOCommercial$2,489percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$2,580percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,580percent of total billed charges
Physicians, INCCOMMCommercial$2,580percent of total billed charges
Affiliated PPOCOMMCommercial$2,731percent of total billed charges
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$87.42fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$96.16fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$101fee schedule
Community HealthPremier/Select ExchangeCommercial$131fee schedule
AetnaExchangeCommercial$136fee schedule
Community HealthUltra ExchangeCommercial$140fee schedule
90 DegreesAll Commercial PlansCommercial$166fee schedule
Texas Children's Hospital The Woodlands: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$35.09fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$36.84fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$38.60fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$38.60fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$200percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$200percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$200percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$222percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$259percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$262percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$296percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$296percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$430percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$467percent of total billed charges
AetnaAetna HMOCommercial$474percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$474percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$474percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$474percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$474percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$474percent of total billed charges
KelseyCareKelseyCareCommercial$482percent of total billed charges
HealthSmartHealthSmart OtherCommercial$519percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$556percent of total billed charges
First HealthCommercialCommercial$652percent of total billed charges
MultiplanMultiplan OtherCommercial$667percent of total billed charges
First HealthCCN NetworkCommercial$704percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$704percent of total billed charges
Texas Children's Hospital West Campus: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$35.09fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$36.84fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$38.60fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$38.60fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$200percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$200percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$200percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$222percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$259percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$262percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$296percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$296percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$430percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$467percent of total billed charges
AetnaAetna HMOCommercial$474percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$474percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$474percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$474percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$474percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$474percent of total billed charges
KelseyCareKelseyCareCommercial$482percent of total billed charges
HealthSmartHealthSmart OtherCommercial$519percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$556percent of total billed charges
First HealthCommercialCommercial$652percent of total billed charges
MultiplanMultiplan OtherCommercial$667percent of total billed charges
First HealthCCN NetworkCommercial$704percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$704percent of total billed charges
Texas Children's Hospital: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$35.09fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$36.84fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$38.60fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$38.60fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$200percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$200percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$200percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$200percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$222percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$259percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$262percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$296percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$296percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$430percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$467percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$467percent of total billed charges
AetnaAetna HMOCommercial$474percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$474percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$474percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$474percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$474percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$474percent of total billed charges
KelseyCareKelseyCareCommercial$482percent of total billed charges
HealthSmartHealthSmart OtherCommercial$519percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$556percent of total billed charges
First HealthCommercialCommercial$652percent of total billed charges
MultiplanMultiplan OtherCommercial$667percent of total billed charges
First HealthCCN NetworkCommercial$704percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$704percent of total billed charges

What this price covers

These are hospital charges for CPT code 73030 (Shoulder X-ray (2+ views)). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

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

Other X-ray prices in Houston