Published cash price
$101–$1,026
what 11 hospitals list for a self-pay screening mammogram
Typical insured rate
$281
median of every commercial plan rate in the files
Lowest insured rate
$58.30
First Care (KM), CHRISTUS Santa Rosa Hospital – Westover Hills
At 8 of 11 hospitals, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
Screening mammogram 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 77067; 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 | $101Cash ÷ typical 0.6× | $17225 plans | $84.67 |
| CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026 | $175Cash ÷ typical 0.6× | $29231 plans | $58.30 |
| Resolute Baptist HospitalBaptist Health System · file Sep 2026 | $872Cash ÷ typical 6.2× | $14025 plans | $86.54 |
| Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 2.9× | $34727 plans | $174 |
| Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 3.7× | $26827 plans | $139 |
| Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 2.9× | $34331 plans | $139 |
| Methodist HospitalMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 3.4× | $29536 plans | $139 |
| Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 2.8× | $35638 plans | $139 |
| Methodist Texsan HospitalMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 3.4× | $29532 plans | $139 |
| Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 3.3× | $30134 plans | $139 |
| Northeast Methodist HospitalMethodist Healthcare · file Sep 2026 | $991–$1,026= list priceCash ÷ typical 3.3× | $30134 plans | $139 |
| Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026 | — | $21717 plans | $139 |
| CHRISTUS Children's HospitalCHRISTUS Health · children's hospital (not in the summary above) · file Jan 2026 | — | $2712 plans | $189 |
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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 | $161–$177 | $173–$181 | — | $172 | — | — | — | $85.51 | $85–$148 |
| CHRISTUS Santa Rosa Hospital – Westover Hills | $307–$442 | $77–$230 | $203–$256 | $197 | $250 | — | — | $58–$212 | $64–$265 |
| Resolute Baptist Hospital | $87–$158 | $99–$167 | $180–$232 | $96.65 | $287 | $88–$120 | $207 | — | — |
| Methodist Hospital Atascosa | $174–$420 | $470–$671 | — | $217–$446 | — | — | — | $50–$119 | $81.76–$91.71 |
| Methodist Hospital Landmark | $174–$292 | $470–$671 | — | $217–$446 | — | — | $139 | $119–$138 | $87–$138 |
| Methodist Hospital Stone Oak | $174–$420 | $470–$671 | — | $217–$249 | — | — | $139 | $50–$139 | $82–$138 |
| Methodist Hospital | $174–$292 | $470–$671 | $287 | $217–$249 | — | — | $139 | $50–$991 | $82–$486 |
| Methodist Specialty & Transplant Hospital | $174–$403 | $470–$671 | $287 | $217–$446 | $644 | — | $139 | $50–$991 | $82–$486 |
| Methodist Texsan Hospital | $174–$292 | $470–$671 | — | $217–$446 | — | — | $139 | $50–$139 | $82–$138 |
| Metropolitan Methodist Hospital | $174–$292 | $470–$671 | — | $217–$446 | — | — | $139 | $50–$139 | $82–$138 |
| Northeast Methodist Hospital | $174–$292 | $470–$671 | — | $217–$446 | — | — | $139 | $50–$139 | $82–$138 |
| Methodist Hospital Westover Hills | $174–$279 | $470–$671 | — | $217 | — | — | $139 | — | $81.76–$89.12 |
| CHRISTUS Children's Hospital | — | — | — | — | $353 | — | — | — | — |
University Health University Hospital: all 43 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Community First Health Plan | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Superior Health Plan | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| WellMed | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Multiplan | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Community First EPO Affordable Care | Commercial | Commercial | $84.67 | fee schedule |
| Scott and White Insurance | Medicare Advantage | Medicare Advantage | $84.67 | fee schedule |
| Wellpoint | Medicare/Medicaid Dual Program | Medicaid / CHIP | $85.51 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $85.51 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $86.36 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $87.21 | fee schedule |
| Wellcare | Medicare Advantage | Medicare Advantage | $87.21 | fee schedule |
| Texas Independence Health Plan | Medicare Advantage | Medicare Advantage | $93.14 | fee schedule |
| Provider Partner Health Plans | Medicare Advantage | Medicare Advantage | $93.14 | fee schedule |
| Procare Advantage | Medicare Advantage | Medicare Advantage | $93.14 | fee schedule |
| Entrust | Commercial | Commercial | $102 | fee schedule |
| Point Comfort - Unaccompanied Minor Healthcare | Medicare Advantage | Public program | $102 | fee schedule |
| Wellpoint | Exchange | Commercial | $106 | fee schedule |
| Wellpoint | Commercial | Commercial | $119 | fee schedule |
| Molina Healthcare Affordable Care | Commercial | Commercial | $135 | fee schedule |
| Curative | Commercial | Commercial | $140 | fee schedule |
| HPHG LLC dba 90 Degrees | Commercial | Commercial | $148 | fee schedule |
| Universal Benefits Consortium | Commercial | Commercial | $148 | fee schedule |
| EBSO | Commercial | Commercial | $148 | fee schedule |
| Velocity National Provider Network | Medicare Advantage | Medicare Advantage | $148 | fee schedule |
| USAA | Commercial | Commercial | $149 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $161 | percent of total billed charges |
| Scott and White Insurance | Commercial | Commercial | $161 | fee schedule |
| United Healthcare | Commercial | Commercial | $172 | fee schedule |
| Aetna | Exchange | Commercial | $173 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $177 | percent of total billed charges |
| Aetna | Commercial | Commercial | $181 | percent of total billed charges |
| Independent Medical Systems | Commercial | Commercial | $201 | percent of total billed charges |
| First Health Network | Commercial | Commercial | $229 | percent of total billed charges |
| Multiplan | Primary Network | Commercial | $261 | percent of total billed charges |
| Community First Health Plan | Commercial | Commercial | $281 | percent of total billed charges |
| Multiplan | Complementary Network | Commercial | $281 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $281 | percent of total billed charges |
| Prime Health | Commercial | Commercial | $281 | percent of total billed charges |
| Velocity National Provider Network | Commercial | Commercial | $322 | percent of total billed charges |
| Three Rivers Provider Network | Commercial | Commercial | $342 | percent of total billed charges |
CHRISTUS Santa Rosa Hospital – Westover Hills: all 64 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | Chip KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Aetna | Star KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Blue Cross Blue Shield Of Texas | Star Chip KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Community First | Chip KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Community First | Star KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Community First | Star Kids KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Driscoll Children's Health Plan | Chip KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Driscoll Children's Health Plan | Star KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Driscoll Children's Health Plan | Star Kids KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| El Paso First | KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| First Care | KM | Commercial | $58.30 | percent of total billed charges |
| Superior | Chip KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Superior | Foster Care KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Superior | Star KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Superior | Star Kids KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Superior | Star Plus KM | Medicaid / CHIP | $58.30 | percent of total billed charges |
| Amerigroup | Chip KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Amerigroup | Star KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Amerigroup | Star Kids KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Amerigroup | Star Plus KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Community First | Med Adv MM | Medicare Advantage | $63.60 | percent of total billed charges |
| Texas Childrens Health Plan | Chip KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Texas Childrens Health Plan | Star Plus KM | Medicaid / CHIP | $63.60 | percent of total billed charges |
| Aetna | MM | Commercial | $76.51 | fee schedule |
| Christus Health | Med Adv MM | Medicare Advantage | $79.50 | percent of total billed charges |
| United Healthcare | Chip KM | Medicaid / CHIP | $95.40 | percent of total billed charges |
| United Healthcare | Star KM | Medicaid / CHIP | $95.40 | percent of total billed charges |
| United Healthcare | Star Plus KM | Medicaid / CHIP | $95.40 | percent of total billed charges |
| Christus Health | HIX | Commercial | $111 | percent of total billed charges |
| Molina | Chip KM | Medicaid / CHIP | $159 | percent of total billed charges |
| Molina | Star Plus KM | Medicaid / CHIP | $159 | percent of total billed charges |
| Five Point Credit Union | PPO | Commercial | $189 | fee schedule |
| United Healthcare | All Payer | Commercial | $197 | fee schedule |
| Cigna | New Business | Commercial | $203 | fee schedule |
| Aetna | New Business | Commercial | $207 | fee schedule |
| Amerigroup | MM | Medicaid / CHIP | $212 | percent of total billed charges |
| Imperial Health Plan | MM | Medicare Advantage | $212 | percent of total billed charges |
| Aetna | EPO | Commercial | $230 | fee schedule |
| Aetna | HMO | Commercial | $230 | fee schedule |
| Aetna | POS | Commercial | $230 | fee schedule |
| Aetna | PPO | Commercial | $230 | fee schedule |
| Community First Health Plan | HMO | Commercial | $233 | percent of total billed charges |
| Humana | Choicecare | Commercial | $250 | fee schedule |
| Cigna | PPO | Commercial | $256 | fee schedule |
| Healthcare Highways | PPO | Commercial | $263 | other |
| Devoted Health Plan | MM | Medicare Advantage | $265 | percent of total billed charges |
| Christian Brothers Services | PPO | Commercial | $292 | percent of total billed charges |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | Commercial | $307 | fee schedule |
| Naphcare Inc. | RRMB | Public program | $318 | percent of total billed charges |
| First Health | PPO | Commercial | $345 | percent of total billed charges |
| Healthsmart | Accel PPO | Commercial | $345 | percent of total billed charges |
| Multiplan | PPO | Commercial | $345 | percent of total billed charges |
| Phcs | PPO | Commercial | $345 | percent of total billed charges |
| Blue Cross Blue Shield of Texas | HMO | Commercial | $373 | fee schedule |
| Blue Cross Blue Shield of Texas | HEB | Commercial | $378 | fee schedule |
| Medicus Internatiaonal | PPO | Commercial | $398 | percent of total billed charges |
| Blue Cross Blue Shield of Texas | PPO | Commercial | $420 | fee schedule |
| Beech Street | PPO | Commercial | $424 | percent of total billed charges |
| Health Management Network | PPO | Commercial | $424 | percent of total billed charges |
| HealthSmart | PPO | Commercial | $424 | percent of total billed charges |
| Provider Select | PPO | Commercial | $424 | percent of total billed charges |
| Blue Cross Blue Shield of Texas | Traditional | Commercial | $442 | fee schedule |
| Triwest | VA MM | Military / VA | $451 | percent of total billed charges |
| National Choicecare | PPO | Commercial | $504 | percent of total billed charges |
Resolute Baptist Hospital: all 25 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | Commercial | $86.54 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | Commercial | $87.53 | fee schedule |
| OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HMO HIX | Commercial | $87.79 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | Commercial | $96.65 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | Commercial | $96.65 | fee schedule |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | Commercial | $96.65 | fee schedule |
| AETNA | AETNA EXCHANGE | Commercial | $99.13 | fee schedule |
| AETNA | AETNA SOUTH SAN ANTONIO ISD | Commercial | $99.13 | fee schedule |
| AETNA | AETNA EXCHANGE HIX | Commercial | $101 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | Commercial | $116 | fee schedule |
| OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | Commercial | $120 | fee schedule |
| AETNA | AETNA SPP | Commercial | $128 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | Commercial | $140 | fee schedule |
| AETNA | AETNA QPIC | Commercial | $142 | fee schedule |
| SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE EXCHANGE | Commercial | $148 | fee schedule |
| AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | Commercial | $148 | fee schedule |
| TEXICARE | TEXICARE COMM | Commercial | $154 | fee schedule |
| BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | Commercial | $158 | fee schedule |
| AETNA | AETNA COMMERCIAL | Commercial | $167 | fee schedule |
| CIGNA | CIGNA COMMERCIAL | Commercial | $180 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - NEW BUSINESS | Commercial | $200 | fee schedule |
| AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | Commercial | $207 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - HMO | Commercial | $209 | fee schedule |
| CIGNA | CIGNA HEALTH PLAN - PPO | Commercial | $232 | fee schedule |
| HUMANA | HUMANA COMMERCIAL | Commercial | $287 | fee schedule |
Methodist Hospital Atascosa: all 68 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $230 | fee schedule |
| United | OptionsPPO | Commercial | $244 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| BCBS | BlueEssentials | Commercial | $343 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $343 | fee schedule |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $382 | fee schedule |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| BCBS | PPO | Commercial | $420 | fee schedule |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Methodist Hospital Landmark: all 48 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $197 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| United | OptionsPPO | Commercial | $244 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | PPO | Commercial | $279 | fee schedule |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Methodist Hospital Stone Oak: all 80 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $230 | fee schedule |
| United | OptionsPPO | Commercial | $249 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| BCBS | BlueEssentials | Commercial | $343 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $343 | fee schedule |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $382 | fee schedule |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| BCBS | PPO | Commercial | $420 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Methodist Hospital: all 87 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $197 | fee schedule |
| Optum | COMM | Commercial | $216 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| United | OptionsPPO | Commercial | $249 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | PPO | Commercial | $279 | fee schedule |
| Cigna Lifesource | COMM | Commercial | $287 | percent of total billed charges |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| Emerging Therapy Solutions | MCR | Medicare Advantage | $486 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Emerging Therapy Solutions | COMM | Commercial | $664 | percent of total billed charges |
| Aetna | OON | Commercial | $671 | fee schedule |
| TML Intergovernmental EBP | PPO | Commercial | $694 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
| Optum | MCD | Medicaid / CHIP | $991 | percent of total billed charges |
Methodist Specialty & Transplant Hospital: all 90 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Value Options | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| Optum | COMM | Commercial | $216 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $230 | fee schedule |
| United | OptionsPPO | Commercial | $244 | percent of total billed charges |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| Cigna Lifesource | COMM | Commercial | $287 | percent of total billed charges |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| BCBS | BlueEssentials | Commercial | $343 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $343 | fee schedule |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $373 | fee schedule |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| BCBS | PPO | Commercial | $403 | fee schedule |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| Emerging Therapy Solutions | MCR | Medicare Advantage | $486 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Humana | BHCOMM | Commercial | $644 | percent of total billed charges |
| Emerging Therapy Solutions | COMM | Commercial | $664 | percent of total billed charges |
| Aetna | OON | Commercial | $671 | fee schedule |
| TML Intergovernmental EBP | PPO | Commercial | $694 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
| Optum | MCD | Medicaid / CHIP | $991 | percent of total billed charges |
Methodist Texsan Hospital: all 81 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $197 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| United | OptionsPPO | Commercial | $244 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | PPO | Commercial | $279 | fee schedule |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Metropolitan Methodist Hospital: all 84 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Value Options | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $230 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| United | OptionsPPO | Commercial | $244 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | PPO | Commercial | $279 | fee schedule |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| TML Intergovernmental EBP | PPO | Commercial | $694 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Northeast Methodist Hospital: all 84 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health | CHIP | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | CHPFC | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STAR | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARKids | Medicaid / CHIP | $49.55 | percent of total billed charges |
| Superior Health | STARPLUS | Medicaid / CHIP | $49.55 | percent of total billed charges |
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| TriWest VA PCCC | FEDERAL | Military / VA | $84.79 | fee schedule |
| Amerigroup | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | DualEligible | Medicaid / CHIP | $86.52 | fee schedule |
| Devoted Health | MCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPFFS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPOS | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Devoted Health | MCRSNP | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| Humana | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| OptumHealth Care Solutions | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| TriWest | MGMCR | Military / VA | $86.52 | fee schedule |
| TriWest Health Alliance | TRICARE | Military / VA | $86.52 | fee schedule |
| Value Options | TRICARE | Military / VA | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| Integranet | MCR | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| American Health Plan of Texas | MGMCRHMO | Medicare Advantage | $90.85 | fee schedule |
| Clover Insurance | MCR | Medicare Advantage | $90.85 | fee schedule |
| Superior Health | MGMCR | Medicare Advantage | $90.85 | fee schedule |
| Texas Independent Health Plan | DualEligible | Medicaid / CHIP | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRHMO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPFFS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPOS | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRPPO | Medicare Advantage | $91.71 | fee schedule |
| Texas Independent Health Plan | MCRSNP | Medicare Advantage | $91.71 | fee schedule |
| Community First Health Plans | CHIP | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | CHIPPerinate | Medicaid / CHIP | $119 | percent of total billed charges |
| Community First Health Plans | MCDSTAR | Medicaid / CHIP | $119 | percent of total billed charges |
| Molina Healthcare | MCR | Medicare Advantage | $138 | fee schedule |
| Molina Healthcare | MME-MMP | Medicaid / CHIP | $138 | fee schedule |
| Amerigroup | CHIP | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | CHIPBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCD | Medicaid / CHIP | $139 | percent of total billed charges |
| Amerigroup | MCDBH | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $197 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| United | OptionsPPO | Commercial | $249 | percent of total billed charges |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| Community First Health Plans | HMO | Commercial | $268 | percent of total billed charges |
| BCBS | PPO | Commercial | $279 | fee schedule |
| BCBS | TRAD | Commercial | $292 | percent of total billed charges |
| Focus Health Solutions | COMM | Commercial | $297 | percent of total billed charges |
| Healthcare Highways | NarrowNetwork | Commercial | $305 | percent of total billed charges |
| Valenz | NXNetwork | Commercial | $347 | percent of total billed charges |
| Evry Health | Broad | Commercial | $365 | percent of total billed charges |
| Curative Administrators | COMM | Commercial | $396 | percent of total billed charges |
| United | GlobalBenefitPlan | Commercial | $446 | percent of total billed charges |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | ASA | Commercial | $481 | percent of total billed charges |
| TX Healthcare Foundation | PPO | Commercial | $496 | percent of total billed charges |
| HealthSmart Preferred Care | Accel | Commercial | $545 | percent of total billed charges |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
| TML Intergovernmental EBP | PPO | Commercial | $694 | percent of total billed charges |
| Multiplan | PHCSPrimaryNetwork | Commercial | $743 | percent of total billed charges |
| USA Managed Care | PPO | Commercial | $743 | percent of total billed charges |
| DirectCare America | PPO | Commercial | $793 | percent of total billed charges |
| Multiplan | ComplementaryNetwork | Commercial | $842 | percent of total billed charges |
Methodist Hospital Westover Hills: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WellMed | MCR | Medicare Advantage | $81.76 | fee schedule |
| BCBS | MGMCRHMO | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPOS | Medicare Advantage | $86.52 | fee schedule |
| BCBS | MGMCRPPO | Medicare Advantage | $86.52 | fee schedule |
| Gonzaba Medical Group | MGMCR | Medicare Advantage | $86.52 | fee schedule |
| Aetna | MCR | Medicare Advantage | $88.13 | fee schedule |
| United | MCR | Medicare Advantage | $88.25 | fee schedule |
| WellCare | MCRHMO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPOS | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRPPO | Medicare Advantage | $89.12 | fee schedule |
| WellCare | MCRSNP | Medicare Advantage | $89.12 | fee schedule |
| WellCare | PFFS | Medicare Advantage | $89.12 | fee schedule |
| Superior | AmbetterEPO | Commercial | $139 | fee schedule |
| Superior | AmbetterHMO | Commercial | $139 | fee schedule |
| Superior | AmbetterValueHMO | Commercial | $139 | fee schedule |
| BCBS | MyBlueHealth | Commercial | $174 | fee schedule |
| BCBS | BlueAdvantage | Commercial | $197 | fee schedule |
| United | AllPayerAppendix | Commercial | $217 | fee schedule |
| United | Charter | Commercial | $217 | fee schedule |
| United | NexusACO | Commercial | $217 | fee schedule |
| United | SmallGroup | Commercial | $217 | fee schedule |
| BCBS | BlueEssentials | Commercial | $237 | fee schedule |
| BCBS | BlueEssentialsAccess | Commercial | $237 | fee schedule |
| BCBS | HealthSelectOpenAccess(EPOSOA) | Commercial | $258 | fee schedule |
| BCBS | PPO | Commercial | $279 | fee schedule |
| Aetna | NarrowNetwork | Commercial | $470 | fee schedule |
| Aetna | NewBusinessRates | Commercial | $559 | fee schedule |
| Aetna | CommercialBaseNetwork | Commercial | $569 | fee schedule |
| Aetna | OON | Commercial | $671 | fee schedule |
CHRISTUS Children's Hospital: all 2 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Five Point Credit Union | PPO | Commercial | $189 | fee schedule |
| Humana | Choicecare | Commercial | $353 | fee schedule |
What this price covers
These are hospital charges for CPT code 77067 (Screening mammogram (both breasts)). 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.