How much does a lower back X-ray cost in San Antonio?
17 hospitals in San Antonio list a self-pay price of $123–$2,309 for a lower back X-ray (2–3 views) (CPT 72100). The typical commercial rate in the same files is $362.
what 17 hospitals list for a self-pay lower back X-ray
Typical insured rate
$362
median of every commercial plan rate in the files
Lowest insured rate
$27.56
AETNA (AETNA EXCHANGE), Resolute Baptist Hospital
At 9 of 17 hospitals, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.
Lower back X-ray 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 72100; Medicaid and Medicare Advantage are shown separately below.
Lower back X-ray (2–3 views) (CPT 72100) — San Antonio
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
Negotiated rates by insurer
Hospital
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Humana
Oscar
Ambetter
Medicaid / CHIP
Medicare Advantage
University Health University Hospital
Blue Cross Blue Shield$196–$216
Aetna$202–$213
Cigna—
UnitedHealthcare$172
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$101
Medicare Advantage$100–$175
CHRISTUS Santa Rosa Hospital – Westover Hills
Blue Cross Blue Shield$100–$498
Aetna$64.91–$99.85
Cigna$69.88–$88.50
UnitedHealthcare$100–$268
Humana$64.28–$99.85
Oscar—
Ambetter—
Medicaid / CHIP$33–$141
Medicare Advantage$50–$110
Resolute Baptist Hospital
Blue Cross Blue Shield$98–$178
Aetna$27.56–$46.39
Cigna$55.13–$71.02
UnitedHealthcare$109
Humana$91–$119
Oscar$27.57–$37.73
Ambetter$64.07
Medicaid / CHIP$40.10
Medicare Advantage—
Methodist Hospital Atascosa
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40.10–$91.06
Medicare Advantage—
Methodist Hospital Landmark
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40.10–$44.11
Medicare Advantage—
Methodist Hospital Stone Oak
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$457
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$255
Medicare Advantage—
Methodist Hospital Westover Hills
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40.10
Medicare Advantage—
Methodist Hospital
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$528
UnitedHealthcare$245–$457
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$1,821
Medicare Advantage$892
Methodist Specialty & Transplant Hospital
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$528
UnitedHealthcare$245–$820
Humana$1,184
Oscar—
Ambetter—
Medicaid / CHIP$40–$1,821
Medicare Advantage$892
Methodist Texsan Hospital
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$255
Medicare Advantage—
Metropolitan Methodist Hospital
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$255
Medicare Advantage—
Northeast Methodist Hospital
Blue Cross Blue Shield$196–$537
Aetna$148–$883
Cigna$362–$478
UnitedHealthcare$245–$820
Humana—
Oscar—
Ambetter—
Medicaid / CHIP$40–$255
Medicare Advantage—
Northeast Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Mission Trail Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
St. Luke's Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
North Central Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
Westover Hills Baptist Hospital
Blue Cross Blue Shield—
Aetna—
Cigna—
UnitedHealthcare—
Humana—
Oscar—
Ambetter—
Medicaid / CHIP—
Medicare Advantage—
University Health University Hospital: all 55 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Blue Cross Blue Shield Star/CHIP
Managed Medicaid
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plan
Managed Medicaid
Medicaid / CHIP
$40.10
fee schedule
First Care/Scott and White
Managed Medicaid
Medicaid / CHIP
$40.10
fee schedule
United Healthcare
Managed Medicaid
Medicaid / CHIP
$40.10
fee schedule
El Paso Health
Managed Medicaid
Medicaid / CHIP
$40.90
fee schedule
Superior Health Plan
Managed Medicaid
Medicaid / CHIP
$41.30
fee schedule
Wellpoint
Managed Medicaid/CHIP
Medicaid / CHIP
$41.30
fee schedule
Molina Healthcare
Managed Medicaid
Medicaid / CHIP
$42.51
fee schedule
Driscoll Health Plan
Managed Medicaid
Medicaid / CHIP
$43.31
fee schedule
Blue Cross Blue Shield Star Kids/Star Plus
Managed Medicaid
Medicaid / CHIP
$44.11
fee schedule
Aetna Better Health
Managed Medicaid and CHIP
Medicaid / CHIP
$48.12
fee schedule
Point Comfort - Adult Refugee
Managed Medicaid
Public program
$68.17
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
Multiplan
Medicare Advantage
Medicare Advantage
$99.85
fee schedule
Aetna
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
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
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
Curative
Commercial
Commercial
$165
fee schedule
United Healthcare
Commercial
Commercial
$172
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
USAA
Commercial
Commercial
$182
percent of total billed charges
Blue Cross Blue Shield
HMO
Commercial
$196
percent of total billed charges
Aetna
Exchange
Commercial
$202
fee schedule
Aetna
Commercial
Commercial
$213
fee schedule
Blue Cross Blue Shield
PPO
Commercial
$216
percent of total billed charges
Independent Medical Systems
Commercial
Commercial
$246
percent of total billed charges
First Health Network
Commercial
Commercial
$280
percent of total billed charges
Multiplan
Primary Network
Commercial
$319
percent of total billed charges
HealthSmart
Commercial
Commercial
$344
percent of total billed charges
Community First Health Plan
Commercial
Commercial
$344
percent of total billed charges
Multiplan
Complementary Network
Commercial
$344
percent of total billed charges
Prime Health
Commercial
Commercial
$344
percent of total billed charges
Velocity National Provider Network
Commercial
Commercial
$393
percent of total billed charges
Three Rivers Provider Network
Commercial
Commercial
$417
percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United Healthcare
Chip KM
Medicaid / CHIP
$33.08
fee schedule
United Healthcare
Star KM
Medicaid / CHIP
$33.08
fee schedule
United Healthcare
Star Plus KM
Medicaid / CHIP
$33.08
fee schedule
Texas Healthspring
MM
Medicare Advantage
$49.93
fee schedule
Humana
Choicecare
Commercial
$64.28
fee schedule
Aetna
New Business
Commercial
$64.91
fee schedule
Cigna
New Business
Commercial
$69.88
fee schedule
Aetna
EPO
Commercial
$72.12
fee schedule
Aetna
HMO
Commercial
$72.12
fee schedule
Aetna
POS
Commercial
$72.12
fee schedule
Aetna
PPO
Commercial
$72.12
fee schedule
Amerigroup
Chip KM
Medicaid / CHIP
$76.56
percent of total billed charges
Amerigroup
Star KM
Medicaid / CHIP
$76.56
percent of total billed charges
Amerigroup
Star Kids KM
Medicaid / CHIP
$76.56
percent of total billed charges
Amerigroup
Star Plus KM
Medicaid / CHIP
$76.56
percent of total billed charges
Community First
Med Adv MM
Medicare Advantage
$76.56
percent of total billed charges
Cigna
PPO
Commercial
$88.50
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
$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
Naphcare Inc.
RRMB
Public program
$200
fee schedule
United Healthcare
All Payer
Commercial
$268
percent of total billed charges
Community First Health Plan
HMO
Commercial
$281
percent of total billed charges
Healthcare Highways
PPO
Commercial
$287
percent of total billed charges
Blue Cross Blue Shield of Texas
Blue AdvantangeHMO
Commercial
$346
fee schedule
Christian Brothers Services
PPO
Commercial
$351
percent of total billed charges
First Health
PPO
Commercial
$415
percent of total billed charges
Healthsmart
Accel PPO
Commercial
$415
percent of total billed charges
Multiplan
PPO
Commercial
$415
percent of total billed charges
Phcs
PPO
Commercial
$415
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
Five Point Credit Union
PPO
Commercial
$447
percent of total billed charges
Blue Cross Blue Shield of Texas
PPO
Commercial
$473
fee schedule
Medicus Internatiaonal
PPO
Commercial
$479
percent of total billed charges
Blue Cross Blue Shield of Texas
Traditional
Commercial
$498
fee schedule
Beech Street
PPO
Commercial
$510
percent of total billed charges
Health Management Network
PPO
Commercial
$510
percent of total billed charges
HealthSmart
PPO
Commercial
$510
percent of total billed charges
Provider Select
PPO
Commercial
$510
percent of total billed charges
National Choicecare
PPO
Commercial
$606
percent of total billed charges
Resolute Baptist Hospital: all 28 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
AETNA
AETNA EXCHANGE
Commercial
$27.56
fee schedule
AETNA
AETNA SOUTH SAN ANTONIO ISD
Commercial
$27.56
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HMO HIX
Commercial
$27.57
fee schedule
AETNA
AETNA EXCHANGE HIX
Commercial
$28.11
fee schedule
AETNA
AETNA SPP
Commercial
$35.48
fee schedule
OSCAR HEALTH PLAN
OSCAR HEALTH PLAN HIX
Commercial
$37.73
fee schedule
AETNA
AETNA QPIC
Commercial
$39.57
fee schedule
UNITED HEALTHCARE
UNITED HEALTHCARE MEDICAID STAR PLUS
Medicaid / CHIP
$40.10
fee schedule
AETNA
AETNA COMMERCIAL NEW BUSINESS DISCOUNT
Commercial
$41.21
fee schedule
SCOTT AND WHITE HEALTH PLAN
SCOTT AND WHITE EXCHANGE
Commercial
$45.66
fee schedule
AETNA
AETNA COMMERCIAL
Commercial
$46.39
fee schedule
TEXICARE
TEXICARE COMM
Commercial
$47.64
fee schedule
CIGNA
CIGNA COMMERCIAL
Commercial
$55.13
fee schedule
CIGNA
CIGNA HEALTH PLAN - NEW BUSINESS
Commercial
$61.37
fee schedule
CIGNA
CIGNA HEALTH PLAN - HMO
Commercial
$63.93
fee schedule
AMBETTER
AMBETTER EXCHANGE VALUE AND SELECT NONPAR
Commercial
$64.07
fee schedule
CIGNA
CIGNA HEALTH PLAN - PPO
Commercial
$71.02
fee schedule
HUMANA
HUMANA COMMERCIAL
Commercial
$91.22
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
HUMANA
HUMANA EXCHANGE HMOX
Commercial
$109
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
HUMANA
HUMANA EXCHANGE
Commercial
$119
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
BLUE CROSS/BLUE SHIELD
BLUE CROSS BLUE SHIELD PPO/POS
Commercial
$178
fee schedule
Methodist Hospital Atascosa: all 53 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
Molina
CHIPHMO
Medicaid / CHIP
$40.10
fee schedule
Molina
CHIPPERINATE
Medicaid / CHIP
$40.10
fee schedule
Molina
STAR
Medicaid / CHIP
$40.10
fee schedule
Molina
STAR+PLUS
Medicaid / CHIP
$40.10
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$430
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
BCBS
PPO
Commercial
$473
fee schedule
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Methodist Hospital Landmark: all 37 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Methodist Hospital Stone Oak: all 61 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
BCBS
BlueAdvantage
Commercial
$259
fee schedule
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$430
fee schedule
United
OptionsPPO
Commercial
$457
percent of total billed charges
BCBS
PPO
Commercial
$473
fee schedule
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Methodist Hospital Westover Hills: all 33 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Methodist Hospital: all 67 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$457
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$528
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$892
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$1,220
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$1,275
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
USA Managed Care
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$1,821
percent of total billed charges
Methodist Specialty & Transplant Hospital: all 69 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
BCBS
BlueAdvantage
Commercial
$259
fee schedule
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
BCBS
BlueEssentials
Commercial
$387
fee schedule
BCBS
BlueEssentialsAccess
Commercial
$387
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
BCBS
HealthSelectOpenAccess(EPOSOA)
Commercial
$420
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
BCBS
PPO
Commercial
$454
fee schedule
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
Cigna Lifesource
COMM
Commercial
$528
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
Emerging Therapy Solutions
MCR
Medicare Advantage
$892
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Humana
BHCOMM
Commercial
$1,184
percent of total billed charges
Emerging Therapy Solutions
COMM
Commercial
$1,220
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$1,275
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
USA Managed Care
PPO
Commercial
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Optum
MCD
Medicaid / CHIP
$1,821
percent of total billed charges
Methodist Texsan Hospital: all 61 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Metropolitan Methodist Hospital: all 64 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$448
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$1,275
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
USA Managed Care
PPO
Commercial
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Northeast Methodist Hospital: all 64 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
United
MCD
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
CHIP
Medicaid / CHIP
$40.10
fee schedule
Amerigroup
MCD
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
CHIPPerinate
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTAR
Medicaid / CHIP
$40.10
fee schedule
USA Managed Care CHIP
CHIP
Medicaid / CHIP
$40.10
fee schedule
Community First Health Plans
MCDSTARKIDS
Medicaid / CHIP
$40.90
fee schedule
Community First Health Plans
STARPLUS
Medicaid / CHIP
$40.90
fee schedule
Aetna Better Health
CHIP
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPEPO
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHIPPerinate
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
CHPFC
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STAR+PLUS
Medicaid / CHIP
$43.31
fee schedule
Aetna Better Health
STARKids
Medicaid / CHIP
$43.31
fee schedule
Molina Healthcare
CHIP
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
MCDSTAR
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STAR+PLUS
Medicaid / CHIP
$44.11
fee schedule
Molina Healthcare
STARKIDS
Medicaid / CHIP
$44.11
fee schedule
Humana
MGMCD
Medicaid / CHIP
$50.13
fee schedule
Superior Health
CHIP
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
CHPFC
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STAR
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARKids
Medicaid / CHIP
$91.06
percent of total billed charges
Superior Health
STARPLUS
Medicaid / CHIP
$91.06
percent of total billed charges
Aetna
NarrowNetwork
Commercial
$148
fee schedule
Aetna
NewBusinessRates
Commercial
$176
fee schedule
Aetna
CommercialBaseNetwork
Commercial
$179
fee schedule
BCBS
MyBlueHealth
Commercial
$196
fee schedule
Aetna
OON
Commercial
$211
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
Amerigroup
CHIPBH
Medicaid / CHIP
$255
percent of total billed charges
Amerigroup
MCDBH
Medicaid / CHIP
$255
percent of total billed charges
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
Cigna
NewBusinessNetwork
Commercial
$362
fee schedule
Cigna
HMO
Commercial
$396
fee schedule
Cigna
OpenAccessPlus
Commercial
$396
fee schedule
United
OptionsPPO
Commercial
$457
percent of total billed charges
Cigna
PPO
Commercial
$478
fee schedule
Community First Health Plans
HMO
Commercial
$492
percent of total billed charges
BCBS
TRAD
Commercial
$537
percent of total billed charges
Focus Health Solutions
COMM
Commercial
$546
percent of total billed charges
Healthcare Highways
NarrowNetwork
Commercial
$561
percent of total billed charges
Valenz
NXNetwork
Commercial
$637
percent of total billed charges
Evry Health
Broad
Commercial
$670
percent of total billed charges
Curative Administrators
COMM
Commercial
$729
percent of total billed charges
United
GlobalBenefitPlan
Commercial
$820
percent of total billed charges
Aetna
ASA
Commercial
$883
percent of total billed charges
TX Healthcare Foundation
PPO
Commercial
$911
percent of total billed charges
HealthSmart Preferred Care
Accel
Commercial
$1,002
percent of total billed charges
TML Intergovernmental EBP
PPO
Commercial
$1,275
percent of total billed charges
Multiplan
PHCSPrimaryNetwork
Commercial
$1,366
percent of total billed charges
TriWest Health Alliance
TRICARE
Military / VA
$1,366
percent of total billed charges
USA Managed Care
PPO
Commercial
$1,366
percent of total billed charges
DirectCare America
PPO
Commercial
$1,457
percent of total billed charges
Multiplan
ComplementaryNetwork
Commercial
$1,548
percent of total billed charges
Northeast Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Mission Trail Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
St. Luke's Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
North Central Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
Westover Hills Baptist Hospital: all 0 plan rates
Payer
Plan (as written in the file)
Type
Rate
Method
What this price covers
These are hospital charges for CPT code 72100 (Lower back X-ray (2–3 views)). 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.