17 hospitals in San Antonio list a self-pay price of $465–$6,391 for a head CT scan without contrast (CPT 70450). The typical commercial rate in the same files is $855.
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. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
Head CT prices by hospital in San Antonio
Published cash priceTypical insured rate
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 70450; Medicaid and Medicare Advantage are shown separately below.
Head CT scan without contrast (CPT 70450) — San Antonio
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
Blue Cross Blue Shield$100–$457
Aetna$100–$912
Cigna$1,028–$1,306
UnitedHealthcare$100–$855
Humana$100–$779
Oscar—
Ambetter—
Medicaid / CHIP$100–$169
Medicare Advantage$50–$169
University Health University Hospital
Blue Cross Blue Shield$1,470–$1,617
Aetna$912–$960
Cigna—
UnitedHealthcare$764
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$101–$128
Medicare Advantage$100–$175
Resolute Baptist Hospital
Blue Cross Blue Shield$172–$265
Aetna$187–$315
Cigna—
UnitedHealthcare$109
Humana$215–$577
Oscar$64.97–$88.90
Ambetter$176
Medicaid / CHIP$105
Medicare Advantage—
Northeast Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Mission Trail Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
St. Luke's Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
North Central Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Westover Hills Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Methodist Hospital Atascosa
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$320
Medicare Advantage—
Methodist Hospital Landmark
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$115
Medicare Advantage—
Methodist Hospital Stone Oak
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$1,604
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$895
Medicare Advantage—
Methodist Hospital Westover Hills
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105
Medicare Advantage—
Methodist Hospital
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna$1,853
UnitedHealthcare$245–$1,604
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$6,391
Medicare Advantage$3,132
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna$1,853
UnitedHealthcare$245–$2,876
Humana$4,154
Oscar—
Ambetter—
Medicaid / CHIP$105–$6,391
Medicare Advantage$3,132
Methodist Texsan Hospital
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$895
Medicare Advantage—
Metropolitan Methodist Hospital
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$895
Medicare Advantage—
Northeast Methodist Hospital
Blue Cross Blue Shield$180–$1,885
Aetna$778–$3,100
Cigna—
UnitedHealthcare$245–$2,876
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$895
Medicare Advantage—
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
$49.93
fee schedule
Aetna
MM
Commercial
$99.85
fee schedule
Allwell
Superior Health MM
Medicare Advantage
$99.85
fee schedule
Blue Cross Blue Shield of Texas
MM
Commercial
$99.85
fee schedule
Christus Health
Med Adv MM
Medicare Advantage
$99.85
fee schedule
Coventry
First Health MM
Commercial
$99.85
fee schedule
Humana
Gold Choice MM
Commercial
$99.85
fee schedule
Humana
Gold Plus MM
Medicare Advantage
$99.85
fee schedule
Molina
Medicare Adv MM
Medicare Advantage
$99.85
fee schedule
Superior
Star Plus MM
Medicaid / CHIP
$99.85
fee schedule
Triwest
VA MM
Military / VA
$99.85
fee schedule
United Healthcare
MM
Commercial
$99.85
fee schedule
Wellcare
MM
Medicare Advantage
$99.85
fee schedule
Provider Partners Health Plan
MM
Medicare Advantage
$103
fee schedule
Texas Independence Health Plan
MM
Medicare Advantage
$103
fee schedule
Shared Health Insurance Company
MM
Commercial
$105
fee schedule
Amerigroup
MM
Medicaid / CHIP
$108
fee schedule
Devoted Health Plan
MM
Medicare Advantage
$108
fee schedule
United Healthcare
Chip KM
Medicaid / CHIP
$110
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$110
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$110
fee schedule
American Health Medicare
Advantage MM
Medicare Advantage
$110
fee schedule
Imperial Health Plan
MM
Medicare Advantage
$110
fee schedule
ProCare Advantage
MM
Medicare Advantage
$110
fee schedule
Employer Direct
Healthcare PPO
Commercial
$120
fee schedule
Gilsbar Inc.
MM
Commercial
$130
fee schedule
Aetna
Chip KM
Medicaid / CHIP
$135
fee schedule
Aetna
Star KM
Medicaid / CHIP
$135
fee schedule
Blue Cross Blue Shield Of Texas
Star Chip KM
Medicaid / CHIP
$135
fee schedule
Community First
Chip KM
Medicaid / CHIP
$135
fee schedule
Community First
Star KM
Medicaid / CHIP
$135
fee schedule
Community First
Star Kids KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Chip KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Star KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Star Kids KM
Medicaid / CHIP
$135
fee schedule
El Paso First
KM
Medicaid / CHIP
$135
fee schedule
First Care
KM
Commercial
$135
fee schedule
Molina
Chip KM
Medicaid / CHIP
$135
fee schedule
Molina
Star Plus KM
Medicaid / CHIP
$135
fee schedule
Superior
Chip KM
Medicaid / CHIP
$135
fee schedule
Superior
Foster Care KM
Medicaid / CHIP
$135
fee schedule
Superior
Star KM
Medicaid / CHIP
$135
fee schedule
Superior
Star Kids KM
Medicaid / CHIP
$135
fee schedule
Superior
Star Plus KM
Medicaid / CHIP
$135
fee schedule
Christus Health
HIX
Commercial
$140
fee schedule
Texas Childrens Health Plan
Chip KM
Medicaid / CHIP
$141
fee schedule
Texas Childrens Health Plan
Star Plus KM
Medicaid / CHIP
$141
fee schedule
Amerigroup
Chip KM
Medicaid / CHIP
$169
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$169
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$169
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$169
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$169
percent of total billed charges
Naphcare Inc.
RRMB
Public program
$200
fee schedule
Blue Cross Blue Shield of Texas
Blue AdvantangeHMO
Commercial
$315
fee schedule
Blue Cross Blue Shield of Texas
HMO
Commercial
$387
fee schedule
Blue Cross Blue Shield of Texas
HEB
Commercial
$391
fee schedule
Blue Cross Blue Shield of Texas
PPO
Commercial
$435
fee schedule
Blue Cross Blue Shield of Texas
Traditional
Commercial
$457
fee schedule
Community First Health Plan
HMO
Commercial
$673
other
Christian Brothers Services
PPO
Commercial
$775
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
First Health
PPO
Commercial
$916
percent of total billed charges
Multiplan
PPO
Commercial
$916
percent of total billed charges
Phcs
PPO
Commercial
$916
percent of total billed charges
Healthcare Highways
PPO
Commercial
$988
other
Cigna
New Business
Commercial
$1,028
fee schedule
Medicus Internatiaonal
PPO
Commercial
$1,057
percent of total billed charges
Beech Street
PPO
Commercial
$1,127
percent of total billed charges
Health Management Network
PPO
Commercial
$1,127
percent of total billed charges
HealthSmart
PPO
Commercial
$1,127
percent of total billed charges
Provider Select
PPO
Commercial
$1,127
percent of total billed charges
Cigna
PPO
Commercial
$1,306
fee schedule
National Choicecare
PPO
Commercial
$1,339
percent of total billed charges
Five Point Credit Union
PPO
Commercial
$1,500
fee schedule
Healthsmart
Accel PPO
Commercial
$1,609
percent of total billed charges
University Health University Hospital: all 55 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Community First Health Plan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Superior Health Plan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
WellMed
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
United Healthcare
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Multiplan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Community First EPO Affordable Care
Commercial
Commercial
$99.85
fee schedule
Scott and White Insurance
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Wellpoint
Medicare/Medicaid Dual Program
Medicaid / CHIP
$101
fee schedule
Wellpoint
Medicare Advantage
Medicare Advantage
$101
fee schedule
Blue Cross Blue Shield
Medicare Advantage
Medicare Advantage
$102
fee schedule
Molina
Medicare Advantage
Medicare Advantage
$103
fee schedule
Wellcare
Medicare Advantage
Medicare Advantage
$103
fee schedule
Blue Cross Blue Shield Star/CHIP
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$109
fee schedule
Texas Independence Health Plan
Medicare Advantage
Medicare Advantage
$110
fee schedule
Provider Partner Health Plans
Medicare Advantage
Medicare Advantage
$110
fee schedule
Procare Advantage
Medicare Advantage
Medicare Advantage
$110
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$110
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$110
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$113
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$115
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$118
fee schedule
Entrust
Commercial
Commercial
$120
fee schedule
Point Comfort - Unaccompanied Minor Healthcare
Medicare Advantage
Public program
$120
fee schedule
Wellpoint
Exchange
Commercial
$125
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$128
fee schedule
Wellpoint
Commercial
Commercial
$140
fee schedule
Molina Healthcare Affordable Care
Commercial
Commercial
$160
fee schedule
Curative
Commercial
Commercial
$165
fee schedule
HPHG LLC dba 90 Degrees
Commercial
Commercial
$175
fee schedule
Universal Benefits Consortium
Commercial
Commercial
$175
fee schedule
EBSO
Commercial
Commercial
$175
fee schedule
Velocity National Provider Network
Medicare Advantage
Medicare Advantage
$175
fee schedule
Scott and White Insurance
Commercial
Commercial
$179
fee schedule
Point Comfort - Adult Refugee
Managed Medicaid
Public program
$182
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
$1,360
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$1,470
percent of total billed charges
Blue Cross Blue Shield
PPO
Commercial
$1,617
percent of total billed charges
First Health Network
Commercial
Commercial
$2,095
percent of total billed charges
Multiplan
Primary Network
Commercial
$2,389
percent of total billed charges
Prime Health
Commercial
Commercial
$2,573
percent of total billed charges
Multiplan
Complementary Network
Commercial
$2,573
percent of total billed charges
HealthSmart
Commercial
Commercial
$2,573
percent of total billed charges
Velocity National Provider Network
Commercial
Commercial
$2,940
percent of total billed charges
Three Rivers Provider Network
Commercial
Commercial
$3,124
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
$64.97
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HIX
Commercial
$88.90
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE MEDICAID STAR PLUS
Medicaid / CHIP
$105
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE EXCHANGE
Commercial
$109
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE NON OPTIONS
Commercial
$109
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE OPTIONS PPO
Commercial
$109
fee schedule
SCOTT AND WHITE HEALTH PLAN
SCOTT AND WHITE EXCHANGE
Commercial
$125
fee schedule
TEXICARE
TEXICARE COMM
Commercial
$131
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE OPTIONS/BLUE PRECISION
Commercial
$172
fee schedule
AMBETTER
AMBETTER EXCHANGE VALUE AND SELECT NONPAR
Commercial
$176
fee schedule
AETNA
AETNA EXCHANGE
Commercial
$187
fee schedule
AETNA
AETNA SOUTH SAN ANTONIO ISD
Commercial
$187
fee schedule
AETNA
AETNA EXCHANGE HIX
Commercial
$191
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS MYBLUE HEALTH HIX
Commercial
$198
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE ADVANTAGE HMO
Commercial
$202
fee schedule
HUMANA
HUMANA COMMERCIAL
Commercial
$215
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD HMO BLUE
Commercial
$226
fee schedule
AETNA
AETNA SPP
Commercial
$241
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD PPO/POS
Commercial
$265
fee schedule
AETNA
AETNA QPIC
Commercial
$269
fee schedule
AETNA
AETNA COMMERCIAL NEW BUSINESS DISCOUNT
Commercial
$280
fee schedule
HUMANA
HUMANA EXCHANGE
Commercial
$303
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$315
fee schedule
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$577
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
Methodist Hospital Atascosa: all 44 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$105
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$105
fee schedule
Molina
STAR
Medicaid / CHIP
$105
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$105
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
BCBS
BlueEssentials
Commercial
$382
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$382
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$416
fee schedule
BCBS
PPO
Commercial
$448
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
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
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
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
BCBS
BlueEssentials
Commercial
$382
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$382
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$416
fee schedule
BCBS
PPO
Commercial
$448
fee schedule
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,604
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
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
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,604
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,853
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$3,132
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$4,282
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,474
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
USA Managed Care
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$6,391
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
BCBS
BlueEssentials
Commercial
$382
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$382
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$416
fee schedule
BCBS
PPO
Commercial
$448
fee schedule
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,853
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$3,132
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Humana
BHCOMM
Commercial
$4,154
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$4,282
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,474
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$6,391
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,572
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,474
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
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
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
BCBS
MyBlueHealth
Commercial
$180
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$254
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$254
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$277
fee schedule
BCBS
PPO
Commercial
$298
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$320
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$320
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$778
case rate
Amerigroup
CHIPBH
Medicaid / CHIP
$895
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$895
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$926
case rate
Aetna
CommercialBaseNetwork
Commercial
$944
case rate
Aetna
OON
Commercial
$1,109
case rate
United
OptionsPPO
Commercial
$1,604
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,726
percent of total billed charges
BCBS
TRAD
Commercial
$1,885
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,876
percent of total billed charges
Aetna
ASA
Commercial
$3,100
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,196
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,515
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,474
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,793
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,793
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,793
percent of total billed charges
DirectCare America
PPO
Commercial
$5,113
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,432
percent of total billed charges
What this price covers
These are hospital charges for CPT code 70450 (Head 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.