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.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Harris Health Ben Taub HospitalHarris Health · file Mar 2026 | $84.49Cash ÷ typical 0.7× | $1227 plans | $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 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|
| Harris Health Ben Taub Hospital | $110–$122 | $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
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Commercial | Commercial | $24.73 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $35.79 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $36.14 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| UHC | Commercial | Commercial | $245 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $319 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $319 | percent of total billed charges |
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cigna | Commercial | Commercial | $24.73 | fee schedule |
| Molina | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| UHC | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| TX Childrens | Medicaid | Medicaid / CHIP | $35.09 | fee schedule |
| CHC | Medicaid | Medicaid / CHIP | $35.79 | fee schedule |
| Superior | Medicaid | Medicaid / CHIP | $36.14 | fee schedule |
| CHC | D-SNP | Medicare Advantage | $84.49 | fee schedule |
| Molina | Medicare & MMP | Medicaid / CHIP | $84.49 | fee schedule |
| CHC | Marketplace | Commercial | $88.71 | fee schedule |
| BCBS TX | Blue Advantage | Commercial | $110 | fee schedule |
| BCBS TX | PPO POS | Commercial | $122 | fee schedule |
| UHC | Commercial | Commercial | $245 | percent of total billed charges |
| Aetna | Commercial HMO | Commercial | $319 | percent of total billed charges |
| Aetna | Commercial PPO | Commercial | $319 | percent of total billed charges |
Memorial Hermann Cypress Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Greater Heights Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Katy Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Memorial City Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Northeast Hospital: all 6 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Pearland Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southeast Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Southwest Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Sugar Land Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann-Texas Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Prem/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
St. Luke's Health Sugar Land Hospital: all 65 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.79 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $53.52 | fee schedule |
| KELSEY | Medicare|All Plans | Medicare Advantage | $61.08 | case rate |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $128 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $171 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $559 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $942 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,085 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,319 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
St. Luke's Health The Vintage Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.79 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $53.52 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $128 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $171 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $559 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $942 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,085 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,319 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
St. Luke's Health Lakeside Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.79 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $53.52 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| TCHP | Medicaid|Lakeside | Medicaid / CHIP | $128 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $128 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $171 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $559 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $942 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,085 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,319 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
Baylor St Luke's Medical Center: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.79 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $53.52 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| Humana | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Other Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $92.60 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $95.77 | fee schedule |
| BCBS - TX | Commercial|Blue Advantage Exchange | Commercial | $103 | fee schedule |
| KINDRED | Medicare|All Plans | Medicare Advantage | $106 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Employer Direct | Commercial|PPO | Commercial | $123 | case rate |
| Community Health Choice | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Harris Health | Commercial|ERS | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $176 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $176 | fee schedule |
| BCBS - TX | Commercial|Premier | Commercial | $214 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $235 | fee schedule |
| BCBS - TX | Commercial|HMO | Commercial | $252 | fee schedule |
| BCBS - TX | Commercial|PPO Trad | Commercial | $279 | fee schedule |
| NX Health | Commercial|PPO | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Exchange | Commercial | $582 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $654 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| United | Commercial|Charter | Commercial | $782 | fee schedule |
| Shell | Commercial|All Plans | Commercial | $798 | fee schedule |
| United | Commercial|HMO | Commercial | $869 | fee schedule |
| United | Commercial|PPO | Commercial | $869 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna | Commercial|KelseyCare | Commercial | $974 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,319 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
St. Luke's Health Springwoods Village Hospital: all 55 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $35.09 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $160 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $559 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $942 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,085 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
St. Luke's Health The Woodlands Hospital: all 66 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Medicaid|CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Wellpoint | Medicaid|STARKIDS | Medicaid / CHIP | $34.75 | fee schedule |
| Montgomery Hospital District | Commercial|All Plans | Public program | $35.09 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UHC | Medicaid|CHIP | Medicaid / CHIP | $35.45 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.45 | fee schedule |
| UHC | Medicaid|STARKIDS | Medicaid / CHIP | $35.79 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $39.96 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| UHC | Medicaid|STAR | Medicaid / CHIP | $47.61 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $53.52 | fee schedule |
| Renaissance | Commercial|All Plans | Commercial | $63.50 | case rate |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|HMO | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Other Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA HEALTHSPRING | Medicare|PPO | Medicare Advantage | $89.07 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UHC-SecureHorizons | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| Amerivantage | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| KINDRED | Medicare|All Plans | Medicare Advantage | $97.01 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UHC | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $108 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS-TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| KelseyCare | Commercial|Exchange | Commercial | $119 | case rate |
| Cigna | Commercial|All Other Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Superior Health Plan | Commercial|All Plans | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $160 | fee schedule |
| TCHP | Medicaid|STARKIDS | Medicaid / CHIP | $160 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $214 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| NXHealth | Commercial|All Plans | Commercial | $287 | case rate |
| OPTUM | Medicare|All Plans | Medicare Advantage | $431 | fee schedule |
| TCHPCHIP | Medicaid|HMO | Medicaid / CHIP | $559 | fee schedule |
| OPTUM | Medicaid|STAR | Medicaid / CHIP | $577 | fee schedule |
| United | Commercial|Optum | Commercial | $750 | fee schedule |
| CHC | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| CHC | Medicaid|HMO | Medicaid / CHIP | $878 | fee schedule |
| TEXASTRUECHOICE | Medicaid|CHIP | Medicaid / CHIP | $878 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $942 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,037 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,037 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,085 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,117 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,197 | fee schedule |
| OPTUM | Medicaid|STARPLUS | Medicaid / CHIP | $1,319 | fee schedule |
| USA Health Network | Commercial|All Plans | Commercial | $1,357 | fee schedule |
| MHealth Network | Commercial|PPO | Commercial | $1,596 | fee schedule |
Houston Methodist Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $104 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $108 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $189 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
St. Luke's Health Brazosport Hospital: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|CHIP | Medicaid / CHIP | $29.13 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $34.75 | fee schedule |
| BCBS | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| CHC | Medicaid|All Other Plans | Medicaid / CHIP | $36.84 | fee schedule |
| SUPERIOR | Medicaid|All Plans | Medicaid / CHIP | $36.84 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $46.56 | fee schedule |
| CHC | Medicaid|STAR | Medicaid / CHIP | $49.48 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| SELECTCARE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| WellcareTP | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| Wellpoint | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $92.60 | case rate |
| Devoted | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| TCHP | Medicaid|All Other Plans | Medicaid / CHIP | $106 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $106 | fee schedule |
| Cigna | Commercial|All Plans | Commercial | $110 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $128 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| Aetna | Commercial|Exchange | Commercial | $136 | case rate |
| United | Commercial|Exchange | Commercial | $137 | case rate |
| TCHP | Medicaid|STAR | Medicaid / CHIP | $142 | fee schedule |
| BCBS-TX | Commercial|Blue Options | Commercial | $150 | fee schedule |
| BCBS-TX | Commercial|Blue Advantage HMO | Commercial | $152 | fee schedule |
| BCBS-TX | Commercial|Traditional | Commercial | $166 | fee schedule |
| BCBS-TX | Commercial|PPO-POS | Commercial | $203 | fee schedule |
| Humana | Commercial|All Plans | Commercial | $205 | case rate |
| Entrust | Commercial|All Plans | Commercial | $213 | case rate |
| BCBS-TX | Commercial|HMO | Commercial | $218 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $243 | fee schedule |
| Aetna | Medicare|All Plans | Medicare Advantage | $265 | fee schedule |
| United | Commercial|All Other Plans | Commercial | $564 | fee schedule |
| Aetna | Commercial|All Other Plans | Commercial | $600 | fee schedule |
| Health First | Commercial|All Plans | Commercial | $882 | fee schedule |
| Wellpoint | Medicaid|All Other Plans | Medicaid / CHIP | $1,000 | fee schedule |
| Wellpoint | Medicaid|STAR | Medicaid / CHIP | $1,340 | fee schedule |
St. Luke's Health Patients Medical Center: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| CHC | Medicaid|All Plans | Medicaid / CHIP | $33.34 | fee schedule |
| TCHP | Medicaid|All Plans | Medicaid / CHIP | $33.34 | fee schedule |
| Wellpoint | Medicaid|All Plans | Medicaid / CHIP | $35.09 | fee schedule |
| UNITED | Medicaid|All Other Plans | Medicaid / CHIP | $35.79 | fee schedule |
| UNITED | Medicaid|STAR | Medicaid / CHIP | $48.07 | fee schedule |
| Cigna | Commercial|Surefit | Commercial | $79.98 | fee schedule |
| Cigna | Commercial|HMO | Commercial | $88.09 | fee schedule |
| BCBS | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| CIGNA-HEALTHSPRING | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| HUMANA | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| KELSEY | Medicare|All Plans | Medicare Advantage | $88.19 | case rate |
| AETNA | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| UNITED | Medicare|All Plans | Medicare Advantage | $89.95 | case rate |
| AMERIVANTAGE | Medicare|All Plans | Medicare Advantage | $90.84 | case rate |
| DEVOTED | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| SCANHealth | Medicare|All Plans | Medicare Advantage | $94.36 | case rate |
| Cigna | Commercial|PPO | Commercial | $108 | fee schedule |
| UNITED | Medicaid|STARPLUS | Medicaid / CHIP | $109 | fee schedule |
| BCBS-TX | Commercial|Exchange | Commercial | $113 | fee schedule |
| BCBS - TX | Commercial|MyBlue Health Exchange | Commercial | $117 | fee schedule |
| Ambetter | Commercial|All Plans | Commercial | $132 | case rate |
| Community Health Choice | Commercial|Exchange | Commercial | $132 | case rate |
| Wellpoint | Commercial|Exchange | Commercial | $132 | case rate |
| Bright Health | Commercial|All Plans | Commercial | $135 | case rate |
| United | Commercial|Exchange | Commercial | $140 | fee schedule |
| BCBS-TX | Commercial|Blue Premier | Commercial | $204 | fee schedule |
| United | Commercial|Charter | Commercial | $209 | fee schedule |
| United | Commercial|HMO | Commercial | $230 | fee schedule |
| United | Commercial|PPO | Commercial | $230 | fee schedule |
| BCBS-TX | Commercial|HMO | Commercial | $239 | fee schedule |
| BCBS-TX | Commercial|PPO | Commercial | $269 | fee schedule |
| Aetna-Kelsey Care | Commercial|HMO | Commercial | $1,070 | fee schedule |
| Coventry | Commercial|PPO | Commercial | $1,179 | fee schedule |
| First Health | Commercial|All Plans | Commercial | $1,179 | fee schedule |
| Aetna | Commercial|HMO | Commercial | $1,234 | fee schedule |
| Healthsmart | Commercial|PPO | Commercial | $1,270 | fee schedule |
| MultiPlan | Commercial|All Plans | Commercial | $1,361 | fee schedule |
Houston Methodist Clear Lake Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Bcbs | Blue Advantage Exchange | Commercial | $195 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Baytown Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Cypress Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Devoted Health | Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist The Woodlands Hospital: all 14 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Advanced Medical Pricing Solutions | All Commercial Plans | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist Sugar Land Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
Houston Methodist West Hospital: all 16 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
| Uae | All Commercial Plans | Commercial | $350 | fee schedule |
Houston Methodist Willowbrook Hospital: all 15 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Bcbs | Medicare Managed Care - Hmo | Medicare Advantage | $87.42 | fee schedule |
| Aetna | Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $88.73 | fee schedule |
| Unitedhealthcare | Medicare Managed Care - Hmo | Medicare Advantage | $89.17 | fee schedule |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | Medicare Advantage | $90.04 | fee schedule |
| Molina Healthcare | Advantage Medicare Managed Care Plan | Medicare Advantage | $91.79 | fee schedule |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | Medicare Advantage | $93.54 | fee schedule |
| Procare Advantage | Medicare Managed Care - Hmo | Medicare Advantage | $96.16 | fee schedule |
| Aetna | New Business Discount Other Commercial Plan | Commercial | $98.93 | fee schedule |
| Aetna | Hmo/Pos/Ppo | Commercial | $102 | fee schedule |
| Community Health Choice | Silver & Gold Exchange | Commercial | $143 | fee schedule |
| Molina Healthcare | Exchange | Commercial | $175 | fee schedule |
| Cigna | Local Plus/Surefit Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Network C-24 Hmo/Ppo | Commercial | $194 | fee schedule |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | Commercial | $206 | fee schedule |
| Bcbs | All Commercial Plans | Commercial | $316 | fee schedule |
HCA Houston Healthcare Southeast: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $135 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $311 | fee schedule |
| United | OptionsPPO | Commercial | $454 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $539 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $573 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $614 | percent of total billed charges |
| Humana | HMO | Commercial | $745 | percent of total billed charges |
| Humana | PPO | Commercial | $745 | percent of total billed charges |
| BCBS | Traditional | Commercial | $787 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $787 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $899 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $899 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $966 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,011 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,011 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,011 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,164 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,236 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,236 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,349 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,349 | percent of total billed charges |
| Prime Health Services | WORKERSCOMP | Workers' comp | $1,349 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,349 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,461 | percent of total billed charges |
| Fiesta Mart, Inc | COMM | Commercial | $1,686 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,686 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,843 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,911 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,911 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,911 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,023 | percent of total billed charges |
HCA Houston Healthcare Kingwood: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $135 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $379 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $575 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $616 | percent of total billed charges |
| Humana | HMO | Commercial | $747 | percent of total billed charges |
| Humana | PPO | Commercial | $747 | percent of total billed charges |
| BCBS | Traditional | Commercial | $789 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $789 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $789 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $902 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $902 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $970 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,015 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,015 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,015 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,168 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,240 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,240 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,353 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,353 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,353 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,466 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,691 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $1,849 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $1,917 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,917 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $1,917 | percent of total billed charges |
| USA Managed Care | COMM | Commercial | $1,917 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,030 | percent of total billed charges |
HCA Houston Healthcare North Cypress: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $135 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $456 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $575 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $616 | percent of total billed charges |
| BCBS | Traditional | Commercial | $789 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $902 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $902 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,015 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,168 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,691 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,917 | percent of total billed charges |
HCA Houston Healthcare Pearland: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $139 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| United | OptionsPPO | Commercial | $388 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $589 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $631 | percent of total billed charges |
| Humana | HMO | Commercial | $765 | percent of total billed charges |
| Humana | PPO | Commercial | $765 | percent of total billed charges |
| BCBS | Traditional | Commercial | $809 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $924 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $924 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,040 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,197 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,733 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,964 | percent of total billed charges |
HCA Houston Healthcare Tomball: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $139 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| United | OptionsPPO | Commercial | $389 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $590 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $632 | percent of total billed charges |
| Humana | HMO | Commercial | $767 | percent of total billed charges |
| Humana | PPO | Commercial | $767 | percent of total billed charges |
| BCBS | Traditional | Commercial | $810 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $819 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $926 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $926 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,041 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,736 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $1,967 | percent of total billed charges |
HCA Houston Healthcare Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $144 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $144 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | EPOSOA | Commercial | $291 | fee schedule |
| BCBS | PPO | Commercial | $309 | fee schedule |
| United | OptionsPPO | Commercial | $402 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $610 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $653 | percent of total billed charges |
| Humana | HMO | Commercial | $793 | percent of total billed charges |
| Humana | PPO | Commercial | $793 | percent of total billed charges |
| BCBS | Traditional | Commercial | $838 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $957 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $957 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,077 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,240 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,795 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,035 | percent of total billed charges |
HCA Houston Healthcare Northwest: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $147 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $147 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $147 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $147 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $147 | percent of total billed charges |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $412 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $625 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $669 | percent of total billed charges |
| Humana | HMO | Commercial | $811 | percent of total billed charges |
| Humana | PPO | Commercial | $811 | percent of total billed charges |
| BCBS | Traditional | Commercial | $857 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $980 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $980 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,102 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,269 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,837 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,082 | percent of total billed charges |
HCA Houston Healthcare West: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $156 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $156 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $156 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $156 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $156 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $437 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $624 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $663 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $710 | percent of total billed charges |
| Humana | HMO | Commercial | $861 | percent of total billed charges |
| Humana | PPO | Commercial | $861 | percent of total billed charges |
| BCBS | Traditional | Commercial | $910 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $910 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,040 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,040 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,118 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,170 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,170 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,170 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,347 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,430 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,430 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,560 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,560 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,560 | percent of total billed charges |
| Triumph | COMM | Commercial | $1,560 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,690 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $1,950 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,132 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,210 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,210 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,210 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,340 | percent of total billed charges |
HCA Houston Healthcare Clear Lake: all 74 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| UTMB | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $164 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $482 | percent of total billed charges |
| Texas Workforce Commission | WCOMP | Workers' comp | $657 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $698 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $747 | percent of total billed charges |
| Humana | HMO | Commercial | $907 | percent of total billed charges |
| Humana | PPO | Commercial | $907 | percent of total billed charges |
| Kelsey Care (Boon-Chapman) | COMM | Commercial | $958 | percent of total billed charges |
| BCBS | Traditional | Commercial | $958 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $958 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,095 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,095 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,177 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,232 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,232 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,232 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,418 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,505 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,505 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,642 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,642 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,642 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,779 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,053 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,244 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,327 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,327 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,327 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,463 | percent of total billed charges |
HCA Houston Healthcare Mainland: all 72 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| BCBS | BAV | Commercial | $152 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $164 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $164 | percent of total billed charges |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| BCBS | EPOSOA | Commercial | $282 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | PPO | Commercial | $291 | fee schedule |
| United | OptionsPPO | Commercial | $553 | percent of total billed charges |
| IPA Management Services | COMM | Commercial | $684 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $698 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $747 | percent of total billed charges |
| Humana | HMO | Commercial | $907 | percent of total billed charges |
| Humana | PPO | Commercial | $907 | percent of total billed charges |
| BCBS | Traditional | Commercial | $958 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $958 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,095 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,095 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,177 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,232 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,232 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,232 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,418 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,505 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,505 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,642 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,642 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,642 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,779 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,053 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,244 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,327 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,327 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,327 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,463 | percent of total billed charges |
HCA Houston Healthcare Conroe: all 73 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Texas Health Network | MCD | Medicaid / CHIP | $34.39 | fee schedule |
| Community Health Choice MCD | CHIP | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | CHIPPerinatal | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR | Medicaid / CHIP | $34.75 | fee schedule |
| Community Health Choice MCD | STAR+PLUS | Medicaid / CHIP | $34.75 | fee schedule |
| Amerigroup | MCDCHIPBH | Medicaid / CHIP | $35.09 | fee schedule |
| Amerigroup | MGMCD | Medicaid / CHIP | $35.09 | fee schedule |
| Liberty County Indigent | LOCALGOV | Public program | $35.09 | fee schedule |
| United | MGMCD | Medicaid / CHIP | $35.45 | fee schedule |
| Aetna Better Health | MGMCD | Medicaid / CHIP | $37.53 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STAR | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $38.60 | fee schedule |
| Molina Healthcare | STARPLUS | Medicaid / CHIP | $38.60 | fee schedule |
| Humana | MCD | Medicaid / CHIP | $43.86 | fee schedule |
| Texas Childrens Health Plans | CHIP | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STAR | Medicaid / CHIP | $52.64 | fee schedule |
| Texas Childrens Health Plans | STARKIDS | Medicaid / CHIP | $52.64 | fee schedule |
| Cigna | CSN | Commercial | $93.19 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $101 | fee schedule |
| Cigna | PPO | Commercial | $120 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $140 | fee schedule |
| United | NarrowNetworkIndivExchange | Commercial | $154 | fee schedule |
| BCBS | BAV | Commercial | $178 | fee schedule |
| United | AllPayerAppendix | Commercial | $182 | fee schedule |
| United | SmallGroup | Commercial | $182 | fee schedule |
| Superior Health Plan | CHIP | Medicaid / CHIP | $182 | percent of total billed charges |
| Superior Health Plan | CHPFC | Medicaid / CHIP | $182 | percent of total billed charges |
| Superior Health Plan | STAR | Medicaid / CHIP | $182 | percent of total billed charges |
| Superior Health Plan | STARKids | Medicaid / CHIP | $182 | percent of total billed charges |
| Superior Health Plan | STARPLUS | Medicaid / CHIP | $182 | percent of total billed charges |
| Aetna | NBHMO | Commercial | $210 | fee schedule |
| Aetna | NBPOS | Commercial | $210 | fee schedule |
| Aetna | NBPPO | Commercial | $210 | fee schedule |
| Aetna | COMMHMO | Commercial | $223 | fee schedule |
| Aetna | COMMPOS | Commercial | $223 | fee schedule |
| Aetna | COMMPPO | Commercial | $223 | fee schedule |
| Aetna | OONHMO | Commercial | $263 | fee schedule |
| Aetna | OONPOS | Commercial | $263 | fee schedule |
| Aetna | OONPPO | Commercial | $263 | fee schedule |
| BCBS | HMO | Commercial | $271 | fee schedule |
| Aetna | ASAHMO | Commercial | $284 | fee schedule |
| Aetna | ASAPOS | Commercial | $284 | fee schedule |
| Aetna | ASAPPO | Commercial | $284 | fee schedule |
| BCBS | EPOSOA | Commercial | $301 | fee schedule |
| BCBS | PPO | Commercial | $330 | fee schedule |
| United | OptionsPPO | Commercial | $534 | percent of total billed charges |
| TX Workforce Commission | GVT | Public program | $728 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $774 | percent of total billed charges |
| Evry Health | BroadNetwork | Commercial | $829 | percent of total billed charges |
| Humana | HMO | Commercial | $1,005 | percent of total billed charges |
| Humana | PPO | Commercial | $1,005 | percent of total billed charges |
| BCBS | Traditional | Commercial | $1,062 | percent of total billed charges |
| Imagine Health | PPO | Commercial | $1,062 | percent of total billed charges |
| Christus (USFHP) | TRICARE | Military / VA | $1,214 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $1,214 | percent of total billed charges |
| HealthSmart Preferred Care | ACCEL | Commercial | $1,305 | percent of total billed charges |
| Averde Health | Commercial | Commercial | $1,366 | percent of total billed charges |
| Fidelis SecureCare of TX | MGMCR | Medicare Advantage | $1,366 | percent of total billed charges |
| United | GlobalAppendix | Commercial | $1,366 | percent of total billed charges |
| Coventry National First Health | COMM | Commercial | $1,572 | percent of total billed charges |
| Physicians Cooperative of Texas | WC | Workers' comp | $1,669 | percent of total billed charges |
| Rockport Workers Comp | COMM | Workers' comp | $1,669 | percent of total billed charges |
| Independent Medical System | COMM | Commercial | $1,821 | percent of total billed charges |
| National Healthcare Solutions | COMM | Commercial | $1,821 | percent of total billed charges |
| SouthWest Medical | WORKERSCOMP | Workers' comp | $1,821 | percent of total billed charges |
| Coastal Comp | COMM | Workers' comp | $1,973 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $2,276 | percent of total billed charges |
| HealthSmart Preferred Care | PPO | Commercial | $2,489 | percent of total billed charges |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | Commercial | $2,580 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $2,580 | percent of total billed charges |
| Physicians, INC | COMM | Commercial | $2,580 | percent of total billed charges |
| Affiliated PPO | COMM | Commercial | $2,731 | percent of total billed charges |
Children's Memorial Hermann Hospital: all 7 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Medicare Managed Care Plan | Medicare Advantage | $87.42 | fee schedule |
| Community Health | Medicare Managed Care Plan | Medicare Advantage | $96.16 | fee schedule |
| Procare Advantage | Medicare Managed Care Plan | Medicare Advantage | $101 | fee schedule |
| Community Health | Premier/Select Exchange | Commercial | $131 | fee schedule |
| Aetna | Exchange | Commercial | $136 | fee schedule |
| Community Health | Ultra Exchange | Commercial | $140 | fee schedule |
| 90 Degrees | All Commercial Plans | Commercial | $166 | fee schedule |
Texas Children's Hospital The Woodlands: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $35.09 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $36.84 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $38.60 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $38.60 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $200 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $222 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $259 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $262 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $430 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $467 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $474 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $474 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $474 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $474 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $474 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $474 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $482 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $519 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $556 | percent of total billed charges |
| First Health | Commercial | Commercial | $652 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $667 | percent of total billed charges |
| First Health | CCN Network | Commercial | $704 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $704 | percent of total billed charges |
Texas Children's Hospital West Campus: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $35.09 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $36.84 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $38.60 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $38.60 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $200 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $222 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $259 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $262 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $430 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $467 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $474 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $474 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $474 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $474 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $474 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $474 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $482 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $519 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $556 | percent of total billed charges |
| First Health | Commercial | Commercial | $652 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $667 | percent of total billed charges |
| First Health | CCN Network | Commercial | $704 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $704 | percent of total billed charges |
Texas Children's Hospital: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior CHIP | STAR KIDS/STAR/STAR+PLUS | Medicaid / CHIP | $35.09 | fee schedule |
| Superior CHIP | Superior CHIP/Superior Perinate CHIP | Medicaid / CHIP | $36.84 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | Medicaid / CHIP | $38.60 | fee schedule |
| Driscoll Children's Health Plan MCD | Driscoll Star MCD | Medicaid / CHIP | $38.60 | fee schedule |
| First Care Health Plan | First Care CHIP/First Care Star Plus | Medicaid / CHIP | $200 | percent of total billed charges |
| First Care Health Plan | First Care Star MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare CHIP | United Healthcare CHIP | Medicaid / CHIP | $200 | percent of total billed charges |
| United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | Medicaid / CHIP | $200 | percent of total billed charges |
| Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | Medicaid / CHIP | $222 | percent of total billed charges |
| Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | Medicaid / CHIP | $259 | percent of total billed charges |
| Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | Medicaid / CHIP | $262 | percent of total billed charges |
| Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | Medicaid / CHIP | $296 | percent of total billed charges |
| Cigna | Cigna Local Plus/Cigna Sure Fit HMO | Commercial | $430 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS HMO Blue Essentials TX | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS PPO | Commercial | $467 | percent of total billed charges |
| Blue Cross Blue Shield | BCBS Traditional | Commercial | $467 | percent of total billed charges |
| Aetna | Aetna HMO | Commercial | $474 | percent of total billed charges |
| Aetna | Aetna EPO/Aetna POS/Aetna PPO | Commercial | $474 | percent of total billed charges |
| Community Health Choice | Community HC Marketplace | Commercial | $474 | percent of total billed charges |
| Cigna | Cigna Harris County PPO/HMO/Cigna PPO | Commercial | $474 | percent of total billed charges |
| First Care Health Plan | First Care HMO/PPO/EPO | Commercial | $474 | percent of total billed charges |
| United Healthcare | Golden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPO | Commercial | $474 | percent of total billed charges |
| KelseyCare | KelseyCare | Commercial | $482 | percent of total billed charges |
| HealthSmart | HealthSmart Other | Commercial | $519 | percent of total billed charges |
| Evolutions Healthcare | Evolutions PPO | Commercial | $556 | percent of total billed charges |
| First Health | Commercial | Commercial | $652 | percent of total billed charges |
| Multiplan | Multiplan Other | Commercial | $667 | percent of total billed charges |
| First Health | CCN Network | Commercial | $704 | percent of total billed charges |
| Galaxy Health Network | Galaxy Health Network | Commercial | $704 | percent 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
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.