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

17 hospitals in San Antonio list a self-pay price of $1,797–$19,807 for an abdomen and pelvis CT scan without contrast (CPT 74176). The typical commercial rate in the same files is $912.

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

$1,797–$19,807

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

Typical insured rate

$912

median of every commercial plan rate in the files

Lowest insured rate

$99.51

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 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 74176; Medicaid and Medicare Advantage are shown separately below.

Abdomen and pelvis CT scan without contrast (CPT 74176) — San Antonio
Hospital	Published cash price	Typical insured rate	Lowest insured rate
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026	$1,797Cash ÷ typical 2.0×	$91239 plans	$227
University Health University HospitalUniversity Health · file Oct 2025	$1,857Cash ÷ typical 2.0×	$91225 plans	$227
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 12×	$92922 plans	$375
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 15×	$77821 plans	$375
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 12×	$93223 plans	$375
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 13×	$85222 plans	$375
Methodist HospitalMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 10×	$1,10927 plans	$375
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 4.1×	$2,79729 plans	$375
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 12×	$93524 plans	$375
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 11×	$1,02726 plans	$375
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026	$11,369= list priceCash ÷ typical 11×	$1,02726 plans	$375
Resolute Baptist HospitalBaptist Health System · file Sep 2026	$12,136Cash ÷ typical 32×	$38423 plans	$99.51
Northeast Baptist HospitalBaptist Health System · file Apr 2026	$19,807	—	—
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026	$19,807	—	—
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026	$19,807	—	—
North Central Baptist HospitalBaptist Health System · file Apr 2026	$19,807	—	—
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026	$19,807	—	—

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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	$227–$951	$227–$912	$1,028–$1,306	$227–$855	$227–$779	—	—	$190–$654	$113–$654
University Health University Hospital	$2,972–$3,269	$912–$960	—	$764	—	—	—	$190–$229	$227–$397
Methodist Hospital Atascosa	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188–$568	—
Methodist Hospital Landmark	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188–$207	—
Methodist Hospital Stone Oak	$375–$3,354	$778–$5,514	—	$518–$2,854	—	—	—	$188–$1,592	—
Methodist Hospital Westover Hills	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188	—
Methodist Hospital	$375–$3,354	$778–$5,514	$3,297	$518–$2,854	—	—	—	$188–$11,369	$5,571
Methodist Specialty & Transplant Hospital	$375–$3,354	$778–$5,514	$3,297	$518–$5,116	$7,390	—	—	$188–$11,369	$5,571
Methodist Texsan Hospital	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188–$1,592	—
Metropolitan Methodist Hospital	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188–$1,592	—
Northeast Methodist Hospital	$375–$3,354	$778–$5,514	—	$518–$5,116	—	—	—	$188–$1,592	—
Resolute Baptist Hospital	$348–$550	$384–$646	—	$230	$331–$490	$100–$136	$303	$188	—
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	$113	fee schedule
United Healthcare	Chip KM	Medicaid / CHIP	$190	fee schedule
United Healthcare	Star KM	Medicaid / CHIP	$190	fee schedule
United Healthcare	Star Plus KM	Medicaid / CHIP	$190	fee schedule
Aetna	MM	Commercial	$227	fee schedule
Allwell	Superior Health MM	Medicare Advantage	$227	fee schedule
Blue Cross Blue Shield of Texas	MM	Commercial	$227	fee schedule
Christus Health	Med Adv MM	Medicare Advantage	$227	fee schedule
Coventry	First Health MM	Commercial	$227	fee schedule
Humana	Gold Choice MM	Commercial	$227	fee schedule
Humana	Gold Plus MM	Medicare Advantage	$227	fee schedule
Molina	Medicare Adv MM	Medicare Advantage	$227	fee schedule
Superior	Star Plus MM	Medicaid / CHIP	$227	fee schedule
Triwest	VA MM	Military / VA	$227	fee schedule
United Healthcare	MM	Commercial	$227	fee schedule
Wellcare	MM	Medicare Advantage	$227	fee schedule
Provider Partners Health Plan	MM	Medicare Advantage	$234	fee schedule
Texas Independence Health Plan	MM	Medicare Advantage	$234	fee schedule
Shared Health Insurance Company	MM	Commercial	$238	fee schedule
Amerigroup	MM	Medicaid / CHIP	$245	fee schedule
Devoted Health Plan	MM	Medicare Advantage	$245	fee schedule
American Health Medicare	Advantage MM	Medicare Advantage	$250	fee schedule
Imperial Health Plan	MM	Medicare Advantage	$250	fee schedule
ProCare Advantage	MM	Medicare Advantage	$250	fee schedule
Employer Direct	Healthcare PPO	Commercial	$272	fee schedule
Aetna	Chip KM	Medicaid / CHIP	$294	fee schedule
Aetna	Star KM	Medicaid / CHIP	$294	fee schedule
Blue Cross Blue Shield Of Texas	Star Chip KM	Medicaid / CHIP	$294	fee schedule
Community First	Chip KM	Medicaid / CHIP	$294	fee schedule
Community First	Star KM	Medicaid / CHIP	$294	fee schedule
Community First	Star Kids KM	Medicaid / CHIP	$294	fee schedule
Driscoll Children's Health Plan	Chip KM	Medicaid / CHIP	$294	fee schedule
Driscoll Children's Health Plan	Star KM	Medicaid / CHIP	$294	fee schedule
Driscoll Children's Health Plan	Star Kids KM	Medicaid / CHIP	$294	fee schedule
El Paso First	KM	Medicaid / CHIP	$294	fee schedule
First Care	KM	Commercial	$294	fee schedule
Molina	Chip KM	Medicaid / CHIP	$294	fee schedule
Molina	Star Plus KM	Medicaid / CHIP	$294	fee schedule
Superior	Chip KM	Medicaid / CHIP	$294	fee schedule
Superior	Foster Care KM	Medicaid / CHIP	$294	fee schedule
Superior	Star KM	Medicaid / CHIP	$294	fee schedule
Superior	Star Kids KM	Medicaid / CHIP	$294	fee schedule
Superior	Star Plus KM	Medicaid / CHIP	$294	fee schedule
Gilsbar Inc.	MM	Commercial	$295	fee schedule
Texas Childrens Health Plan	Chip KM	Medicaid / CHIP	$309	fee schedule
Texas Childrens Health Plan	Star Plus KM	Medicaid / CHIP	$309	fee schedule
Christus Health	HIX	Commercial	$318	fee schedule
Naphcare Inc.	RRMB	Public program	$454	fee schedule
Amerigroup	Chip KM	Medicaid / CHIP	$654	percent of total billed charges
Amerigroup	Star KM	Medicaid / CHIP	$654	percent of total billed charges
Amerigroup	Star Kids KM	Medicaid / CHIP	$654	percent of total billed charges
Amerigroup	Star Plus KM	Medicaid / CHIP	$654	percent of total billed charges
Community First	Med Adv MM	Medicare Advantage	$654	percent of total billed charges
Blue Cross Blue Shield of Texas	Blue AdvantangeHMO	Commercial	$655	fee schedule
Community First Health Plan	HMO	Commercial	$673	other
Humana	Choicecare	Commercial	$779	fee schedule
Blue Cross Blue Shield of Texas	HMO	Commercial	$804	fee schedule
Blue Cross Blue Shield of Texas	HEB	Commercial	$813	fee schedule
Aetna	New Business	Commercial	$821	per diem
United Healthcare	All Payer	Commercial	$855	fee schedule
Blue Cross Blue Shield of Texas	PPO	Commercial	$904	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
Blue Cross Blue Shield of Texas	Traditional	Commercial	$951	fee schedule
Healthcare Highways	PPO	Commercial	$988	other
Cigna	New Business	Commercial	$1,028	fee schedule
Cigna	PPO	Commercial	$1,306	fee schedule
Five Point Credit Union	PPO	Commercial	$1,500	fee schedule
Healthsmart	Accel PPO	Commercial	$1,609	percent of total billed charges
Christian Brothers Services	PPO	Commercial	$2,995	percent of total billed charges
First Health	PPO	Commercial	$3,540	percent of total billed charges
Multiplan	PPO	Commercial	$3,540	percent of total billed charges
Phcs	PPO	Commercial	$3,540	percent of total billed charges
Medicus Internatiaonal	PPO	Commercial	$4,085	percent of total billed charges
Beech Street	PPO	Commercial	$4,357	percent of total billed charges
Health Management Network	PPO	Commercial	$4,357	percent of total billed charges
HealthSmart	PPO	Commercial	$4,357	percent of total billed charges
Provider Select	PPO	Commercial	$4,357	percent of total billed charges
National Choicecare	PPO	Commercial	$5,174	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	$190	fee schedule
Community First Health Plan	Managed Medicaid	Medicaid / CHIP	$190	fee schedule
First Care/Scott and White	Managed Medicaid	Medicaid / CHIP	$190	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$190	fee schedule
El Paso Health	Managed Medicaid	Medicaid / CHIP	$194	fee schedule
Superior Health Plan	Managed Medicaid	Medicaid / CHIP	$195	fee schedule
Wellpoint	Managed Medicaid/CHIP	Medicaid / CHIP	$195	fee schedule
Molina Healthcare	Managed Medicaid	Medicaid / CHIP	$201	fee schedule
Driscoll Health Plan	Managed Medicaid	Medicaid / CHIP	$205	fee schedule
Blue Cross Blue Shield Star Kids/Star Plus	Managed Medicaid	Medicaid / CHIP	$209	fee schedule
Community First Health Plan	Medicare Advantage	Medicare Advantage	$227	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$227	fee schedule
Superior Health Plan	Medicare Advantage	Medicare Advantage	$227	fee schedule
WellMed	Medicare Advantage	Medicare Advantage	$227	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$227	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$227	fee schedule
Multiplan	Medicare Advantage	Medicare Advantage	$227	fee schedule
Community First EPO Affordable Care	Commercial	Commercial	$227	fee schedule
Scott and White Insurance	Medicare Advantage	Medicare Advantage	$227	fee schedule
Aetna Better Health	Managed Medicaid and CHIP	Medicaid / CHIP	$228	fee schedule
Wellpoint	Medicare/Medicaid Dual Program	Medicaid / CHIP	$229	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$229	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$232	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$234	fee schedule
Wellcare	Medicare Advantage	Medicare Advantage	$234	fee schedule
Texas Independence Health Plan	Medicare Advantage	Medicare Advantage	$250	fee schedule
Provider Partner Health Plans	Medicare Advantage	Medicare Advantage	$250	fee schedule
Procare Advantage	Medicare Advantage	Medicare Advantage	$250	fee schedule
Entrust	Commercial	Commercial	$272	fee schedule
Point Comfort - Unaccompanied Minor Healthcare	Medicare Advantage	Public program	$272	fee schedule
Wellpoint	Exchange	Commercial	$284	fee schedule
Wellpoint	Commercial	Commercial	$318	fee schedule
Point Comfort - Adult Refugee	Managed Medicaid	Public program	$323	fee schedule
Molina Healthcare Affordable Care	Commercial	Commercial	$363	fee schedule
Curative	Commercial	Commercial	$375	fee schedule
HPHG LLC dba 90 Degrees	Commercial	Commercial	$397	fee schedule
Universal Benefits Consortium	Commercial	Commercial	$397	fee schedule
EBSO	Commercial	Commercial	$397	fee schedule
Velocity National Provider Network	Medicare Advantage	Medicare Advantage	$397	fee schedule
Scott and White Insurance	Commercial	Commercial	$400	fee schedule
Community First Health Plan	Commercial	Commercial	$600	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	$2,749	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$2,972	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$3,269	percent of total billed charges
First Health Network	Commercial	Commercial	$4,235	percent of total billed charges
Multiplan	Primary Network	Commercial	$4,829	percent of total billed charges
Prime Health	Commercial	Commercial	$5,200	percent of total billed charges
Multiplan	Complementary Network	Commercial	$5,200	percent of total billed charges
HealthSmart	Commercial	Commercial	$5,200	percent of total billed charges
Velocity National Provider Network	Commercial	Commercial	$5,943	percent of total billed charges
Three Rivers Provider Network	Commercial	Commercial	$6,315	percent of total billed charges

Methodist Hospital Atascosa: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
Molina	CHIPHMO	Medicaid / CHIP	$188	fee schedule
Molina	CHIPPERINATE	Medicaid / CHIP	$188	fee schedule
Molina	STAR	Medicaid / CHIP	$188	fee schedule
Molina	STAR+PLUS	Medicaid / CHIP	$188	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueAdvantage	Commercial	$538	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
BCBS	BlueEssentials	Commercial	$795	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$795	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$865	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	PPO	Commercial	$932	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
BCBS	BlueAdvantage	Commercial	$461	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueAdvantage	Commercial	$538	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
BCBS	BlueEssentials	Commercial	$795	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$795	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$865	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	PPO	Commercial	$932	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,854	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
BCBS	BlueAdvantage	Commercial	$461	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
BCBS	BlueAdvantage	Commercial	$461	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,854	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$3,297	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$5,571	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$7,617	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$7,959	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
USA Managed Care	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$11,369	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueAdvantage	Commercial	$538	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
Aetna	NarrowNetwork	Commercial	$778	case rate
BCBS	BlueEssentials	Commercial	$795	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$795	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$865	fee schedule
Aetna	NewBusinessRates	Commercial	$926	case rate
BCBS	PPO	Commercial	$932	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$3,297	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$5,571	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Humana	BHCOMM	Commercial	$7,390	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$7,617	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$7,959	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
USA Managed Care	PPO	Commercial	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$11,369	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
BCBS	BlueAdvantage	Commercial	$461	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
BCBS	BlueAdvantage	Commercial	$538	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,797	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$7,959	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
USA Managed Care	PPO	Commercial	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$188	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$188	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$188	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$188	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$190	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$190	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$192	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$192	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$205	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$205	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$207	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$207	fee schedule
Humana	MGMCD	Medicaid / CHIP	$235	fee schedule
BCBS	MyBlueHealth	Commercial	$375	fee schedule
BCBS	BlueAdvantage	Commercial	$461	fee schedule
United	AllPayerAppendix	Commercial	$518	fee schedule
United	Charter	Commercial	$518	fee schedule
United	NexusACO	Commercial	$518	fee schedule
United	SmallGroup	Commercial	$518	fee schedule
BCBS	BlueEssentials	Commercial	$529	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$529	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$568	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$568	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$576	fee schedule
BCBS	PPO	Commercial	$620	fee schedule
Aetna	NarrowNetwork	Commercial	$778	case rate
Aetna	NewBusinessRates	Commercial	$926	case rate
Aetna	CommercialBaseNetwork	Commercial	$944	case rate
Aetna	OON	Commercial	$1,109	case rate
Amerigroup	CHIPBH	Medicaid / CHIP	$1,592	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$1,592	percent of total billed charges
United	OptionsPPO	Commercial	$2,854	percent of total billed charges
Community First Health Plans	HMO	Commercial	$3,070	percent of total billed charges
BCBS	TRAD	Commercial	$3,354	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$5,116	percent of total billed charges
Aetna	ASA	Commercial	$5,514	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$5,685	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$6,253	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$7,959	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$8,527	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$8,527	percent of total billed charges
USA Managed Care	PPO	Commercial	$8,527	percent of total billed charges
DirectCare America	PPO	Commercial	$9,096	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$9,664	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	$99.51	fee schedule
OSCAR HEALTH PLAN	OSCAR HEALTH PLAN HIX	Commercial	$136	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICAID STAR PLUS	Medicaid / CHIP	$188	fee schedule
SCOTT AND WHITE HEALTH PLAN	SCOTT AND WHITE EXCHANGE	Commercial	$216	fee schedule
TEXICARE	TEXICARE COMM	Commercial	$225	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE EXCHANGE	Commercial	$230	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE NON OPTIONS	Commercial	$230	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE OPTIONS PPO	Commercial	$230	fee schedule
AMBETTER	AMBETTER EXCHANGE VALUE AND SELECT NONPAR	Commercial	$303	fee schedule
HUMANA	HUMANA COMMERCIAL	Commercial	$331	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE OPTIONS/BLUE PRECISION	Commercial	$348	fee schedule
AETNA	AETNA EXCHANGE	Commercial	$384	fee schedule
AETNA	AETNA SOUTH SAN ANTONIO ISD	Commercial	$384	fee schedule
AETNA	AETNA EXCHANGE HIX	Commercial	$391	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS MYBLUE HEALTH HIX	Commercial	$412	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE ADVANTAGE HMO	Commercial	$419	fee schedule
HUMANA	HUMANA EXCHANGE	Commercial	$468	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO BLUE	Commercial	$471	fee schedule
HUMANA	HUMANA EXCHANGE HMOX	Commercial	$490	fee schedule
AETNA	AETNA SPP	Commercial	$494	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO/POS	Commercial	$550	fee schedule
AETNA	AETNA QPIC	Commercial	$551	fee schedule
AETNA	AETNA COMMERCIAL NEW BUSINESS DISCOUNT	Commercial	$574	fee schedule
AETNA	AETNA COMMERCIAL	Commercial	$646	fee schedule

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 74176 (Abdomen and pelvis CT scan without 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 in other cities

Compare Abdomen and pelvis CT prices across all cities →

Houston, TXCash $232–$32,860 Dallas–Fort Worth, TXCash $1,243–$3,538 Phoenix, AZCash $293–$4,748 Austin, TXCash $433–$14,805

Other CT scan prices in San Antonio

Head CTCPT 70450 Chest CTCPT 71250 Chest CT with contrastCPT 71260 Abdomen and pelvis CT with contrastCPT 74177