How much does a BMP cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $42–$1,630 for a basic metabolic panel (BMP) (CPT 80048). The typical commercial rate in the same files is $20.82.

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
$42–$1,630
what 17 hospitals list for a self-pay BMP
Typical insured rate
$20.82
median of every commercial plan rate in the files
Lowest insured rate
$3.55
United Healthcare (All Payer), CHRISTUS Santa Rosa Hospital – Westover Hills

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

BMP 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 80048; Medicaid and Medicare Advantage are shown separately below.

Basic metabolic panel (BMP) (CPT 80048) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$41.50Cash ÷ typical 0.8×$51.0025 plans$8.46
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$49–$133Cash ÷ typical 1.8×$26.4839 plans$3.55
Resolute Baptist HospitalBaptist Health System · file Sep 2026$687Cash ÷ typical 53×$12.9324 plans$8.46
Northeast Baptist HospitalBaptist Health System · file Apr 2026$785–$1,012——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$785–$1,012——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$785–$1,012——
North Central Baptist HospitalBaptist Health System · file Apr 2026$785–$1,012——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$785–$1,012——
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 72×$22.5029 plans$8.46
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 99×$16.5029 plans$8.46
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 73×$22.4233 plans$8.46
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 95×$17.1330 plans$8.46
Methodist HospitalMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 80×$20.4838 plans$8.46
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 62×$26.0940 plans$8.46
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 85×$19.1234 plans$8.46
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 82×$19.7936 plans$8.46
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$1,630= list priceCash ÷ typical 82×$19.7936 plans$8.46

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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$66.40–$73.04$48.00–$51.00—$33.00———$7.11–$8.54$8.46–$14.81
CHRISTUS Santa Rosa Hospital – Westover Hills$8.46–$31.39$8.46–$16.74$33.41–$42.32$3.55–$8.46$8.46–$22.27——$7.90–$17.76$4.23–$17.76
Resolute Baptist Hospital$8.46–$13.79$10.53–$35.25$9.70–$12.48$8.46$28.34–$46.93—$4,848–$4,896$7.11—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
Methodist Hospital Atascosa$12–$481—$13.97–$18.48$8–$733—$22.50—$8.46–$81.48$7.99–$8.97
Methodist Hospital Landmark$12–$481—$13.97–$18.48$8–$733—$22.50$13.62$9.74–$13.45$8.46–$13.45
Methodist Hospital Stone Oak$12–$481—$13.97–$18.48$8–$409—$22.50$13.62$8–$228$7.99–$13.45
Methodist Hospital Westover Hills$12–$481—$13.97–$18.48$8–$733—$22.50$13.62$9.74$7.99–$8.71
Methodist Hospital$12–$481—$14–$473$8–$409—$22.50$13.62$8–$1,630$8–$799
Methodist Specialty & Transplant Hospital$12–$481—$14–$473$8–$733$1,059$22.50$13.62$8–$1,630$8–$799
Methodist Texsan Hospital$12–$481—$13.97–$18.48$8–$733—$22.50$13.62$8–$228$7.99–$13.45
Metropolitan Methodist Hospital$12–$481—$13.97–$18.48$8–$733—$22.50$13.62$8–$228$7.99–$13.45
Northeast Methodist Hospital$12–$481—$13.97–$18.48$8–$733—$22.50$13.62$8–$228$7.99–$13.45
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$7.11fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$7.11fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$7.11fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$7.11fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$7.25fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$7.32fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$7.32fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$7.54fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$7.68fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$7.82fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$8.46fee schedule
HumanaMedicare AdvantageMedicare Advantage$8.46fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$8.46fee schedule
WellMedMedicare AdvantageMedicare Advantage$8.46fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$8.46fee schedule
AetnaMedicare AdvantageMedicare Advantage$8.46fee schedule
MultiplanMedicare AdvantageMedicare Advantage$8.46fee schedule
Community First EPO Affordable CareCommercialCommercial$8.46fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$8.46fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$8.53fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$8.54fee schedule
WellpointMedicare AdvantageMedicare Advantage$8.54fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$8.63fee schedule
MolinaMedicare AdvantageMedicare Advantage$8.71fee schedule
WellcareMedicare AdvantageMedicare Advantage$8.71fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$9.31fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$9.31fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$9.31fee schedule
EntrustCommercialCommercial$10.15fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$10.15fee schedule
WellpointExchangeCommercial$10.58fee schedule
WellpointCommercialCommercial$11.84fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$12.09fee schedule
Scott and White InsuranceCommercialCommercial$13.54fee schedule
Molina Healthcare Affordable CareCommercialCommercial$13.54fee schedule
CurativeCommercialCommercial$13.96fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$14.81fee schedule
Universal Benefits ConsortiumCommercialCommercial$14.81fee schedule
EBSOCommercialCommercial$14.81fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$14.81fee schedule
United HealthcareCommercialCommercial$33.00fee schedule
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
USAACommercialCommercial$61.42percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$66.40percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$73.04percent of total billed charges
Independent Medical SystemsCommercialCommercial$83.00percent of total billed charges
First Health NetworkCommercialCommercial$94.62percent of total billed charges
MultiplanPrimary NetworkCommercial$108percent of total billed charges
Prime HealthCommercialCommercial$116percent of total billed charges
MultiplanComplementary NetworkCommercial$116percent of total billed charges
HealthSmartCommercialCommercial$116percent of total billed charges
Community First Health PlanCommercialCommercial$116percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$133percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$141percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareAll PayerCommercial$3.55fee schedule
Texas HealthspringMMMedicare Advantage$4.23fee schedule
United HealthcareChip KMMedicaid / CHIP$7.90fee schedule
United HealthcareStar KMMedicaid / CHIP$7.90fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$7.90fee schedule
AetnaChip KMMedicaid / CHIP$8.46fee schedule
AetnaMMCommercial$8.46fee schedule
AetnaStar KMMedicaid / CHIP$8.46fee schedule
AllwellSuperior Health MMMedicare Advantage$8.46fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$8.46fee schedule
Blue Cross Blue Shield of TexasMMCommercial$8.46fee schedule
Christus HealthMed Adv MMMedicare Advantage$8.46fee schedule
Community FirstChip KMMedicaid / CHIP$8.46fee schedule
Community FirstStar KMMedicaid / CHIP$8.46fee schedule
Community FirstStar Kids KMMedicaid / CHIP$8.46fee schedule
CoventryFirst Health MMCommercial$8.46fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$8.46fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$8.46fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$8.46fee schedule
El Paso FirstKMMedicaid / CHIP$8.46fee schedule
First CareKMCommercial$8.46fee schedule
HumanaGold Choice MMCommercial$8.46fee schedule
HumanaGold Plus MMMedicare Advantage$8.46fee schedule
MolinaChip KMMedicaid / CHIP$8.46fee schedule
MolinaMedicare Adv MMMedicare Advantage$8.46fee schedule
MolinaStar Plus KMMedicaid / CHIP$8.46fee schedule
SuperiorChip KMMedicaid / CHIP$8.46fee schedule
SuperiorFoster Care KMMedicaid / CHIP$8.46fee schedule
SuperiorStar KMMedicaid / CHIP$8.46fee schedule
SuperiorStar Kids KMMedicaid / CHIP$8.46fee schedule
SuperiorStar Plus KMMedicaid / CHIP$8.46fee schedule
SuperiorStar Plus MMMedicaid / CHIP$8.46fee schedule
TriwestVA MMMilitary / VA$8.46fee schedule
United HealthcareMMCommercial$8.46fee schedule
WellcareMMMedicare Advantage$8.46fee schedule
Provider Partners Health PlanMMMedicare Advantage$8.71fee schedule
Texas Independence Health PlanMMMedicare Advantage$8.71fee schedule
Shared Health Insurance CompanyMMCommercial$8.88fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$8.88fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$8.88fee schedule
US Imaging NetworkPPOCommercial$9.05fee schedule
AmerigroupMMMedicaid / CHIP$9.14fee schedule
Devoted Health PlanMMMedicare Advantage$9.14fee schedule
American Health MedicareAdvantage MMMedicare Advantage$9.31fee schedule
Imperial Health PlanMMMedicare Advantage$9.31fee schedule
ProCare AdvantageMMMedicare Advantage$9.31fee schedule
Employer DirectHealthcare PPOCommercial$10.15fee schedule
Gilsbar Inc.MMCommercial$11.00fee schedule
Christus HealthHIXCommercial$11.84fee schedule
AetnaNew BusinessCommercial$15.07fee schedule
AetnaEPOCommercial$16.74fee schedule
AetnaHMOCommercial$16.74fee schedule
AetnaPOSCommercial$16.74fee schedule
AetnaPPOCommercial$16.74fee schedule
Naphcare Inc.RRMBPublic program$16.92fee schedule
AmerigroupChip KMMedicaid / CHIP$17.76percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$17.76percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$17.76percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$17.76percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$17.76percent of total billed charges
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$21.74fee schedule
HumanaChoicecareCommercial$22.27fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$26.48fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$26.82fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$29.78fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$31.39fee schedule
CignaNew BusinessCommercial$33.41fee schedule
CignaPPOCommercial$42.32fee schedule
Community First Health PlanHMOCommercial$65.12percent of total billed charges
Healthcare HighwaysPPOCommercial$66.60percent of total billed charges
Christian Brothers ServicesPPOCommercial$81.40percent of total billed charges
First HealthPPOCommercial$96.20percent of total billed charges
HealthsmartAccel PPOCommercial$96.20percent of total billed charges
MultiplanPPOCommercial$96.20percent of total billed charges
PhcsPPOCommercial$96.20percent of total billed charges
Five Point Credit UnionPPOCommercial$104percent of total billed charges
Medicus InternatiaonalPPOCommercial$111percent of total billed charges
Beech StreetPPOCommercial$118percent of total billed charges
Health Management NetworkPPOCommercial$118percent of total billed charges
HealthSmartPPOCommercial$118percent of total billed charges
Provider SelectPPOCommercial$118percent of total billed charges
National ChoicecarePPOCommercial$141percent 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$7.11fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$8.46fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$8.46fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$8.46fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$8.46fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$8.54fee schedule
CIGNACIGNA COMMERCIALCommercial$9.70fee schedule
AETNAAETNA EXCHANGE HIXCommercial$10.53fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$10.80fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$10.86fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$11.00fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$11.25fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$12.48fee schedule
AETNAAETNA SPPCommercial$13.37fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$13.79fee schedule
AETNAAETNA QPICCommercial$14.79fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$20.82fee schedule
AETNAAETNA EXCHANGECommercial$20.94fee schedule
HUMANAHUMANA COMMERCIALCommercial$28.34fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$30.99fee schedule
AETNAAETNA COMMERCIALCommercial$35.25fee schedule
HUMANAHUMANA EXCHANGECommercial$36.12fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$46.93fee 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
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
MolinaCHIPHMOMedicaid / CHIP$9.74fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$9.74fee schedule
MolinaSTARMedicaid / CHIP$9.74fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$9.74fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSBlueAdvantageCommercial$15.65fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
BCBSBlueEssentialsCommercial$22.42fee schedule
BCBSBlueEssentialsAccessCommercial$22.42fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$24.36fee schedule
BCBSPPOCommercial$26.31fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Methodist Hospital Landmark: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
BCBSBlueAdvantageCommercial$11.59fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Methodist Hospital Stone Oak: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSBlueAdvantageCommercial$15.65fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
BCBSBlueEssentialsCommercial$22.42fee schedule
BCBSBlueEssentialsAccessCommercial$22.42fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$24.36fee schedule
BCBSPPOCommercial$26.31fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$409percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Methodist Hospital Westover Hills: all 46 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
BCBSBlueAdvantageCommercial$11.59fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Methodist Hospital: all 105 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
BCBSBlueAdvantageCommercial$11.59fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
OptumCOMMCommercial$21.15fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$409percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
Cigna LifesourceCOMMCommercial$473percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$799percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,092percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,141percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
USA Managed CarePPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
OptumMCDMedicaid / CHIP$1,630percent of total billed charges
Methodist Specialty & Transplant Hospital: all 108 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
Value OptionsTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSBlueAdvantageCommercial$15.65fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
OptumCOMMCommercial$21.15fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
BCBSBlueEssentialsCommercial$29.69fee schedule
BCBSBlueEssentialsAccessCommercial$29.69fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$32.32fee schedule
BCBSPPOCommercial$34.86fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
Cigna LifesourceCOMMCommercial$473percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$799percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
HumanaBHCOMMCommercial$1,059percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,092percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,141percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
USA Managed CarePPOCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
OptumMCDMedicaid / CHIP$1,630percent of total billed charges
Methodist Texsan Hospital: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
BCBSBlueAdvantageCommercial$11.59fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Metropolitan Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
Value OptionsTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSBlueAdvantageCommercial$15.65fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$401percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,141percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
USA Managed CarePPOCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges
Northeast Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
WellMedMCRMedicare Advantage$7.99fee schedule
TriWest VA PCCCFEDERALMilitary / VA$8.29fee schedule
UnitedAllPayerAppendixCommercial$8.46fee schedule
UnitedCharterCommercial$8.46fee schedule
UnitedNexusACOCommercial$8.46fee schedule
UnitedSmallGroupCommercial$8.46fee schedule
AmerigroupDualEligibleMedicaid / CHIP$8.46fee schedule
BCBSMGMCRHMOMedicare Advantage$8.46fee schedule
BCBSMGMCRPOSMedicare Advantage$8.46fee schedule
BCBSMGMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$8.46fee schedule
Devoted HealthMCRHMOMedicare Advantage$8.46fee schedule
Devoted HealthMCRPFFSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPOSMedicare Advantage$8.46fee schedule
Devoted HealthMCRPPOMedicare Advantage$8.46fee schedule
Devoted HealthMCRSNPMedicare Advantage$8.46fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$8.46fee schedule
HumanaMGMCRHMOMedicare Advantage$8.46fee schedule
HumanaMGMCRPPOMedicare Advantage$8.46fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$8.46fee schedule
TriWestMGMCRMilitary / VA$8.46fee schedule
AetnaMCRMedicare Advantage$8.62fee schedule
UnitedMCRMedicare Advantage$8.63fee schedule
IntegranetMCRMedicare Advantage$8.71fee schedule
WellCareMCRHMOMedicare Advantage$8.71fee schedule
WellCareMCRPOSMedicare Advantage$8.71fee schedule
WellCareMCRPPOMedicare Advantage$8.71fee schedule
WellCareMCRSNPMedicare Advantage$8.71fee schedule
WellCarePFFSMedicare Advantage$8.71fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.88fee schedule
Clover InsuranceMCRMedicare Advantage$8.88fee schedule
Superior HealthMGMCRMedicare Advantage$8.88fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.97fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.97fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.97fee schedule
TriWest Health AllianceTRICAREMilitary / VA$9.16fee schedule
Value OptionsTRICAREMilitary / VA$9.16fee schedule
AmerigroupCHIPMedicaid / CHIP$9.74fee schedule
AmerigroupMCDMedicaid / CHIP$9.74fee schedule
UnitedMCDMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.74fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.74fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.93fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.93fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.52fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.52fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.52fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.71fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.71fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.71fee schedule
BCBSMyBlueHealthCommercial$11.51fee schedule
BCBSBlueAdvantageCommercial$11.59fee schedule
HumanaMGMCDMedicaid / CHIP$12.18fee schedule
Molina HealthcareMCRMedicare Advantage$13.45fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$13.45fee schedule
SuperiorAmbetterEPOCommercial$13.62fee schedule
SuperiorAmbetterHMOCommercial$13.62fee schedule
SuperiorAmbetterValueHMOCommercial$13.62fee schedule
CignaNewBusinessNetworkCommercial$13.97fee schedule
BCBSBlueEssentialsCommercial$15.14fee schedule
BCBSBlueEssentialsAccessCommercial$15.14fee schedule
CignaHMOCommercial$15.29fee schedule
CignaOpenAccessPlusCommercial$15.29fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$16.50fee schedule
BCBSPPOCommercial$17.77fee schedule
CignaPPOCommercial$18.48fee schedule
Healthcare HighwaysNarrowNetworkCommercial$19.77fee schedule
Focus Health SolutionsCOMMCommercial$19.80fee schedule
OscarBroadNetworkHIXCommercial$22.50fee schedule
OscarEPOCommercial$22.50fee schedule
OscarPOSCommercial$22.50fee schedule
OscarPPOCommercial$22.50fee schedule
Superior HealthCHIPMedicaid / CHIP$81.48percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$81.48percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$81.48percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$228percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$228percent of total billed charges
UnitedOptionsPPOCommercial$409percent of total billed charges
Community First Health PlansHMOCommercial$440percent of total billed charges
BCBSTRADCommercial$481percent of total billed charges
ValenzNXNetworkCommercial$570percent of total billed charges
Evry HealthBroadCommercial$600percent of total billed charges
UnitedGlobalBenefitPlanCommercial$733percent of total billed charges
TX Healthcare FoundationPPOCommercial$815percent of total billed charges
HealthSmart Preferred CareAccelCommercial$896percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,141percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,222percent of total billed charges
USA Managed CarePPOCommercial$1,222percent of total billed charges
DirectCare AmericaPPOCommercial$1,304percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,385percent of total billed charges

What this price covers

These are hospital charges for CPT code 80048 (Basic metabolic panel (BMP)). 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.

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