Published cash price
$28–$772
what 12 hospitals list for a self-pay urine culture
Typical insured rate
$21.47
median of every commercial plan rate in the files
Lowest insured rate
$2.34
United Healthcare (All Payer), CHRISTUS Santa Rosa Hospital – Westover Hills
At 9 of 12 hospitals, the published cash price is the full list price — the file shows no discount for paying without insurance. Even the lowest cash price is 1.3× the typical rate insurers negotiated. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
Urine culture 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 87086; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| University Health University HospitalUniversity Health · file Oct 2025 | $27.75Cash ÷ typical 0.6× | $44.4025 plans | $8.07 |
| CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026 | $139–$233Cash ÷ typical 5.5× | $25.2639 plans | $2.34 |
| Resolute Baptist HospitalBaptist Health System · file Sep 2026 | $338–$432Cash ÷ typical 27× | $12.3624 plans | $8.07 |
| Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4734 plans | $8.07 |
| Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 42× | $18.2534 plans | $8.07 |
| Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4738 plans | $8.07 |
| Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 41× | $18.8635 plans | $8.07 |
| Methodist HospitalMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4743 plans | $8.07 |
| Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 25× | $30.8345 plans | $8.07 |
| Methodist Texsan HospitalMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4739 plans | $8.07 |
| Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4741 plans | $8.07 |
| Northeast Methodist HospitalMethodist Healthcare · file Sep 2026 | $772= list priceCash ÷ typical 36× | $21.4741 plans | $8.07 |
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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.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| University Health University Hospital | $44.40–$48.84 | $48.00–$51.00 | — | $33.00 | — | — | — | $6.78–$8.15 | $8.07–$14.12 |
| CHRISTUS Santa Rosa Hospital – Westover Hills | $8.07–$29.94 | $8.07–$15.99 | $32.38–$41.00 | $2.34–$8.07 | $8.07–$21.25 | — | — | $7.53–$84.72 | $4.04–$84.72 |
| Resolute Baptist Hospital | $8.07–$13.15 | $10.04–$33.61 | $9.28–$11.97 | $8.07 | $27.03–$44.76 | — | $4,848–$4,896 | $6.78 | — |
| Methodist Hospital Atascosa | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | — | $6.78–$38.61 | $7.63–$8.55 |
| Methodist Hospital Landmark | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | $12.99 | $6.78–$12.83 | $8.07–$12.83 |
| Methodist Hospital Stone Oak | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$194 | — | $21.47 | $12.99 | $7–$108 | $7.63–$12.83 |
| Methodist Hospital Westover Hills | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | $12.99 | $6.78 | $7.63–$8.31 |
| Methodist Hospital | $11–$228 | $33–$374 | $13–$224 | $8–$194 | — | $21.47 | $12.99 | $7–$772 | $8–$378 |
| Methodist Specialty & Transplant Hospital | $11–$228 | $33–$374 | $13–$224 | $8–$347 | $502 | $21.47 | $12.99 | $7–$772 | $8–$378 |
| Methodist Texsan Hospital | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | $12.99 | $7–$108 | $7.63–$12.83 |
| Metropolitan Methodist Hospital | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | $12.99 | $7–$108 | $7.63–$12.83 |
| Northeast Methodist Hospital | $11–$228 | $33–$374 | $13.34–$17.64 | $8–$347 | — | $21.47 | $12.99 | $7–$108 | $7.63–$12.83 |
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 | $6.78 | fee schedule |
| Community First Health Plan | Managed Medicaid | Medicaid / CHIP | $6.78 | fee schedule |
| First Care/Scott and White | Managed Medicaid | Medicaid / CHIP | $6.78 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $6.78 | fee schedule |
| El Paso Health | Managed Medicaid | Medicaid / CHIP | $6.92 | fee schedule |
| Superior Health Plan | Managed Medicaid | Medicaid / CHIP | $6.98 | fee schedule |
| Wellpoint | Managed Medicaid/CHIP | Medicaid / CHIP | $6.98 | fee schedule |
| Molina Healthcare | Managed Medicaid | Medicaid / CHIP | $7.19 | fee schedule |
| Driscoll Health Plan | Managed Medicaid | Medicaid / CHIP | $7.32 | fee schedule |
| Blue Cross Blue Shield Star Kids/Star Plus | Managed Medicaid | Medicaid / CHIP | $7.46 | fee schedule |
| Community First Health Plan | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Superior Health Plan | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| WellMed | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Multiplan | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Community First EPO Affordable Care | Commercial | Commercial | $8.07 | fee schedule |
| Scott and White Insurance | Medicare Advantage | Medicare Advantage | $8.07 | fee schedule |
| Aetna Better Health | Managed Medicaid and CHIP | Medicaid / CHIP | $8.14 | fee schedule |
| Wellpoint | Medicare/Medicaid Dual Program | Medicaid / CHIP | $8.15 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $8.15 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.23 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $8.31 | fee schedule |
| Wellcare | Medicare Advantage | Medicare Advantage | $8.31 | fee schedule |
| Texas Independence Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Provider Partner Health Plans | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Procare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Entrust | Commercial | Commercial | $9.68 | fee schedule |
| Point Comfort - Unaccompanied Minor Healthcare | Medicare Advantage | Public program | $9.68 | fee schedule |
| Wellpoint | Exchange | Commercial | $10.09 | fee schedule |
| Wellpoint | Commercial | Commercial | $11.30 | fee schedule |
| Point Comfort - Adult Refugee | Managed Medicaid | Public program | $11.53 | fee schedule |
| Scott and White Insurance | Commercial | Commercial | $12.91 | fee schedule |
| Molina Healthcare Affordable Care | Commercial | Commercial | $12.91 | fee schedule |
| Curative | Commercial | Commercial | $13.32 | fee schedule |
| HPHG LLC dba 90 Degrees | Commercial | Commercial | $14.12 | fee schedule |
| Universal Benefits Consortium | Commercial | Commercial | $14.12 | fee schedule |
| EBSO | Commercial | Commercial | $14.12 | fee schedule |
| Velocity National Provider Network | Medicare Advantage | Medicare Advantage | $14.12 | fee schedule |
| United Healthcare | Commercial | Commercial | $33.00 | fee schedule |
| USAA | Commercial | Commercial | $41.07 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $44.40 | percent of total billed charges |
| Aetna | Exchange | Commercial | $48.00 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $48.84 | percent of total billed charges |
| Aetna | Commercial | Commercial | $51.00 | fee schedule |
| Independent Medical Systems | Commercial | Commercial | $55.50 | percent of total billed charges |
| First Health Network | Commercial | Commercial | $63.27 | percent of total billed charges |
| Multiplan | Primary Network | Commercial | $72.15 | percent of total billed charges |
| Community First Health Plan | Commercial | Commercial | $77.70 | percent of total billed charges |
| Multiplan | Complementary Network | Commercial | $77.70 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $77.70 | percent of total billed charges |
| Prime Health | Commercial | Commercial | $77.70 | percent of total billed charges |
| Velocity National Provider Network | Commercial | Commercial | $88.80 | percent of total billed charges |
| Three Rivers Provider Network | Commercial | Commercial | $94.35 | percent of total billed charges |
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | All Payer | Commercial | $2.34 | fee schedule |
| Texas Healthspring | MM | Medicare Advantage | $4.04 | fee schedule |
| United Healthcare | Chip KM | Medicaid / CHIP | $7.53 | fee schedule |
| United Healthcare | Star KM | Medicaid / CHIP | $7.53 | fee schedule |
| United Healthcare | Star Plus KM | Medicaid / CHIP | $7.53 | fee schedule |
| Aetna | Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Aetna | MM | Commercial | $8.07 | fee schedule |
| Aetna | Star KM | Medicaid / CHIP | $8.07 | fee schedule |
| Allwell | Superior Health MM | Medicare Advantage | $8.07 | fee schedule |
| Blue Cross Blue Shield Of Texas | Star Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Blue Cross Blue Shield of Texas | MM | Commercial | $8.07 | fee schedule |
| Christus Health | Med Adv MM | Medicare Advantage | $8.07 | fee schedule |
| Community First | Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Community First | Star KM | Medicaid / CHIP | $8.07 | fee schedule |
| Community First | Star Kids KM | Medicaid / CHIP | $8.07 | fee schedule |
| Coventry | First Health MM | Commercial | $8.07 | fee schedule |
| Driscoll Children's Health Plan | Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Driscoll Children's Health Plan | Star KM | Medicaid / CHIP | $8.07 | fee schedule |
| Driscoll Children's Health Plan | Star Kids KM | Medicaid / CHIP | $8.07 | fee schedule |
| El Paso First | KM | Medicaid / CHIP | $8.07 | fee schedule |
| First Care | KM | Commercial | $8.07 | fee schedule |
| Humana | Gold Choice MM | Commercial | $8.07 | fee schedule |
| Humana | Gold Plus MM | Medicare Advantage | $8.07 | fee schedule |
| Molina | Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Molina | Medicare Adv MM | Medicare Advantage | $8.07 | fee schedule |
| Molina | Star Plus KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Chip KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Foster Care KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Star KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Star Kids KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Star Plus KM | Medicaid / CHIP | $8.07 | fee schedule |
| Superior | Star Plus MM | Medicaid / CHIP | $8.07 | fee schedule |
| Triwest | VA MM | Military / VA | $8.07 | fee schedule |
| United Healthcare | MM | Commercial | $8.07 | fee schedule |
| Wellcare | MM | Medicare Advantage | $8.07 | fee schedule |
| Provider Partners Health Plan | MM | Medicare Advantage | $8.31 | fee schedule |
| Texas Independence Health Plan | MM | Medicare Advantage | $8.31 | fee schedule |
| Shared Health Insurance Company | MM | Commercial | $8.47 | fee schedule |
| Texas Childrens Health Plan | Chip KM | Medicaid / CHIP | $8.47 | fee schedule |
| Texas Childrens Health Plan | Star Plus KM | Medicaid / CHIP | $8.47 | fee schedule |
| US Imaging Network | PPO | Commercial | $8.63 | fee schedule |
| Amerigroup | MM | Medicaid / CHIP | $8.72 | fee schedule |
| Devoted Health Plan | MM | Medicare Advantage | $8.72 | fee schedule |
| American Health Medicare | Advantage MM | Medicare Advantage | $8.88 | fee schedule |
| Imperial Health Plan | MM | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | MM | Medicare Advantage | $8.88 | fee schedule |
| Employer Direct | Healthcare PPO | Commercial | $9.68 | fee schedule |
| Gilsbar Inc. | MM | Commercial | $10.49 | fee schedule |
| Christus Health | HIX | Commercial | $11.30 | fee schedule |
| Aetna | New Business | Commercial | $14.39 | fee schedule |
| Aetna | EPO | Commercial | $15.99 | fee schedule |
| Aetna | HMO | Commercial | $15.99 | fee schedule |
| Aetna | POS | Commercial | $15.99 | fee schedule |
| Aetna | PPO | Commercial | $15.99 | fee schedule |
| Naphcare Inc. | RRMB | Public program | $16.14 | fee schedule |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | Commercial | $20.74 | fee schedule |
| Humana | Choicecare | Commercial | $21.25 | fee schedule |
| Blue Cross Blue Shield of Texas | HMO | Commercial | $25.26 | fee schedule |
| Blue Cross Blue Shield of Texas | HEB | Commercial | $25.58 | fee schedule |
| Blue Cross Blue Shield of Texas | PPO | Commercial | $28.41 | fee schedule |
| Blue Cross Blue Shield of Texas | Traditional | Commercial | $29.94 | fee schedule |
| Cigna | New Business | Commercial | $32.38 | fee schedule |
| Cigna | PPO | Commercial | $41.00 | fee schedule |
| Amerigroup | Chip KM | Medicaid / CHIP | $84.72 | percent of total billed charges |
| Amerigroup | Star KM | Medicaid / CHIP | $84.72 | percent of total billed charges |
| Amerigroup | Star Kids KM | Medicaid / CHIP | $84.72 | percent of total billed charges |
| Amerigroup | Star Plus KM | Medicaid / CHIP | $84.72 | percent of total billed charges |
| Community First | Med Adv MM | Medicare Advantage | $84.72 | percent of total billed charges |
| Community First Health Plan | HMO | Commercial | $311 | percent of total billed charges |
| Healthcare Highways | PPO | Commercial | $318 | percent of total billed charges |
| Christian Brothers Services | PPO | Commercial | $388 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| Healthsmart | Accel PPO | Commercial | $459 | percent of total billed charges |
| Multiplan | PPO | Commercial | $459 | percent of total billed charges |
| Phcs | PPO | Commercial | $459 | percent of total billed charges |
| Five Point Credit Union | PPO | Commercial | $494 | percent of total billed charges |
| Medicus Internatiaonal | PPO | Commercial | $530 | percent of total billed charges |
| Beech Street | PPO | Commercial | $565 | percent of total billed charges |
| Health Management Network | PPO | Commercial | $565 | percent of total billed charges |
| HealthSmart | PPO | Commercial | $565 | percent of total billed charges |
| Provider Select | PPO | Commercial | $565 | percent of total billed charges |
| National Choicecare | PPO | Commercial | $671 | 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 | $6.78 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | Commercial | $8.07 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | Commercial | $8.07 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | Commercial | $8.07 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | Commercial | $8.07 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | Commercial | $8.15 | fee schedule |
| CIGNA | CIGNA COMMERCIAL | Commercial | $9.28 | fee schedule |
| AETNA | AETNA EXCHANGE HIX | Commercial | $10.04 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - NEW BUSINESS | Commercial | $10.34 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | Commercial | $10.36 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | Commercial | $10.49 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - HMO | Commercial | $10.77 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - PPO | Commercial | $11.97 | fee schedule |
| AETNA | AETNA SPP | Commercial | $12.75 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | Commercial | $13.15 | fee schedule |
| AETNA | AETNA QPIC | Commercial | $14.10 | fee schedule |
| AETNA | AETNA SOUTH SAN ANTONIO ISD | Commercial | $19.85 | fee schedule |
| AETNA | AETNA EXCHANGE | Commercial | $19.97 | fee schedule |
| HUMANA | HUMANA COMMERCIAL | Commercial | $27.03 | fee schedule |
| AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | Commercial | $29.55 | fee schedule |
| AETNA | AETNA COMMERCIAL | Commercial | $33.61 | fee schedule |
| HUMANA | HUMANA EXCHANGE | Commercial | $34.46 | fee schedule |
| HUMANA | HUMANA EXCHANGE HMOX | Commercial | $44.76 | fee schedule |
| AMBETTER | AMBETTER BY SUPERIOR HIX | Commercial | $4,848 | case rate |
| AMBETTER | AMBETTER BY SUPERIOR EXCHANGE HIX | Commercial | $4,896 | case rate |
Methodist Hospital Atascosa: all 88 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| Molina | CHIPHMO | Medicaid / CHIP | $6.78 | fee schedule |
| Molina | CHIPPERINATE | Medicaid / CHIP | $6.78 | fee schedule |
| Molina | STAR | Medicaid / CHIP | $6.78 | fee schedule |
| Molina | STAR+PLUS | Medicaid / CHIP | $6.78 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $14.93 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| BCBS | BlueEssentials | Commercial | $21.39 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $21.39 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $23.24 | fee schedule |
| BCBS | PPO | Commercial | $25.10 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | percent of total billed charges |
Methodist Hospital Landmark: all 60 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $11.06 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | 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 | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| USA Managed Care CHIP | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $14.93 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| BCBS | BlueEssentials | Commercial | $21.39 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $21.39 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $23.24 | fee schedule |
| BCBS | PPO | Commercial | $25.10 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $194 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | 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 | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $11.06 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | 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 | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| USA Managed Care CHIP | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $11.06 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| Optum | COMM | Commercial | $20.18 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $194 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| Cigna Lifesource | COMM | Commercial | $224 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| Emerging Therapy Solutions | MCR | Medicare Advantage | $378 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Emerging Therapy Solutions | COMM | Commercial | $517 | percent of total billed charges |
| TML Intergovernmental EBP | PPO | Commercial | $541 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | percent of total billed charges |
| Optum | MCD | Medicaid / CHIP | $772 | 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 | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| USA Managed Care CHIP | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| Value Options | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $14.93 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| Optum | COMM | Commercial | $20.18 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| BCBS | BlueEssentials | Commercial | $28.33 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $28.33 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $30.83 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| BCBS | PPO | Commercial | $33.25 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| Cigna Lifesource | COMM | Commercial | $224 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| Emerging Therapy Solutions | MCR | Medicare Advantage | $378 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Humana | BHCOMM | Commercial | $502 | percent of total billed charges |
| Emerging Therapy Solutions | COMM | Commercial | $517 | percent of total billed charges |
| TML Intergovernmental EBP | PPO | Commercial | $541 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | percent of total billed charges |
| Optum | MCD | Medicaid / CHIP | $772 | 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 | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $11.06 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | 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 | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| USA Managed Care CHIP | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| Value Options | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $14.93 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $190 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| TML Intergovernmental EBP | PPO | Commercial | $541 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | percent of total billed charges |
Northeast Methodist Hospital: all 107 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community First Health Plans | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $6.78 | fee schedule |
| USA Managed Care CHIP | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $6.78 | fee schedule |
| Amerigroup | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| United | MCD | Medicaid / CHIP | $6.78 | fee schedule |
| Community First Health Plans | MCDSTARKIDS | Medicaid / CHIP | $6.92 | fee schedule |
| Community First Health Plans | STARPLUS | Medicaid / CHIP | $6.92 | fee schedule |
| Aetna Better Health | CHIP | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPEPO | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHIPPerinate | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | CHPFC | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STAR+PLUS | Medicaid / CHIP | $7.32 | fee schedule |
| Aetna Better Health | STARKids | Medicaid / CHIP | $7.32 | fee schedule |
| Molina Healthcare | CHIP | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | MCDSTAR | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STAR+PLUS | Medicaid / CHIP | $7.46 | fee schedule |
| Molina Healthcare | STARKIDS | Medicaid / CHIP | $7.46 | fee schedule |
| WellMed | MCR | Medicare Advantage | $7.63 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $7.91 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $8.07 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $8.07 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $8.07 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $8.07 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $8.07 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $8.07 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $8.07 | fee schedule |
| TriWest | MGMCR | Military / VA | $8.07 | fee schedule |
| United | AllPayerAppendix | Commercial | $8.07 | fee schedule |
| United | Charter | Commercial | $8.07 | fee schedule |
| United | NexusACO | Commercial | $8.07 | fee schedule |
| United | SmallGroup | Commercial | $8.07 | fee schedule |
| Aetna | MCR | Medicare Advantage | $8.22 | fee schedule |
| United | MCR | Medicare Advantage | $8.23 | fee schedule |
| Integranet | MCR | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $8.31 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $8.31 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $8.31 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $8.47 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $8.47 | fee schedule |
| Humana | MGMCD | Medicaid / CHIP | $8.47 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $8.47 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $8.55 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $8.55 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $8.73 | fee schedule |
| Value Options | TRICARE | Military / VA | $8.73 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $10.98 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $11.06 | fee schedule |
| Molina Healthcare | MCR | Medicare Advantage | $12.83 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $12.83 | fee schedule |
| Superior | AmbetterEPO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterHMO | Commercial | $12.99 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $12.99 | fee schedule |
| Cigna | NewBusinessNetwork | Commercial | $13.34 | fee schedule |
| BCBS | BlueEssentials | Commercial | $14.45 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $14.45 | fee schedule |
| Cigna | HMO | Commercial | $14.59 | fee schedule |
| Cigna | OpenAccessPlus | Commercial | $14.59 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $15.74 | fee schedule |
| BCBS | PPO | Commercial | $16.95 | fee schedule |
| Cigna | PPO | Commercial | $17.64 | fee schedule |
| Healthcare Highways | NarrowNetwork | Commercial | $18.86 | fee schedule |
| Focus Health Solutions | COMM | Commercial | $18.88 | fee schedule |
| Oscar | BroadNetworkHIX | Commercial | $21.47 | fee schedule |
| Oscar | EPO | Commercial | $21.47 | fee schedule |
| Oscar | POS | Commercial | $21.47 | fee schedule |
| Oscar | PPO | Commercial | $21.47 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $33.10 | fee schedule |
| Superior Health | CHIP | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $38.61 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $39.44 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $40.24 | fee schedule |
| Aetna | OON | Commercial | $47.28 | fee schedule |
| Amerigroup | CHIPBH | Medicaid / CHIP | $108 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $108 | percent of total billed charges |
| United | OptionsPPO | Commercial | $194 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $208 | percent of total billed charges |
| BCBS | TRAD | Commercial | $228 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $270 | percent of total billed charges |
| Evry Health | Broad | Commercial | $284 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $347 | percent of total billed charges |
| Aetna | ASA | Commercial | $374 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $386 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $425 | percent of total billed charges |
| TML Intergovernmental EBP | PPO | Commercial | $541 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $579 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $579 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $618 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $656 | percent of total billed charges |
What this price covers
These are hospital charges for CPT code 87086 (Urine culture). 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.