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.

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
$123–$2,309
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

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
HospitalPublished cash priceTypical insured rateLowest insured rate
University Health University HospitalUniversity Health · file Oct 2025$123Cash ÷ typical 0.6×$19625 plans$99.85
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$211–$874Cash ÷ typical 0.8×$26839 plans$64.28
Resolute Baptist HospitalBaptist Health System · file Sep 2026$954–$1,256Cash ÷ typical 15×$63.9327 plans$27.56
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 4.2×$43031 plans$148
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 5.4×$33828 plans$148
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 4.1×$44432 plans$148
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 5.0×$36229 plans$148
Methodist HospitalMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 3.9×$46836 plans$148
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 3.8×$48538 plans$148
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 4.6×$39633 plans$148
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 4.1×$44835 plans$148
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$1,821= list priceCash ÷ typical 4.0×$45735 plans$148
Northeast Baptist HospitalBaptist Health System · file Apr 2026$2,309——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$2,309——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$2,309——
North Central Baptist HospitalBaptist Health System · file Apr 2026$2,309——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$2,309——

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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
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaOscarAmbetterMedicaid / CHIPMedicare Advantage
University Health University Hospital$196–$216$202–$213—$172———$40–$101$100–$175
CHRISTUS Santa Rosa Hospital – Westover Hills$100–$498$64.91–$99.85$69.88–$88.50$100–$268$64.28–$99.85——$33–$141$50–$110
Resolute Baptist Hospital$98–$178$27.56–$46.39$55.13–$71.02$109$91–$119$27.57–$37.73$64.07$40.10—
Methodist Hospital Atascosa$196–$537$148–$883$362–$478$245–$820———$40.10–$91.06—
Methodist Hospital Landmark$196–$537$148–$883$362–$478$245–$820———$40.10–$44.11—
Methodist Hospital Stone Oak$196–$537$148–$883$362–$478$245–$457———$40–$255—
Methodist Hospital Westover Hills$196–$537$148–$883$362–$478$245–$820———$40.10—
Methodist Hospital$196–$537$148–$883$362–$528$245–$457———$40–$1,821$892
Methodist Specialty & Transplant Hospital$196–$537$148–$883$362–$528$245–$820$1,184——$40–$1,821$892
Methodist Texsan Hospital$196–$537$148–$883$362–$478$245–$820———$40–$255—
Metropolitan Methodist Hospital$196–$537$148–$883$362–$478$245–$820———$40–$255—
Northeast Methodist Hospital$196–$537$148–$883$362–$478$245–$820———$40–$255—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$40.10fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$40.10fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$40.10fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$40.10fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$40.90fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$41.30fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$41.30fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$42.51fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$43.31fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$44.11fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$48.12fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$68.17fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$99.85fee schedule
HumanaMedicare AdvantageMedicare Advantage$99.85fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$99.85fee schedule
WellMedMedicare AdvantageMedicare Advantage$99.85fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$99.85fee schedule
MultiplanMedicare AdvantageMedicare Advantage$99.85fee schedule
AetnaMedicare AdvantageMedicare Advantage$99.85fee schedule
Community First EPO Affordable CareCommercialCommercial$99.85fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$99.85fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$101fee schedule
WellpointMedicare AdvantageMedicare Advantage$101fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$102fee schedule
MolinaMedicare AdvantageMedicare Advantage$103fee schedule
WellcareMedicare AdvantageMedicare Advantage$103fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$110fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$110fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$110fee schedule
EntrustCommercialCommercial$120fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$120fee schedule
WellpointExchangeCommercial$125fee schedule
WellpointCommercialCommercial$140fee schedule
Molina Healthcare Affordable CareCommercialCommercial$160fee schedule
CurativeCommercialCommercial$165fee schedule
United HealthcareCommercialCommercial$172fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$175fee schedule
Universal Benefits ConsortiumCommercialCommercial$175fee schedule
EBSOCommercialCommercial$175fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$175fee schedule
Scott and White InsuranceCommercialCommercial$179fee schedule
USAACommercialCommercial$182percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$196percent of total billed charges
AetnaExchangeCommercial$202fee schedule
AetnaCommercialCommercial$213fee schedule
Blue Cross Blue ShieldPPOCommercial$216percent of total billed charges
Independent Medical SystemsCommercialCommercial$246percent of total billed charges
First Health NetworkCommercialCommercial$280percent of total billed charges
MultiplanPrimary NetworkCommercial$319percent of total billed charges
HealthSmartCommercialCommercial$344percent of total billed charges
Community First Health PlanCommercialCommercial$344percent of total billed charges
MultiplanComplementary NetworkCommercial$344percent of total billed charges
Prime HealthCommercialCommercial$344percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$393percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$417percent of total billed charges
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareChip KMMedicaid / CHIP$33.08fee schedule
United HealthcareStar KMMedicaid / CHIP$33.08fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$33.08fee schedule
Texas HealthspringMMMedicare Advantage$49.93fee schedule
HumanaChoicecareCommercial$64.28fee schedule
AetnaNew BusinessCommercial$64.91fee schedule
CignaNew BusinessCommercial$69.88fee schedule
AetnaEPOCommercial$72.12fee schedule
AetnaHMOCommercial$72.12fee schedule
AetnaPOSCommercial$72.12fee schedule
AetnaPPOCommercial$72.12fee schedule
AmerigroupChip KMMedicaid / CHIP$76.56percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$76.56percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$76.56percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$76.56percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$76.56percent of total billed charges
CignaPPOCommercial$88.50fee schedule
AetnaMMCommercial$99.85fee schedule
AllwellSuperior Health MMMedicare Advantage$99.85fee schedule
Blue Cross Blue Shield of TexasMMCommercial$99.85fee schedule
Christus HealthMed Adv MMMedicare Advantage$99.85fee schedule
CoventryFirst Health MMCommercial$99.85fee schedule
HumanaGold Choice MMCommercial$99.85fee schedule
HumanaGold Plus MMMedicare Advantage$99.85fee schedule
MolinaMedicare Adv MMMedicare Advantage$99.85fee schedule
SuperiorStar Plus MMMedicaid / CHIP$99.85fee schedule
TriwestVA MMMilitary / VA$99.85fee schedule
United HealthcareMMCommercial$99.85fee schedule
WellcareMMMedicare Advantage$99.85fee schedule
Provider Partners Health PlanMMMedicare Advantage$103fee schedule
Texas Independence Health PlanMMMedicare Advantage$103fee schedule
Shared Health Insurance CompanyMMCommercial$105fee schedule
US Imaging NetworkPPOCommercial$107fee schedule
AmerigroupMMMedicaid / CHIP$108fee schedule
Devoted Health PlanMMMedicare Advantage$108fee schedule
American Health MedicareAdvantage MMMedicare Advantage$110fee schedule
Imperial Health PlanMMMedicare Advantage$110fee schedule
ProCare AdvantageMMMedicare Advantage$110fee schedule
Employer DirectHealthcare PPOCommercial$120fee schedule
Gilsbar Inc.MMCommercial$130fee schedule
AetnaChip KMMedicaid / CHIP$135fee schedule
AetnaStar KMMedicaid / CHIP$135fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$135fee schedule
Community FirstChip KMMedicaid / CHIP$135fee schedule
Community FirstStar KMMedicaid / CHIP$135fee schedule
Community FirstStar Kids KMMedicaid / CHIP$135fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$135fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$135fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$135fee schedule
El Paso FirstKMMedicaid / CHIP$135fee schedule
First CareKMCommercial$135fee schedule
MolinaChip KMMedicaid / CHIP$135fee schedule
MolinaStar Plus KMMedicaid / CHIP$135fee schedule
SuperiorChip KMMedicaid / CHIP$135fee schedule
SuperiorFoster Care KMMedicaid / CHIP$135fee schedule
SuperiorStar KMMedicaid / CHIP$135fee schedule
SuperiorStar Kids KMMedicaid / CHIP$135fee schedule
SuperiorStar Plus KMMedicaid / CHIP$135fee schedule
Christus HealthHIXCommercial$140fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$141fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$141fee schedule
Naphcare Inc.RRMBPublic program$200fee schedule
United HealthcareAll PayerCommercial$268percent of total billed charges
Community First Health PlanHMOCommercial$281percent of total billed charges
Healthcare HighwaysPPOCommercial$287percent of total billed charges
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$346fee schedule
Christian Brothers ServicesPPOCommercial$351percent of total billed charges
First HealthPPOCommercial$415percent of total billed charges
HealthsmartAccel PPOCommercial$415percent of total billed charges
MultiplanPPOCommercial$415percent of total billed charges
PhcsPPOCommercial$415percent of total billed charges
Blue Cross Blue Shield of TexasHMOCommercial$420fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$426fee schedule
Five Point Credit UnionPPOCommercial$447percent of total billed charges
Blue Cross Blue Shield of TexasPPOCommercial$473fee schedule
Medicus InternatiaonalPPOCommercial$479percent of total billed charges
Blue Cross Blue Shield of TexasTraditionalCommercial$498fee schedule
Beech StreetPPOCommercial$510percent of total billed charges
Health Management NetworkPPOCommercial$510percent of total billed charges
HealthSmartPPOCommercial$510percent of total billed charges
Provider SelectPPOCommercial$510percent of total billed charges
National ChoicecarePPOCommercial$606percent of total billed charges
Resolute Baptist Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
AETNAAETNA EXCHANGECommercial$27.56fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$27.56fee schedule
OSCAR HEALTH PLANOSCAR HEALTH PLAN HMO HIXCommercial$27.57fee schedule
AETNAAETNA EXCHANGE HIXCommercial$28.11fee schedule
AETNAAETNA SPPCommercial$35.48fee schedule
OSCAR HEALTH PLANOSCAR HEALTH PLAN HIXCommercial$37.73fee schedule
AETNAAETNA QPICCommercial$39.57fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$40.10fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$41.21fee schedule
SCOTT AND WHITE HEALTH PLANSCOTT AND WHITE EXCHANGECommercial$45.66fee schedule
AETNAAETNA COMMERCIALCommercial$46.39fee schedule
TEXICARETEXICARE COMMCommercial$47.64fee schedule
CIGNACIGNA COMMERCIALCommercial$55.13fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$61.37fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$63.93fee schedule
AMBETTERAMBETTER EXCHANGE VALUE AND SELECT NONPARCommercial$64.07fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$71.02fee schedule
HUMANAHUMANA COMMERCIALCommercial$91.22fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$97.51fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$98.63fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$109fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$109fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$109fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$109fee schedule
HUMANAHUMANA EXCHANGECommercial$119fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$132fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$158fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$178fee schedule
Methodist Hospital Atascosa: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
MolinaCHIPHMOMedicaid / CHIP$40.10fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$40.10fee schedule
MolinaSTARMedicaid / CHIP$40.10fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$40.10fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBlueAdvantageCommercial$259fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
BCBSBlueEssentialsCommercial$387fee schedule
BCBSBlueEssentialsAccessCommercial$387fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$430fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
BCBSPPOCommercial$473fee schedule
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Methodist Hospital Landmark: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
BCBSBlueAdvantageCommercial$222fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Methodist Hospital Stone Oak: all 61 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueAdvantageCommercial$259fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
BCBSBlueEssentialsCommercial$387fee schedule
BCBSBlueEssentialsAccessCommercial$387fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$430fee schedule
UnitedOptionsPPOCommercial$457percent of total billed charges
BCBSPPOCommercial$473fee schedule
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
AetnaASACommercial$883percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Methodist Hospital Westover Hills: all 33 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
BCBSBlueAdvantageCommercial$222fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Methodist Hospital: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
BCBSBlueAdvantageCommercial$222fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$457percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
Cigna LifesourceCOMMCommercial$528percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
AetnaASACommercial$883percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$892percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,220percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,275percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
USA Managed CarePPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
OptumMCDMedicaid / CHIP$1,821percent of total billed charges
Methodist Specialty & Transplant Hospital: all 69 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueAdvantageCommercial$259fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
BCBSBlueEssentialsCommercial$387fee schedule
BCBSBlueEssentialsAccessCommercial$387fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$420fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
BCBSPPOCommercial$454fee schedule
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
Cigna LifesourceCOMMCommercial$528percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$892percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
HumanaBHCOMMCommercial$1,184percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$1,220percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,275percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
USA Managed CarePPOCommercial$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
OptumMCDMedicaid / CHIP$1,821percent of total billed charges
Methodist Texsan Hospital: all 61 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
UnitedMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
BCBSBlueAdvantageCommercial$222fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Metropolitan Methodist Hospital: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$40.10fee schedule
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueAdvantageCommercial$259fee schedule
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$448percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,275percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
USA Managed CarePPOCommercial$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Northeast Methodist Hospital: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$40.10fee schedule
AmerigroupCHIPMedicaid / CHIP$40.10fee schedule
AmerigroupMCDMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$40.10fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$40.10fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$40.90fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$40.90fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$43.31fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$43.31fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$43.31fee schedule
Molina HealthcareCHIPMedicaid / CHIP$44.11fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$44.11fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$44.11fee schedule
HumanaMGMCDMedicaid / CHIP$50.13fee schedule
Superior HealthCHIPMedicaid / CHIP$91.06percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$91.06percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$91.06percent of total billed charges
AetnaNarrowNetworkCommercial$148fee schedule
AetnaNewBusinessRatesCommercial$176fee schedule
AetnaCommercialBaseNetworkCommercial$179fee schedule
BCBSMyBlueHealthCommercial$196fee schedule
AetnaOONCommercial$211fee schedule
BCBSBlueAdvantageCommercial$222fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedCharterCommercial$245fee schedule
UnitedNexusACOCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
AmerigroupCHIPBHMedicaid / CHIP$255percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$255percent of total billed charges
BCBSBlueEssentialsCommercial$267fee schedule
BCBSBlueEssentialsAccessCommercial$267fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$290fee schedule
BCBSPPOCommercial$314fee schedule
CignaNewBusinessNetworkCommercial$362fee schedule
CignaHMOCommercial$396fee schedule
CignaOpenAccessPlusCommercial$396fee schedule
UnitedOptionsPPOCommercial$457percent of total billed charges
CignaPPOCommercial$478fee schedule
Community First Health PlansHMOCommercial$492percent of total billed charges
BCBSTRADCommercial$537percent of total billed charges
Focus Health SolutionsCOMMCommercial$546percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$561percent of total billed charges
ValenzNXNetworkCommercial$637percent of total billed charges
Evry HealthBroadCommercial$670percent of total billed charges
Curative AdministratorsCOMMCommercial$729percent of total billed charges
UnitedGlobalBenefitPlanCommercial$820percent of total billed charges
AetnaASACommercial$883percent of total billed charges
TX Healthcare FoundationPPOCommercial$911percent of total billed charges
HealthSmart Preferred CareAccelCommercial$1,002percent of total billed charges
TML Intergovernmental EBPPPOCommercial$1,275percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$1,366percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$1,366percent of total billed charges
USA Managed CarePPOCommercial$1,366percent of total billed charges
DirectCare AmericaPPOCommercial$1,457percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,548percent of total billed charges
Northeast Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Mission Trail Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
St. Luke's Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
North Central Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod
Westover Hills Baptist Hospital: all 0 plan rates
PayerPlan (as written in the file)TypeRateMethod

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

  1. 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).
  2. Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
  3. Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

Other X-ray prices in San Antonio