How much does an a1c test cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $27–$507 for a hemoglobin a1c test (CPT 83036). The typical commercial rate in the same files is $24.00.

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
$27–$507
what 17 hospitals list for a self-pay a1c test
Typical insured rate
$24.00
median of every commercial plan rate in the files
Lowest insured rate
$9.71
Community First EPO Affordable Care (Commercial), University Health University 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 1.1× 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.

A1c test 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 83036; Medicaid and Medicare Advantage are shown separately below.

Hemoglobin A1c test (CPT 83036) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$27.00Cash ÷ typical 0.6×$43.2025 plans$9.71
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$27.39–$75.24Cash ÷ typical 0.9×$30.7837 plans$9.71
Resolute Baptist HospitalBaptist Health System · file Sep 2026$144–$317Cash ÷ typical 9.7×$14.8324 plans$9.71
Northeast Baptist HospitalBaptist Health System · file Apr 2026$366–$472——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$366–$472——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$366–$472——
North Central Baptist HospitalBaptist Health System · file Apr 2026$366–$472——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$366–$472——
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 19×$25.8329 plans$9.71
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 19×$25.7333 plans$9.71
Methodist HospitalMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 20×$23.5038 plans$9.71
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 16×$29.9540 plans$9.71
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 22×$21.9534 plans$9.71
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 21×$22.7036 plans$9.71
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$481–$507= list priceCash ÷ typical 21×$22.7036 plans$9.71
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$507= list priceCash ÷ typical 27×$18.9329 plans$9.71
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$507= list priceCash ÷ typical 26×$19.6630 plans$9.71

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaOscarAmbetterMedicaid / CHIPMedicare Advantage
University Health University Hospital$43.20–$47.52$48.00–$51.00—$33.00———$8.16–$9.81$9.71–$16.99
CHRISTUS Santa Rosa Hospital – Westover Hills$9.71–$36.02$9.71–$19.23$38.63–$48.92$9.71–$12.40$9.71–$25.57——$9.06–$10.49$4.86–$10.68
Resolute Baptist Hospital$9.71–$15.83$12.07–$40.41$11.13–$14.34$9.71$32.53–$53.82—$4,848–$4,896$8.16—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
Methodist Hospital Atascosa$13–$142—$16.03–$21.20$10–$217—$25.83—$8.16–$24.07$9.18–$10.29
Methodist Hospital Stone Oak$13–$142—$16.03–$21.20$10–$121—$25.83$15.63$8.16–$67.40$9.18–$15.44
Methodist Hospital$13–$142—$16–$140$10–$121—$25.83$15.63$8–$481$9–$236
Methodist Specialty & Transplant Hospital$13–$142—$16–$140$10–$217$313$25.83$15.63$8–$481$9–$236
Methodist Texsan Hospital$13–$142—$16.03–$21.20$10–$217—$25.83$15.63$8.16–$67.40$9.18–$15.44
Metropolitan Methodist Hospital$13–$142—$16.03–$21.20$10–$217—$25.83$15.63$8.16–$67.40$9.18–$15.44
Northeast Methodist Hospital$13–$142—$16.03–$21.20$10–$217—$25.83$15.63$8.16–$67.40$9.18–$15.44
Methodist Hospital Landmark$13–$150—$16.03–$21.20$10–$228—$25.83$15.63$8.16–$15.44$9.71–$15.44
Methodist Hospital Westover Hills$13–$150—$16.03–$21.20$10–$228—$25.83$15.63$8.16$9.18–$10.00
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$8.16fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$8.16fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$8.16fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$8.16fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$8.32fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$8.40fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$8.40fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$8.65fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$8.81fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$8.98fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$9.71fee schedule
HumanaMedicare AdvantageMedicare Advantage$9.71fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$9.71fee schedule
WellMedMedicare AdvantageMedicare Advantage$9.71fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$9.71fee schedule
AetnaMedicare AdvantageMedicare Advantage$9.71fee schedule
MultiplanMedicare AdvantageMedicare Advantage$9.71fee schedule
Community First EPO Affordable CareCommercialCommercial$9.71fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$9.71fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$9.79fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$9.81fee schedule
WellpointMedicare AdvantageMedicare Advantage$9.81fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$9.90fee schedule
MolinaMedicare AdvantageMedicare Advantage$10.00fee schedule
WellcareMedicare AdvantageMedicare Advantage$10.00fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$10.68fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$10.68fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$10.68fee schedule
EntrustCommercialCommercial$11.65fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$11.65fee schedule
WellpointExchangeCommercial$12.14fee schedule
WellpointCommercialCommercial$13.59fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$13.87fee schedule
Scott and White InsuranceCommercialCommercial$15.54fee schedule
Molina Healthcare Affordable CareCommercialCommercial$15.54fee schedule
CurativeCommercialCommercial$16.02fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$16.99fee schedule
Universal Benefits ConsortiumCommercialCommercial$16.99fee schedule
EBSOCommercialCommercial$16.99fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$16.99fee schedule
United HealthcareCommercialCommercial$33.00fee schedule
USAACommercialCommercial$39.96percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$43.20percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$47.52percent of total billed charges
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
Independent Medical SystemsCommercialCommercial$54.00percent of total billed charges
First Health NetworkCommercialCommercial$61.56percent of total billed charges
MultiplanPrimary NetworkCommercial$70.20percent of total billed charges
Prime HealthCommercialCommercial$75.60percent of total billed charges
MultiplanComplementary NetworkCommercial$75.60percent of total billed charges
Community First Health PlanCommercialCommercial$75.60percent of total billed charges
HealthSmartCommercialCommercial$75.60percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$86.40percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$91.80percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 80 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas HealthspringMMMedicare Advantage$4.86fee schedule
United HealthcareChip KMMedicaid / CHIP$9.06fee schedule
United HealthcareStar KMMedicaid / CHIP$9.06fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$9.06fee schedule
AetnaChip KMMedicaid / CHIP$9.71fee schedule
AetnaMMCommercial$9.71fee schedule
AetnaStar KMMedicaid / CHIP$9.71fee schedule
AllwellSuperior Health MMMedicare Advantage$9.71fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$9.71fee schedule
Blue Cross Blue Shield of TexasMMCommercial$9.71fee schedule
Christus HealthMed Adv MMMedicare Advantage$9.71fee schedule
Community FirstChip KMMedicaid / CHIP$9.71fee schedule
Community FirstStar KMMedicaid / CHIP$9.71fee schedule
Community FirstStar Kids KMMedicaid / CHIP$9.71fee schedule
CoventryFirst Health MMCommercial$9.71fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$9.71fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$9.71fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$9.71fee schedule
El Paso FirstKMMedicaid / CHIP$9.71fee schedule
First CareKMCommercial$9.71fee schedule
HumanaGold Choice MMCommercial$9.71fee schedule
HumanaGold Plus MMMedicare Advantage$9.71fee schedule
MolinaChip KMMedicaid / CHIP$9.71fee schedule
MolinaMedicare Adv MMMedicare Advantage$9.71fee schedule
MolinaStar Plus KMMedicaid / CHIP$9.71fee schedule
SuperiorChip KMMedicaid / CHIP$9.71fee schedule
SuperiorFoster Care KMMedicaid / CHIP$9.71fee schedule
SuperiorStar KMMedicaid / CHIP$9.71fee schedule
SuperiorStar Kids KMMedicaid / CHIP$9.71fee schedule
SuperiorStar Plus KMMedicaid / CHIP$9.71fee schedule
SuperiorStar Plus MMMedicaid / CHIP$9.71fee schedule
TriwestVA MMMilitary / VA$9.71fee schedule
United HealthcareMMCommercial$9.71fee schedule
WellcareMMMedicare Advantage$9.71fee schedule
AmerigroupChip KMMedicaid / CHIP$9.96percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$9.96percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$9.96percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$9.96percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$9.96percent of total billed charges
Provider Partners Health PlanMMMedicare Advantage$10.00fee schedule
Texas Independence Health PlanMMMedicare Advantage$10.00fee schedule
Shared Health Insurance CompanyMMCommercial$10.20fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$10.20fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$10.20fee schedule
US Imaging NetworkPPOCommercial$10.39fee schedule
AmerigroupMMMedicaid / CHIP$10.49fee schedule
Devoted Health PlanMMMedicare Advantage$10.49fee schedule
American Health MedicareAdvantage MMMedicare Advantage$10.68fee schedule
Imperial Health PlanMMMedicare Advantage$10.68fee schedule
ProCare AdvantageMMMedicare Advantage$10.68fee schedule
Employer DirectHealthcare PPOCommercial$11.65fee schedule
United HealthcareAll PayerCommercial$12.40fee schedule
Gilsbar Inc.MMCommercial$12.62fee schedule
Christus HealthHIXCommercial$13.59fee schedule
AetnaEPOCommercial$19.23fee schedule
AetnaPOSCommercial$19.23fee schedule
AetnaPPOCommercial$19.23fee schedule
Naphcare Inc.RRMBPublic program$19.42fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$24.95fee schedule
HumanaChoicecareCommercial$25.57fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$30.39fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$30.78fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$34.18fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$36.02fee schedule
Community First Health PlanHMOCommercial$36.52percent of total billed charges
Healthcare HighwaysPPOCommercial$37.35percent of total billed charges
CignaNew BusinessCommercial$38.63fee schedule
Christian Brothers ServicesPPOCommercial$45.65percent of total billed charges
CignaPPOCommercial$48.92fee schedule
First HealthPPOCommercial$53.95percent of total billed charges
HealthsmartAccel PPOCommercial$53.95percent of total billed charges
MultiplanPPOCommercial$53.95percent of total billed charges
PhcsPPOCommercial$53.95percent of total billed charges
Five Point Credit UnionPPOCommercial$58.10percent of total billed charges
Medicus InternatiaonalPPOCommercial$62.25percent of total billed charges
Beech StreetPPOCommercial$66.40percent of total billed charges
Health Management NetworkPPOCommercial$66.40percent of total billed charges
HealthSmartPPOCommercial$66.40percent of total billed charges
Provider SelectPPOCommercial$66.40percent of total billed charges
National ChoicecarePPOCommercial$78.85percent of total billed charges
Resolute Baptist Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$8.16fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$9.71fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$9.71fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$9.71fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$9.71fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$9.81fee schedule
CIGNACIGNA COMMERCIALCommercial$11.13fee schedule
AETNAAETNA EXCHANGE HIXCommercial$12.07fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$12.38fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$12.47fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$12.62fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$12.90fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$14.34fee schedule
AETNAAETNA SPPCommercial$15.32fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$15.83fee schedule
AETNAAETNA QPICCommercial$16.95fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$23.87fee schedule
AETNAAETNA EXCHANGECommercial$24.00fee schedule
HUMANAHUMANA COMMERCIALCommercial$32.53fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$35.53fee schedule
AETNAAETNA COMMERCIALCommercial$40.41fee schedule
HUMANAHUMANA EXCHANGECommercial$41.46fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$53.82fee schedule
AMBETTERAMBETTER BY SUPERIOR HIXCommercial$4,848case rate
AMBETTERAMBETTER BY SUPERIOR EXCHANGE HIXCommercial$4,896case rate
Northeast Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Mission Trail Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
St. Luke's Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
North Central Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Westover Hills Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Methodist Hospital Atascosa: all 83 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
MolinaCHIPHMOMedicaid / CHIP$8.16fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$8.16fee schedule
MolinaSTARMedicaid / CHIP$8.16fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$8.16fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSBlueAdvantageCommercial$17.96fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
BCBSBlueEssentialsCommercial$25.73fee schedule
BCBSBlueEssentialsAccessCommercial$25.73fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$27.96fee schedule
BCBSPPOCommercial$30.20fee schedule
UnitedOptionsPPOCommercial$118percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$217percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
Methodist Hospital Stone Oak: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSBlueAdvantageCommercial$17.96fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
BCBSBlueEssentialsCommercial$25.73fee schedule
BCBSBlueEssentialsAccessCommercial$25.73fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$27.96fee schedule
BCBSPPOCommercial$30.20fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$121percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
Methodist Hospital: all 105 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
BCBSBlueAdvantageCommercial$13.30fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
OptumCOMMCommercial$24.28fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$121percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
Cigna LifesourceCOMMCommercial$140percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$236percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$323percent of total billed charges
TML Intergovernmental EBPPPOCommercial$337percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
USA Managed CarePPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
OptumMCDMedicaid / CHIP$481percent of total billed charges
Methodist Specialty & Transplant Hospital: all 108 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
Value OptionsTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSBlueAdvantageCommercial$17.96fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
OptumCOMMCommercial$24.28fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
BCBSBlueEssentialsCommercial$34.08fee schedule
BCBSBlueEssentialsAccessCommercial$34.08fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$37.09fee schedule
BCBSPPOCommercial$40.01fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$118percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
Cigna LifesourceCOMMCommercial$140percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$217percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$236percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
HumanaBHCOMMCommercial$313percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$323percent of total billed charges
TML Intergovernmental EBPPPOCommercial$337percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
USA Managed CarePPOCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
OptumMCDMedicaid / CHIP$481percent of total billed charges
Methodist Texsan Hospital: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
BCBSBlueAdvantageCommercial$13.30fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$118percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$217percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
Metropolitan Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
Value OptionsTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSBlueAdvantageCommercial$17.96fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$118percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$217percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
TML Intergovernmental EBPPPOCommercial$337percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
USA Managed CarePPOCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
Northeast Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$8.16fee schedule
AmerigroupMCDMedicaid / CHIP$8.16fee schedule
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$8.32fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$8.32fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.81fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.81fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.81fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
TriWest VA PCCCFEDERALMilitary / VA$9.52fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
AmerigroupDualEligibleMedicaid / CHIP$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$9.71fee schedule
Devoted HealthMCRHMOMedicare Advantage$9.71fee schedule
Devoted HealthMCRPFFSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPOSMedicare Advantage$9.71fee schedule
Devoted HealthMCRPPOMedicare Advantage$9.71fee schedule
Devoted HealthMCRSNPMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
IntegranetMCRMedicare Advantage$10.00fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$10.20fee schedule
Clover InsuranceMCRMedicare Advantage$10.20fee schedule
HumanaMGMCDMedicaid / CHIP$10.20fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$10.29fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$10.29fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$10.29fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
Value OptionsTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
BCBSBlueAdvantageCommercial$13.30fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
Focus Health SolutionsCOMMCommercial$22.72fee schedule
Superior HealthCHIPMedicaid / CHIP$24.07percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$24.07percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$24.07percent of total billed charges
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
AmerigroupCHIPBHMedicaid / CHIP$67.40percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$67.40percent of total billed charges
UnitedOptionsPPOCommercial$121percent of total billed charges
Community First Health PlansHMOCommercial$130percent of total billed charges
BCBSTRADCommercial$142percent of total billed charges
ValenzNXNetworkCommercial$169percent of total billed charges
Evry HealthBroadCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$217percent of total billed charges
TX Healthcare FoundationPPOCommercial$241percent of total billed charges
HealthSmart Preferred CareAccelCommercial$265percent of total billed charges
TML Intergovernmental EBPPPOCommercial$337percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$361percent of total billed charges
USA Managed CarePPOCommercial$361percent of total billed charges
DirectCare AmericaPPOCommercial$385percent of total billed charges
MultiplanComplementaryNetworkCommercial$409percent of total billed charges
Methodist Hospital Landmark: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.98fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.98fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.98fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
HumanaMGMCRHMOMedicare Advantage$9.71fee schedule
HumanaMGMCRPPOMedicare Advantage$9.71fee schedule
TriWestMGMCRMilitary / VA$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
Superior HealthMGMCRMedicare Advantage$10.20fee schedule
TriWest Health AllianceTRICAREMilitary / VA$10.51fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
BCBSBlueAdvantageCommercial$13.30fee schedule
Molina HealthcareMCRMedicare Advantage$15.44fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$15.44fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
UnitedOptionsPPOCommercial$125percent of total billed charges
Community First Health PlansHMOCommercial$137percent of total billed charges
BCBSTRADCommercial$150percent of total billed charges
ValenzNXNetworkCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$228percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$380percent of total billed charges
MultiplanComplementaryNetworkCommercial$431percent of total billed charges
Methodist Hospital Westover Hills: all 46 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPMedicaid / CHIP$8.16fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$8.16fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$8.16fee schedule
WellMedMCRMedicare Advantage$9.18fee schedule
UnitedAllPayerAppendixCommercial$9.71fee schedule
UnitedCharterCommercial$9.71fee schedule
UnitedNexusACOCommercial$9.71fee schedule
UnitedSmallGroupCommercial$9.71fee schedule
BCBSMGMCRHMOMedicare Advantage$9.71fee schedule
BCBSMGMCRPOSMedicare Advantage$9.71fee schedule
BCBSMGMCRPPOMedicare Advantage$9.71fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$9.71fee schedule
AetnaMCRMedicare Advantage$9.89fee schedule
UnitedMCRMedicare Advantage$9.90fee schedule
WellCareMCRHMOMedicare Advantage$10.00fee schedule
WellCareMCRPOSMedicare Advantage$10.00fee schedule
WellCareMCRPPOMedicare Advantage$10.00fee schedule
WellCareMCRSNPMedicare Advantage$10.00fee schedule
WellCarePFFSMedicare Advantage$10.00fee schedule
BCBSMyBlueHealthCommercial$13.21fee schedule
BCBSBlueAdvantageCommercial$13.30fee schedule
SuperiorAmbetterEPOCommercial$15.63fee schedule
SuperiorAmbetterHMOCommercial$15.63fee schedule
SuperiorAmbetterValueHMOCommercial$15.63fee schedule
CignaNewBusinessNetworkCommercial$16.03fee schedule
BCBSBlueEssentialsCommercial$17.38fee schedule
BCBSBlueEssentialsAccessCommercial$17.38fee schedule
CignaHMOCommercial$17.54fee schedule
CignaOpenAccessPlusCommercial$17.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$18.93fee schedule
BCBSPPOCommercial$20.39fee schedule
CignaPPOCommercial$21.20fee schedule
Healthcare HighwaysNarrowNetworkCommercial$22.69fee schedule
OscarBroadNetworkHIXCommercial$25.83fee schedule
OscarEPOCommercial$25.83fee schedule
OscarPOSCommercial$25.83fee schedule
OscarPPOCommercial$25.83fee schedule
UnitedOptionsPPOCommercial$125percent of total billed charges
Community First Health PlansHMOCommercial$137percent of total billed charges
BCBSTRADCommercial$150percent of total billed charges
ValenzNXNetworkCommercial$177percent of total billed charges
UnitedGlobalBenefitPlanCommercial$228percent of total billed charges
HealthSmart Preferred CareAccelCommercial$279percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$380percent of total billed charges
MultiplanComplementaryNetworkCommercial$431percent of total billed charges

What this price covers

These are hospital charges for CPT code 83036 (Hemoglobin A1c test). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

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

Other lab tests prices in San Antonio