How much does a lower back MRI cost in San Antonio?
17 hospitals in San Antonio list a self-pay price of $538–$10,716 for a lumbar spine (lower back) MRI without contrast (CPT 72148). The typical commercial rate in the same files is $1,100.
what 17 hospitals list for a self-pay lower back MRI
Typical insured rate
$1,100
median of every commercial plan rate in the files
Lowest insured rate
$118
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.
Lower back 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 72148; Medicaid and Medicare Advantage are shown separately below.
Lumbar spine (lower back) MRI without contrast (CPT 72148) — 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
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$195–$309
Medicare Advantage$113–$250
University Health University Hospital
Blue Cross Blue Shield$1,263–$1,390
Aetna$1,283–$1,350
Cigna—
UnitedHealthcare$1,426
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$199–$239
Medicare Advantage$227–$397
Methodist Hospital Atascosa
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna—
UnitedHealthcare$518–$2,586
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$287
Medicare Advantage—
Methodist Hospital Landmark
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna—
UnitedHealthcare$518–$2,586
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$217
Medicare Advantage—
Methodist Hospital Stone Oak
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna—
UnitedHealthcare$518–$1,442
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$804
Medicare Advantage—
Methodist Hospital
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna$1,666
UnitedHealthcare$518–$1,442
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$5,746
Medicare Advantage$2,816
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna$1,666
UnitedHealthcare$518–$2,586
Humana$3,735
Oscar—
Ambetter—
Medicaid / CHIP$197–$5,746
Medicare Advantage$2,816
Metropolitan Methodist Hospital
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna—
UnitedHealthcare$518–$2,586
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$804
Medicare Advantage—
Northeast Methodist Hospital
Blue Cross Blue Shield$375–$1,695
Aetna$1,068–$2,787
Cigna—
UnitedHealthcare$518–$2,586
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$804
Medicare Advantage—
Resolute Baptist Hospital
Blue Cross Blue Shield$348–$550
Aetna$352–$593
Cigna—
UnitedHealthcare$230
Humana$395–$1,466
Oscar$118–$162
Ambetter$315
Medicaid / CHIP$197
Medicare Advantage—
Northeast Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Mission Trail Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
St. Luke's Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
North Central Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Westover Hills Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Methodist Hospital Westover Hills
Blue Cross Blue Shield$375–$3,161
Aetna$1,068–$5,197
Cigna—
UnitedHealthcare$518–$4,822
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197
Medicare Advantage—
Methodist Texsan Hospital
Blue Cross Blue Shield$375–$3,161
Aetna$1,068–$5,197
Cigna—
UnitedHealthcare$518–$4,822
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$197–$1,500
Medicare Advantage—
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
Amerigroup
Chip KM
Medicaid / CHIP
$195
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$195
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$195
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$195
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$195
percent of total billed charges
United Healthcare
Chip KM
Medicaid / CHIP
$213
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$213
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$213
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
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
Christian Brothers Services
PPO
Commercial
$896
percent of total billed charges
Blue Cross Blue Shield of Texas
PPO
Commercial
$904
fee schedule
Blue Cross Blue Shield of Texas
Traditional
Commercial
$951
fee schedule
First Health
PPO
Commercial
$1,059
percent of total billed charges
Multiplan
PPO
Commercial
$1,059
percent of total billed charges
Phcs
PPO
Commercial
$1,059
percent of total billed charges
US Imaging Network
PPO
Commercial
$1,100
case rate
Humana
Choicecare
Commercial
$1,178
fee schedule
Healthcare Highways
PPO
Commercial
$1,185
other
Medicus Internatiaonal
PPO
Commercial
$1,222
percent of total billed charges
Beech Street
PPO
Commercial
$1,303
percent of total billed charges
Health Management Network
PPO
Commercial
$1,303
percent of total billed charges
HealthSmart
PPO
Commercial
$1,303
percent of total billed charges
Provider Select
PPO
Commercial
$1,303
percent of total billed charges
Cigna
New Business
Commercial
$1,541
fee schedule
National Choicecare
PPO
Commercial
$1,548
percent of total billed charges
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
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
$199
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$199
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$199
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$199
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$203
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$205
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$205
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$211
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$215
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$219
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
Multiplan
Medicare Advantage
Medicare Advantage
$227
fee schedule
Aetna
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
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
Molina
Medicare Advantage
Medicare Advantage
$234
fee schedule
Wellcare
Medicare Advantage
Medicare Advantage
$234
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$239
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
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
$339
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
Community First Health Plan
Commercial
Commercial
$800
fee schedule
Independent Medical Systems
Commercial
Commercial
$1,000
case rate
USAA
Commercial
Commercial
$1,168
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$1,263
percent of total billed charges
Aetna
Exchange
Commercial
$1,283
case rate
Aetna
Commercial
Commercial
$1,350
case rate
Blue Cross Blue Shield
PPO
Commercial
$1,390
percent of total billed charges
United Healthcare
Commercial
Commercial
$1,426
case rate
First Health Network
Commercial
Commercial
$1,800
percent of total billed charges
Multiplan
Primary Network
Commercial
$2,053
percent of total billed charges
Prime Health
Commercial
Commercial
$2,211
percent of total billed charges
Multiplan
Complementary Network
Commercial
$2,211
percent of total billed charges
HealthSmart
Commercial
Commercial
$2,211
percent of total billed charges
Velocity National Provider Network
Commercial
Commercial
$2,526
percent of total billed charges
Three Rivers Provider Network
Commercial
Commercial
$2,684
percent of total billed charges
Methodist Hospital Atascosa: all 44 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$197
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$197
fee schedule
Molina
STAR
Medicaid / CHIP
$197
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$197
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
United
OptionsPPO
Commercial
$1,414
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,586
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
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
United
OptionsPPO
Commercial
$1,414
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,586
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
Amerigroup
CHIPBH
Medicaid / CHIP
$804
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$804
percent of total billed charges
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
United
OptionsPPO
Commercial
$1,442
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$2,873
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
DirectCare America
PPO
Commercial
$4,597
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
$804
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$804
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
United
OptionsPPO
Commercial
$1,442
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,666
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$2,816
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$2,873
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$3,850
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,022
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
DirectCare America
PPO
Commercial
$4,597
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,597
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$5,746
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
Amerigroup
CHIPBH
Medicaid / CHIP
$804
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$804
percent of total billed charges
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
United
OptionsPPO
Commercial
$1,414
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,666
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,586
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$2,816
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$2,873
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
Humana
BHCOMM
Commercial
$3,735
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$3,850
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,022
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,310
percent of total billed charges
DirectCare America
PPO
Commercial
$4,597
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$5,746
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
$804
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$804
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
United
OptionsPPO
Commercial
$1,414
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,586
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$2,873
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,022
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,310
percent of total billed charges
DirectCare America
PPO
Commercial
$4,597
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$287
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$287
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
$804
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$804
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
United
OptionsPPO
Commercial
$1,442
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
Community First Health Plans
HMO
Commercial
$1,552
percent of total billed charges
BCBS
TRAD
Commercial
$1,695
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$2,586
percent of total billed charges
Aetna
ASA
Commercial
$2,787
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$2,873
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$3,161
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$4,022
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$4,310
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$4,310
percent of total billed charges
USA Managed Care
PPO
Commercial
$4,310
percent of total billed charges
DirectCare America
PPO
Commercial
$4,597
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$4,884
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
$118
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HIX
Commercial
$162
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE MEDICAID STAR PLUS
Medicaid / CHIP
$197
fee schedule
SCOTT AND WHITE HEALTH PLAN
SCOTT AND WHITE EXCHANGE
Commercial
$224
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
TEXICARE
TEXICARE COMM
Commercial
$234
fee schedule
AMBETTER
AMBETTER EXCHANGE VALUE AND SELECT NONPAR
Commercial
$315
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
HUMANA
HUMANA COMMERCIAL
Commercial
$395
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
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
HUMANA
HUMANA EXCHANGE
Commercial
$584
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$593
fee schedule
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$1,466
fee schedule
Northeast Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Mission Trail Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
St. Luke's Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
North Central Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Westover Hills Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Methodist Hospital Westover Hills: all 26 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
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
$2,636
percent of total billed charges
Community First Health Plans
HMO
Commercial
$2,893
percent of total billed charges
BCBS
TRAD
Commercial
$3,161
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$4,822
percent of total billed charges
Aetna
ASA
Commercial
$5,197
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$5,894
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$8,037
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$9,109
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
$197
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$197
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$197
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$199
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$199
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$201
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$201
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$215
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$215
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$217
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$217
fee schedule
Humana
MGMCD
Medicaid / CHIP
$246
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
Superior Health
CHIP
Medicaid / CHIP
$536
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$536
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$536
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$536
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$536
percent of total billed charges
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
Amerigroup
CHIPBH
Medicaid / CHIP
$1,500
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$1,500
percent of total billed charges
Aetna
OON
Commercial
$1,526
case rate
United
OptionsPPO
Commercial
$2,636
percent of total billed charges
Community First Health Plans
HMO
Commercial
$2,893
percent of total billed charges
BCBS
TRAD
Commercial
$3,161
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$4,822
percent of total billed charges
Aetna
ASA
Commercial
$5,197
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$5,358
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$5,894
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$8,037
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$8,037
percent of total billed charges
DirectCare America
PPO
Commercial
$8,573
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$9,109
percent of total billed charges
What this price covers
These are hospital charges for CPT code 72148 (Lumbar spine (lower back) 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.