How much does a pelvic ultrasound cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $156–$3,060 for a complete pelvic ultrasound (CPT 76856). The typical commercial rate in the same files is $439.

Hospital files dated October 14, 2025 – September 1, 2026 · Data checked October 14, 2026 · How we read these files · Report an error

Published cash price

$156–$3,060

what 17 hospitals list for a self-pay pelvic ultrasound

Typical insured rate

$439

median of every commercial plan rate in the files

Lowest insured rate

$68.77

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.

Pelvic ultrasound prices by hospital in San Antonio

Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 76856; Medicaid and Medicare Advantage are shown separately below.

Complete pelvic ultrasound (CPT 76856) — San Antonio
Hospital	Published cash price	Typical insured rate	Lowest insured rate
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026	$156–$1,031Cash ÷ typical 0.7×	$22439 plans	$99.85
University Health University HospitalUniversity Health · file Oct 2025	$182Cash ÷ typical 0.7×	$27025 plans	$99.85
Resolute Baptist HospitalBaptist Health System · file Sep 2026	$2,555Cash ÷ typical 21×	$12027 plans	$68.77
Northeast Baptist HospitalBaptist Health System · file Apr 2026	$2,854	—	—
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026	$2,854	—	—
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026	$2,854	—	—
North Central Baptist HospitalBaptist Health System · file Apr 2026	$2,854	—	—
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026	$2,854	—	—
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 5.7×	$53727 plans	$196
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 6.8×	$45224 plans	$196
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 4.7×	$65328 plans	$196
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 6.7×	$45625 plans	$196
Methodist HospitalMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 3.6×	$85732 plans	$196
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 3.4×	$89534 plans	$196
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 4.1×	$75329 plans	$196
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 3.7×	$82631 plans	$196
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026	$3,060= list priceCash ÷ typical 3.7×	$82631 plans	$196

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Negotiated rates by insurer

If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.

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	$100–$498	$100–$184	$224–$284	$100–$660	$100–$204	—	—	$57–$144	$50–$110
University Health University Hospital	$292–$321	$202–$213	—	$283	—	—	—	$96–$116	$100–$175
Resolute Baptist Hospital	$98–$178	$71–$120	$173–$223	$109	$228–$338	$68.77–$94.09	$169	$96.28	—
Northeast Baptist Hospital	—	—	—	—	—	—	—	—	—
Mission Trail Baptist Hospital	—	—	—	—	—	—	—	—	—
St. Luke's Baptist Hospital	—	—	—	—	—	—	—	—	—
North Central Baptist Hospital	—	—	—	—	—	—	—	—	—
Westover Hills Baptist Hospital	—	—	—	—	—	—	—	—	—
Methodist Hospital Atascosa	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96–$153	—
Methodist Hospital Landmark	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96–$106	—
Methodist Hospital Stone Oak	$196–$903	$376–$1,484	—	$245–$768	—	—	—	$96–$428	—
Methodist Hospital Westover Hills	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96.28	—
Methodist Hospital	$196–$903	$376–$1,484	$887	$245–$768	—	—	—	$96–$3,060	$1,499
Methodist Specialty & Transplant Hospital	$196–$903	$376–$1,484	$887	$245–$1,377	$1,989	—	—	$96–$3,060	$1,499
Methodist Texsan Hospital	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96–$428	—
Metropolitan Methodist Hospital	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96–$428	—
Northeast Methodist Hospital	$196–$903	$376–$1,484	—	$245–$1,377	—	—	—	$96–$428	—

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
United Healthcare	Chip KM	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Star KM	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Star Plus KM	Medicaid / CHIP	$96.28	fee schedule
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
Employer Direct	Healthcare PPO	Commercial	$120	fee schedule
Gilsbar Inc.	MM	Commercial	$130	fee schedule
Aetna	Chip KM	Medicaid / CHIP	$137	fee schedule
Aetna	Star KM	Medicaid / CHIP	$137	fee schedule
Blue Cross Blue Shield Of Texas	Star Chip KM	Medicaid / CHIP	$137	fee schedule
Community First	Chip KM	Medicaid / CHIP	$137	fee schedule
Community First	Star KM	Medicaid / CHIP	$137	fee schedule
Community First	Star Kids KM	Medicaid / CHIP	$137	fee schedule
Driscoll Children's Health Plan	Chip KM	Medicaid / CHIP	$137	fee schedule
Driscoll Children's Health Plan	Star KM	Medicaid / CHIP	$137	fee schedule
Driscoll Children's Health Plan	Star Kids KM	Medicaid / CHIP	$137	fee schedule
El Paso First	KM	Medicaid / CHIP	$137	fee schedule
First Care	KM	Commercial	$137	fee schedule
Molina	Chip KM	Medicaid / CHIP	$137	fee schedule
Molina	Star Plus KM	Medicaid / CHIP	$137	fee schedule
Superior	Chip KM	Medicaid / CHIP	$137	fee schedule
Superior	Foster Care KM	Medicaid / CHIP	$137	fee schedule
Superior	Star KM	Medicaid / CHIP	$137	fee schedule
Superior	Star Kids KM	Medicaid / CHIP	$137	fee schedule
Superior	Star Plus KM	Medicaid / CHIP	$137	fee schedule
Christus Health	HIX	Commercial	$140	fee schedule
Texas Childrens Health Plan	Chip KM	Medicaid / CHIP	$144	fee schedule
Texas Childrens Health Plan	Star Plus KM	Medicaid / CHIP	$144	fee schedule
Aetna	New Business	Commercial	$165	fee schedule
Aetna	EPO	Commercial	$184	fee schedule
Aetna	HMO	Commercial	$184	fee schedule
Aetna	POS	Commercial	$184	fee schedule
Aetna	PPO	Commercial	$184	fee schedule
Naphcare Inc.	RRMB	Public program	$200	fee schedule
Humana	Choicecare	Commercial	$204	fee schedule
Community First Health Plan	HMO	Commercial	$208	percent of total billed charges
Healthcare Highways	PPO	Commercial	$213	percent of total billed charges
Cigna	New Business	Commercial	$224	fee schedule
Christian Brothers Services	PPO	Commercial	$260	percent of total billed charges
Cigna	PPO	Commercial	$284	fee schedule
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
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
Blue Cross Blue Shield Star/CHIP	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plan	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
First Care/Scott and White	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
El Paso Health	Managed Medicaid	Medicaid / CHIP	$98.21	fee schedule
Superior Health Plan	Managed Medicaid	Medicaid / CHIP	$99.17	fee schedule
Wellpoint	Managed Medicaid/CHIP	Medicaid / CHIP	$99.17	fee schedule
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 Healthcare	Managed Medicaid	Medicaid / CHIP	$102	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$103	fee schedule
Wellcare	Medicare Advantage	Medicare Advantage	$103	fee schedule
Driscoll Health Plan	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
Blue Cross Blue Shield Star Kids/Star Plus	Managed Medicaid	Medicaid / CHIP	$106	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
Aetna Better Health	Managed Medicaid and CHIP	Medicaid / CHIP	$116	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
Wellpoint	Commercial	Commercial	$140	fee schedule
Molina Healthcare Affordable Care	Commercial	Commercial	$160	fee schedule
Point Comfort - Adult Refugee	Managed Medicaid	Public program	$164	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
Aetna	Exchange	Commercial	$202	fee schedule
Aetna	Commercial	Commercial	$213	fee schedule
USAA	Commercial	Commercial	$270	percent of total billed charges
United Healthcare	Commercial	Commercial	$283	case rate
Blue Cross Blue Shield	HMO	Commercial	$292	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$321	percent of total billed charges
Independent Medical Systems	Commercial	Commercial	$365	percent of total billed charges
First Health Network	Commercial	Commercial	$416	percent of total billed charges
Multiplan	Primary Network	Commercial	$474	percent of total billed charges
Prime Health	Commercial	Commercial	$510	percent of total billed charges
Multiplan	Complementary Network	Commercial	$510	percent of total billed charges
Community First Health Plan	Commercial	Commercial	$510	percent of total billed charges
HealthSmart	Commercial	Commercial	$510	percent of total billed charges
Velocity National Provider Network	Commercial	Commercial	$583	percent of total billed charges
Three Rivers Provider Network	Commercial	Commercial	$620	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	$68.77	fee schedule
AETNA	AETNA EXCHANGE	Commercial	$71.19	fee schedule
AETNA	AETNA SOUTH SAN ANTONIO ISD	Commercial	$71.19	fee schedule
AETNA	AETNA EXCHANGE HIX	Commercial	$72.60	fee schedule
AETNA	AETNA SPP	Commercial	$91.64	fee schedule
OSCAR HEALTH PLAN	OSCAR HEALTH PLAN HIX	Commercial	$94.09	fee schedule
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICAID STAR PLUS	Medicaid / CHIP	$96.28	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
AETNA	AETNA QPIC	Commercial	$102	fee schedule
AETNA	AETNA COMMERCIAL NEW BUSINESS DISCOUNT	Commercial	$106	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 COMMERCIAL	Commercial	$120	fee schedule
SCOTT AND WHITE HEALTH PLAN	SCOTT AND WHITE EXCHANGE	Commercial	$121	fee schedule
TEXICARE	TEXICARE COMM	Commercial	$126	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE OPTIONS/BLUE PRECISION	Commercial	$132	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO BLUE	Commercial	$158	fee schedule
AMBETTER	AMBETTER EXCHANGE VALUE AND SELECT NONPAR	Commercial	$169	fee schedule
CIGNA	CIGNA COMMERCIAL	Commercial	$173	fee schedule
BLUE CROSS/BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO/POS	Commercial	$178	fee schedule
CIGNA	CIGNA HEALTH PLAN - NEW BUSINESS	Commercial	$192	fee schedule
CIGNA	CIGNA HEALTH PLAN - HMO	Commercial	$201	fee schedule
CIGNA	CIGNA HEALTH PLAN - PPO	Commercial	$223	fee schedule
HUMANA	HUMANA COMMERCIAL	Commercial	$228	fee schedule
HUMANA	HUMANA EXCHANGE	Commercial	$318	fee schedule
HUMANA	HUMANA EXCHANGE HMOX	Commercial	$338	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 Atascosa: all 49 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
Molina	CHIPHMO	Medicaid / CHIP	$96.28	fee schedule
Molina	CHIPPERINATE	Medicaid / CHIP	$96.28	fee schedule
Molina	STAR	Medicaid / CHIP	$96.28	fee schedule
Molina	STAR+PLUS	Medicaid / CHIP	$96.28	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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
Aetna	NarrowNetwork	Commercial	$376	fee schedule
BCBS	BlueEssentials	Commercial	$387	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$387	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$430	fee schedule
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
BCBS	PPO	Commercial	$473	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	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	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	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	$376	fee schedule
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges

Methodist Hospital Stone Oak: all 57 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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
Aetna	NarrowNetwork	Commercial	$376	fee schedule
BCBS	BlueEssentials	Commercial	$387	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$387	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$430	fee schedule
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
BCBS	PPO	Commercial	$473	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$768	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	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	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	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	$376	fee schedule
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges

Methodist Hospital: all 63 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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	$376	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$768	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$887	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$1,499	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$2,050	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$2,142	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
USA Managed Care	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$3,060	percent of total billed charges

Methodist Specialty & Transplant Hospital: all 65 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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
Aetna	NarrowNetwork	Commercial	$376	fee schedule
BCBS	BlueEssentials	Commercial	$387	fee schedule
BCBS	BlueEssentialsAccess	Commercial	$387	fee schedule
BCBS	HealthSelectOpenAccess(EPOSOA)	Commercial	$420	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
Aetna	NewBusinessRates	Commercial	$448	fee schedule
BCBS	PPO	Commercial	$454	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
Cigna Lifesource	COMM	Commercial	$887	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
Emerging Therapy Solutions	MCR	Medicare Advantage	$1,499	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Humana	BHCOMM	Commercial	$1,989	percent of total billed charges
Emerging Therapy Solutions	COMM	Commercial	$2,050	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$2,142	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
USA Managed Care	PPO	Commercial	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges
Optum	MCD	Medicaid / CHIP	$3,060	percent of total billed charges

Methodist Texsan Hospital: all 57 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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	$376	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges

Metropolitan Methodist Hospital: all 60 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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	$376	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$753	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$2,142	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
USA Managed Care	PPO	Commercial	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges

Northeast Methodist Hospital: all 60 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	CHIP	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	MCD	Medicaid / CHIP	$96.28	fee schedule
United	MCD	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	CHIPPerinate	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTAR	Medicaid / CHIP	$96.28	fee schedule
USA Managed Care CHIP	CHIP	Medicaid / CHIP	$96.28	fee schedule
Community First Health Plans	MCDSTARKIDS	Medicaid / CHIP	$98.21	fee schedule
Community First Health Plans	STARPLUS	Medicaid / CHIP	$98.21	fee schedule
Aetna Better Health	CHIP	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPEPO	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHIPPerinate	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	CHPFC	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STAR+PLUS	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	STARKids	Medicaid / CHIP	$104	fee schedule
Molina Healthcare	CHIP	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	MCDSTAR	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STAR+PLUS	Medicaid / CHIP	$106	fee schedule
Molina Healthcare	STARKIDS	Medicaid / CHIP	$106	fee schedule
Humana	MGMCD	Medicaid / CHIP	$120	fee schedule
Superior Health	CHIP	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	CHPFC	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STAR	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARKids	Medicaid / CHIP	$153	percent of total billed charges
Superior Health	STARPLUS	Medicaid / CHIP	$153	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	$376	fee schedule
Amerigroup	CHIPBH	Medicaid / CHIP	$428	percent of total billed charges
Amerigroup	MCDBH	Medicaid / CHIP	$428	percent of total billed charges
Aetna	NewBusinessRates	Commercial	$448	fee schedule
Aetna	CommercialBaseNetwork	Commercial	$456	fee schedule
Aetna	OON	Commercial	$537	fee schedule
United	OptionsPPO	Commercial	$768	percent of total billed charges
Community First Health Plans	HMO	Commercial	$826	percent of total billed charges
BCBS	TRAD	Commercial	$903	percent of total billed charges
Focus Health Solutions	COMM	Commercial	$918	percent of total billed charges
Healthcare Highways	NarrowNetwork	Commercial	$943	percent of total billed charges
Valenz	NXNetwork	Commercial	$1,071	percent of total billed charges
Evry Health	Broad	Commercial	$1,126	percent of total billed charges
Curative Administrators	COMM	Commercial	$1,224	percent of total billed charges
United	GlobalBenefitPlan	Commercial	$1,377	percent of total billed charges
Aetna	ASA	Commercial	$1,484	percent of total billed charges
TX Healthcare Foundation	PPO	Commercial	$1,530	percent of total billed charges
HealthSmart Preferred Care	Accel	Commercial	$1,683	percent of total billed charges
TML Intergovernmental EBP	PPO	Commercial	$2,142	percent of total billed charges
Multiplan	PHCSPrimaryNetwork	Commercial	$2,295	percent of total billed charges
TriWest Health Alliance	TRICARE	Military / VA	$2,295	percent of total billed charges
USA Managed Care	PPO	Commercial	$2,295	percent of total billed charges
DirectCare America	PPO	Commercial	$2,448	percent of total billed charges
Multiplan	ComplementaryNetwork	Commercial	$2,601	percent of total billed charges

What this price covers

These are hospital charges for CPT code 76856 (Complete pelvic 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.

Pelvic ultrasound in other cities

Compare Pelvic ultrasound prices across all cities →

Houston, TXCash $102–$6,351 Dallas–Fort Worth, TXCash $378–$861 Phoenix, AZCash $71–$1,639 Austin, TXCash $134–$3,508

Other ultrasound prices in San Antonio

Abdominal ultrasoundCPT 76700 Transvaginal ultrasoundCPT 76830 Thyroid ultrasoundCPT 76536 Breast ultrasoundCPT 76641