How much does an abdominal ultrasound cost in San Antonio?
17 hospitals in San Antonio list a self-pay price of $156–$3,452 for a complete abdominal ultrasound (CPT 76700). The typical commercial rate in the same files is $473.
what 17 hospitals list for a self-pay abdominal ultrasound
Typical insured rate
$473
median of every commercial plan rate in the files
Lowest insured rate
$73.53
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.
Abdominal ultrasound 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 76700; Medicaid and Medicare Advantage are shown separately below.
Complete abdominal ultrasound (CPT 76700) — 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$100–$498
Aetna$100–$199
Cigna$243–$308
UnitedHealthcare$100–$660
Humana$100–$226
Oscar—
Ambetter—
Medicaid / CHIP$57–$141
Medicare Advantage$50–$110
University Health University Hospital
Blue Cross Blue Shield$493–$542
Aetna$202–$213
Cigna—
UnitedHealthcare$283
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$101–$128
Medicare Advantage$100–$175
Resolute Baptist Hospital
Blue Cross Blue Shield$98–$178
Aetna$86–$144
Cigna$193–$248
UnitedHealthcare$109
Humana$245–$376
Oscar$74–$101
Ambetter$187
Medicaid / CHIP$105
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 Texsan Hospital
Blue Cross Blue Shield$196–$939
Aetna$407–$1,544
Cigna—
UnitedHealthcare$245–$1,432
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$446
Medicare Advantage—
Methodist Hospital Atascosa
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$1,553
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$173
Medicare Advantage—
Methodist Hospital Landmark
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$1,553
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$115
Medicare Advantage—
Methodist Hospital Stone Oak
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$866
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$483
Medicare Advantage—
Methodist Hospital Westover Hills
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$1,553
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105
Medicare Advantage—
Methodist Hospital
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna$1,001
UnitedHealthcare$245–$866
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$3,452
Medicare Advantage$1,691
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna$1,001
UnitedHealthcare$245–$1,553
Humana$2,244
Oscar—
Ambetter—
Medicaid / CHIP$105–$3,452
Medicare Advantage$1,691
Metropolitan Methodist Hospital
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$1,553
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$483
Medicare Advantage—
Northeast Methodist Hospital
Blue Cross Blue Shield$196–$1,018
Aetna$407–$1,674
Cigna—
UnitedHealthcare$245–$1,553
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$105–$483
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
$49.93
fee schedule
Amerigroup
Chip KM
Medicaid / CHIP
$56.76
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$56.76
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$56.76
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$56.76
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$56.76
percent of total billed charges
Aetna
MM
Commercial
$99.85
fee schedule
Allwell
Superior Health MM
Medicare Advantage
$99.85
fee schedule
Blue Cross Blue Shield of Texas
MM
Commercial
$99.85
fee schedule
Christus Health
Med Adv MM
Medicare Advantage
$99.85
fee schedule
Coventry
First Health MM
Commercial
$99.85
fee schedule
Humana
Gold Choice MM
Commercial
$99.85
fee schedule
Humana
Gold Plus MM
Medicare Advantage
$99.85
fee schedule
Molina
Medicare Adv MM
Medicare Advantage
$99.85
fee schedule
Superior
Star Plus MM
Medicaid / CHIP
$99.85
fee schedule
Triwest
VA MM
Military / VA
$99.85
fee schedule
United Healthcare
MM
Commercial
$99.85
fee schedule
Wellcare
MM
Medicare Advantage
$99.85
fee schedule
Provider Partners Health Plan
MM
Medicare Advantage
$103
fee schedule
Texas Independence Health Plan
MM
Medicare Advantage
$103
fee schedule
Shared Health Insurance Company
MM
Commercial
$105
fee schedule
US Imaging Network
PPO
Commercial
$107
fee schedule
Amerigroup
MM
Medicaid / CHIP
$108
fee schedule
Devoted Health Plan
MM
Medicare Advantage
$108
fee schedule
American Health Medicare
Advantage MM
Medicare Advantage
$110
fee schedule
Imperial Health Plan
MM
Medicare Advantage
$110
fee schedule
ProCare Advantage
MM
Medicare Advantage
$110
fee schedule
United Healthcare
Chip KM
Medicaid / CHIP
$114
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$114
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$114
fee schedule
Employer Direct
Healthcare PPO
Commercial
$120
fee schedule
Gilsbar Inc.
MM
Commercial
$130
fee schedule
Aetna
Chip KM
Medicaid / CHIP
$135
fee schedule
Aetna
Star KM
Medicaid / CHIP
$135
fee schedule
Blue Cross Blue Shield Of Texas
Star Chip KM
Medicaid / CHIP
$135
fee schedule
Community First
Chip KM
Medicaid / CHIP
$135
fee schedule
Community First
Star KM
Medicaid / CHIP
$135
fee schedule
Community First
Star Kids KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Chip KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Star KM
Medicaid / CHIP
$135
fee schedule
Driscoll Children's Health Plan
Star Kids KM
Medicaid / CHIP
$135
fee schedule
El Paso First
KM
Medicaid / CHIP
$135
fee schedule
First Care
KM
Commercial
$135
fee schedule
Molina
Chip KM
Medicaid / CHIP
$135
fee schedule
Molina
Star Plus KM
Medicaid / CHIP
$135
fee schedule
Superior
Chip KM
Medicaid / CHIP
$135
fee schedule
Superior
Foster Care KM
Medicaid / CHIP
$135
fee schedule
Superior
Star KM
Medicaid / CHIP
$135
fee schedule
Superior
Star Kids KM
Medicaid / CHIP
$135
fee schedule
Superior
Star Plus KM
Medicaid / CHIP
$135
fee schedule
Christus Health
HIX
Commercial
$140
fee schedule
Texas Childrens Health Plan
Chip KM
Medicaid / CHIP
$141
fee schedule
Texas Childrens Health Plan
Star Plus KM
Medicaid / CHIP
$141
fee schedule
Aetna
New Business
Commercial
$179
fee schedule
Aetna
EPO
Commercial
$199
fee schedule
Aetna
HMO
Commercial
$199
fee schedule
Aetna
POS
Commercial
$199
fee schedule
Aetna
PPO
Commercial
$199
fee schedule
Naphcare Inc.
RRMB
Public program
$200
fee schedule
Community First Health Plan
HMO
Commercial
$208
percent of total billed charges
Healthcare Highways
PPO
Commercial
$213
percent of total billed charges
Humana
Choicecare
Commercial
$226
fee schedule
Cigna
New Business
Commercial
$243
fee schedule
Christian Brothers Services
PPO
Commercial
$260
percent of total billed charges
First Health
PPO
Commercial
$307
percent of total billed charges
Healthsmart
Accel PPO
Commercial
$307
percent of total billed charges
Multiplan
PPO
Commercial
$307
percent of total billed charges
Phcs
PPO
Commercial
$307
percent of total billed charges
Cigna
PPO
Commercial
$308
fee schedule
Five Point Credit Union
PPO
Commercial
$331
percent of total billed charges
Blue Cross Blue Shield of Texas
Blue AdvantangeHMO
Commercial
$346
fee schedule
Medicus Internatiaonal
PPO
Commercial
$355
percent of total billed charges
Beech Street
PPO
Commercial
$378
percent of total billed charges
Health Management Network
PPO
Commercial
$378
percent of total billed charges
HealthSmart
PPO
Commercial
$378
percent of total billed charges
Provider Select
PPO
Commercial
$378
percent of total billed charges
Blue Cross Blue Shield of Texas
HMO
Commercial
$420
fee schedule
Blue Cross Blue Shield of Texas
HEB
Commercial
$426
fee schedule
National Choicecare
PPO
Commercial
$449
percent of total billed charges
Blue Cross Blue Shield of Texas
PPO
Commercial
$473
fee schedule
Blue Cross Blue Shield of Texas
Traditional
Commercial
$498
fee schedule
United Healthcare
All Payer
Commercial
$660
fee schedule
University Health University Hospital: all 55 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Community First Health Plan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Humana
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Superior Health Plan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
WellMed
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
United Healthcare
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Aetna
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Multiplan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Community First EPO Affordable Care
Commercial
Commercial
$99.85
fee schedule
Scott and White Insurance
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Wellpoint
Medicare/Medicaid Dual Program
Medicaid / CHIP
$101
fee schedule
Wellpoint
Medicare Advantage
Medicare Advantage
$101
fee schedule
Blue Cross Blue Shield
Medicare Advantage
Medicare Advantage
$102
fee schedule
Molina
Medicare Advantage
Medicare Advantage
$103
fee schedule
Wellcare
Medicare Advantage
Medicare Advantage
$103
fee schedule
Blue Cross Blue Shield Star/CHIP
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$107
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$109
fee schedule
Texas Independence Health Plan
Medicare Advantage
Medicare Advantage
$110
fee schedule
Provider Partner Health Plans
Medicare Advantage
Medicare Advantage
$110
fee schedule
Procare Advantage
Medicare Advantage
Medicare Advantage
$110
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$110
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$110
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$113
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$115
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$118
fee schedule
Entrust
Commercial
Commercial
$120
fee schedule
Point Comfort - Unaccompanied Minor Healthcare
Medicare Advantage
Public program
$120
fee schedule
Wellpoint
Exchange
Commercial
$125
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$128
fee schedule
Wellpoint
Commercial
Commercial
$140
fee schedule
Molina Healthcare Affordable Care
Commercial
Commercial
$160
fee schedule
Curative
Commercial
Commercial
$165
fee schedule
HPHG LLC dba 90 Degrees
Commercial
Commercial
$175
fee schedule
Universal Benefits Consortium
Commercial
Commercial
$175
fee schedule
EBSO
Commercial
Commercial
$175
fee schedule
Velocity National Provider Network
Medicare Advantage
Medicare Advantage
$175
fee schedule
Scott and White Insurance
Commercial
Commercial
$179
fee schedule
Point Comfort - Adult Refugee
Managed Medicaid
Public program
$182
fee schedule
Aetna
Exchange
Commercial
$202
fee schedule
Aetna
Commercial
Commercial
$213
fee schedule
United Healthcare
Commercial
Commercial
$283
case rate
USAA
Commercial
Commercial
$456
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$493
percent of total billed charges
Blue Cross Blue Shield
PPO
Commercial
$542
percent of total billed charges
Independent Medical Systems
Commercial
Commercial
$616
percent of total billed charges
First Health Network
Commercial
Commercial
$702
percent of total billed charges
Multiplan
Primary Network
Commercial
$801
percent of total billed charges
Community First Health Plan
Commercial
Commercial
$862
percent of total billed charges
Multiplan
Complementary Network
Commercial
$862
percent of total billed charges
HealthSmart
Commercial
Commercial
$862
percent of total billed charges
Prime Health
Commercial
Commercial
$862
percent of total billed charges
Velocity National Provider Network
Commercial
Commercial
$986
percent of total billed charges
Three Rivers Provider Network
Commercial
Commercial
$1,047
percent of total billed charges
Resolute Baptist Hospital: all 28 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HMO HIX
Commercial
$73.53
fee schedule
AETNA
AETNA EXCHANGE
Commercial
$85.74
fee schedule
AETNA
AETNA SOUTH SAN ANTONIO ISD
Commercial
$85.74
fee schedule
AETNA
AETNA EXCHANGE HIX
Commercial
$87.44
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS MYBLUE HEALTH HIX
Commercial
$97.51
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE ADVANTAGE HMO
Commercial
$98.63
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HIX
Commercial
$101
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE MEDICAID STAR PLUS
Medicaid / CHIP
$105
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE EXCHANGE
Commercial
$109
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE NON OPTIONS
Commercial
$109
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE OPTIONS PPO
Commercial
$109
fee schedule
AETNA
AETNA SPP
Commercial
$110
fee schedule
AETNA
AETNA QPIC
Commercial
$123
fee schedule
AETNA
AETNA COMMERCIAL NEW BUSINESS DISCOUNT
Commercial
$128
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE OPTIONS/BLUE PRECISION
Commercial
$132
fee schedule
SCOTT AND WHITE HEALTH PLAN
SCOTT AND WHITE EXCHANGE
Commercial
$133
fee schedule
TEXICARE
TEXICARE COMM
Commercial
$139
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$144
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD HMO BLUE
Commercial
$158
fee schedule
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD PPO/POS
Commercial
$178
fee schedule
AMBETTER
AMBETTER EXCHANGE VALUE AND SELECT NONPAR
Commercial
$187
fee schedule
CIGNA
CIGNA COMMERCIAL
Commercial
$193
fee schedule
CIGNA
CIGNA HEALTH PLAN - NEW BUSINESS
Commercial
$214
fee schedule
CIGNA
CIGNA HEALTH PLAN - HMO
Commercial
$223
fee schedule
HUMANA
HUMANA COMMERCIAL
Commercial
$245
fee schedule
CIGNA
CIGNA HEALTH PLAN - PPO
Commercial
$248
fee schedule
HUMANA
HUMANA EXCHANGE
Commercial
$345
fee schedule
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$376
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 Texsan Hospital: all 57 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$159
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$159
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$159
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$159
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$159
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$446
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$446
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$783
percent of total billed charges
Community First Health Plans
HMO
Commercial
$859
percent of total billed charges
BCBS
TRAD
Commercial
$939
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$955
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$980
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,114
percent of total billed charges
Evry Health
Broad
Commercial
$1,171
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,273
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,432
percent of total billed charges
Aetna
ASA
Commercial
$1,544
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,591
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,750
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,387
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,387
percent of total billed charges
DirectCare America
PPO
Commercial
$2,546
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,705
percent of total billed charges
Methodist Hospital Atascosa: all 49 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$105
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$105
fee schedule
Molina
STAR
Medicaid / CHIP
$105
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$105
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$430
fee schedule
BCBS
PPO
Commercial
$473
fee schedule
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$849
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Methodist Hospital Landmark: all 33 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$849
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Methodist Hospital Stone Oak: all 57 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$430
fee schedule
BCBS
PPO
Commercial
$473
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$483
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$483
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$866
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,726
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
DirectCare America
PPO
Commercial
$2,761
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Methodist Hospital Westover Hills: all 29 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$849
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Methodist Hospital: all 63 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$483
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$483
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$866
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,001
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$1,691
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,726
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$2,313
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$2,416
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
DirectCare America
PPO
Commercial
$2,761
percent of total billed charges
USA Managed Care
PPO
Commercial
$2,761
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$3,452
percent of total billed charges
Methodist Specialty & Transplant Hospital: all 65 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$420
fee schedule
BCBS
PPO
Commercial
$454
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$483
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$483
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$849
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$1,001
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$1,691
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,726
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
Humana
BHCOMM
Commercial
$2,244
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$2,313
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$2,416
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
USA Managed Care
PPO
Commercial
$2,589
percent of total billed charges
DirectCare America
PPO
Commercial
$2,761
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$3,452
percent of total billed charges
Metropolitan Methodist Hospital: all 60 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueAdvantage
Commercial
$259
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$483
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$483
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$849
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,726
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$2,416
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
USA Managed Care
PPO
Commercial
$2,589
percent of total billed charges
DirectCare America
PPO
Commercial
$2,761
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
Northeast Methodist Hospital: all 60 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$105
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$105
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$107
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$107
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$107
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$107
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$115
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$115
fee schedule
Humana
MGMCD
Medicaid / CHIP
$131
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$173
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$173
percent of total billed charges
BCBS
MyBlueHealth
Commercial
$196
fee schedule
BCBS
BlueAdvantage
Commercial
$222
fee schedule
United
AllPayerAppendix
Commercial
$245
fee schedule
United
Charter
Commercial
$245
fee schedule
United
NexusACO
Commercial
$245
fee schedule
United
SmallGroup
Commercial
$245
fee schedule
BCBS
BlueEssentials
Commercial
$267
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$267
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$290
fee schedule
BCBS
PPO
Commercial
$314
fee schedule
Aetna
NarrowNetwork
Commercial
$407
fee schedule
Amerigroup
CHIPBH
Medicaid / CHIP
$483
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$483
percent of total billed charges
Aetna
NewBusinessRates
Commercial
$484
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$493
fee schedule
Aetna
OON
Commercial
$581
fee schedule
United
OptionsPPO
Commercial
$866
percent of total billed charges
Community First Health Plans
HMO
Commercial
$932
percent of total billed charges
BCBS
TRAD
Commercial
$1,018
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$1,036
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$1,063
percent of total billed charges
Valenz
NXNetwork
Commercial
$1,208
percent of total billed charges
Evry Health
Broad
Commercial
$1,270
percent of total billed charges
Curative Administrators
COMM
Commercial
$1,381
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$1,553
percent of total billed charges
Aetna
ASA
Commercial
$1,674
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$1,726
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,898
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$2,416
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$2,589
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$2,589
percent of total billed charges
USA Managed Care
PPO
Commercial
$2,589
percent of total billed charges
DirectCare America
PPO
Commercial
$2,761
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$2,934
percent of total billed charges
What this price covers
These are hospital charges for CPT code 76700 (Complete abdominal ultrasound). 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.