17 hospitals in San Antonio list a self-pay price of $413–$11,929 for a knee MRI without contrast (CPT 73721). The typical commercial rate in the same files is $1,073.
OSCAR HEALTH PLAN (OSCAR HEALTH PLAN HMO HIX), Resolute Baptist Hospital
At 9 of 17 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.
Knee MRI prices by hospital in San Antonio
Published cash priceTypical insured rate
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 73721; Medicaid and Medicare Advantage are shown separately below.
Knee MRI without contrast (CPT 73721) — San Antonio
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
Negotiated rates by insurer
Hospital
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Humana
Oscar
Ambetter
Medicaid / CHIP
Medicare Advantage
University Health University Hospital
Blue Cross Blue Shield$660–$726
Aetna$1,283–$1,350
Cigna—
UnitedHealthcare$1,426
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$211–$253
Medicare Advantage$227–$397
CHRISTUS Santa Rosa Hospital – Westover Hills
Blue Cross Blue Shield$227–$951
Aetna$227–$1,752
Cigna$1,541–$1,956
UnitedHealthcare$227–$1,869
Humana$227–$1,178
Oscar—
Ambetter—
Medicaid / CHIP$225–$619
Medicare Advantage$113–$619
Resolute Baptist Hospital
Blue Cross Blue Shield$348–$550
Aetna$352–$593
Cigna—
UnitedHealthcare$230
Humana$450–$1,599
Oscar$136–$186
Ambetter$334
Medicaid / CHIP$209
Medicare Advantage—
Methodist Hospital Atascosa
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$332
Medicare Advantage—
Methodist Hospital Landmark
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$230
Medicare Advantage—
Methodist Hospital Stone Oak
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$1,668
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$930
Medicare Advantage—
Methodist Hospital Westover Hills
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209
Medicare Advantage—
Methodist Hospital
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna$1,927
UnitedHealthcare$518–$1,668
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$6,646
Medicare Advantage$3,256
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna$1,927
UnitedHealthcare$518–$2,991
Humana$4,320
Oscar—
Ambetter—
Medicaid / CHIP$209–$6,646
Medicare Advantage$3,256
Methodist Texsan Hospital
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$930
Medicare Advantage—
Metropolitan Methodist Hospital
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$930
Medicare Advantage—
Northeast Methodist Hospital
Blue Cross Blue Shield$375–$1,961
Aetna$1,068–$3,223
Cigna—
UnitedHealthcare$518–$2,991
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$209–$930
Medicare Advantage—
Northeast Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Mission Trail Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
St. Luke's Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
North Central Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Westover Hills Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
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
$211
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$211
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$211
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$211
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$215
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$217
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$223
fee schedule
Community First Health Plan
Medicare Advantage
Medicare Advantage
$227
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$227
fee schedule
Superior Health Plan
Medicare Advantage
Medicare Advantage
$227
fee schedule
WellMed
Medicare Advantage
Medicare Advantage
$227
fee schedule
United Healthcare
Medicare Advantage
Medicare Advantage
$227
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$227
fee schedule
Multiplan
Medicare Advantage
Medicare Advantage
$227
fee schedule
Community First EPO Affordable Care
Commercial
Commercial
$227
fee schedule
Scott and White Insurance
Medicare Advantage
Medicare Advantage
$227
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$228
fee schedule
Wellpoint
Medicare/Medicaid Dual Program
Medicaid / CHIP
$229
fee schedule
Wellpoint
Medicare Advantage
Medicare Advantage
$229
fee schedule
Blue Cross Blue Shield
Medicare Advantage
Medicare Advantage
$232
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$232
fee schedule
Molina
Medicare Advantage
Medicare Advantage
$234
fee schedule
Wellcare
Medicare Advantage
Medicare Advantage
$234
fee schedule
Texas Independence Health Plan
Medicare Advantage
Medicare Advantage
$250
fee schedule
Provider Partner Health Plans
Medicare Advantage
Medicare Advantage
$250
fee schedule
Procare Advantage
Medicare Advantage
Medicare Advantage
$250
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$253
fee schedule
Entrust
Commercial
Commercial
$272
fee schedule
Point Comfort - Unaccompanied Minor Healthcare
Medicare Advantage
Public program
$272
fee schedule
Wellpoint
Exchange
Commercial
$284
fee schedule
Wellpoint
Commercial
Commercial
$318
fee schedule
Point Comfort - Adult Refugee
Managed Medicaid
Public program
$358
fee schedule
Molina Healthcare Affordable Care
Commercial
Commercial
$363
fee schedule
Curative
Commercial
Commercial
$375
fee schedule
HPHG LLC dba 90 Degrees
Commercial
Commercial
$397
fee schedule
Universal Benefits Consortium
Commercial
Commercial
$397
fee schedule
EBSO
Commercial
Commercial
$397
fee schedule
Velocity National Provider Network
Medicare Advantage
Medicare Advantage
$397
fee schedule
Scott and White Insurance
Commercial
Commercial
$400
fee schedule
USAA
Commercial
Commercial
$611
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$660
percent of total billed charges
Blue Cross Blue Shield
PPO
Commercial
$726
percent of total billed charges
Community First Health Plan
Commercial
Commercial
$800
fee schedule
First Health Network
Commercial
Commercial
$941
percent of total billed charges
Independent Medical Systems
Commercial
Commercial
$1,000
case rate
Multiplan
Primary Network
Commercial
$1,073
percent of total billed charges
Multiplan
Complementary Network
Commercial
$1,155
percent of total billed charges
HealthSmart
Commercial
Commercial
$1,155
percent of total billed charges
Prime Health
Commercial
Commercial
$1,155
percent of total billed charges
Aetna
Exchange
Commercial
$1,283
case rate
Velocity National Provider Network
Commercial
Commercial
$1,320
percent of total billed charges
Aetna
Commercial
Commercial
$1,350
case rate
Three Rivers Provider Network
Commercial
Commercial
$1,403
percent of total billed charges
United Healthcare
Commercial
Commercial
$1,426
case rate
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Texas Healthspring
MM
Medicare Advantage
$113
fee schedule
United Healthcare
Chip KM
Medicaid / CHIP
$225
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$225
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$225
fee schedule
Aetna
MM
Commercial
$227
fee schedule
Allwell
Superior Health MM
Medicare Advantage
$227
fee schedule
Blue Cross Blue Shield of Texas
MM
Commercial
$227
fee schedule
Christus Health
Med Adv MM
Medicare Advantage
$227
fee schedule
Coventry
First Health MM
Commercial
$227
fee schedule
Humana
Gold Choice MM
Commercial
$227
fee schedule
Humana
Gold Plus MM
Medicare Advantage
$227
fee schedule
Molina
Medicare Adv MM
Medicare Advantage
$227
fee schedule
Superior
Star Plus MM
Medicaid / CHIP
$227
fee schedule
Triwest
VA MM
Military / VA
$227
fee schedule
United Healthcare
MM
Commercial
$227
fee schedule
Wellcare
MM
Medicare Advantage
$227
fee schedule
Provider Partners Health Plan
MM
Medicare Advantage
$234
fee schedule
Texas Independence Health Plan
MM
Medicare Advantage
$234
fee schedule
Shared Health Insurance Company
MM
Commercial
$238
fee schedule
Amerigroup
MM
Medicaid / CHIP
$245
fee schedule
Devoted Health Plan
MM
Medicare Advantage
$245
fee schedule
American Health Medicare
Advantage MM
Medicare Advantage
$250
fee schedule
Imperial Health Plan
MM
Medicare Advantage
$250
fee schedule
ProCare Advantage
MM
Medicare Advantage
$250
fee schedule
Employer Direct
Healthcare PPO
Commercial
$272
fee schedule
Aetna
Chip KM
Medicaid / CHIP
$294
fee schedule
Aetna
Star KM
Medicaid / CHIP
$294
fee schedule
Blue Cross Blue Shield Of Texas
Star Chip KM
Medicaid / CHIP
$294
fee schedule
Community First
Chip KM
Medicaid / CHIP
$294
fee schedule
Community First
Star KM
Medicaid / CHIP
$294
fee schedule
Community First
Star Kids KM
Medicaid / CHIP
$294
fee schedule
Driscoll Children's Health Plan
Chip KM
Medicaid / CHIP
$294
fee schedule
Driscoll Children's Health Plan
Star KM
Medicaid / CHIP
$294
fee schedule
Driscoll Children's Health Plan
Star Kids KM
Medicaid / CHIP
$294
fee schedule
El Paso First
KM
Medicaid / CHIP
$294
fee schedule
First Care
KM
Commercial
$294
fee schedule
Molina
Chip KM
Medicaid / CHIP
$294
fee schedule
Molina
Star Plus KM
Medicaid / CHIP
$294
fee schedule
Superior
Chip KM
Medicaid / CHIP
$294
fee schedule
Superior
Foster Care KM
Medicaid / CHIP
$294
fee schedule
Superior
Star KM
Medicaid / CHIP
$294
fee schedule
Superior
Star Kids KM
Medicaid / CHIP
$294
fee schedule
Superior
Star Plus KM
Medicaid / CHIP
$294
fee schedule
Gilsbar Inc.
MM
Commercial
$295
fee schedule
Texas Childrens Health Plan
Chip KM
Medicaid / CHIP
$309
fee schedule
Texas Childrens Health Plan
Star Plus KM
Medicaid / CHIP
$309
fee schedule
Christus Health
HIX
Commercial
$318
fee schedule
Naphcare Inc.
RRMB
Public program
$454
fee schedule
Amerigroup
Chip KM
Medicaid / CHIP
$619
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$619
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$619
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$619
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$619
percent of total billed charges
Blue Cross Blue Shield of Texas
Blue AdvantangeHMO
Commercial
$655
fee schedule
Blue Cross Blue Shield of Texas
HMO
Commercial
$804
fee schedule
Blue Cross Blue Shield of Texas
HEB
Commercial
$813
fee schedule
Community First Health Plan
HMO
Commercial
$880
other
Blue Cross Blue Shield of Texas
PPO
Commercial
$904
fee schedule
Blue Cross Blue Shield of Texas
Traditional
Commercial
$951
fee schedule
US Imaging Network
PPO
Commercial
$1,100
case rate
Humana
Choicecare
Commercial
$1,178
fee schedule
Healthcare Highways
PPO
Commercial
$1,185
other
Cigna
New Business
Commercial
$1,541
fee schedule
Aetna
New Business
Commercial
$1,577
per diem
Aetna
EPO
Commercial
$1,752
per diem
Aetna
HMO
Commercial
$1,752
per diem
Aetna
POS
Commercial
$1,752
per diem
Aetna
PPO
Commercial
$1,752
per diem
United Healthcare
All Payer
Commercial
$1,869
fee schedule
Cigna
PPO
Commercial
$1,956
fee schedule
Five Point Credit Union
PPO
Commercial
$2,251
fee schedule
Healthsmart
Accel PPO
Commercial
$2,372
percent of total billed charges
Christian Brothers Services
PPO
Commercial
$2,839
percent of total billed charges
First Health
PPO
Commercial
$3,355
percent of total billed charges
Multiplan
PPO
Commercial
$3,355
percent of total billed charges
Phcs
PPO
Commercial
$3,355
percent of total billed charges
Medicus Internatiaonal
PPO
Commercial
$3,872
percent of total billed charges
Beech Street
PPO
Commercial
$4,130
percent of total billed charges
Health Management Network
PPO
Commercial
$4,130
percent of total billed charges
HealthSmart
PPO
Commercial
$4,130
percent of total billed charges
Provider Select
PPO
Commercial
$4,130
percent of total billed charges
National Choicecare
PPO
Commercial
$4,904
percent of total billed charges
Resolute Baptist Hospital: all 24 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HMO HIX
Commercial
$136
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HIX
Commercial
$186
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE MEDICAID STAR PLUS
Medicaid / CHIP
$209
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE EXCHANGE
Commercial
$230
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE NON OPTIONS
Commercial
$230
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE OPTIONS PPO
Commercial
$230
fee schedule
SCOTT AND WHITE HEALTH PLAN
SCOTT AND WHITE EXCHANGE
Commercial
$238
fee schedule
TEXICARE
TEXICARE COMM
Commercial
$248
fee schedule
AMBETTER
AMBETTER EXCHANGE VALUE AND SELECT NONPAR
Commercial
$334
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE OPTIONS/BLUE PRECISION
Commercial
$348
fee schedule
AETNA
AETNA EXCHANGE
Commercial
$352
fee schedule
AETNA
AETNA SOUTH SAN ANTONIO ISD
Commercial
$352
fee schedule
AETNA
AETNA EXCHANGE HIX
Commercial
$359
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS MYBLUE HEALTH HIX
Commercial
$412
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE ADVANTAGE HMO
Commercial
$419
fee schedule
HUMANA
HUMANA COMMERCIAL
Commercial
$450
fee schedule
AETNA
AETNA SPP
Commercial
$453
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD HMO BLUE
Commercial
$471
fee schedule
AETNA
AETNA QPIC
Commercial
$506
fee schedule
AETNA
AETNA COMMERCIAL NEW BUSINESS DISCOUNT
Commercial
$526
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD PPO/POS
Commercial
$550
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$593
fee schedule
HUMANA
HUMANA EXCHANGE
Commercial
$658
fee schedule
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$1,599
fee schedule
Methodist Hospital Atascosa: all 44 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$209
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$209
fee schedule
Molina
STAR
Medicaid / CHIP
$209
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$209
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueAdvantage
Commercial
$538
fee schedule
BCBS
BlueEssentials
Commercial
$795
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$795
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$865
fee schedule
BCBS
PPO
Commercial
$932
fee schedule
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Methodist Hospital Landmark: all 30 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
BCBS
MyBlueHealth
Commercial
$375
fee schedule
BCBS
BlueAdvantage
Commercial
$461
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Methodist Hospital Stone Oak: all 52 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueAdvantage
Commercial
$538
fee schedule
BCBS
BlueEssentials
Commercial
$795
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$795
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$865
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
BCBS
PPO
Commercial
$932
fee schedule
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,668
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Methodist Hospital Westover Hills: all 26 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
BCBS
MyBlueHealth
Commercial
$375
fee schedule
BCBS
BlueAdvantage
Commercial
$461
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Methodist Hospital: all 58 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
BCBS
BlueAdvantage
Commercial
$461
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,668
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,927
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$3,256
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$4,453
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,652
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
USA Managed Care
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$6,646
percent of total billed charges
Methodist Specialty & Transplant Hospital: all 60 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueAdvantage
Commercial
$538
fee schedule
BCBS
BlueEssentials
Commercial
$795
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$795
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$865
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
BCBS
PPO
Commercial
$932
fee schedule
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,927
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$3,256
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Humana
BHCOMM
Commercial
$4,320
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$4,453
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,652
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$6,646
percent of total billed charges
Methodist Texsan Hospital: all 52 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
BCBS
BlueAdvantage
Commercial
$461
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Metropolitan Methodist Hospital: all 55 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
BlueAdvantage
Commercial
$538
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,635
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,652
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Northeast Methodist Hospital: all 55 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$209
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$209
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$209
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$211
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$211
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$213
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$213
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$228
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$228
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$230
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$230
fee schedule
Humana
MGMCD
Medicaid / CHIP
$261
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$332
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$332
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$375
fee schedule
BCBS
BlueAdvantage
Commercial
$461
fee schedule
United
AllPayerAppendix
Commercial
$518
fee schedule
United
Charter
Commercial
$518
fee schedule
United
NexusACO
Commercial
$518
fee schedule
United
SmallGroup
Commercial
$518
fee schedule
BCBS
BlueEssentials
Commercial
$529
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$529
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$576
fee schedule
BCBS
PPO
Commercial
$620
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$930
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$930
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$1,068
case rate
Aetna
NewBusinessRates
Commercial
$1,272
case rate
Aetna
CommercialBaseNetwork
Commercial
$1,296
case rate
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$1,668
percent of total billed charges
Community First Health Plans
HMO
Commercial
$1,794
percent of total billed charges
BCBS
TRAD
Commercial
$1,961
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,991
percent of total billed charges
Aetna
ASA
Commercial
$3,223
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$3,323
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,655
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,652
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,984
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,984
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,984
percent of total billed charges
DirectCare America
PPO
Commercial
$5,317
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$5,649
percent of total billed charges
Northeast Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Mission Trail Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
St. Luke's Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
North Central Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Westover Hills Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
What this price covers
These are hospital charges for CPT code 73721 (Knee MRI without contrast). 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.