How much does a CMP cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $70–$2,854 for a comprehensive metabolic panel (CMP) (CPT 80053). Insurers negotiated far less: the typical commercial rate in the same files is $26.00.

Hospital files dated October 14, 2025 – September 1, 2026 · Data checked October 14, 2026 · How we read these files · Report an error

Published cash price
$70–$2,854
what 17 hospitals list for a self-pay CMP
Typical insured rate
$26.00
median of every commercial plan rate in the files
Lowest insured rate
$4.44
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 2.7× 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.

CMP 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 80053; Medicaid and Medicare Advantage are shown separately below.

Comprehensive metabolic panel (CMP) (CPT 80053) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$69.75Cash ÷ typical 1.4×$51.0025 plans$10.56
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$103–$163Cash ÷ typical 3.1×$33.0539 plans$4.44
Resolute Baptist HospitalBaptist Health System · file Sep 2026$932Cash ÷ typical 58×$16.1624 plans$10.56
Northeast Baptist HospitalBaptist Health System · file Apr 2026$1,310–$1,689——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$1,310–$1,689——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$1,310–$1,689——
North Central Baptist HospitalBaptist Health System · file Apr 2026$1,310–$1,689——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$1,310–$1,689——
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$2,611–$2,854= list priceCash ÷ typical 93×$28.0929 plans$10.56
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$2,611–$2,854= list priceCash ÷ typical 93×$27.9833 plans$10.56
Methodist HospitalMethodist Healthcare · file Sep 2026$2,611–$2,854= list priceCash ÷ typical 102×$25.5538 plans$10.56
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 139×$20.5929 plans$10.56
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 133×$21.3830 plans$10.56
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 88×$32.5840 plans$10.56
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 120×$23.8634 plans$10.56
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 116×$24.6936 plans$10.56
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$2,854= list priceCash ÷ typical 116×$24.6936 plans$10.56

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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$112–$123$48.00–$51.00—$33.00———$8.87–$10.67$10.56–$18.48
CHRISTUS Santa Rosa Hospital – Westover Hills$10.56–$39.18$10.56–$20.91$41.77–$52.90$4.44–$10.56$10.56–$27.82——$9.86–$37.32$5.28–$37.32
Resolute Baptist Hospital$10.56–$17.21$13.15–$44.01$12.14–$15.64$10.56$35.38–$58.59—$4,848–$4,896$8.87—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
Methodist Hospital Atascosa$14–$770—$17.42–$23.05$11–$1,175—$28.09—$9–$131$9.98–$11.19
Methodist Hospital Stone Oak$14–$770—$17.42–$23.05$11–$655—$28.09$17.00$9–$366$9.98–$16.79
Methodist Hospital$14–$770—$17–$757$11–$655—$28.09$17.00$9–$2,611$10–$1,279
Methodist Hospital Landmark$14–$842—$17.42–$23.05$11–$1,284—$28.09$17.00$9.42–$16.79$10.56–$16.79
Methodist Hospital Westover Hills$14–$842—$17.42–$23.05$11–$1,284—$28.09$17.00$9.42$9.98–$10.88
Methodist Specialty & Transplant Hospital$14–$842—$17–$828$11–$1,284$1,855$28.09$17.00$9–$2,854$10–$1,399
Methodist Texsan Hospital$14–$842—$17.42–$23.05$11–$1,284—$28.09$17.00$9–$400$9.98–$16.79
Metropolitan Methodist Hospital$14–$842—$17.42–$23.05$11–$1,284—$28.09$17.00$9–$400$9.98–$16.79
Northeast Methodist Hospital$14–$842—$17.42–$23.05$11–$1,284—$28.09$17.00$9–$400$9.98–$16.79
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$8.87fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$8.87fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$8.87fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$8.87fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$9.05fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$9.14fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$9.14fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$9.40fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$9.58fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$9.76fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$10.56fee schedule
HumanaMedicare AdvantageMedicare Advantage$10.56fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$10.56fee schedule
WellMedMedicare AdvantageMedicare Advantage$10.56fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$10.56fee schedule
AetnaMedicare AdvantageMedicare Advantage$10.56fee schedule
MultiplanMedicare AdvantageMedicare Advantage$10.56fee schedule
Community First EPO Affordable CareCommercialCommercial$10.56fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$10.56fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$10.64fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$10.67fee schedule
WellpointMedicare AdvantageMedicare Advantage$10.67fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$10.77fee schedule
MolinaMedicare AdvantageMedicare Advantage$10.88fee schedule
WellcareMedicare AdvantageMedicare Advantage$10.88fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$11.62fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$11.62fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$11.62fee schedule
EntrustCommercialCommercial$12.67fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$12.67fee schedule
WellpointExchangeCommercial$13.20fee schedule
WellpointCommercialCommercial$14.78fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$15.08fee schedule
Scott and White InsuranceCommercialCommercial$16.90fee schedule
Molina Healthcare Affordable CareCommercialCommercial$16.90fee schedule
CurativeCommercialCommercial$17.42fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$18.48fee schedule
Universal Benefits ConsortiumCommercialCommercial$18.48fee schedule
EBSOCommercialCommercial$18.48fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$18.48fee schedule
United HealthcareCommercialCommercial$33.00fee schedule
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
USAACommercialCommercial$103percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$112percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$123percent of total billed charges
Independent Medical SystemsCommercialCommercial$140percent of total billed charges
First Health NetworkCommercialCommercial$159percent of total billed charges
MultiplanPrimary NetworkCommercial$181percent of total billed charges
Community First Health PlanCommercialCommercial$195percent of total billed charges
MultiplanComplementary NetworkCommercial$195percent of total billed charges
HealthSmartCommercialCommercial$195percent of total billed charges
Prime HealthCommercialCommercial$195percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$223percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$237percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareAll PayerCommercial$4.44fee schedule
Texas HealthspringMMMedicare Advantage$5.28fee schedule
United HealthcareChip KMMedicaid / CHIP$9.86fee schedule
United HealthcareStar KMMedicaid / CHIP$9.86fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$9.86fee schedule
AetnaChip KMMedicaid / CHIP$10.56fee schedule
AetnaMMCommercial$10.56fee schedule
AetnaStar KMMedicaid / CHIP$10.56fee schedule
AllwellSuperior Health MMMedicare Advantage$10.56fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$10.56fee schedule
Blue Cross Blue Shield of TexasMMCommercial$10.56fee schedule
Christus HealthMed Adv MMMedicare Advantage$10.56fee schedule
Community FirstChip KMMedicaid / CHIP$10.56fee schedule
Community FirstStar KMMedicaid / CHIP$10.56fee schedule
Community FirstStar Kids KMMedicaid / CHIP$10.56fee schedule
CoventryFirst Health MMCommercial$10.56fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$10.56fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$10.56fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$10.56fee schedule
El Paso FirstKMMedicaid / CHIP$10.56fee schedule
First CareKMCommercial$10.56fee schedule
HumanaGold Choice MMCommercial$10.56fee schedule
HumanaGold Plus MMMedicare Advantage$10.56fee schedule
MolinaChip KMMedicaid / CHIP$10.56fee schedule
MolinaMedicare Adv MMMedicare Advantage$10.56fee schedule
MolinaStar Plus KMMedicaid / CHIP$10.56fee schedule
SuperiorChip KMMedicaid / CHIP$10.56fee schedule
SuperiorFoster Care KMMedicaid / CHIP$10.56fee schedule
SuperiorStar KMMedicaid / CHIP$10.56fee schedule
SuperiorStar Kids KMMedicaid / CHIP$10.56fee schedule
SuperiorStar Plus KMMedicaid / CHIP$10.56fee schedule
SuperiorStar Plus MMMedicaid / CHIP$10.56fee schedule
TriwestVA MMMilitary / VA$10.56fee schedule
United HealthcareMMCommercial$10.56fee schedule
WellcareMMMedicare Advantage$10.56fee schedule
Provider Partners Health PlanMMMedicare Advantage$10.88fee schedule
Texas Independence Health PlanMMMedicare Advantage$10.88fee schedule
Shared Health Insurance CompanyMMCommercial$11.09fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$11.09fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$11.09fee schedule
US Imaging NetworkPPOCommercial$11.30fee schedule
AmerigroupMMMedicaid / CHIP$11.40fee schedule
Devoted Health PlanMMMedicare Advantage$11.40fee schedule
American Health MedicareAdvantage MMMedicare Advantage$11.62fee schedule
Imperial Health PlanMMMedicare Advantage$11.62fee schedule
ProCare AdvantageMMMedicare Advantage$11.62fee schedule
Employer DirectHealthcare PPOCommercial$12.67fee schedule
Gilsbar Inc.MMCommercial$13.73fee schedule
Christus HealthHIXCommercial$14.78fee schedule
AetnaNew BusinessCommercial$18.82fee schedule
AetnaEPOCommercial$20.91fee schedule
AetnaHMOCommercial$20.91fee schedule
AetnaPOSCommercial$20.91fee schedule
AetnaPPOCommercial$20.91fee schedule
Naphcare Inc.RRMBPublic program$21.12fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$27.14fee schedule
HumanaChoicecareCommercial$27.82fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$33.05fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$33.48fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$37.17fee schedule
AmerigroupChip KMMedicaid / CHIP$37.32percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$37.32percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$37.32percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$37.32percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$37.32percent of total billed charges
Blue Cross Blue Shield of TexasTraditionalCommercial$39.18fee schedule
CignaNew BusinessCommercial$41.77fee schedule
CignaPPOCommercial$52.90fee schedule
Community First Health PlanHMOCommercial$137percent of total billed charges
Healthcare HighwaysPPOCommercial$140percent of total billed charges
Christian Brothers ServicesPPOCommercial$171percent of total billed charges
First HealthPPOCommercial$202percent of total billed charges
HealthsmartAccel PPOCommercial$202percent of total billed charges
MultiplanPPOCommercial$202percent of total billed charges
PhcsPPOCommercial$202percent of total billed charges
Five Point Credit UnionPPOCommercial$218percent of total billed charges
Medicus InternatiaonalPPOCommercial$233percent of total billed charges
Beech StreetPPOCommercial$249percent of total billed charges
Health Management NetworkPPOCommercial$249percent of total billed charges
HealthSmartPPOCommercial$249percent of total billed charges
Provider SelectPPOCommercial$249percent of total billed charges
National ChoicecarePPOCommercial$295percent of total billed charges
Resolute Baptist Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$8.87fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$10.56fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$10.56fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$10.56fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$10.56fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$10.67fee schedule
CIGNACIGNA COMMERCIALCommercial$12.14fee schedule
AETNAAETNA EXCHANGE HIXCommercial$13.15fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$13.52fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$13.56fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$13.73fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$14.08fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$15.64fee schedule
AETNAAETNA SPPCommercial$16.69fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$17.21fee schedule
AETNAAETNA QPICCommercial$18.46fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$26.00fee schedule
AETNAAETNA EXCHANGECommercial$26.14fee schedule
HUMANAHUMANA COMMERCIALCommercial$35.38fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$38.70fee schedule
AETNAAETNA COMMERCIALCommercial$44.01fee schedule
HUMANAHUMANA EXCHANGECommercial$45.09fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$58.59fee schedule
AMBETTERAMBETTER BY SUPERIOR HIXCommercial$4,848case rate
AMBETTERAMBETTER BY SUPERIOR EXCHANGE HIXCommercial$4,896case rate
Northeast Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Mission Trail Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
St. Luke's Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
North Central Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Westover Hills Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Methodist Hospital Atascosa: all 83 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
MolinaCHIPHMOMedicaid / CHIP$9.42fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$9.42fee schedule
MolinaSTARMedicaid / CHIP$9.42fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$9.42fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSBlueAdvantageCommercial$19.54fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
BCBSBlueEssentialsCommercial$27.98fee schedule
BCBSBlueEssentialsAccessCommercial$27.98fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$30.41fee schedule
BCBSPPOCommercial$32.84fee schedule
Superior HealthCHIPMedicaid / CHIP$131percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$131percent of total billed charges
UnitedOptionsPPOCommercial$642percent of total billed charges
Community First Health PlansHMOCommercial$705percent of total billed charges
BCBSTRADCommercial$770percent of total billed charges
ValenzNXNetworkCommercial$914percent of total billed charges
Evry HealthBroadCommercial$961percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,175percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,436percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,958percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,219percent of total billed charges
Methodist Hospital Stone Oak: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSBlueAdvantageCommercial$19.54fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
BCBSBlueEssentialsCommercial$27.98fee schedule
BCBSBlueEssentialsAccessCommercial$27.98fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$30.41fee schedule
BCBSPPOCommercial$32.84fee schedule
Superior HealthCHIPMedicaid / CHIP$131percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$131percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$366percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$366percent of total billed charges
UnitedOptionsPPOCommercial$655percent of total billed charges
Community First Health PlansHMOCommercial$705percent of total billed charges
BCBSTRADCommercial$770percent of total billed charges
ValenzNXNetworkCommercial$914percent of total billed charges
Evry HealthBroadCommercial$961percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,305percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,436percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,958percent of total billed charges
DirectCare AmericaPPOCommercial$2,089percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,219percent of total billed charges
Methodist Hospital: all 105 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
BCBSBlueAdvantageCommercial$14.47fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
OptumCOMMCommercial$26.40fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
Superior HealthCHIPMedicaid / CHIP$131percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$131percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$131percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$366percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$366percent of total billed charges
UnitedOptionsPPOCommercial$655percent of total billed charges
Community First Health PlansHMOCommercial$705percent of total billed charges
Cigna LifesourceCOMMCommercial$757percent of total billed charges
BCBSTRADCommercial$770percent of total billed charges
ValenzNXNetworkCommercial$914percent of total billed charges
Evry HealthBroadCommercial$961percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$1,279percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,305percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,436percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,749percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,828percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,958percent of total billed charges
DirectCare AmericaPPOCommercial$2,089percent of total billed charges
USA Managed CarePPOCommercial$2,089percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,219percent of total billed charges
OptumMCDMedicaid / CHIP$2,611percent of total billed charges
Methodist Hospital Landmark: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
BCBSBlueAdvantageCommercial$14.47fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
UnitedOptionsPPOCommercial$702percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges
Methodist Hospital Westover Hills: all 46 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
BCBSBlueAdvantageCommercial$14.47fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
UnitedOptionsPPOCommercial$702percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,570percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges
Methodist Specialty & Transplant Hospital: all 108 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
Value OptionsTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSBlueAdvantageCommercial$19.54fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
OptumCOMMCommercial$26.40fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
BCBSBlueEssentialsCommercial$37.07fee schedule
BCBSBlueEssentialsAccessCommercial$37.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$40.34fee schedule
BCBSPPOCommercial$43.51fee schedule
Superior HealthCHIPMedicaid / CHIP$143percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$143percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$400percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$400percent of total billed charges
UnitedOptionsPPOCommercial$702percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
Cigna LifesourceCOMMCommercial$828percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
Evry HealthBroadCommercial$1,050percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$1,399percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,427percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,570percent of total billed charges
HumanaBHCOMMCommercial$1,855percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,912percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,998percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
USA Managed CarePPOCommercial$2,141percent of total billed charges
DirectCare AmericaPPOCommercial$2,283percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges
OptumMCDMedicaid / CHIP$2,854percent of total billed charges
Methodist Texsan Hospital: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
BCBSBlueAdvantageCommercial$14.47fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
Superior HealthCHIPMedicaid / CHIP$143percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$143percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$400percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$400percent of total billed charges
UnitedOptionsPPOCommercial$702percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
Evry HealthBroadCommercial$1,050percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,427percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,570percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
DirectCare AmericaPPOCommercial$2,283percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges
Metropolitan Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$9.42fee schedule
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
Value OptionsTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSBlueAdvantageCommercial$19.54fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
Superior HealthCHIPMedicaid / CHIP$143percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$143percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$400percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$400percent of total billed charges
UnitedOptionsPPOCommercial$702percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
Evry HealthBroadCommercial$1,050percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,427percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,570percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,998percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
USA Managed CarePPOCommercial$2,141percent of total billed charges
DirectCare AmericaPPOCommercial$2,283percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges
Northeast Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
Community First Health PlansCHIPMedicaid / CHIP$9.42fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$9.42fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupCHIPMedicaid / CHIP$9.42fee schedule
AmerigroupMCDMedicaid / CHIP$9.42fee schedule
UnitedMCDMedicaid / CHIP$9.42fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$9.61fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$9.61fee schedule
WellMedMCRMedicare Advantage$9.98fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$10.17fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$10.17fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$10.17fee schedule
TriWest VA PCCCFEDERALMilitary / VA$10.35fee schedule
Molina HealthcareCHIPMedicaid / CHIP$10.36fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$10.36fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$10.36fee schedule
AmerigroupDualEligibleMedicaid / CHIP$10.56fee schedule
BCBSMGMCRHMOMedicare Advantage$10.56fee schedule
BCBSMGMCRPOSMedicare Advantage$10.56fee schedule
BCBSMGMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$10.56fee schedule
Devoted HealthMCRHMOMedicare Advantage$10.56fee schedule
Devoted HealthMCRPFFSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPOSMedicare Advantage$10.56fee schedule
Devoted HealthMCRPPOMedicare Advantage$10.56fee schedule
Devoted HealthMCRSNPMedicare Advantage$10.56fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$10.56fee schedule
HumanaMGMCRHMOMedicare Advantage$10.56fee schedule
HumanaMGMCRPPOMedicare Advantage$10.56fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$10.56fee schedule
TriWestMGMCRMilitary / VA$10.56fee schedule
UnitedAllPayerAppendixCommercial$10.56fee schedule
UnitedCharterCommercial$10.56fee schedule
UnitedNexusACOCommercial$10.56fee schedule
UnitedSmallGroupCommercial$10.56fee schedule
AetnaMCRMedicare Advantage$10.76fee schedule
UnitedMCRMedicare Advantage$10.77fee schedule
IntegranetMCRMedicare Advantage$10.88fee schedule
WellCareMCRHMOMedicare Advantage$10.88fee schedule
WellCareMCRPOSMedicare Advantage$10.88fee schedule
WellCareMCRPPOMedicare Advantage$10.88fee schedule
WellCareMCRSNPMedicare Advantage$10.88fee schedule
WellCarePFFSMedicare Advantage$10.88fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$11.09fee schedule
Clover InsuranceMCRMedicare Advantage$11.09fee schedule
Superior HealthMGMCRMedicare Advantage$11.09fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$11.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$11.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$11.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$11.43fee schedule
Value OptionsTRICAREMilitary / VA$11.43fee schedule
HumanaMGMCDMedicaid / CHIP$11.78fee schedule
BCBSMyBlueHealthCommercial$14.36fee schedule
BCBSBlueAdvantageCommercial$14.47fee schedule
Molina HealthcareMCRMedicare Advantage$16.79fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$16.79fee schedule
SuperiorAmbetterEPOCommercial$17.00fee schedule
SuperiorAmbetterHMOCommercial$17.00fee schedule
SuperiorAmbetterValueHMOCommercial$17.00fee schedule
CignaNewBusinessNetworkCommercial$17.42fee schedule
BCBSBlueEssentialsCommercial$18.90fee schedule
BCBSBlueEssentialsAccessCommercial$18.90fee schedule
CignaHMOCommercial$19.07fee schedule
CignaOpenAccessPlusCommercial$19.07fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$20.59fee schedule
BCBSPPOCommercial$22.18fee schedule
CignaPPOCommercial$23.05fee schedule
Healthcare HighwaysNarrowNetworkCommercial$24.67fee schedule
Focus Health SolutionsCOMMCommercial$24.71fee schedule
OscarBroadNetworkHIXCommercial$28.09fee schedule
OscarEPOCommercial$28.09fee schedule
OscarPOSCommercial$28.09fee schedule
OscarPPOCommercial$28.09fee schedule
Superior HealthCHIPMedicaid / CHIP$143percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$143percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$143percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$400percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$400percent of total billed charges
UnitedOptionsPPOCommercial$716percent of total billed charges
Community First Health PlansHMOCommercial$771percent of total billed charges
BCBSTRADCommercial$842percent of total billed charges
ValenzNXNetworkCommercial$999percent of total billed charges
Evry HealthBroadCommercial$1,050percent of total billed charges
UnitedGlobalBenefitPlanCommercial$1,284percent of total billed charges
TX Healthcare FoundationPPOCommercial$1,427percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,570percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,998percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$2,141percent of total billed charges
USA Managed CarePPOCommercial$2,141percent of total billed charges
DirectCare AmericaPPOCommercial$2,283percent of total billed charges
MultiplanComplementaryNetworkCommercial$2,426percent of total billed charges

What this price covers

These are hospital charges for CPT code 80053 (Comprehensive metabolic panel (CMP)). 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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