17 hospitals in San Antonio list a self-pay price of $13–$467 for a urinalysis with microscopy (CPT 81001). The typical commercial rate in the same files is $8.43.
Community First EPO Affordable Care (Commercial), University Health University Hospital
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 1.6× 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.
Urinalysis prices by hospital in San Antonio
Published cash priceTypical insured rate
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 81001; Medicaid and Medicare Advantage are shown separately below.
Urinalysis with microscopy (CPT 81001) — San Antonio
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
University Health University Hospital
Blue Cross Blue Shield$21.20–$23.32
Aetna$48.00–$51.00
Cigna—
UnitedHealthcare$33.00
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$2.66–$3.20
Medicare Advantage$3.17–$5.55
CHRISTUS Santa Rosa Hospital – Westover Hills
Blue Cross Blue Shield$3.17–$11.76
Aetna$3.17–$6.27
Cigna$12.54–$15.88
UnitedHealthcare$3.17–$12.59
Humana$3.17–$8.35
Oscar—
Ambetter—
Medicaid / CHIP$2.96–$8.28
Medicare Advantage$1.59–$8.28
Resolute Baptist Hospital
Blue Cross Blue Shield$3.17–$5.17
Aetna$3.94–$13.20
Cigna$3.64–$4.68
UnitedHealthcare$3.17
Humana$10.62–$17.53
Oscar—
Ambetter$4,848–$4,896
Medicaid / CHIP$2.66
Medicare Advantage—
Northeast Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Mission Trail Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
St. Luke's Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
North Central Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Westover Hills Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Methodist Hospital Atascosa
Blue Cross Blue Shield$4–$128
Aetna$13–$211
Cigna$5.23–$6.92
UnitedHealthcare$3–$195
Humana—
Oscar$8.43
Ambetter—
Medicaid / CHIP$2.66–$21.71
Medicare Advantage$3.00–$3.36
Methodist Hospital Stone Oak
Blue Cross Blue Shield$4–$128
Aetna$13–$211
Cigna$5.23–$6.92
UnitedHealthcare$3–$109
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66–$60.79
Medicare Advantage$3.00–$5.04
Methodist Hospital
Blue Cross Blue Shield$4–$128
Aetna$13–$211
Cigna$5–$126
UnitedHealthcare$3–$109
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$3–$434
Medicare Advantage$3–$213
Methodist Hospital Landmark
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5.23–$6.92
UnitedHealthcare$3–$210
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66–$5.04
Medicare Advantage$3.17–$5.04
Methodist Hospital Westover Hills
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5.23–$6.92
UnitedHealthcare$3–$210
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66
Medicare Advantage$3.00–$3.27
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5–$135
UnitedHealthcare$3–$210
Humana$304
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$3–$467
Medicare Advantage$3–$229
Methodist Texsan Hospital
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5.23–$6.92
UnitedHealthcare$3–$210
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66–$65.37
Medicare Advantage$3.00–$5.04
Metropolitan Methodist Hospital
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5.23–$6.92
UnitedHealthcare$3–$210
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66–$65.37
Medicare Advantage$3.00–$5.04
Northeast Methodist Hospital
Blue Cross Blue Shield$4–$138
Aetna$13–$226
Cigna$5.23–$6.92
UnitedHealthcare$3–$210
Humana—
Oscar$8.43
Ambetter$5.10
Medicaid / CHIP$2.66–$65.37
Medicare Advantage$3.00–$5.04
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
$2.66
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$2.66
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$2.66
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$2.66
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$2.71
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$2.74
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$2.74
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$2.82
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$2.87
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$2.93
fee schedule
Community First Health Plan
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Superior Health Plan
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
WellMed
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
United Healthcare
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Multiplan
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Community First EPO Affordable Care
Commercial
Commercial
$3.17
fee schedule
Scott and White Insurance
Medicare Advantage
Medicare Advantage
$3.17
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$3.19
fee schedule
Wellpoint
Medicare/Medicaid Dual Program
Medicaid / CHIP
$3.20
fee schedule
Wellpoint
Medicare Advantage
Medicare Advantage
$3.20
fee schedule
Blue Cross Blue Shield
Medicare Advantage
Medicare Advantage
$3.23
fee schedule
Molina
Medicare Advantage
Medicare Advantage
$3.27
fee schedule
Wellcare
Medicare Advantage
Medicare Advantage
$3.27
fee schedule
Texas Independence Health Plan
Medicare Advantage
Medicare Advantage
$3.49
fee schedule
Provider Partner Health Plans
Medicare Advantage
Medicare Advantage
$3.49
fee schedule
Procare Advantage
Medicare Advantage
Medicare Advantage
$3.49
fee schedule
Entrust
Commercial
Commercial
$3.80
fee schedule
Point Comfort - Unaccompanied Minor Healthcare
Medicare Advantage
Public program
$3.80
fee schedule
Wellpoint
Exchange
Commercial
$3.96
fee schedule
Wellpoint
Commercial
Commercial
$4.44
fee schedule
Point Comfort - Adult Refugee
Managed Medicaid
Public program
$4.52
fee schedule
Scott and White Insurance
Commercial
Commercial
$5.07
fee schedule
Molina Healthcare Affordable Care
Commercial
Commercial
$5.07
fee schedule
Curative
Commercial
Commercial
$5.23
fee schedule
HPHG LLC dba 90 Degrees
Commercial
Commercial
$5.55
fee schedule
Universal Benefits Consortium
Commercial
Commercial
$5.55
fee schedule
EBSO
Commercial
Commercial
$5.55
fee schedule
Velocity National Provider Network
Medicare Advantage
Medicare Advantage
$5.55
fee schedule
USAA
Commercial
Commercial
$19.61
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$21.20
percent of total billed charges
Blue Cross Blue Shield
PPO
Commercial
$23.32
percent of total billed charges
Independent Medical Systems
Commercial
Commercial
$26.50
percent of total billed charges
First Health Network
Commercial
Commercial
$30.21
percent of total billed charges
United Healthcare
Commercial
Commercial
$33.00
fee schedule
Multiplan
Primary Network
Commercial
$34.45
percent of total billed charges
Prime Health
Commercial
Commercial
$37.10
percent of total billed charges
Multiplan
Complementary Network
Commercial
$37.10
percent of total billed charges
Community First Health Plan
Commercial
Commercial
$37.10
percent of total billed charges
HealthSmart
Commercial
Commercial
$37.10
percent of total billed charges
Velocity National Provider Network
Commercial
Commercial
$42.40
percent of total billed charges
Three Rivers Provider Network
Commercial
Commercial
$45.05
percent of total billed charges
Aetna
Exchange
Commercial
$48.00
fee schedule
Aetna
Commercial
Commercial
$51.00
fee schedule
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Texas Healthspring
MM
Medicare Advantage
$1.59
fee schedule
United Healthcare
Chip KM
Medicaid / CHIP
$2.96
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$2.96
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$2.96
fee schedule
Aetna
Chip KM
Medicaid / CHIP
$3.17
fee schedule
Aetna
MM
Commercial
$3.17
fee schedule
Aetna
Star KM
Medicaid / CHIP
$3.17
fee schedule
Allwell
Superior Health MM
Medicare Advantage
$3.17
fee schedule
Blue Cross Blue Shield Of Texas
Star Chip KM
Medicaid / CHIP
$3.17
fee schedule
Blue Cross Blue Shield of Texas
MM
Commercial
$3.17
fee schedule
Christus Health
Med Adv MM
Medicare Advantage
$3.17
fee schedule
Community First
Chip KM
Medicaid / CHIP
$3.17
fee schedule
Community First
Star KM
Medicaid / CHIP
$3.17
fee schedule
Community First
Star Kids KM
Medicaid / CHIP
$3.17
fee schedule
Coventry
First Health MM
Commercial
$3.17
fee schedule
Driscoll Children's Health Plan
Chip KM
Medicaid / CHIP
$3.17
fee schedule
Driscoll Children's Health Plan
Star KM
Medicaid / CHIP
$3.17
fee schedule
Driscoll Children's Health Plan
Star Kids KM
Medicaid / CHIP
$3.17
fee schedule
El Paso First
KM
Medicaid / CHIP
$3.17
fee schedule
First Care
KM
Commercial
$3.17
fee schedule
Humana
Gold Choice MM
Commercial
$3.17
fee schedule
Humana
Gold Plus MM
Medicare Advantage
$3.17
fee schedule
Molina
Chip KM
Medicaid / CHIP
$3.17
fee schedule
Molina
Medicare Adv MM
Medicare Advantage
$3.17
fee schedule
Molina
Star Plus KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Chip KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Foster Care KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Star KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Star Kids KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Star Plus KM
Medicaid / CHIP
$3.17
fee schedule
Superior
Star Plus MM
Medicaid / CHIP
$3.17
fee schedule
Triwest
VA MM
Military / VA
$3.17
fee schedule
United Healthcare
MM
Commercial
$3.17
fee schedule
Wellcare
MM
Medicare Advantage
$3.17
fee schedule
Provider Partners Health Plan
MM
Medicare Advantage
$3.27
fee schedule
Texas Independence Health Plan
MM
Medicare Advantage
$3.27
fee schedule
Shared Health Insurance Company
MM
Commercial
$3.33
fee schedule
Texas Childrens Health Plan
Chip KM
Medicaid / CHIP
$3.33
fee schedule
Texas Childrens Health Plan
Star Plus KM
Medicaid / CHIP
$3.33
fee schedule
US Imaging Network
PPO
Commercial
$3.39
fee schedule
Amerigroup
MM
Medicaid / CHIP
$3.42
fee schedule
Devoted Health Plan
MM
Medicare Advantage
$3.42
fee schedule
American Health Medicare
Advantage MM
Medicare Advantage
$3.49
fee schedule
Imperial Health Plan
MM
Medicare Advantage
$3.49
fee schedule
ProCare Advantage
MM
Medicare Advantage
$3.49
fee schedule
Employer Direct
Healthcare PPO
Commercial
$3.80
fee schedule
Gilsbar Inc.
MM
Commercial
$4.12
fee schedule
Christus Health
HIX
Commercial
$4.44
fee schedule
Aetna
New Business
Commercial
$5.64
fee schedule
Aetna
EPO
Commercial
$6.27
fee schedule
Aetna
HMO
Commercial
$6.27
fee schedule
Aetna
POS
Commercial
$6.27
fee schedule
Aetna
PPO
Commercial
$6.27
fee schedule
Naphcare Inc.
RRMB
Public program
$6.34
fee schedule
Blue Cross Blue Shield of Texas
Blue AdvantangeHMO
Commercial
$8.15
fee schedule
Amerigroup
Chip KM
Medicaid / CHIP
$8.28
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$8.28
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$8.28
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$8.28
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$8.28
percent of total billed charges
Humana
Choicecare
Commercial
$8.35
fee schedule
Blue Cross Blue Shield of Texas
HMO
Commercial
$9.92
fee schedule
Blue Cross Blue Shield of Texas
HEB
Commercial
$10.05
fee schedule
Blue Cross Blue Shield of Texas
PPO
Commercial
$11.16
fee schedule
Blue Cross Blue Shield of Texas
Traditional
Commercial
$11.76
fee schedule
Cigna
New Business
Commercial
$12.54
fee schedule
United Healthcare
All Payer
Commercial
$12.59
fee schedule
Cigna
PPO
Commercial
$15.88
fee schedule
Community First Health Plan
HMO
Commercial
$30.36
percent of total billed charges
Healthcare Highways
PPO
Commercial
$31.05
percent of total billed charges
Christian Brothers Services
PPO
Commercial
$37.95
percent of total billed charges
First Health
PPO
Commercial
$44.85
percent of total billed charges
Healthsmart
Accel PPO
Commercial
$44.85
percent of total billed charges
Multiplan
PPO
Commercial
$44.85
percent of total billed charges
Phcs
PPO
Commercial
$44.85
percent of total billed charges
Five Point Credit Union
PPO
Commercial
$48.30
percent of total billed charges
Medicus Internatiaonal
PPO
Commercial
$51.75
percent of total billed charges
Beech Street
PPO
Commercial
$55.20
percent of total billed charges
Health Management Network
PPO
Commercial
$55.20
percent of total billed charges
HealthSmart
PPO
Commercial
$55.20
percent of total billed charges
Provider Select
PPO
Commercial
$55.20
percent of total billed charges
National Choicecare
PPO
Commercial
$65.55
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
$2.66
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS MYBLUE HEALTH HIX
Commercial
$3.17
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE EXCHANGE
Commercial
$3.17
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE NON OPTIONS
Commercial
$3.17
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE OPTIONS PPO
Commercial
$3.17
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE ADVANTAGE HMO
Commercial
$3.20
fee schedule
CIGNA
CIGNA COMMERCIAL
Commercial
$3.64
fee schedule
AETNA
AETNA EXCHANGE HIX
Commercial
$3.94
fee schedule
CIGNA
CIGNA HEALTH PLAN - NEW BUSINESS
Commercial
$4.05
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE OPTIONS/BLUE PRECISION
Commercial
$4.08
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD HMO BLUE
Commercial
$4.12
fee schedule
CIGNA
CIGNA HEALTH PLAN - HMO
Commercial
$4.22
fee schedule
CIGNA
CIGNA HEALTH PLAN - PPO
Commercial
$4.68
fee schedule
AETNA
AETNA SPP
Commercial
$5.01
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD PPO/POS
Commercial
$5.17
fee schedule
AETNA
AETNA QPIC
Commercial
$5.54
fee schedule
AETNA
AETNA SOUTH SAN ANTONIO ISD
Commercial
$7.80
fee schedule
AETNA
AETNA EXCHANGE
Commercial
$7.84
fee schedule
HUMANA
HUMANA COMMERCIAL
Commercial
$10.62
fee schedule
AETNA
AETNA COMMERCIAL NEW BUSINESS DISCOUNT
Commercial
$11.61
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$13.20
fee schedule
HUMANA
HUMANA EXCHANGE
Commercial
$13.54
fee schedule
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$17.53
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 88 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$2.66
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$2.66
fee schedule
Molina
STAR
Medicaid / CHIP
$2.66
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$2.66
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
BlueAdvantage
Commercial
$5.86
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
BCBS
BlueEssentials
Commercial
$8.40
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$8.40
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$9.13
fee schedule
BCBS
PPO
Commercial
$9.86
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$21.71
percent of total billed charges
United
OptionsPPO
Commercial
$107
percent of total billed charges
Community First Health Plans
HMO
Commercial
$117
percent of total billed charges
BCBS
TRAD
Commercial
$128
percent of total billed charges
Valenz
NXNetwork
Commercial
$152
percent of total billed charges
Evry Health
Broad
Commercial
$160
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$195
percent of total billed charges
Aetna
ASA
Commercial
$211
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$239
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$326
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$369
percent of total billed charges
Methodist Hospital Stone Oak: all 103 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
BlueAdvantage
Commercial
$5.86
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
BCBS
BlueEssentials
Commercial
$8.40
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$8.40
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$9.13
fee schedule
BCBS
PPO
Commercial
$9.86
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$21.71
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$60.79
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$60.79
percent of total billed charges
United
OptionsPPO
Commercial
$109
percent of total billed charges
Community First Health Plans
HMO
Commercial
$117
percent of total billed charges
BCBS
TRAD
Commercial
$128
percent of total billed charges
Valenz
NXNetwork
Commercial
$152
percent of total billed charges
Evry Health
Broad
Commercial
$160
percent of total billed charges
Aetna
ASA
Commercial
$211
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$217
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$239
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$326
percent of total billed charges
DirectCare America
PPO
Commercial
$347
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$369
percent of total billed charges
Methodist Hospital: all 110 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
BCBS
BlueAdvantage
Commercial
$4.34
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
Optum
COMM
Commercial
$7.92
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$21.71
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$21.71
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$60.79
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$60.79
percent of total billed charges
United
OptionsPPO
Commercial
$109
percent of total billed charges
Community First Health Plans
HMO
Commercial
$117
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$128
percent of total billed charges
Valenz
NXNetwork
Commercial
$152
percent of total billed charges
Evry Health
Broad
Commercial
$160
percent of total billed charges
Aetna
ASA
Commercial
$211
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$213
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$217
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$239
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$291
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$304
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$326
percent of total billed charges
DirectCare America
PPO
Commercial
$347
percent of total billed charges
USA Managed Care
PPO
Commercial
$347
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$369
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$434
percent of total billed charges
Methodist Hospital Landmark: all 60 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
BCBS
BlueAdvantage
Commercial
$4.34
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
United
OptionsPPO
Commercial
$115
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
Methodist Hospital Westover Hills: all 51 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
BCBS
BlueAdvantage
Commercial
$4.34
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
United
OptionsPPO
Commercial
$115
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$257
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
Methodist Specialty & Transplant Hospital: all 113 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
Value Options
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
BlueAdvantage
Commercial
$5.86
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
Optum
COMM
Commercial
$7.92
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
BCBS
BlueEssentials
Commercial
$11.13
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$11.13
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$12.11
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
BCBS
PPO
Commercial
$13.06
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$23.35
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$65.37
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$65.37
percent of total billed charges
United
OptionsPPO
Commercial
$115
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$135
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
Evry Health
Broad
Commercial
$172
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$229
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$233
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$257
percent of total billed charges
Humana
BHCOMM
Commercial
$304
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$313
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$327
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
USA Managed Care
PPO
Commercial
$350
percent of total billed charges
DirectCare America
PPO
Commercial
$374
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$467
percent of total billed charges
Methodist Texsan Hospital: all 103 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
BCBS
BlueAdvantage
Commercial
$4.34
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$23.35
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$65.37
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$65.37
percent of total billed charges
United
OptionsPPO
Commercial
$115
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
Evry Health
Broad
Commercial
$172
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$233
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$257
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
DirectCare America
PPO
Commercial
$374
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
Metropolitan Methodist Hospital: all 107 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
Value Options
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
BlueAdvantage
Commercial
$5.86
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$23.35
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$65.37
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$65.37
percent of total billed charges
United
OptionsPPO
Commercial
$115
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
Evry Health
Broad
Commercial
$172
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$233
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$257
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$327
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
USA Managed Care
PPO
Commercial
$350
percent of total billed charges
DirectCare America
PPO
Commercial
$374
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
Northeast Methodist Hospital: all 107 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$2.66
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$2.66
fee schedule
United
MCD
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$2.66
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$2.66
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$2.71
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$2.71
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$2.87
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$2.87
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$2.93
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$2.93
fee schedule
WellMed
MCR
Medicare Advantage
$3.00
fee schedule
TriWest VA PCCC
FEDERAL
Military / VA
$3.11
fee schedule
United
AllPayerAppendix
Commercial
$3.17
fee schedule
United
Charter
Commercial
$3.17
fee schedule
United
NexusACO
Commercial
$3.17
fee schedule
United
SmallGroup
Commercial
$3.17
fee schedule
Amerigroup
DualEligible
Medicaid / CHIP
$3.17
fee schedule
BCBS
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPOS
Medicare Advantage
$3.17
fee schedule
BCBS
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
DualEligible
Medicaid / CHIP
$3.17
fee schedule
Devoted Health
MCRHMO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPFFS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPOS
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRPPO
Medicare Advantage
$3.17
fee schedule
Devoted Health
MCRSNP
Medicare Advantage
$3.17
fee schedule
Gonzaba Medical Group
MGMCR
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRHMO
Medicare Advantage
$3.17
fee schedule
Humana
MGMCRPPO
Medicare Advantage
$3.17
fee schedule
OptumHealth Care Solutions
MGMCR
Medicare Advantage
$3.17
fee schedule
TriWest
MGMCR
Military / VA
$3.17
fee schedule
Aetna
MCR
Medicare Advantage
$3.23
fee schedule
United
MCR
Medicare Advantage
$3.23
fee schedule
Integranet
MCR
Medicare Advantage
$3.27
fee schedule
WellCare
MCRHMO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPOS
Medicare Advantage
$3.27
fee schedule
WellCare
MCRPPO
Medicare Advantage
$3.27
fee schedule
WellCare
MCRSNP
Medicare Advantage
$3.27
fee schedule
WellCare
PFFS
Medicare Advantage
$3.27
fee schedule
American Health Plan of Texas
MGMCRHMO
Medicare Advantage
$3.33
fee schedule
Clover Insurance
MCR
Medicare Advantage
$3.33
fee schedule
Humana
MGMCD
Medicaid / CHIP
$3.33
fee schedule
Superior Health
MGMCR
Medicare Advantage
$3.33
fee schedule
Texas Independent Health Plan
DualEligible
Medicaid / CHIP
$3.36
fee schedule
Texas Independent Health Plan
MCRHMO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPFFS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPOS
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRPPO
Medicare Advantage
$3.36
fee schedule
Texas Independent Health Plan
MCRSNP
Medicare Advantage
$3.36
fee schedule
TriWest Health Alliance
TRICARE
Military / VA
$3.43
fee schedule
Value Options
TRICARE
Military / VA
$3.43
fee schedule
BCBS
MyBlueHealth
Commercial
$4.31
fee schedule
BCBS
BlueAdvantage
Commercial
$4.34
fee schedule
Molina Healthcare
MCR
Medicare Advantage
$5.04
fee schedule
Molina Healthcare
MME-MMP
Medicaid / CHIP
$5.04
fee schedule
Superior
AmbetterEPO
Commercial
$5.10
fee schedule
Superior
AmbetterHMO
Commercial
$5.10
fee schedule
Superior
AmbetterValueHMO
Commercial
$5.10
fee schedule
Cigna
NewBusinessNetwork
Commercial
$5.23
fee schedule
BCBS
BlueEssentials
Commercial
$5.67
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$5.67
fee schedule
Cigna
HMO
Commercial
$5.73
fee schedule
Cigna
OpenAccessPlus
Commercial
$5.73
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$6.18
fee schedule
BCBS
PPO
Commercial
$6.66
fee schedule
Cigna
PPO
Commercial
$6.92
fee schedule
Healthcare Highways
NarrowNetwork
Commercial
$7.40
fee schedule
Focus Health Solutions
COMM
Commercial
$7.42
fee schedule
Oscar
BroadNetworkHIX
Commercial
$8.43
fee schedule
Oscar
EPO
Commercial
$8.43
fee schedule
Oscar
POS
Commercial
$8.43
fee schedule
Oscar
PPO
Commercial
$8.43
fee schedule
Aetna
NarrowNetwork
Commercial
$12.98
fee schedule
Aetna
NewBusinessRates
Commercial
$15.47
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$15.78
fee schedule
Aetna
OON
Commercial
$18.54
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$23.35
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$23.35
percent of total billed charges
Amerigroup
CHIPBH
Medicaid / CHIP
$65.37
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$65.37
percent of total billed charges
United
OptionsPPO
Commercial
$117
percent of total billed charges
Community First Health Plans
HMO
Commercial
$126
percent of total billed charges
BCBS
TRAD
Commercial
$138
percent of total billed charges
Valenz
NXNetwork
Commercial
$163
percent of total billed charges
Evry Health
Broad
Commercial
$172
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$210
percent of total billed charges
Aetna
ASA
Commercial
$226
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$233
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$257
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$327
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$350
percent of total billed charges
USA Managed Care
PPO
Commercial
$350
percent of total billed charges
DirectCare America
PPO
Commercial
$374
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$397
percent of total billed charges
What this price covers
These are hospital charges for CPT code 81001 (Urinalysis with microscopy). 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.