How much does a lipid panel cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $36–$1,526 for a lipid panel (cholesterol test) (CPT 80061). The typical commercial rate in the same files is $31.33.

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
$36–$1,526
what 17 hospitals list for a self-pay lipid panel
Typical insured rate
$31.33
median of every commercial plan rate in the files
Lowest insured rate
$5.62
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 1.2× 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.

Lipid panel 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 80061; Medicaid and Medicare Advantage are shown separately below.

Lipid panel (cholesterol test) (CPT 80061) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$36.25Cash ÷ typical 0.7×$51.0025 plans$13.39
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$66–$117Cash ÷ typical 1.6×$41.9139 plans$5.62
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$382–$1,526= list priceCash ÷ typical 11×$35.6229 plans$13.39
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$382–$1,526= list priceCash ÷ typical 11×$35.4833 plans$13.39
Methodist HospitalMethodist Healthcare · file Sep 2026$382–$1,526= list priceCash ÷ typical 12×$32.4138 plans$13.39
Northeast Baptist HospitalBaptist Health System · file Apr 2026$662–$854——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$662–$854——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$662–$854——
North Central Baptist HospitalBaptist Health System · file Apr 2026$662–$854——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$662–$854——
Resolute Baptist HospitalBaptist Health System · file Sep 2026$669–$758Cash ÷ typical 36×$18.5924 plans$13.39
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 58×$26.1129 plans$13.39
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 56×$27.1230 plans$13.39
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 37×$41.3140 plans$13.39
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 50×$30.2634 plans$13.39
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 49×$31.3136 plans$13.39
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$1,526= list priceCash ÷ typical 49×$31.3136 plans$13.39

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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$58.00–$63.80$48.00–$51.00—$33.00———$11.25–$13.52$13.39–$23.43
CHRISTUS Santa Rosa Hospital – Westover Hills$13.39–$49.68$13.39–$26.52$79–$100$5.62–$13.39$13.39–$35.27——$12.50–$24.12$6.70–$24.12
Methodist Hospital Atascosa$18–$113—$22.10–$29.23$13–$172—$35.62—$7.66–$19.08$12.65–$14.19
Methodist Hospital Stone Oak$18–$113—$22.10–$29.23$13.39–$95.76—$35.62$21.56$7.66–$53.41$12.65–$21.29
Methodist Hospital$18–$113—$22–$111$13.39–$95.76—$35.62$21.56$8–$382$13–$187
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
Resolute Baptist Hospital$13.39–$21.83$14.13–$47.32$14.94–$19.25$13.39$44.86–$74.27—$4,848–$4,896$11.25—
Methodist Hospital Landmark$18–$450—$22.10–$29.23$13–$687—$35.62$21.56$7.66–$21.29$13.39–$21.29
Methodist Hospital Westover Hills$18–$450—$22.10–$29.23$13–$687—$35.62$21.56$7.66$12.65–$13.79
Methodist Specialty & Transplant Hospital$18–$450—$22–$443$13–$687$992$35.62$21.56$8–$1,526$13–$748
Methodist Texsan Hospital$18–$450—$22.10–$29.23$13–$687—$35.62$21.56$8–$214$12.65–$21.29
Metropolitan Methodist Hospital$18–$450—$22.10–$29.23$13–$687—$35.62$21.56$8–$214$12.65–$21.29
Northeast Methodist Hospital$18–$450—$22.10–$29.23$13–$687—$35.62$21.56$8–$214$12.65–$21.29
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$11.25fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$11.25fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$11.25fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$11.25fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$11.48fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$11.59fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$11.59fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$11.93fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$12.15fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$12.38fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$13.39fee schedule
HumanaMedicare AdvantageMedicare Advantage$13.39fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$13.39fee schedule
WellMedMedicare AdvantageMedicare Advantage$13.39fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$13.39fee schedule
AetnaMedicare AdvantageMedicare Advantage$13.39fee schedule
MultiplanMedicare AdvantageMedicare Advantage$13.39fee schedule
Community First EPO Affordable CareCommercialCommercial$13.39fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$13.39fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$13.50fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$13.52fee schedule
WellpointMedicare AdvantageMedicare Advantage$13.52fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$13.66fee schedule
MolinaMedicare AdvantageMedicare Advantage$13.79fee schedule
WellcareMedicare AdvantageMedicare Advantage$13.79fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$14.73fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$14.73fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$14.73fee schedule
EntrustCommercialCommercial$16.07fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$16.07fee schedule
WellpointExchangeCommercial$16.74fee schedule
WellpointCommercialCommercial$18.75fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$19.13fee schedule
Scott and White InsuranceCommercialCommercial$21.42fee schedule
Molina Healthcare Affordable CareCommercialCommercial$21.42fee schedule
CurativeCommercialCommercial$22.09fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$23.43fee schedule
Universal Benefits ConsortiumCommercialCommercial$23.43fee schedule
EBSOCommercialCommercial$23.43fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$23.43fee schedule
United HealthcareCommercialCommercial$33.00fee schedule
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
USAACommercialCommercial$53.65percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$58.00percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$63.80percent of total billed charges
Independent Medical SystemsCommercialCommercial$72.50percent of total billed charges
First Health NetworkCommercialCommercial$82.65percent of total billed charges
MultiplanPrimary NetworkCommercial$94.25percent of total billed charges
Prime HealthCommercialCommercial$102percent of total billed charges
MultiplanComplementary NetworkCommercial$102percent of total billed charges
Community First Health PlanCommercialCommercial$102percent of total billed charges
HealthSmartCommercialCommercial$102percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$116percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$123percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareAll PayerCommercial$5.62fee schedule
Texas HealthspringMMMedicare Advantage$6.70fee schedule
United HealthcareChip KMMedicaid / CHIP$12.50fee schedule
United HealthcareStar KMMedicaid / CHIP$12.50fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$12.50fee schedule
AetnaChip KMMedicaid / CHIP$13.39fee schedule
AetnaMMCommercial$13.39fee schedule
AetnaStar KMMedicaid / CHIP$13.39fee schedule
AllwellSuperior Health MMMedicare Advantage$13.39fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$13.39fee schedule
Blue Cross Blue Shield of TexasMMCommercial$13.39fee schedule
Christus HealthMed Adv MMMedicare Advantage$13.39fee schedule
Community FirstChip KMMedicaid / CHIP$13.39fee schedule
Community FirstStar KMMedicaid / CHIP$13.39fee schedule
Community FirstStar Kids KMMedicaid / CHIP$13.39fee schedule
CoventryFirst Health MMCommercial$13.39fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$13.39fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$13.39fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$13.39fee schedule
El Paso FirstKMMedicaid / CHIP$13.39fee schedule
First CareKMCommercial$13.39fee schedule
HumanaGold Choice MMCommercial$13.39fee schedule
HumanaGold Plus MMMedicare Advantage$13.39fee schedule
MolinaChip KMMedicaid / CHIP$13.39fee schedule
MolinaMedicare Adv MMMedicare Advantage$13.39fee schedule
MolinaStar Plus KMMedicaid / CHIP$13.39fee schedule
SuperiorChip KMMedicaid / CHIP$13.39fee schedule
SuperiorFoster Care KMMedicaid / CHIP$13.39fee schedule
SuperiorStar KMMedicaid / CHIP$13.39fee schedule
SuperiorStar Kids KMMedicaid / CHIP$13.39fee schedule
SuperiorStar Plus KMMedicaid / CHIP$13.39fee schedule
SuperiorStar Plus MMMedicaid / CHIP$13.39fee schedule
TriwestVA MMMilitary / VA$13.39fee schedule
United HealthcareMMCommercial$13.39fee schedule
WellcareMMMedicare Advantage$13.39fee schedule
Provider Partners Health PlanMMMedicare Advantage$13.79fee schedule
Texas Independence Health PlanMMMedicare Advantage$13.79fee schedule
Shared Health Insurance CompanyMMCommercial$14.06fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$14.06fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$14.06fee schedule
US Imaging NetworkPPOCommercial$14.33fee schedule
AmerigroupMMMedicaid / CHIP$14.46fee schedule
Devoted Health PlanMMMedicare Advantage$14.46fee schedule
American Health MedicareAdvantage MMMedicare Advantage$14.73fee schedule
Imperial Health PlanMMMedicare Advantage$14.73fee schedule
ProCare AdvantageMMMedicare Advantage$14.73fee schedule
Employer DirectHealthcare PPOCommercial$16.07fee schedule
Gilsbar Inc.MMCommercial$17.41fee schedule
Christus HealthHIXCommercial$18.75fee schedule
AetnaNew BusinessCommercial$23.87fee schedule
AmerigroupChip KMMedicaid / CHIP$24.12percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$24.12percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$24.12percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$24.12percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$24.12percent of total billed charges
AetnaEPOCommercial$26.52fee schedule
AetnaHMOCommercial$26.52fee schedule
AetnaPOSCommercial$26.52fee schedule
AetnaPPOCommercial$26.52fee schedule
Naphcare Inc.RRMBPublic program$26.78fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$34.41fee schedule
HumanaChoicecareCommercial$35.27fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$41.91fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$42.45fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$47.13fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$49.68fee schedule
CignaNew BusinessCommercial$79.34fee schedule
Community First Health PlanHMOCommercial$88.44percent of total billed charges
Healthcare HighwaysPPOCommercial$90.45percent of total billed charges
CignaPPOCommercial$100fee schedule
Christian Brothers ServicesPPOCommercial$111percent of total billed charges
First HealthPPOCommercial$131percent of total billed charges
HealthsmartAccel PPOCommercial$131percent of total billed charges
MultiplanPPOCommercial$131percent of total billed charges
PhcsPPOCommercial$131percent of total billed charges
Five Point Credit UnionPPOCommercial$141percent of total billed charges
Medicus InternatiaonalPPOCommercial$151percent of total billed charges
Beech StreetPPOCommercial$161percent of total billed charges
Health Management NetworkPPOCommercial$161percent of total billed charges
HealthSmartPPOCommercial$161percent of total billed charges
Provider SelectPPOCommercial$161percent of total billed charges
National ChoicecarePPOCommercial$191percent of total billed charges
Methodist Hospital Atascosa: all 83 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
MolinaCHIPHMOMedicaid / CHIP$7.66fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$7.66fee schedule
MolinaSTARMedicaid / CHIP$7.66fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$7.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
Superior HealthCHIPMedicaid / CHIP$19.08percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$19.08percent of total billed charges
CignaNewBusinessNetworkCommercial$22.10fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSBlueAdvantageCommercial$24.77fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
BCBSBlueEssentialsCommercial$35.48fee schedule
BCBSBlueEssentialsAccessCommercial$35.48fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$38.56fee schedule
BCBSPPOCommercial$41.64fee schedule
UnitedOptionsPPOCommercial$93.85percent of total billed charges
Community First Health PlansHMOCommercial$103percent of total billed charges
BCBSTRADCommercial$113percent of total billed charges
ValenzNXNetworkCommercial$134percent of total billed charges
Evry HealthBroadCommercial$140percent of total billed charges
UnitedGlobalBenefitPlanCommercial$172percent of total billed charges
HealthSmart Preferred CareAccelCommercial$210percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$286percent of total billed charges
MultiplanComplementaryNetworkCommercial$324percent of total billed charges
Methodist Hospital Stone Oak: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
Superior HealthCHIPMedicaid / CHIP$19.08percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$19.08percent of total billed charges
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSBlueAdvantageCommercial$24.77fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
BCBSBlueEssentialsCommercial$35.48fee schedule
BCBSBlueEssentialsAccessCommercial$35.48fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$38.56fee schedule
BCBSPPOCommercial$41.64fee schedule
AmerigroupCHIPBHMedicaid / CHIP$53.41percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$53.41percent of total billed charges
UnitedOptionsPPOCommercial$95.76percent of total billed charges
Community First Health PlansHMOCommercial$103percent of total billed charges
BCBSTRADCommercial$113percent of total billed charges
ValenzNXNetworkCommercial$134percent of total billed charges
Evry HealthBroadCommercial$140percent of total billed charges
TX Healthcare FoundationPPOCommercial$191percent of total billed charges
HealthSmart Preferred CareAccelCommercial$210percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$286percent of total billed charges
DirectCare AmericaPPOCommercial$305percent of total billed charges
MultiplanComplementaryNetworkCommercial$324percent of total billed charges
Methodist Hospital: all 105 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
BCBSBlueAdvantageCommercial$18.34fee schedule
Superior HealthCHIPMedicaid / CHIP$19.08percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$19.08percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$19.08percent of total billed charges
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
OptumCOMMCommercial$33.48fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
AmerigroupCHIPBHMedicaid / CHIP$53.41percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$53.41percent of total billed charges
UnitedOptionsPPOCommercial$95.76percent of total billed charges
Community First Health PlansHMOCommercial$103percent of total billed charges
Cigna LifesourceCOMMCommercial$111percent of total billed charges
BCBSTRADCommercial$113percent of total billed charges
ValenzNXNetworkCommercial$134percent of total billed charges
Evry HealthBroadCommercial$140percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$187percent of total billed charges
TX Healthcare FoundationPPOCommercial$191percent of total billed charges
HealthSmart Preferred CareAccelCommercial$210percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$256percent of total billed charges
TML Intergovernmental EBPPPOCommercial$267percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$286percent of total billed charges
DirectCare AmericaPPOCommercial$305percent of total billed charges
USA Managed CarePPOCommercial$305percent of total billed charges
MultiplanComplementaryNetworkCommercial$324percent of total billed charges
OptumMCDMedicaid / CHIP$382percent of total billed charges
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
Resolute Baptist Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$11.25fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$13.39fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$13.39fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$13.39fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$13.39fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$13.52fee schedule
AETNAAETNA EXCHANGE HIXCommercial$14.13fee schedule
CIGNACIGNA COMMERCIALCommercial$14.94fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$16.63fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$17.19fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$17.32fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$17.41fee schedule
AETNAAETNA SPPCommercial$17.94fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$19.25fee schedule
AETNAAETNA QPICCommercial$19.85fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$21.83fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$27.95fee schedule
AETNAAETNA EXCHANGECommercial$28.11fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$41.61fee schedule
HUMANAHUMANA COMMERCIALCommercial$44.86fee schedule
AETNAAETNA COMMERCIALCommercial$47.32fee schedule
HUMANAHUMANA EXCHANGECommercial$57.18fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$74.27fee schedule
AMBETTERAMBETTER BY SUPERIOR HIXCommercial$4,848case rate
AMBETTERAMBETTER BY SUPERIOR EXCHANGE HIXCommercial$4,896case rate
Methodist Hospital Landmark: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
BCBSBlueAdvantageCommercial$18.34fee schedule
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
UnitedOptionsPPOCommercial$375percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges
Methodist Hospital Westover Hills: all 46 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
BCBSBlueAdvantageCommercial$18.34fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
UnitedOptionsPPOCommercial$375percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
HealthSmart Preferred CareAccelCommercial$839percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges
Methodist Specialty & Transplant Hospital: all 108 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
Value OptionsTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSBlueAdvantageCommercial$24.77fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
OptumCOMMCommercial$33.48fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
BCBSBlueEssentialsCommercial$47.00fee schedule
BCBSBlueEssentialsAccessCommercial$47.00fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$51.15fee schedule
BCBSPPOCommercial$55.17fee schedule
Superior HealthCHIPMedicaid / CHIP$76.31percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$76.31percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$214percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$214percent of total billed charges
UnitedOptionsPPOCommercial$375percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
Cigna LifesourceCOMMCommercial$443percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
Evry HealthBroadCommercial$562percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$748percent of total billed charges
TX Healthcare FoundationPPOCommercial$763percent of total billed charges
HealthSmart Preferred CareAccelCommercial$839percent of total billed charges
HumanaBHCOMMCommercial$992percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,023percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,068percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
USA Managed CarePPOCommercial$1,145percent of total billed charges
DirectCare AmericaPPOCommercial$1,221percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges
OptumMCDMedicaid / CHIP$1,526percent of total billed charges
Methodist Texsan Hospital: all 98 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
BCBSBlueAdvantageCommercial$18.34fee schedule
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
Superior HealthCHIPMedicaid / CHIP$76.31percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$76.31percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$214percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$214percent of total billed charges
UnitedOptionsPPOCommercial$375percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
Evry HealthBroadCommercial$562percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
TX Healthcare FoundationPPOCommercial$763percent of total billed charges
HealthSmart Preferred CareAccelCommercial$839percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
DirectCare AmericaPPOCommercial$1,221percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges
Metropolitan Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
Value OptionsTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSBlueAdvantageCommercial$24.77fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
Superior HealthCHIPMedicaid / CHIP$76.31percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$76.31percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$214percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$214percent of total billed charges
UnitedOptionsPPOCommercial$375percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
Evry HealthBroadCommercial$562percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
TX Healthcare FoundationPPOCommercial$763percent of total billed charges
HealthSmart Preferred CareAccelCommercial$839percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,068percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
USA Managed CarePPOCommercial$1,145percent of total billed charges
DirectCare AmericaPPOCommercial$1,221percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges
Northeast Methodist Hospital: all 102 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$7.66fee schedule
AmerigroupMCDMedicaid / CHIP$7.66fee schedule
UnitedMCDMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$7.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$7.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$7.81fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$7.81fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$8.27fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$8.27fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$8.27fee schedule
Molina HealthcareCHIPMedicaid / CHIP$8.43fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$8.43fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$8.43fee schedule
HumanaMGMCDMedicaid / CHIP$9.57fee schedule
WellMedMCRMedicare Advantage$12.65fee schedule
TriWest VA PCCCFEDERALMilitary / VA$13.12fee schedule
UnitedAllPayerAppendixCommercial$13.39fee schedule
UnitedCharterCommercial$13.39fee schedule
UnitedNexusACOCommercial$13.39fee schedule
UnitedSmallGroupCommercial$13.39fee schedule
AmerigroupDualEligibleMedicaid / CHIP$13.39fee schedule
BCBSMGMCRHMOMedicare Advantage$13.39fee schedule
BCBSMGMCRPOSMedicare Advantage$13.39fee schedule
BCBSMGMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$13.39fee schedule
Devoted HealthMCRHMOMedicare Advantage$13.39fee schedule
Devoted HealthMCRPFFSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPOSMedicare Advantage$13.39fee schedule
Devoted HealthMCRPPOMedicare Advantage$13.39fee schedule
Devoted HealthMCRSNPMedicare Advantage$13.39fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$13.39fee schedule
HumanaMGMCRHMOMedicare Advantage$13.39fee schedule
HumanaMGMCRPPOMedicare Advantage$13.39fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$13.39fee schedule
TriWestMGMCRMilitary / VA$13.39fee schedule
AetnaMCRMedicare Advantage$13.64fee schedule
UnitedMCRMedicare Advantage$13.66fee schedule
IntegranetMCRMedicare Advantage$13.79fee schedule
WellCareMCRHMOMedicare Advantage$13.79fee schedule
WellCareMCRPOSMedicare Advantage$13.79fee schedule
WellCareMCRPPOMedicare Advantage$13.79fee schedule
WellCareMCRSNPMedicare Advantage$13.79fee schedule
WellCarePFFSMedicare Advantage$13.79fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$14.06fee schedule
Clover InsuranceMCRMedicare Advantage$14.06fee schedule
Superior HealthMGMCRMedicare Advantage$14.06fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$14.19fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$14.19fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$14.19fee schedule
TriWest Health AllianceTRICAREMilitary / VA$14.49fee schedule
Value OptionsTRICAREMilitary / VA$14.49fee schedule
BCBSMyBlueHealthCommercial$18.21fee schedule
BCBSBlueAdvantageCommercial$18.34fee schedule
Molina HealthcareMCRMedicare Advantage$21.29fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$21.29fee schedule
SuperiorAmbetterEPOCommercial$21.56fee schedule
SuperiorAmbetterHMOCommercial$21.56fee schedule
SuperiorAmbetterValueHMOCommercial$21.56fee schedule
CignaNewBusinessNetworkCommercial$22.10fee schedule
BCBSBlueEssentialsCommercial$23.97fee schedule
BCBSBlueEssentialsAccessCommercial$23.97fee schedule
CignaHMOCommercial$24.19fee schedule
CignaOpenAccessPlusCommercial$24.19fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$26.11fee schedule
BCBSPPOCommercial$28.12fee schedule
CignaPPOCommercial$29.23fee schedule
Healthcare HighwaysNarrowNetworkCommercial$31.29fee schedule
Focus Health SolutionsCOMMCommercial$31.33fee schedule
OscarBroadNetworkHIXCommercial$35.62fee schedule
OscarEPOCommercial$35.62fee schedule
OscarPOSCommercial$35.62fee schedule
OscarPPOCommercial$35.62fee schedule
Superior HealthCHIPMedicaid / CHIP$76.31percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$76.31percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$76.31percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$214percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$214percent of total billed charges
UnitedOptionsPPOCommercial$383percent of total billed charges
Community First Health PlansHMOCommercial$412percent of total billed charges
BCBSTRADCommercial$450percent of total billed charges
ValenzNXNetworkCommercial$534percent of total billed charges
Evry HealthBroadCommercial$562percent of total billed charges
UnitedGlobalBenefitPlanCommercial$687percent of total billed charges
TX Healthcare FoundationPPOCommercial$763percent of total billed charges
HealthSmart Preferred CareAccelCommercial$839percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,068percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,145percent of total billed charges
USA Managed CarePPOCommercial$1,145percent of total billed charges
DirectCare AmericaPPOCommercial$1,221percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,297percent of total billed charges

What this price covers

These are hospital charges for CPT code 80061 (Lipid panel (cholesterol test)). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

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

Other lab tests prices in San Antonio