How much does an abdomen and pelvis CT with contrast cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $1,914–$21,797 for an abdomen and pelvis CT scan with contrast (CPT 74177). The typical commercial rate in the same files is $960.

Hospital files dated October 14, 2025 – September 1, 2026 · Data checked October 14, 2026 · How we read these files · Report an error

Published cash price

$1,914–$21,797

what 17 hospitals list for a self-pay abdomen and pelvis CT with contrast

Typical insured rate

$960

median of every commercial plan rate in the files

Lowest insured rate

$210

OSCAR HEALTH PLAN (OSCAR HEALTH PLAN HMO HIX), Resolute Baptist Hospital

At 9 of 17 hospitals, the published cash price is the full list price — the file shows no discount for paying without insurance. Even the lowest cash price is 2.0× the typical rate insurers negotiated. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.

Abdomen and pelvis CT with contrast prices by hospital in San Antonio

Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 74177; Medicaid and Medicare Advantage are shown separately below.

Abdomen and pelvis CT scan with contrast (CPT 74177) — San Antonio
Hospital	Published cash price	Typical insured rate	Lowest insured rate
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026	$1,914Cash ÷ typical 1.9×	$98839 plans	$335
University Health University HospitalUniversity Health · file Oct 2025	$2,009Cash ÷ typical 2.2×	$91225 plans	$335
Resolute Baptist HospitalBaptist Health System · file Sep 2026	$14,768Cash ÷ typical 29×	$51723 plans	$210
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 11×	$1,30222 plans	$615
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 16×	$94321 plans	$615
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 11×	$1,30223 plans	$615
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 16×	$94422 plans	$615
Methodist HospitalMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 13×	$1,10927 plans	$615
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 4.1×	$3,65529 plans	$615
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 15×	$98024 plans	$615
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 14×	$1,06226 plans	$615
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026	$14,859= list priceCash ÷ typical 14×	$1,06226 plans	$615
Northeast Baptist HospitalBaptist Health System · file Apr 2026	$21,797	—	—
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026	$21,797	—	—
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026	$21,797	—	—
North Central Baptist HospitalBaptist Health System · file Apr 2026	$21,797	—	—
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026	$21,797	—	—

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Negotiated rates by insurer

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

Negotiated rates by insurer
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Oscar	Ambetter	Medicaid / CHIP	Medicare Advantage
CHRISTUS Santa Rosa Hospital – Westover Hills	$335–$1,558	$335–$912	$1,028–$1,306	$335–$855	$335–$779	—	—	$253–$696	$168–$696
University Health University Hospital	$3,214–$3,535	$912–$960	—	$764	—	—	—	$318–$382	$335–$587
Resolute Baptist Hospital	$379–$901	$507–$853	—	$368	$704–$1,016	$210–$287	$495	$312	—
Methodist Hospital Atascosa	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312–$743	—
Methodist Hospital Landmark	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312–$343	—
Methodist Hospital Stone Oak	$615–$4,383	$778–$7,207	—	$828–$3,730	—	—	—	$312–$2,080	—
Methodist Hospital Westover Hills	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312	—
Methodist Hospital	$615–$4,383	$778–$7,207	$4,309	$828–$3,730	—	—	—	$312–$14,859	$7,281
Methodist Specialty & Transplant Hospital	$615–$4,383	$778–$7,207	$4,309	$828–$6,687	$9,658	—	—	$312–$14,859	$7,281
Methodist Texsan Hospital	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312–$2,080	—
Metropolitan Methodist Hospital	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312–$2,080	—
Northeast Methodist Hospital	$615–$4,383	$778–$7,207	—	$828–$6,687	—	—	—	$312–$2,080	—
Northeast Baptist Hospital	—	—	—	—	—	—	—	—	—
Mission Trail Baptist Hospital	—	—	—	—	—	—	—	—	—
St. Luke's Baptist Hospital	—	—	—	—	—	—	—	—	—
North Central Baptist Hospital	—	—	—	—	—	—	—	—	—
Westover Hills Baptist Hospital	—	—	—	—	—	—	—	—	—

CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Texas Healthspring	MM	Medicare Advantage	$168	fee schedule
United Healthcare	Chip KM	Medicaid / CHIP	$253	fee schedule
United Healthcare	Star KM	Medicaid / CHIP	$253	fee schedule
United Healthcare	Star Plus KM	Medicaid / CHIP	$253	fee schedule
Aetna	MM	Commercial	$335	fee schedule
Allwell	Superior Health MM	Medicare Advantage	$335	fee schedule
Blue Cross Blue Shield of Texas	MM	Commercial	$335	fee schedule
Christus Health	Med Adv MM	Medicare Advantage	$335	fee schedule
Coventry	First Health MM	Commercial	$335	fee schedule
Humana	Gold Choice MM	Commercial	$335	fee schedule
Humana	Gold Plus MM	Medicare Advantage	$335	fee schedule
Molina	Medicare Adv MM	Medicare Advantage	$335	fee schedule
Superior	Star Plus MM	Medicaid / CHIP	$335	fee schedule
Triwest	VA MM	Military / VA	$335	fee schedule
United Healthcare	MM	Commercial	$335	fee schedule
Wellcare	MM	Medicare Advantage	$335	fee schedule
Provider Partners Health Plan	MM	Medicare Advantage	$345	fee schedule
Texas Independence Health Plan	MM	Medicare Advantage	$345	fee schedule
Shared Health Insurance Company	MM	Commercial	$352	fee schedule
Amerigroup	MM	Medicaid / CHIP	$362	fee schedule
Devoted Health Plan	MM	Medicare Advantage	$362	fee schedule
American Health Medicare	Advantage MM	Medicare Advantage	$369	fee schedule
Imperial Health Plan	MM	Medicare Advantage	$369	fee schedule
ProCare Advantage	MM	Medicare Advantage	$369	fee schedule
Employer Direct	Healthcare PPO	Commercial	$402	fee schedule
Gilsbar Inc.	MM	Commercial	$436	fee schedule
Aetna	Chip KM	Medicaid / CHIP	$464	fee schedule
Aetna	Star KM	Medicaid / CHIP	$464	fee schedule
Blue Cross Blue Shield Of Texas	Star Chip KM	Medicaid / CHIP	$464	fee schedule
Community First	Chip KM	Medicaid / CHIP	$464	fee schedule
Community First	Star KM	Medicaid / CHIP	$464	fee schedule
Community First	Star Kids KM	Medicaid / CHIP	$464	fee schedule
Driscoll Children's Health Plan	Chip KM	Medicaid / CHIP	$464	fee schedule
Driscoll Children's Health Plan	Star KM	Medicaid / CHIP	$464	fee schedule
Driscoll Children's Health Plan	Star Kids KM	Medicaid / CHIP	$464	fee schedule
El Paso First	KM	Medicaid / CHIP	$464	fee schedule
First Care	KM	Commercial	$464	fee schedule
Molina	Chip KM	Medicaid / CHIP	$464	fee schedule
Molina	Star Plus KM	Medicaid / CHIP	$464	fee schedule
Superior	Chip KM	Medicaid / CHIP	$464	fee schedule
Superior	Foster Care KM	Medicaid / CHIP	$464	fee schedule
Superior	Star KM	Medicaid / CHIP	$464	fee schedule
Superior	Star Kids KM	Medicaid / CHIP	$464	fee schedule
Superior	Star Plus KM	Medicaid / CHIP	$464	fee schedule
Christus Health	HIX	Commercial	$469	fee schedule
Texas Childrens Health Plan	Chip KM	Medicaid / CHIP	$487	fee schedule
Texas Childrens Health Plan	Star Plus KM	Medicaid / CHIP	$487	fee schedule
Naphcare Inc.	RRMB	Public program	$671	fee schedule
Community First Health Plan	HMO	Commercial	$673	other
Amerigroup	Chip KM	Medicaid / CHIP	$696	percent of total billed charges
Amerigroup	Star KM	Medicaid / CHIP	$696	percent of total billed charges
Amerigroup	Star Kids KM	Medicaid / CHIP	$696	percent of total billed charges
Amerigroup	Star Plus KM	Medicaid / CHIP	$696	percent of total billed charges
Community First	Med Adv MM	Medicare Advantage	$696	percent of total billed charges
Humana	Choicecare	Commercial	$779	fee schedule
Aetna	New Business	Commercial	$821	per diem
United Healthcare	All Payer	Commercial	$855	fee schedule
Aetna	EPO	Commercial	$912	per diem
Aetna	HMO	Commercial	$912	per diem
Aetna	POS	Commercial	$912	per diem
Aetna	PPO	Commercial	$912	per diem
US Imaging Network	PPO	Commercial	$915	case rate
Healthcare Highways	PPO	Commercial	$988	other
Cigna	New Business	Commercial	$1,028	fee schedule
Blue Cross Blue Shield of Texas	Blue AdvantangeHMO	Commercial	$1,073	fee schedule
Cigna	PPO	Commercial	$1,306	fee schedule
Blue Cross Blue Shield of Texas	HMO	Commercial	$1,317	fee schedule
Blue Cross Blue Shield of Texas	HEB	Commercial	$1,333	fee schedule
Blue Cross Blue Shield of Texas	PPO	Commercial	$1,482	fee schedule
Five Point Credit Union	PPO	Commercial	$1,500	fee schedule
Blue Cross Blue Shield of Texas	Traditional	Commercial	$1,558	fee schedule
Healthsmart	Accel PPO	Commercial	$1,609	fee schedule
Christian Brothers Services	PPO	Commercial	$3,191	percent of total billed charges
First Health	PPO	Commercial	$3,771	percent of total billed charges
Multiplan	PPO	Commercial	$3,771	percent of total billed charges
Phcs	PPO	Commercial	$3,771	percent of total billed charges
Medicus Internatiaonal	PPO	Commercial	$4,351	percent of total billed charges
Beech Street	PPO	Commercial	$4,641	percent of total billed charges
Health Management Network	PPO	Commercial	$4,641	percent of total billed charges
HealthSmart	PPO	Commercial	$4,641	percent of total billed charges
Provider Select	PPO	Commercial	$4,641	percent of total billed charges
National Choicecare	PPO	Commercial	$5,511	percent of total billed charges

University Health University Hospital: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield Star/CHIP	Managed Medicaid	Medicaid / CHIP	$318	fee schedule
Community First Health Plan	Managed Medicaid	Medicaid / CHIP	$318	fee schedule
First Care/Scott and White	Managed Medicaid	Medicaid / CHIP	$318	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$318	fee schedule
El Paso Health	Managed Medicaid	Medicaid / CHIP	$324	fee schedule
Superior Health Plan	Managed Medicaid	Medicaid / CHIP	$328	fee schedule
Wellpoint	Managed Medicaid/CHIP	Medicaid / CHIP	$328	fee schedule
Community First Health Plan	Medicare Advantage	Medicare Advantage	$335	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$335	fee schedule
Superior Health Plan	Medicare Advantage	Medicare Advantage	$335	fee schedule
WellMed	Medicare Advantage	Medicare Advantage	$335	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$335	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$335	fee schedule
Multiplan	Medicare Advantage	Medicare Advantage	$335	fee schedule
Community First EPO Affordable Care	Commercial	Commercial	$335	fee schedule
Scott and White Insurance	Medicare Advantage	Medicare Advantage	$335	fee schedule
Molina Healthcare	Managed Medicaid	Medicaid / CHIP	$337	fee schedule
Wellpoint	Medicare/Medicaid Dual Program	Medicaid / CHIP	$339	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$339	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$342	fee schedule
Driscoll Health Plan	Managed Medicaid	Medicaid / CHIP	$344	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$345	fee schedule
Wellcare	Medicare Advantage	Medicare Advantage	$345	fee schedule
Blue Cross Blue Shield Star Kids/Star Plus	Managed Medicaid	Medicaid / CHIP	$350	fee schedule
Texas Independence Health Plan	Medicare Advantage	Medicare Advantage	$369	fee schedule
Provider Partner Health Plans	Medicare Advantage	Medicare Advantage	$369	fee schedule
Procare Advantage	Medicare Advantage	Medicare Advantage	$369	fee schedule
Aetna Better Health	Managed Medicaid and CHIP	Medicaid / CHIP	$382	fee schedule
Entrust	Commercial	Commercial	$402	fee schedule
Point Comfort - Unaccompanied Minor Healthcare	Medicare Advantage	Public program	$402	fee schedule
Wellpoint	Exchange	Commercial	$419	fee schedule
Wellpoint	Commercial	Commercial	$469	fee schedule
Molina Healthcare Affordable Care	Commercial	Commercial	$537	fee schedule
Point Comfort - Adult Refugee	Managed Medicaid	Public program	$541	fee schedule
Curative	Commercial	Commercial	$553	fee schedule
HPHG LLC dba 90 Degrees	Commercial	Commercial	$587	fee schedule
Universal Benefits Consortium	Commercial	Commercial	$587	fee schedule
EBSO	Commercial	Commercial	$587	fee schedule
Velocity National Provider Network	Medicare Advantage	Medicare Advantage	$587	fee schedule
Community First Health Plan	Commercial	Commercial	$600	fee schedule
Scott and White Insurance	Commercial	Commercial	$627	fee schedule
United Healthcare	Commercial	Commercial	$764	case rate
Aetna	Exchange	Commercial	$912	case rate
Aetna	Commercial	Commercial	$960	case rate
Independent Medical Systems	Commercial	Commercial	$1,000	case rate
USAA	Commercial	Commercial	$2,973	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$3,214	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$3,535	percent of total billed charges
First Health Network	Commercial	Commercial	$4,580	percent of total billed charges
Multiplan	Primary Network	Commercial	$5,223	percent of total billed charges
Multiplan	Complementary Network	Commercial	$5,625	percent of total billed charges
HealthSmart	Commercial	Commercial	$5,625	percent of total billed charges
Prime Health	Commercial	Commercial	$5,625	percent of total billed charges
Velocity National Provider Network	Commercial	Commercial	$6,428	percent of total billed charges
Three Rivers Provider Network	Commercial	Commercial	$6,830	percent of total billed charges

Resolute Baptist Hospital: all 24 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
OSCAR HEALTH PLAN	OSCAR HEALTH PLAN HMO HIX	Commercial	$210	fee schedule
OSCAR HEALTH PLAN	OSCAR HEALTH PLAN HIX	Commercial	$287	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICAID STAR PLUS	Medicaid / CHIP	$312	fee schedule
SCOTT AND WHITE HEALTH PLAN	SCOTT AND WHITE EXCHANGE	Commercial	$353	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE EXCHANGE	Commercial	$368	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE NON OPTIONS	Commercial	$368	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE OPTIONS PPO	Commercial	$368	fee schedule
TEXICARE	TEXICARE COMM	Commercial	$368	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE OPTIONS/BLUE PRECISION	Commercial	$379	fee schedule
AMBETTER	AMBETTER EXCHANGE VALUE AND SELECT NONPAR	Commercial	$495	fee schedule
AETNA	AETNA EXCHANGE	Commercial	$507	fee schedule
AETNA	AETNA SOUTH SAN ANTONIO ISD	Commercial	$507	fee schedule
AETNA	AETNA EXCHANGE HIX	Commercial	$517	fee schedule
AETNA	AETNA SPP	Commercial	$653	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS MYBLUE HEALTH HIX	Commercial	$676	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE ADVANTAGE HMO	Commercial	$687	fee schedule
HUMANA	HUMANA COMMERCIAL	Commercial	$704	fee schedule
AETNA	AETNA QPIC	Commercial	$728	fee schedule
AETNA	AETNA COMMERCIAL NEW BUSINESS DISCOUNT	Commercial	$758	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO BLUE	Commercial	$771	fee schedule
AETNA	AETNA COMMERCIAL	Commercial	$853	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO/POS	Commercial	$901	fee schedule
HUMANA	HUMANA EXCHANGE HMOX	Commercial	$934	fee schedule
HUMANA	HUMANA EXCHANGE	Commercial	$1,016	fee schedule

Methodist Hospital Atascosa: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
Molina	CHIPHMO	Medicaid / CHIP	$312	fee schedule
Molina	CHIPPERINATE	Medicaid / CHIP	$312	fee schedule
Molina	STAR	Medicaid / CHIP	$312	fee schedule
Molina	STAR+PLUS	Medicaid / CHIP	$312	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueAdvantage	Commercial	$882	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
BCBS	BlueEssentials	Commercial	$1,302	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$1,302	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$1,417	fee schedule
BCBS	PPO	Commercial	$1,527	fee schedule
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Methodist Hospital Landmark: all 30 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
BCBS	BlueAdvantage	Commercial	$756	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Methodist Hospital Stone Oak: all 52 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueAdvantage	Commercial	$882	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
BCBS	BlueEssentials	Commercial	$1,302	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$1,302	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$1,417	fee schedule
BCBS	PPO	Commercial	$1,527	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,730	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Methodist Hospital Westover Hills: all 26 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
BCBS	BlueAdvantage	Commercial	$756	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Methodist Hospital: all 58 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
BCBS	BlueAdvantage	Commercial	$756	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,730	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$4,309	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$7,281	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$9,956	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$10,401	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
USA Managed Care	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$14,859	percent of total billed charges

Methodist Specialty & Transplant Hospital: all 60 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueAdvantage	Commercial	$882	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
BCBS	BlueEssentials	Commercial	$1,302	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$1,302	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$1,417	fee schedule
BCBS	PPO	Commercial	$1,527	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$4,309	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$7,281	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Humana	BHCOMM	Commercial	$9,658	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$9,956	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$10,401	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
USA Managed Care	PPO	Commercial	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$14,859	percent of total billed charges

Methodist Texsan Hospital: all 52 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
BCBS	BlueAdvantage	Commercial	$756	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Metropolitan Methodist Hospital: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
BCBS	BlueAdvantage	Commercial	$882	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,655	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$10,401	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
USA Managed Care	PPO	Commercial	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Northeast Methodist Hospital: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$312	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$312	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$312	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$318	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$318	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$318	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$343	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$343	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$344	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$344	fee schedule
Humana	MGMCD	Medicaid / CHIP	$390	fee schedule
BCBS	MyBlueHealth	Commercial	$615	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$743	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$743	percent of total billed charges
BCBS	BlueAdvantage	Commercial	$756	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
United	AllPayerAppendix	Commercial	$828	fee schedule
United	Charter	Commercial	$828	fee schedule
United	NexusACO	Commercial	$828	fee schedule
United	SmallGroup	Commercial	$828	fee schedule
BCBS	BlueEssentials	Commercial	$867	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$867	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$943	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
BCBS	PPO	Commercial	$1,016	fee schedule
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$2,080	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$2,080	percent of total billed charges
United	OptionsPPO	Commercial	$3,730	percent of total billed charges
Community First Health Plans	HMO	Commercial	$4,012	percent of total billed charges
BCBS	TRAD	Commercial	$4,383	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$6,687	percent of total billed charges
Aetna	ASA	Commercial	$7,207	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$7,430	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$8,173	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$10,401	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$11,144	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$11,144	percent of total billed charges
USA Managed Care	PPO	Commercial	$11,144	percent of total billed charges
DirectCare America	PPO	Commercial	$11,887	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$12,630	percent of total billed charges

Northeast Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

Mission Trail Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

St. Luke's Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

North Central Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

Westover Hills Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

What this price covers

These are hospital charges for CPT code 74177 (Abdomen and pelvis CT scan with contrast). 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.

Abdomen and pelvis CT with contrast in other cities

Compare Abdomen and pelvis CT with contrast prices across all cities →

Houston, TXCash $343–$38,564 Dallas–Fort Worth, TXCash $1,899–$3,920 Phoenix, AZCash $428–$5,350 Austin, TXCash $685–$15,623

Other CT scan prices in San Antonio

Head CTCPT 70450 Chest CTCPT 71250 Chest CT with contrastCPT 71260 Abdomen and pelvis CTCPT 74176