How much does a urinalysis cost in San Antonio?

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.

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
$13–$467
what 17 hospitals list for a self-pay urinalysis
Typical insured rate
$8.43
median of every commercial plan rate in the files
Lowest insured rate
$3.17
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

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
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$13.25Cash ÷ typical 0.6×$23.3225 plans$3.17
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$23–$145Cash ÷ typical 2.3×$10.0539 plans$3.17
Resolute Baptist HospitalBaptist Health System · file Sep 2026$314Cash ÷ typical 65×$4.8424 plans$3.17
Northeast Baptist HospitalBaptist Health System · file Apr 2026$353–$455——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$353–$455——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$353–$455——
North Central Baptist HospitalBaptist Health System · file Apr 2026$353–$455——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$353–$455——
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$434–$467= list priceCash ÷ typical 52×$8.4334 plans$3.17
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$434–$467= list priceCash ÷ typical 52×$8.4338 plans$3.17
Methodist HospitalMethodist Healthcare · file Sep 2026$434–$467= list priceCash ÷ typical 52×$8.4343 plans$3.17
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 65×$7.1634 plans$3.17
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 63×$7.4035 plans$3.17
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 39×$12.1145 plans$3.17
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 55×$8.4339 plans$3.17
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 55×$8.4341 plans$3.17
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$467= list priceCash ÷ typical 55×$8.4341 plans$3.17

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Negotiated rates by insurer

If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaOscarAmbetterMedicaid / CHIPMedicare Advantage
University Health University Hospital$21.20–$23.32$48.00–$51.00—$33.00———$2.66–$3.20$3.17–$5.55
CHRISTUS Santa Rosa Hospital – Westover Hills$3.17–$11.76$3.17–$6.27$12.54–$15.88$3.17–$12.59$3.17–$8.35——$2.96–$8.28$1.59–$8.28
Resolute Baptist Hospital$3.17–$5.17$3.94–$13.20$3.64–$4.68$3.17$10.62–$17.53—$4,848–$4,896$2.66—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
Methodist Hospital Atascosa$4–$128$13–$211$5.23–$6.92$3–$195—$8.43—$2.66–$21.71$3.00–$3.36
Methodist Hospital Stone Oak$4–$128$13–$211$5.23–$6.92$3–$109—$8.43$5.10$2.66–$60.79$3.00–$5.04
Methodist Hospital$4–$128$13–$211$5–$126$3–$109—$8.43$5.10$3–$434$3–$213
Methodist Hospital Landmark$4–$138$13–$226$5.23–$6.92$3–$210—$8.43$5.10$2.66–$5.04$3.17–$5.04
Methodist Hospital Westover Hills$4–$138$13–$226$5.23–$6.92$3–$210—$8.43$5.10$2.66$3.00–$3.27
Methodist Specialty & Transplant Hospital$4–$138$13–$226$5–$135$3–$210$304$8.43$5.10$3–$467$3–$229
Methodist Texsan Hospital$4–$138$13–$226$5.23–$6.92$3–$210—$8.43$5.10$2.66–$65.37$3.00–$5.04
Metropolitan Methodist Hospital$4–$138$13–$226$5.23–$6.92$3–$210—$8.43$5.10$2.66–$65.37$3.00–$5.04
Northeast Methodist Hospital$4–$138$13–$226$5.23–$6.92$3–$210—$8.43$5.10$2.66–$65.37$3.00–$5.04
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$2.66fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$2.66fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$2.66fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$2.66fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$2.71fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$2.74fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$2.74fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$2.82fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$2.87fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$2.93fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$3.17fee schedule
HumanaMedicare AdvantageMedicare Advantage$3.17fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$3.17fee schedule
WellMedMedicare AdvantageMedicare Advantage$3.17fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$3.17fee schedule
MultiplanMedicare AdvantageMedicare Advantage$3.17fee schedule
AetnaMedicare AdvantageMedicare Advantage$3.17fee schedule
Community First EPO Affordable CareCommercialCommercial$3.17fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$3.17fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$3.19fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$3.20fee schedule
WellpointMedicare AdvantageMedicare Advantage$3.20fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$3.23fee schedule
MolinaMedicare AdvantageMedicare Advantage$3.27fee schedule
WellcareMedicare AdvantageMedicare Advantage$3.27fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$3.49fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$3.49fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$3.49fee schedule
EntrustCommercialCommercial$3.80fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$3.80fee schedule
WellpointExchangeCommercial$3.96fee schedule
WellpointCommercialCommercial$4.44fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$4.52fee schedule
Scott and White InsuranceCommercialCommercial$5.07fee schedule
Molina Healthcare Affordable CareCommercialCommercial$5.07fee schedule
CurativeCommercialCommercial$5.23fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$5.55fee schedule
Universal Benefits ConsortiumCommercialCommercial$5.55fee schedule
EBSOCommercialCommercial$5.55fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$5.55fee schedule
USAACommercialCommercial$19.61percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$21.20percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$23.32percent of total billed charges
Independent Medical SystemsCommercialCommercial$26.50percent of total billed charges
First Health NetworkCommercialCommercial$30.21percent of total billed charges
United HealthcareCommercialCommercial$33.00fee schedule
MultiplanPrimary NetworkCommercial$34.45percent of total billed charges
Prime HealthCommercialCommercial$37.10percent of total billed charges
MultiplanComplementary NetworkCommercial$37.10percent of total billed charges
Community First Health PlanCommercialCommercial$37.10percent of total billed charges
HealthSmartCommercialCommercial$37.10percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$42.40percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$45.05percent of total billed charges
AetnaExchangeCommercial$48.00fee schedule
AetnaCommercialCommercial$51.00fee schedule
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas HealthspringMMMedicare Advantage$1.59fee schedule
United HealthcareChip KMMedicaid / CHIP$2.96fee schedule
United HealthcareStar KMMedicaid / CHIP$2.96fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$2.96fee schedule
AetnaChip KMMedicaid / CHIP$3.17fee schedule
AetnaMMCommercial$3.17fee schedule
AetnaStar KMMedicaid / CHIP$3.17fee schedule
AllwellSuperior Health MMMedicare Advantage$3.17fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$3.17fee schedule
Blue Cross Blue Shield of TexasMMCommercial$3.17fee schedule
Christus HealthMed Adv MMMedicare Advantage$3.17fee schedule
Community FirstChip KMMedicaid / CHIP$3.17fee schedule
Community FirstStar KMMedicaid / CHIP$3.17fee schedule
Community FirstStar Kids KMMedicaid / CHIP$3.17fee schedule
CoventryFirst Health MMCommercial$3.17fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$3.17fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$3.17fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$3.17fee schedule
El Paso FirstKMMedicaid / CHIP$3.17fee schedule
First CareKMCommercial$3.17fee schedule
HumanaGold Choice MMCommercial$3.17fee schedule
HumanaGold Plus MMMedicare Advantage$3.17fee schedule
MolinaChip KMMedicaid / CHIP$3.17fee schedule
MolinaMedicare Adv MMMedicare Advantage$3.17fee schedule
MolinaStar Plus KMMedicaid / CHIP$3.17fee schedule
SuperiorChip KMMedicaid / CHIP$3.17fee schedule
SuperiorFoster Care KMMedicaid / CHIP$3.17fee schedule
SuperiorStar KMMedicaid / CHIP$3.17fee schedule
SuperiorStar Kids KMMedicaid / CHIP$3.17fee schedule
SuperiorStar Plus KMMedicaid / CHIP$3.17fee schedule
SuperiorStar Plus MMMedicaid / CHIP$3.17fee schedule
TriwestVA MMMilitary / VA$3.17fee schedule
United HealthcareMMCommercial$3.17fee schedule
WellcareMMMedicare Advantage$3.17fee schedule
Provider Partners Health PlanMMMedicare Advantage$3.27fee schedule
Texas Independence Health PlanMMMedicare Advantage$3.27fee schedule
Shared Health Insurance CompanyMMCommercial$3.33fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$3.33fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$3.33fee schedule
US Imaging NetworkPPOCommercial$3.39fee schedule
AmerigroupMMMedicaid / CHIP$3.42fee schedule
Devoted Health PlanMMMedicare Advantage$3.42fee schedule
American Health MedicareAdvantage MMMedicare Advantage$3.49fee schedule
Imperial Health PlanMMMedicare Advantage$3.49fee schedule
ProCare AdvantageMMMedicare Advantage$3.49fee schedule
Employer DirectHealthcare PPOCommercial$3.80fee schedule
Gilsbar Inc.MMCommercial$4.12fee schedule
Christus HealthHIXCommercial$4.44fee schedule
AetnaNew BusinessCommercial$5.64fee schedule
AetnaEPOCommercial$6.27fee schedule
AetnaHMOCommercial$6.27fee schedule
AetnaPOSCommercial$6.27fee schedule
AetnaPPOCommercial$6.27fee schedule
Naphcare Inc.RRMBPublic program$6.34fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$8.15fee schedule
AmerigroupChip KMMedicaid / CHIP$8.28percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$8.28percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$8.28percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$8.28percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$8.28percent of total billed charges
HumanaChoicecareCommercial$8.35fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$9.92fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$10.05fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$11.16fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$11.76fee schedule
CignaNew BusinessCommercial$12.54fee schedule
United HealthcareAll PayerCommercial$12.59fee schedule
CignaPPOCommercial$15.88fee schedule
Community First Health PlanHMOCommercial$30.36percent of total billed charges
Healthcare HighwaysPPOCommercial$31.05percent of total billed charges
Christian Brothers ServicesPPOCommercial$37.95percent of total billed charges
First HealthPPOCommercial$44.85percent of total billed charges
HealthsmartAccel PPOCommercial$44.85percent of total billed charges
MultiplanPPOCommercial$44.85percent of total billed charges
PhcsPPOCommercial$44.85percent of total billed charges
Five Point Credit UnionPPOCommercial$48.30percent of total billed charges
Medicus InternatiaonalPPOCommercial$51.75percent of total billed charges
Beech StreetPPOCommercial$55.20percent of total billed charges
Health Management NetworkPPOCommercial$55.20percent of total billed charges
HealthSmartPPOCommercial$55.20percent of total billed charges
Provider SelectPPOCommercial$55.20percent of total billed charges
National ChoicecarePPOCommercial$65.55percent of total billed charges
Resolute Baptist Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$2.66fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$3.17fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$3.17fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$3.17fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$3.17fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$3.20fee schedule
CIGNACIGNA COMMERCIALCommercial$3.64fee schedule
AETNAAETNA EXCHANGE HIXCommercial$3.94fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$4.05fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$4.08fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$4.12fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$4.22fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$4.68fee schedule
AETNAAETNA SPPCommercial$5.01fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$5.17fee schedule
AETNAAETNA QPICCommercial$5.54fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$7.80fee schedule
AETNAAETNA EXCHANGECommercial$7.84fee schedule
HUMANAHUMANA COMMERCIALCommercial$10.62fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$11.61fee schedule
AETNAAETNA COMMERCIALCommercial$13.20fee schedule
HUMANAHUMANA EXCHANGECommercial$13.54fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$17.53fee schedule
AMBETTERAMBETTER BY SUPERIOR HIXCommercial$4,848case rate
AMBETTERAMBETTER BY SUPERIOR EXCHANGE HIXCommercial$4,896case rate
Northeast Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Mission Trail Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
St. Luke's Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
North Central Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Westover Hills Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Methodist Hospital Atascosa: all 88 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
MolinaCHIPHMOMedicaid / CHIP$2.66fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$2.66fee schedule
MolinaSTARMedicaid / CHIP$2.66fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$2.66fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSBlueAdvantageCommercial$5.86fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
BCBSBlueEssentialsCommercial$8.40fee schedule
BCBSBlueEssentialsAccessCommercial$8.40fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$9.13fee schedule
BCBSPPOCommercial$9.86fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$21.71percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$21.71percent of total billed charges
UnitedOptionsPPOCommercial$107percent of total billed charges
Community First Health PlansHMOCommercial$117percent of total billed charges
BCBSTRADCommercial$128percent of total billed charges
ValenzNXNetworkCommercial$152percent of total billed charges
Evry HealthBroadCommercial$160percent of total billed charges
UnitedGlobalBenefitPlanCommercial$195percent of total billed charges
AetnaASACommercial$211percent of total billed charges
HealthSmart Preferred CareAccelCommercial$239percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$326percent of total billed charges
MultiplanComplementaryNetworkCommercial$369percent of total billed charges
Methodist Hospital Stone Oak: all 103 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSBlueAdvantageCommercial$5.86fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
BCBSBlueEssentialsCommercial$8.40fee schedule
BCBSBlueEssentialsAccessCommercial$8.40fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$9.13fee schedule
BCBSPPOCommercial$9.86fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$21.71percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$21.71percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$60.79percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$60.79percent of total billed charges
UnitedOptionsPPOCommercial$109percent of total billed charges
Community First Health PlansHMOCommercial$117percent of total billed charges
BCBSTRADCommercial$128percent of total billed charges
ValenzNXNetworkCommercial$152percent of total billed charges
Evry HealthBroadCommercial$160percent of total billed charges
AetnaASACommercial$211percent of total billed charges
TX Healthcare FoundationPPOCommercial$217percent of total billed charges
HealthSmart Preferred CareAccelCommercial$239percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$326percent of total billed charges
DirectCare AmericaPPOCommercial$347percent of total billed charges
MultiplanComplementaryNetworkCommercial$369percent of total billed charges
Methodist Hospital: all 110 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
BCBSBlueAdvantageCommercial$4.34fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
OptumCOMMCommercial$7.92fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$21.71percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$21.71percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$21.71percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$60.79percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$60.79percent of total billed charges
UnitedOptionsPPOCommercial$109percent of total billed charges
Community First Health PlansHMOCommercial$117percent of total billed charges
Cigna LifesourceCOMMCommercial$126percent of total billed charges
BCBSTRADCommercial$128percent of total billed charges
ValenzNXNetworkCommercial$152percent of total billed charges
Evry HealthBroadCommercial$160percent of total billed charges
AetnaASACommercial$211percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$213percent of total billed charges
TX Healthcare FoundationPPOCommercial$217percent of total billed charges
HealthSmart Preferred CareAccelCommercial$239percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$291percent of total billed charges
TML Intergovernmental EBPPPOCommercial$304percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$326percent of total billed charges
DirectCare AmericaPPOCommercial$347percent of total billed charges
USA Managed CarePPOCommercial$347percent of total billed charges
MultiplanComplementaryNetworkCommercial$369percent of total billed charges
OptumMCDMedicaid / CHIP$434percent of total billed charges
Methodist Hospital Landmark: all 60 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
BCBSBlueAdvantageCommercial$4.34fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
UnitedOptionsPPOCommercial$115percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent of total billed charges
Methodist Hospital Westover Hills: all 51 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
BCBSBlueAdvantageCommercial$4.34fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
UnitedOptionsPPOCommercial$115percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
HealthSmart Preferred CareAccelCommercial$257percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent of total billed charges
Methodist Specialty & Transplant Hospital: all 113 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
Value OptionsTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSBlueAdvantageCommercial$5.86fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
OptumCOMMCommercial$7.92fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
BCBSBlueEssentialsCommercial$11.13fee schedule
BCBSBlueEssentialsAccessCommercial$11.13fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$12.11fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
BCBSPPOCommercial$13.06fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$23.35percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$23.35percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$65.37percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$65.37percent of total billed charges
UnitedOptionsPPOCommercial$115percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
Cigna LifesourceCOMMCommercial$135percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
Evry HealthBroadCommercial$172percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$229percent of total billed charges
TX Healthcare FoundationPPOCommercial$233percent of total billed charges
HealthSmart Preferred CareAccelCommercial$257percent of total billed charges
HumanaBHCOMMCommercial$304percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$313percent of total billed charges
TML Intergovernmental EBPPPOCommercial$327percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
USA Managed CarePPOCommercial$350percent of total billed charges
DirectCare AmericaPPOCommercial$374percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent of total billed charges
OptumMCDMedicaid / CHIP$467percent of total billed charges
Methodist Texsan Hospital: all 103 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
BCBSBlueAdvantageCommercial$4.34fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$23.35percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$23.35percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$65.37percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$65.37percent of total billed charges
UnitedOptionsPPOCommercial$115percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
Evry HealthBroadCommercial$172percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
TX Healthcare FoundationPPOCommercial$233percent of total billed charges
HealthSmart Preferred CareAccelCommercial$257percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
DirectCare AmericaPPOCommercial$374percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent of total billed charges
Metropolitan Methodist Hospital: all 107 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
Value OptionsTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSBlueAdvantageCommercial$5.86fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$23.35percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$23.35percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$65.37percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$65.37percent of total billed charges
UnitedOptionsPPOCommercial$115percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
Evry HealthBroadCommercial$172percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
TX Healthcare FoundationPPOCommercial$233percent of total billed charges
HealthSmart Preferred CareAccelCommercial$257percent of total billed charges
TML Intergovernmental EBPPPOCommercial$327percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
USA Managed CarePPOCommercial$350percent of total billed charges
DirectCare AmericaPPOCommercial$374percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent of total billed charges
Northeast Methodist Hospital: all 107 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$2.66fee schedule
AmerigroupMCDMedicaid / CHIP$2.66fee schedule
UnitedMCDMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$2.66fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$2.66fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$2.71fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$2.71fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$2.87fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$2.87fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$2.87fee schedule
Molina HealthcareCHIPMedicaid / CHIP$2.93fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$2.93fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$2.93fee schedule
WellMedMCRMedicare Advantage$3.00fee schedule
TriWest VA PCCCFEDERALMilitary / VA$3.11fee schedule
UnitedAllPayerAppendixCommercial$3.17fee schedule
UnitedCharterCommercial$3.17fee schedule
UnitedNexusACOCommercial$3.17fee schedule
UnitedSmallGroupCommercial$3.17fee schedule
AmerigroupDualEligibleMedicaid / CHIP$3.17fee schedule
BCBSMGMCRHMOMedicare Advantage$3.17fee schedule
BCBSMGMCRPOSMedicare Advantage$3.17fee schedule
BCBSMGMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthDualEligibleMedicaid / CHIP$3.17fee schedule
Devoted HealthMCRHMOMedicare Advantage$3.17fee schedule
Devoted HealthMCRPFFSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPOSMedicare Advantage$3.17fee schedule
Devoted HealthMCRPPOMedicare Advantage$3.17fee schedule
Devoted HealthMCRSNPMedicare Advantage$3.17fee schedule
Gonzaba Medical GroupMGMCRMedicare Advantage$3.17fee schedule
HumanaMGMCRHMOMedicare Advantage$3.17fee schedule
HumanaMGMCRPPOMedicare Advantage$3.17fee schedule
OptumHealth Care SolutionsMGMCRMedicare Advantage$3.17fee schedule
TriWestMGMCRMilitary / VA$3.17fee schedule
AetnaMCRMedicare Advantage$3.23fee schedule
UnitedMCRMedicare Advantage$3.23fee schedule
IntegranetMCRMedicare Advantage$3.27fee schedule
WellCareMCRHMOMedicare Advantage$3.27fee schedule
WellCareMCRPOSMedicare Advantage$3.27fee schedule
WellCareMCRPPOMedicare Advantage$3.27fee schedule
WellCareMCRSNPMedicare Advantage$3.27fee schedule
WellCarePFFSMedicare Advantage$3.27fee schedule
American Health Plan of TexasMGMCRHMOMedicare Advantage$3.33fee schedule
Clover InsuranceMCRMedicare Advantage$3.33fee schedule
HumanaMGMCDMedicaid / CHIP$3.33fee schedule
Superior HealthMGMCRMedicare Advantage$3.33fee schedule
Texas Independent Health PlanDualEligibleMedicaid / CHIP$3.36fee schedule
Texas Independent Health PlanMCRHMOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPFFSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPOSMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRPPOMedicare Advantage$3.36fee schedule
Texas Independent Health PlanMCRSNPMedicare Advantage$3.36fee schedule
TriWest Health AllianceTRICAREMilitary / VA$3.43fee schedule
Value OptionsTRICAREMilitary / VA$3.43fee schedule
BCBSMyBlueHealthCommercial$4.31fee schedule
BCBSBlueAdvantageCommercial$4.34fee schedule
Molina HealthcareMCRMedicare Advantage$5.04fee schedule
Molina HealthcareMME-MMPMedicaid / CHIP$5.04fee schedule
SuperiorAmbetterEPOCommercial$5.10fee schedule
SuperiorAmbetterHMOCommercial$5.10fee schedule
SuperiorAmbetterValueHMOCommercial$5.10fee schedule
CignaNewBusinessNetworkCommercial$5.23fee schedule
BCBSBlueEssentialsCommercial$5.67fee schedule
BCBSBlueEssentialsAccessCommercial$5.67fee schedule
CignaHMOCommercial$5.73fee schedule
CignaOpenAccessPlusCommercial$5.73fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$6.18fee schedule
BCBSPPOCommercial$6.66fee schedule
CignaPPOCommercial$6.92fee schedule
Healthcare HighwaysNarrowNetworkCommercial$7.40fee schedule
Focus Health SolutionsCOMMCommercial$7.42fee schedule
OscarBroadNetworkHIXCommercial$8.43fee schedule
OscarEPOCommercial$8.43fee schedule
OscarPOSCommercial$8.43fee schedule
OscarPPOCommercial$8.43fee schedule
AetnaNarrowNetworkCommercial$12.98fee schedule
AetnaNewBusinessRatesCommercial$15.47fee schedule
AetnaCommercialBaseNetworkCommercial$15.78fee schedule
AetnaOONCommercial$18.54fee schedule
Superior HealthCHIPMedicaid / CHIP$23.35percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$23.35percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$23.35percent of total billed charges
AmerigroupCHIPBHMedicaid / CHIP$65.37percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$65.37percent of total billed charges
UnitedOptionsPPOCommercial$117percent of total billed charges
Community First Health PlansHMOCommercial$126percent of total billed charges
BCBSTRADCommercial$138percent of total billed charges
ValenzNXNetworkCommercial$163percent of total billed charges
Evry HealthBroadCommercial$172percent of total billed charges
UnitedGlobalBenefitPlanCommercial$210percent of total billed charges
AetnaASACommercial$226percent of total billed charges
TX Healthcare FoundationPPOCommercial$233percent of total billed charges
HealthSmart Preferred CareAccelCommercial$257percent of total billed charges
TML Intergovernmental EBPPPOCommercial$327percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$350percent of total billed charges
USA Managed CarePPOCommercial$350percent of total billed charges
DirectCare AmericaPPOCommercial$374percent of total billed charges
MultiplanComplementaryNetworkCommercial$397percent 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

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

Other lab tests prices in San Antonio