How much does a CBC cost in San Antonio?

8 hospitals in San Antonio list a self-pay price of $24–$530 for a complete blood count (CBC) with differential (CPT 85025). The typical commercial rate in the same files is $15.86.

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
$24–$530
what 8 hospitals list for a self-pay CBC
Typical insured rate
$15.86
median of every commercial plan rate in the files
Lowest insured rate
$7.77
Community First EPO Affordable Care (Commercial), University Health University Hospital

CBC 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 85025; Medicaid and Medicare Advantage are shown separately below.

Complete blood count (CBC) with differential (CPT 85025) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$23.75Cash ÷ typical 0.6×$38.0025 plans$7.77
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$101Cash ÷ typical 4.1×$24.6339 plans$7.77
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$149–$530——
Northeast Baptist HospitalBaptist Health System · file Apr 2026$411–$530——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$411–$530——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$411–$530——
North Central Baptist HospitalBaptist Health System · file Apr 2026$411–$530——
Resolute Baptist HospitalBaptist Health System · file Sep 2026$510Cash ÷ typical 43×$11.8824 plans$7.77
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026—$19.3824 plans$7.77
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026—$14.0426 plans$7.77
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026—$18.1527 plans$7.77
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026—$14.0426 plans$7.77
Methodist HospitalMethodist Healthcare · file Sep 2026—$14.5928 plans$7.77
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026—$18.1628 plans$7.77
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026—$14.0427 plans$7.77
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026—$14.3727 plans$7.77
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026—$14.0427 plans$7.77

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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$38.00–$41.80$48.00–$51.00—$33.00———$6.53–$7.85$7.77–$13.60
CHRISTUS Santa Rosa Hospital – Westover Hills$7.77–$28.83$7.77–$15.39$31.31–$39.65$8–$344$7.77–$20.47——$7.25–$36.72$3.89–$36.72
Westover Hills Baptist Hospital—————————
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Resolute Baptist Hospital$7.77–$12.67$9.67–$32.36$8.91–$11.48$7.77$26.03–$43.10—$4,848–$4,896$6.53—
Methodist Hospital Atascosa$10.57–$24.16$31.86–$45.50$12.83–$16.97$7.77—$20.67—$6.53–$8.24$7.34–$8.24
Methodist Hospital Landmark$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.77–$12.35
Methodist Hospital Stone Oak$10.57–$24.16$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
Methodist Hospital Westover Hills$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53$7.34–$8.00
Methodist Hospital$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
Methodist Specialty & Transplant Hospital$10.57–$32.01$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
Methodist Texsan Hospital$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
Metropolitan Methodist Hospital$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
Northeast Methodist Hospital$10.57–$16.32$31.86–$45.50$12.83–$16.97$7.77—$20.67$12.51$6.53–$12.35$7.34–$12.35
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$6.53fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$6.53fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$6.53fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$6.53fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$6.66fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$6.73fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$6.73fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$6.92fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$7.05fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$7.18fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$7.77fee schedule
HumanaMedicare AdvantageMedicare Advantage$7.77fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$7.77fee schedule
WellMedMedicare AdvantageMedicare Advantage$7.77fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$7.77fee schedule
MultiplanMedicare AdvantageMedicare Advantage$7.77fee schedule
AetnaMedicare AdvantageMedicare Advantage$7.77fee schedule
Community First EPO Affordable CareCommercialCommercial$7.77fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$7.77fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$7.84fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$7.85fee schedule
WellpointMedicare AdvantageMedicare Advantage$7.85fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$7.93fee schedule
MolinaMedicare AdvantageMedicare Advantage$8.00fee schedule
WellcareMedicare AdvantageMedicare Advantage$8.00fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$8.55fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$8.55fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$8.55fee schedule
EntrustCommercialCommercial$9.32fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$9.32fee schedule
WellpointExchangeCommercial$9.71fee schedule
WellpointCommercialCommercial$10.88fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$11.10fee schedule
Scott and White InsuranceCommercialCommercial$12.43fee schedule
Molina Healthcare Affordable CareCommercialCommercial$12.43fee schedule
CurativeCommercialCommercial$12.82fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$13.60fee schedule
Universal Benefits ConsortiumCommercialCommercial$13.60fee schedule
EBSOCommercialCommercial$13.60fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$13.60fee schedule
United HealthcareCommercialCommercial$33.00fee schedule
USAACommercialCommercial$35.15percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$38.00percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$41.80percent of total billed charges
Independent Medical SystemsCommercialCommercial$47.50percent of total billed charges
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
First Health NetworkCommercialCommercial$54.15percent of total billed charges
MultiplanPrimary NetworkCommercial$61.75percent of total billed charges
Prime HealthCommercialCommercial$66.50percent of total billed charges
MultiplanComplementary NetworkCommercial$66.50percent of total billed charges
HealthSmartCommercialCommercial$66.50percent of total billed charges
Community First Health PlanCommercialCommercial$66.50percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$76.00percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$80.75percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas HealthspringMMMedicare Advantage$3.89fee schedule
United HealthcareChip KMMedicaid / CHIP$7.25fee schedule
United HealthcareStar KMMedicaid / CHIP$7.25fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$7.25fee schedule
AetnaChip KMMedicaid / CHIP$7.77fee schedule
AetnaMMCommercial$7.77fee schedule
AetnaStar KMMedicaid / CHIP$7.77fee schedule
AllwellSuperior Health MMMedicare Advantage$7.77fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$7.77fee schedule
Blue Cross Blue Shield of TexasMMCommercial$7.77fee schedule
Christus HealthMed Adv MMMedicare Advantage$7.77fee schedule
Community FirstChip KMMedicaid / CHIP$7.77fee schedule
Community FirstStar KMMedicaid / CHIP$7.77fee schedule
Community FirstStar Kids KMMedicaid / CHIP$7.77fee schedule
CoventryFirst Health MMCommercial$7.77fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$7.77fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$7.77fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$7.77fee schedule
El Paso FirstKMMedicaid / CHIP$7.77fee schedule
First CareKMCommercial$7.77fee schedule
HumanaGold Choice MMCommercial$7.77fee schedule
HumanaGold Plus MMMedicare Advantage$7.77fee schedule
MolinaChip KMMedicaid / CHIP$7.77fee schedule
MolinaMedicare Adv MMMedicare Advantage$7.77fee schedule
MolinaStar Plus KMMedicaid / CHIP$7.77fee schedule
SuperiorChip KMMedicaid / CHIP$7.77fee schedule
SuperiorFoster Care KMMedicaid / CHIP$7.77fee schedule
SuperiorStar KMMedicaid / CHIP$7.77fee schedule
SuperiorStar Kids KMMedicaid / CHIP$7.77fee schedule
SuperiorStar Plus KMMedicaid / CHIP$7.77fee schedule
SuperiorStar Plus MMMedicaid / CHIP$7.77fee schedule
TriwestVA MMMilitary / VA$7.77fee schedule
United HealthcareMMCommercial$7.77fee schedule
WellcareMMMedicare Advantage$7.77fee schedule
Provider Partners Health PlanMMMedicare Advantage$8.00fee schedule
Texas Independence Health PlanMMMedicare Advantage$8.00fee schedule
Shared Health Insurance CompanyMMCommercial$8.16fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$8.16fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$8.16fee schedule
US Imaging NetworkPPOCommercial$8.31fee schedule
AmerigroupMMMedicaid / CHIP$8.39fee schedule
Devoted Health PlanMMMedicare Advantage$8.39fee schedule
American Health MedicareAdvantage MMMedicare Advantage$8.55fee schedule
Imperial Health PlanMMMedicare Advantage$8.55fee schedule
ProCare AdvantageMMMedicare Advantage$8.55fee schedule
Employer DirectHealthcare PPOCommercial$9.32fee schedule
Gilsbar Inc.MMCommercial$10.10fee schedule
Christus HealthHIXCommercial$10.88fee schedule
AetnaNew BusinessCommercial$13.85fee schedule
AetnaEPOCommercial$15.39fee schedule
AetnaHMOCommercial$15.39fee schedule
AetnaPOSCommercial$15.39fee schedule
AetnaPPOCommercial$15.39fee schedule
Naphcare Inc.RRMBPublic program$15.54fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$19.97fee schedule
HumanaChoicecareCommercial$20.47fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$24.32fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$24.63fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$27.35fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$28.83fee schedule
CignaNew BusinessCommercial$31.31fee schedule
AmerigroupChip KMMedicaid / CHIP$36.72percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$36.72percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$36.72percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$36.72percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$36.72percent of total billed charges
CignaPPOCommercial$39.65fee schedule
Community First Health PlanHMOCommercial$135percent of total billed charges
Healthcare HighwaysPPOCommercial$138percent of total billed charges
Christian Brothers ServicesPPOCommercial$168percent of total billed charges
First HealthPPOCommercial$199percent of total billed charges
HealthsmartAccel PPOCommercial$199percent of total billed charges
MultiplanPPOCommercial$199percent of total billed charges
PhcsPPOCommercial$199percent of total billed charges
Five Point Credit UnionPPOCommercial$214percent of total billed charges
Medicus InternatiaonalPPOCommercial$230percent of total billed charges
Beech StreetPPOCommercial$245percent of total billed charges
Health Management NetworkPPOCommercial$245percent of total billed charges
HealthSmartPPOCommercial$245percent of total billed charges
Provider SelectPPOCommercial$245percent of total billed charges
National ChoicecarePPOCommercial$291percent of total billed charges
United HealthcareAll PayerCommercial$344fee schedule
Westover Hills Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
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
Resolute Baptist Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$6.53fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$7.77fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$7.77fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$7.77fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$7.77fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$7.85fee schedule
CIGNACIGNA COMMERCIALCommercial$8.91fee schedule
AETNAAETNA EXCHANGE HIXCommercial$9.67fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$9.91fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$9.97fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$10.10fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$10.32fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$11.48fee schedule
AETNAAETNA SPPCommercial$12.27fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$12.67fee schedule
AETNAAETNA QPICCommercial$13.58fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$19.11fee schedule
AETNAAETNA EXCHANGECommercial$19.22fee schedule
HUMANAHUMANA COMMERCIALCommercial$26.03fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$28.45fee schedule
AETNAAETNA COMMERCIALCommercial$32.36fee schedule
HUMANAHUMANA EXCHANGECommercial$33.18fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$43.10fee schedule
AMBETTERAMBETTER BY SUPERIOR HIXCommercial$4,848case rate
AMBETTERAMBETTER BY SUPERIOR EXCHANGE HIXCommercial$4,896case rate
Methodist Hospital Atascosa: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
MolinaCHIPHMOMedicaid / CHIP$6.53fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$6.53fee schedule
MolinaSTARMedicaid / CHIP$6.53fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$6.53fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSBlueAdvantageCommercial$14.37fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
BCBSBlueEssentialsCommercial$20.59fee schedule
BCBSBlueEssentialsAccessCommercial$20.59fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$22.38fee schedule
BCBSPPOCommercial$24.16fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Hospital Landmark: all 52 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
BCBSBlueAdvantageCommercial$10.64fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Hospital Stone Oak: all 85 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSBlueAdvantageCommercial$14.37fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
BCBSBlueEssentialsCommercial$20.59fee schedule
BCBSBlueEssentialsAccessCommercial$20.59fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$22.38fee schedule
BCBSPPOCommercial$24.16fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Hospital Westover Hills: all 42 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
BCBSBlueAdvantageCommercial$10.64fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Hospital: all 86 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
BCBSBlueAdvantageCommercial$10.64fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
OptumCOMMCommercial$19.42fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Specialty & Transplant Hospital: all 87 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
Value OptionsTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSBlueAdvantageCommercial$14.37fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
OptumCOMMCommercial$19.42fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
BCBSBlueEssentialsCommercial$27.27fee schedule
BCBSBlueEssentialsAccessCommercial$27.27fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$29.68fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
BCBSPPOCommercial$32.01fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Methodist Texsan Hospital: all 84 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
BCBSBlueAdvantageCommercial$10.64fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Metropolitan Methodist Hospital: all 86 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
Value OptionsTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSBlueAdvantageCommercial$14.37fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule
Northeast Methodist Hospital: all 86 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$6.53fee schedule
AmerigroupMCDMedicaid / CHIP$6.53fee schedule
UnitedMCDMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$6.53fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$6.53fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$6.66fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$6.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$7.05fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$7.05fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$7.05fee schedule
Molina HealthcareCHIPMedicaid / CHIP$7.18fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$7.18fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$7.18fee schedule
WellMedMCRMedicare Advantage$7.34fee schedule
TriWest VA PCCCFEDERALMilitary / VA$7.61fee schedule
UnitedAllPayerAppendixCommercial$7.77fee schedule
UnitedCharterCommercial$7.77fee schedule
UnitedNexusACOCommercial$7.77fee schedule
UnitedSmallGroupCommercial$7.77fee schedule
AmerigroupDualEligibleMedicaid / CHIP$7.77fee schedule
BCBSMGMCRHMOMedicare Advantage$7.77fee schedule
BCBSMGMCRPOSMedicare Advantage$7.77fee schedule
BCBSMGMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$7.77fee schedule
Devoted HealthMCRHMOMedicare Advantage$7.77fee schedule
Devoted HealthMCRPFFSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPOSMedicare Advantage$7.77fee schedule
Devoted HealthMCRPPOMedicare Advantage$7.77fee schedule
Devoted HealthMCRSNPMedicare Advantage$7.77fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$7.77fee schedule
HumanaMGMCRHMOMedicare Advantage$7.77fee schedule
HumanaMGMCRPPOMedicare Advantage$7.77fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$7.77fee schedule
TriWestMGMCRMilitary / VA$7.77fee schedule
AetnaMCRMedicare Advantage$7.91fee schedule
UnitedMCRMedicare Advantage$7.93fee schedule
IntegranetMCRMedicare Advantage$8.00fee schedule
WellCareMCRHMOMedicare Advantage$8.00fee schedule
WellCareMCRPOSMedicare Advantage$8.00fee schedule
WellCareMCRPPOMedicare Advantage$8.00fee schedule
WellCareMCRSNPMedicare Advantage$8.00fee schedule
WellCarePFFSMedicare Advantage$8.00fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$8.16fee schedule
Clover InsuranceMCRMedicare Advantage$8.16fee schedule
HumanaMGMCDMedicaid / CHIP$8.16fee schedule
Superior HealthMGMCRMedicare Advantage$8.16fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$8.24fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$8.24fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$8.24fee schedule
TriWest Health AllianceTRICAREMilitary / VA$8.41fee schedule
Value OptionsTRICAREMilitary / VA$8.41fee schedule
BCBSMyBlueHealthCommercial$10.57fee schedule
BCBSBlueAdvantageCommercial$10.64fee schedule
Molina HealthcareMCRMedicare Advantage$12.35fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$12.35fee schedule
SuperiorAmbetterEPOCommercial$12.51fee schedule
SuperiorAmbetterHMOCommercial$12.51fee schedule
SuperiorAmbetterValueHMOCommercial$12.51fee schedule
CignaNewBusinessNetworkCommercial$12.83fee schedule
BCBSBlueEssentialsCommercial$13.91fee schedule
BCBSBlueEssentialsAccessCommercial$13.91fee schedule
CignaHMOCommercial$14.04fee schedule
CignaOpenAccessPlusCommercial$14.04fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$15.15fee schedule
BCBSPPOCommercial$16.32fee schedule
CignaPPOCommercial$16.97fee schedule
Healthcare HighwaysNarrowNetworkCommercial$18.15fee schedule
Focus Health SolutionsCOMMCommercial$18.18fee schedule
OscarBroadNetworkHIXCommercial$20.67fee schedule
OscarEPOCommercial$20.67fee schedule
OscarPOSCommercial$20.67fee schedule
OscarPPOCommercial$20.67fee schedule
AetnaNarrowNetworkCommercial$31.86fee schedule
AetnaNewBusinessRatesCommercial$37.96fee schedule
AetnaCommercialBaseNetworkCommercial$38.73fee schedule
AetnaOONCommercial$45.50fee schedule

What this price covers

These are hospital charges for CPT code 85025 (Complete blood count (CBC) with differential). 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