How much does a PSA test cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $58–$710 for a PSA test (total) (CPT 84153). The typical commercial rate in the same files is $45.23.

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

$58–$710

what 17 hospitals list for a self-pay PSA test

Typical insured rate

$45.23

median of every commercial plan rate in the files

Lowest insured rate

$6.03

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 1.3× 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.

PSA test prices by hospital in San Antonio

Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 84153; Medicaid and Medicare Advantage are shown separately below.

PSA test (total) (CPT 84153) — San Antonio
Hospital	Published cash price	Typical insured rate	Lowest insured rate
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026	$58.08–$94.05Cash ÷ typical 1.0×	$58.3037 plans	$6.03
University Health University HospitalUniversity Health · file Oct 2025	$64.25–$70.50Cash ÷ typical 1.3×	$51.0025 plans	$18.39
Resolute Baptist HospitalBaptist Health System · file Sep 2026	$376–$690Cash ÷ typical 13×	$28.1024 plans	$18.39
Northeast Baptist HospitalBaptist Health System · file Apr 2026	$536–$690	—	—
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026	$536–$690	—	—
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026	$536–$690	—	—
North Central Baptist HospitalBaptist Health System · file Apr 2026	$536–$690	—	—
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026	$536–$690	—	—
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 15×	$48.9229 plans	$18.39
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 20×	$35.8629 plans	$18.39
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 15×	$48.7333 plans	$18.39
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 19×	$37.2430 plans	$18.39
Methodist HospitalMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 16×	$44.5038 plans	$18.39
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 13×	$56.7340 plans	$18.39
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 17×	$41.5634 plans	$18.39
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 17×	$43.0036 plans	$18.39
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026	$710= list priceCash ÷ typical 17×	$43.0036 plans	$18.39

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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
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Oscar	Ambetter	Medicaid / CHIP	Medicare Advantage
CHRISTUS Santa Rosa Hospital – Westover Hills	$18.39–$68.23	$18.39–$36.42	$73.08–$92.55	$6.03–$18.39	$18.39–$48.44	—	—	$17.17–$21.12	$9.20–$21.12
University Health University Hospital	$103–$113	$48.00–$51.00	—	$33.00	—	—	—	$15.45–$18.57	$18.39–$32.18
Resolute Baptist Hospital	$18.39–$29.98	$22.87–$76.59	$21.09–$27.16	$18.39	$62–$102	—	$4,848–$4,896	$15.45	—
Northeast Baptist Hospital	—	—	—	—	—	—	—	—	—
Mission Trail Baptist Hospital	—	—	—	—	—	—	—	—	—
St. Luke's Baptist Hospital	—	—	—	—	—	—	—	—	—
North Central Baptist Hospital	—	—	—	—	—	—	—	—	—
Westover Hills Baptist Hospital	—	—	—	—	—	—	—	—	—
Methodist Hospital Atascosa	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	—	$15.45–$35.52	$17.38–$19.49
Methodist Hospital Landmark	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	$29.61	$15.45–$29.24	$18.39–$29.24
Methodist Hospital Stone Oak	$25–$210	—	$30.35–$40.15	$18–$178	—	$48.92	$29.61	$15.45–$99.45	$17.38–$29.24
Methodist Hospital Westover Hills	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	$29.61	$15.45	$17.38–$18.94
Methodist Hospital	$25–$210	—	$30–$206	$18–$178	—	$48.92	$29.61	$15–$710	$17–$348
Methodist Specialty & Transplant Hospital	$25–$210	—	$30–$206	$18–$320	$462	$48.92	$29.61	$15–$710	$17–$348
Methodist Texsan Hospital	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	$29.61	$15.45–$99.45	$17.38–$29.24
Metropolitan Methodist Hospital	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	$29.61	$15.45–$99.45	$17.38–$29.24
Northeast Methodist Hospital	$25–$210	—	$30.35–$40.15	$18–$320	—	$48.92	$29.61	$15.45–$99.45	$17.38–$29.24

CHRISTUS Santa Rosa Hospital – Westover Hills: all 80 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	All Payer	Commercial	$6.03	fee schedule
Texas Healthspring	MM	Medicare Advantage	$9.20	fee schedule
United Healthcare	Chip KM	Medicaid / CHIP	$17.17	fee schedule
United Healthcare	Star KM	Medicaid / CHIP	$17.17	fee schedule
United Healthcare	Star Plus KM	Medicaid / CHIP	$17.17	fee schedule
Aetna	Chip KM	Medicaid / CHIP	$18.39	fee schedule
Aetna	MM	Commercial	$18.39	fee schedule
Aetna	Star KM	Medicaid / CHIP	$18.39	fee schedule
Allwell	Superior Health MM	Medicare Advantage	$18.39	fee schedule
Blue Cross Blue Shield Of Texas	Star Chip KM	Medicaid / CHIP	$18.39	fee schedule
Blue Cross Blue Shield of Texas	MM	Commercial	$18.39	fee schedule
Christus Health	Med Adv MM	Medicare Advantage	$18.39	fee schedule
Community First	Chip KM	Medicaid / CHIP	$18.39	fee schedule
Community First	Star KM	Medicaid / CHIP	$18.39	fee schedule
Community First	Star Kids KM	Medicaid / CHIP	$18.39	fee schedule
Coventry	First Health MM	Commercial	$18.39	fee schedule
Driscoll Children's Health Plan	Chip KM	Medicaid / CHIP	$18.39	fee schedule
Driscoll Children's Health Plan	Star KM	Medicaid / CHIP	$18.39	fee schedule
Driscoll Children's Health Plan	Star Kids KM	Medicaid / CHIP	$18.39	fee schedule
El Paso First	KM	Medicaid / CHIP	$18.39	fee schedule
First Care	KM	Commercial	$18.39	fee schedule
Humana	Gold Choice MM	Commercial	$18.39	fee schedule
Humana	Gold Plus MM	Medicare Advantage	$18.39	fee schedule
Molina	Chip KM	Medicaid / CHIP	$18.39	fee schedule
Molina	Medicare Adv MM	Medicare Advantage	$18.39	fee schedule
Molina	Star Plus KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Chip KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Foster Care KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Star KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Star Kids KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Star Plus KM	Medicaid / CHIP	$18.39	fee schedule
Superior	Star Plus MM	Medicaid / CHIP	$18.39	fee schedule
Triwest	VA MM	Military / VA	$18.39	fee schedule
United Healthcare	MM	Commercial	$18.39	fee schedule
Wellcare	MM	Medicare Advantage	$18.39	fee schedule
Provider Partners Health Plan	MM	Medicare Advantage	$18.94	fee schedule
Texas Independence Health Plan	MM	Medicare Advantage	$18.94	fee schedule
Shared Health Insurance Company	MM	Commercial	$19.31	fee schedule
Texas Childrens Health Plan	Chip KM	Medicaid / CHIP	$19.31	fee schedule
Texas Childrens Health Plan	Star Plus KM	Medicaid / CHIP	$19.31	fee schedule
US Imaging Network	PPO	Commercial	$19.68	fee schedule
Amerigroup	MM	Medicaid / CHIP	$19.86	fee schedule
Devoted Health Plan	MM	Medicare Advantage	$19.86	fee schedule
American Health Medicare	Advantage MM	Medicare Advantage	$20.23	fee schedule
Imperial Health Plan	MM	Medicare Advantage	$20.23	fee schedule
ProCare Advantage	MM	Medicare Advantage	$20.23	fee schedule
Amerigroup	Chip KM	Medicaid / CHIP	$21.12	percent of total billed charges
Amerigroup	Star KM	Medicaid / CHIP	$21.12	percent of total billed charges
Amerigroup	Star Kids KM	Medicaid / CHIP	$21.12	percent of total billed charges
Amerigroup	Star Plus KM	Medicaid / CHIP	$21.12	percent of total billed charges
Community First	Med Adv MM	Medicare Advantage	$21.12	percent of total billed charges
Employer Direct	Healthcare PPO	Commercial	$22.07	fee schedule
Gilsbar Inc.	MM	Commercial	$23.91	fee schedule
Christus Health	HIX	Commercial	$25.75	fee schedule
Aetna	EPO	Commercial	$36.42	fee schedule
Aetna	POS	Commercial	$36.42	fee schedule
Aetna	PPO	Commercial	$36.42	fee schedule
Naphcare Inc.	RRMB	Public program	$36.78	fee schedule
Blue Cross Blue Shield of Texas	Blue AdvantangeHMO	Commercial	$47.26	fee schedule
Humana	Choicecare	Commercial	$48.44	fee schedule
Blue Cross Blue Shield of Texas	HMO	Commercial	$57.56	fee schedule
Blue Cross Blue Shield of Texas	HEB	Commercial	$58.30	fee schedule
Blue Cross Blue Shield of Texas	PPO	Commercial	$64.73	fee schedule
Blue Cross Blue Shield of Texas	Traditional	Commercial	$68.23	fee schedule
Cigna	New Business	Commercial	$73.08	fee schedule
Community First Health Plan	HMO	Commercial	$77.44	percent of total billed charges
Healthcare Highways	PPO	Commercial	$79.20	percent of total billed charges
Cigna	PPO	Commercial	$92.55	fee schedule
Christian Brothers Services	PPO	Commercial	$96.80	percent of total billed charges
First Health	PPO	Commercial	$114	percent of total billed charges
Healthsmart	Accel PPO	Commercial	$114	percent of total billed charges
Multiplan	PPO	Commercial	$114	percent of total billed charges
Phcs	PPO	Commercial	$114	percent of total billed charges
Five Point Credit Union	PPO	Commercial	$123	percent of total billed charges
Medicus Internatiaonal	PPO	Commercial	$132	percent of total billed charges
Beech Street	PPO	Commercial	$141	percent of total billed charges
Health Management Network	PPO	Commercial	$141	percent of total billed charges
HealthSmart	PPO	Commercial	$141	percent of total billed charges
Provider Select	PPO	Commercial	$141	percent of total billed charges
National Choicecare	PPO	Commercial	$167	percent of total billed charges

University Health University Hospital: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield Star/CHIP	Managed Medicaid	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plan	Managed Medicaid	Medicaid / CHIP	$15.45	fee schedule
First Care/Scott and White	Managed Medicaid	Medicaid / CHIP	$15.45	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$15.45	fee schedule
El Paso Health	Managed Medicaid	Medicaid / CHIP	$15.76	fee schedule
Superior Health Plan	Managed Medicaid	Medicaid / CHIP	$15.91	fee schedule
Wellpoint	Managed Medicaid/CHIP	Medicaid / CHIP	$15.91	fee schedule
Molina Healthcare	Managed Medicaid	Medicaid / CHIP	$16.38	fee schedule
Driscoll Health Plan	Managed Medicaid	Medicaid / CHIP	$16.69	fee schedule
Blue Cross Blue Shield Star Kids/Star Plus	Managed Medicaid	Medicaid / CHIP	$17.00	fee schedule
Community First Health Plan	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Superior Health Plan	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
WellMed	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Multiplan	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Community First EPO Affordable Care	Commercial	Commercial	$18.39	fee schedule
Scott and White Insurance	Medicare Advantage	Medicare Advantage	$18.39	fee schedule
Aetna Better Health	Managed Medicaid and CHIP	Medicaid / CHIP	$18.54	fee schedule
Wellpoint	Medicare/Medicaid Dual Program	Medicaid / CHIP	$18.57	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$18.57	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$18.76	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$18.94	fee schedule
Wellcare	Medicare Advantage	Medicare Advantage	$18.94	fee schedule
Texas Independence Health Plan	Medicare Advantage	Medicare Advantage	$20.23	fee schedule
Provider Partner Health Plans	Medicare Advantage	Medicare Advantage	$20.23	fee schedule
Procare Advantage	Medicare Advantage	Medicare Advantage	$20.23	fee schedule
Entrust	Commercial	Commercial	$22.07	fee schedule
Point Comfort - Unaccompanied Minor Healthcare	Medicare Advantage	Public program	$22.07	fee schedule
Wellpoint	Exchange	Commercial	$22.99	fee schedule
Wellpoint	Commercial	Commercial	$25.75	fee schedule
Point Comfort - Adult Refugee	Managed Medicaid	Public program	$26.27	fee schedule
Scott and White Insurance	Commercial	Commercial	$29.42	fee schedule
Molina Healthcare Affordable Care	Commercial	Commercial	$29.42	fee schedule
Curative	Commercial	Commercial	$30.34	fee schedule
HPHG LLC dba 90 Degrees	Commercial	Commercial	$32.18	fee schedule
Universal Benefits Consortium	Commercial	Commercial	$32.18	fee schedule
EBSO	Commercial	Commercial	$32.18	fee schedule
Velocity National Provider Network	Medicare Advantage	Medicare Advantage	$32.18	fee schedule
United Healthcare	Commercial	Commercial	$33.00	fee schedule
Aetna	Exchange	Commercial	$48.00	fee schedule
Aetna	Commercial	Commercial	$51.00	fee schedule
USAA	Commercial	Commercial	$95.09	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$103	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$113	percent of total billed charges
Independent Medical Systems	Commercial	Commercial	$129	percent of total billed charges
First Health Network	Commercial	Commercial	$146	percent of total billed charges
Multiplan	Primary Network	Commercial	$167	percent of total billed charges
Prime Health	Commercial	Commercial	$180	percent of total billed charges
Multiplan	Complementary Network	Commercial	$180	percent of total billed charges
Community First Health Plan	Commercial	Commercial	$180	percent of total billed charges
HealthSmart	Commercial	Commercial	$180	percent of total billed charges
Velocity National Provider Network	Commercial	Commercial	$206	percent of total billed charges
Three Rivers Provider Network	Commercial	Commercial	$218	percent of total billed charges

Resolute Baptist Hospital: all 25 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICAID STAR PLUS	Medicaid / CHIP	$15.45	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS MYBLUE HEALTH HIX	Commercial	$18.39	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE EXCHANGE	Commercial	$18.39	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE NON OPTIONS	Commercial	$18.39	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE OPTIONS PPO	Commercial	$18.39	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE ADVANTAGE HMO	Commercial	$18.57	fee schedule
CIGNA	CIGNA COMMERCIAL	Commercial	$21.09	fee schedule
AETNA	AETNA EXCHANGE HIX	Commercial	$22.87	fee schedule
CIGNA	CIGNA HEALTH PLAN - NEW BUSINESS	Commercial	$23.46	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE OPTIONS/BLUE PRECISION	Commercial	$23.62	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO BLUE	Commercial	$23.91	fee schedule
CIGNA	CIGNA HEALTH PLAN - HMO	Commercial	$24.44	fee schedule
CIGNA	CIGNA HEALTH PLAN - PPO	Commercial	$27.16	fee schedule
AETNA	AETNA SPP	Commercial	$29.04	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO/POS	Commercial	$29.98	fee schedule
AETNA	AETNA QPIC	Commercial	$32.13	fee schedule
AETNA	AETNA SOUTH SAN ANTONIO ISD	Commercial	$45.23	fee schedule
AETNA	AETNA EXCHANGE	Commercial	$45.49	fee schedule
HUMANA	HUMANA COMMERCIAL	Commercial	$61.61	fee schedule
AETNA	AETNA COMMERCIAL NEW BUSINESS DISCOUNT	Commercial	$67.33	fee schedule
AETNA	AETNA COMMERCIAL	Commercial	$76.59	fee schedule
HUMANA	HUMANA EXCHANGE	Commercial	$78.53	fee schedule
HUMANA	HUMANA EXCHANGE HMOX	Commercial	$102	fee schedule
AMBETTER	AMBETTER BY SUPERIOR HIX	Commercial	$4,848	case rate
AMBETTER	AMBETTER BY SUPERIOR EXCHANGE HIX	Commercial	$4,896	case rate

Northeast Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

Mission Trail Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

St. Luke's Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

North Central Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

Westover Hills Baptist Hospital: all 0 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method

Methodist Hospital Atascosa: all 83 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
Molina	CHIPHMO	Medicaid / CHIP	$15.45	fee schedule
Molina	CHIPPERINATE	Medicaid / CHIP	$15.45	fee schedule
Molina	STAR	Medicaid / CHIP	$15.45	fee schedule
Molina	STAR+PLUS	Medicaid / CHIP	$15.45	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	BlueAdvantage	Commercial	$34.02	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
BCBS	BlueEssentials	Commercial	$48.73	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$48.73	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$52.96	fee schedule
BCBS	PPO	Commercial	$57.19	fee schedule
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Methodist Hospital Landmark: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
BCBS	BlueAdvantage	Commercial	$25.19	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Methodist Hospital Stone Oak: all 98 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	BlueAdvantage	Commercial	$34.02	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
BCBS	BlueEssentials	Commercial	$48.73	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$48.73	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$52.96	fee schedule
BCBS	PPO	Commercial	$57.19	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$178	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Methodist Hospital Westover Hills: all 46 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
BCBS	BlueAdvantage	Commercial	$25.19	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Methodist Hospital: all 105 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
BCBS	BlueAdvantage	Commercial	$25.19	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
Optum	COMM	Commercial	$45.98	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$178	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$206	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$348	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$476	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$497	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
USA Managed Care	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$710	percent of total billed charges

Methodist Specialty & Transplant Hospital: all 108 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
Value Options	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	BlueAdvantage	Commercial	$34.02	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
Optum	COMM	Commercial	$45.98	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
BCBS	BlueEssentials	Commercial	$64.55	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$64.55	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$70.25	fee schedule
BCBS	PPO	Commercial	$75.77	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$206	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$348	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Humana	BHCOMM	Commercial	$462	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$476	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$497	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
USA Managed Care	PPO	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$710	percent of total billed charges

Methodist Texsan Hospital: all 98 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
BCBS	BlueAdvantage	Commercial	$25.19	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Metropolitan Methodist Hospital: all 102 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
Value Options	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
BCBS	BlueAdvantage	Commercial	$34.02	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$175	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$497	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
USA Managed Care	PPO	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

Northeast Methodist Hospital: all 102 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$15.45	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$15.45	fee schedule
United	MCD	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$15.45	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$15.45	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$15.76	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$15.76	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$16.69	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$16.69	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$17.00	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$17.00	fee schedule
WellMed	MCR	Medicare Advantage	$17.38	fee schedule
TriWest VA PCCC	FEDERAL	Military / VA	$18.02	fee schedule
United	AllPayerAppendix	Commercial	$18.39	fee schedule
United	Charter	Commercial	$18.39	fee schedule
United	NexusACO	Commercial	$18.39	fee schedule
United	SmallGroup	Commercial	$18.39	fee schedule
Amerigroup	DualEligible	Medicaid / CHIP	$18.39	fee schedule
BCBS	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPOS	Medicare Advantage	$18.39	fee schedule
BCBS	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	DualEligible	Medicaid / CHIP	$18.39	fee schedule
Devoted Health	MCRHMO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPFFS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPOS	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRPPO	Medicare Advantage	$18.39	fee schedule
Devoted Health	MCRSNP	Medicare Advantage	$18.39	fee schedule
Gonzaba Medical Group	MGMCR	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRHMO	Medicare Advantage	$18.39	fee schedule
Humana	MGMCRPPO	Medicare Advantage	$18.39	fee schedule
OptumHealth Care Solutions	MGMCR	Medicare Advantage	$18.39	fee schedule
TriWest	MGMCR	Military / VA	$18.39	fee schedule
Aetna	MCR	Medicare Advantage	$18.73	fee schedule
United	MCR	Medicare Advantage	$18.76	fee schedule
Integranet	MCR	Medicare Advantage	$18.94	fee schedule
WellCare	MCRHMO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPOS	Medicare Advantage	$18.94	fee schedule
WellCare	MCRPPO	Medicare Advantage	$18.94	fee schedule
WellCare	MCRSNP	Medicare Advantage	$18.94	fee schedule
WellCare	PFFS	Medicare Advantage	$18.94	fee schedule
American Health Plan of Texas	MGMCRHMO	Medicare Advantage	$19.31	fee schedule
Clover Insurance	MCR	Medicare Advantage	$19.31	fee schedule
Humana	MGMCD	Medicaid / CHIP	$19.31	fee schedule
Superior Health	MGMCR	Medicare Advantage	$19.31	fee schedule
Texas Independent Health Plan	DualEligible	Medicaid / CHIP	$19.49	fee schedule
Texas Independent Health Plan	MCRHMO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPFFS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPOS	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRPPO	Medicare Advantage	$19.49	fee schedule
Texas Independent Health Plan	MCRSNP	Medicare Advantage	$19.49	fee schedule
TriWest Health Alliance	TRICARE	Military / VA	$19.90	fee schedule
Value Options	TRICARE	Military / VA	$19.90	fee schedule
BCBS	MyBlueHealth	Commercial	$25.01	fee schedule
BCBS	BlueAdvantage	Commercial	$25.19	fee schedule
Molina Healthcare	MCR	Medicare Advantage	$29.24	fee schedule
Molina Healthcare	MME-MMP	Medicaid / CHIP	$29.24	fee schedule
Superior	AmbetterEPO	Commercial	$29.61	fee schedule
Superior	AmbetterHMO	Commercial	$29.61	fee schedule
Superior	AmbetterValueHMO	Commercial	$29.61	fee schedule
Cigna	NewBusinessNetwork	Commercial	$30.35	fee schedule
BCBS	BlueEssentials	Commercial	$32.92	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$32.92	fee schedule
Cigna	HMO	Commercial	$33.22	fee schedule
Cigna	OpenAccessPlus	Commercial	$33.22	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$35.52	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$35.52	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$35.86	fee schedule
BCBS	PPO	Commercial	$38.62	fee schedule
Cigna	PPO	Commercial	$40.15	fee schedule
Healthcare Highways	NarrowNetwork	Commercial	$42.97	fee schedule
Focus Health Solutions	COMM	Commercial	$43.03	fee schedule
Oscar	BroadNetworkHIX	Commercial	$48.92	fee schedule
Oscar	EPO	Commercial	$48.92	fee schedule
Oscar	POS	Commercial	$48.92	fee schedule
Oscar	PPO	Commercial	$48.92	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$99.45	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$99.45	percent of total billed charges
United	OptionsPPO	Commercial	$178	percent of total billed charges
Community First Health Plans	HMO	Commercial	$192	percent of total billed charges
BCBS	TRAD	Commercial	$210	percent of total billed charges
Valenz	NXNetwork	Commercial	$249	percent of total billed charges
Evry Health	Broad	Commercial	$261	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$320	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$355	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$391	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$497	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$533	percent of total billed charges
USA Managed Care	PPO	Commercial	$533	percent of total billed charges
DirectCare America	PPO	Commercial	$568	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$604	percent of total billed charges

What this price covers

These are hospital charges for CPT code 84153 (PSA test (total)). 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

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).
Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

PSA test in other cities

Compare PSA test prices across all cities →

Houston, TXCash $18–$4,009 Dallas–Fort Worth, TXCash $8–$150 Phoenix, AZCash $5–$382 Austin, TXCash $37–$1,376

Other lab tests prices in San Antonio

CMPCPT 80053 BMPCPT 80048 CBCCPT 85025 Lipid panelCPT 80061 TSH testCPT 84443 A1c testCPT 83036 UrinalysisCPT 81001 Vitamin D testCPT 82306 Urine cultureCPT 87086