How much does a shoulder X-ray cost in San Antonio?

17 hospitals in San Antonio list a self-pay price of $144–$1,778 for a shoulder X-ray (2+ views) (CPT 73030). The typical commercial rate in the same files is $282.

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
$144–$1,778
what 17 hospitals list for a self-pay shoulder X-ray
Typical insured rate
$282
median of every commercial plan rate in the files
Lowest insured rate
$22.58
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.

Shoulder 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 73030; Medicaid and Medicare Advantage are shown separately below.

Shoulder X-ray (2+ views) (CPT 73030) — San Antonio
HospitalPublished cash priceTypical insured rateLowest insured rate
CHRISTUS Santa Rosa Hospital – Westover HillsCHRISTUS Health · file Jan 2026$144–$736Cash ÷ typical 0.6×$24739 plans$53.20
University Health University HospitalUniversity Health · file Oct 2025$209Cash ÷ typical 1.0×$21325 plans$82.68
Resolute Baptist HospitalBaptist Health System · file Sep 2026$843Cash ÷ typical 18×$46.4227 plans$22.58
Methodist Hospital AtascosaMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 4.3×$30631 plans$129
Methodist Hospital LandmarkMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 5.5×$24128 plans$129
Methodist Hospital Stone OakMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 4.1×$31932 plans$129
Methodist Hospital Westover HillsMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 5.1×$25829 plans$129
Methodist HospitalMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 3.9×$33736 plans$129
Methodist Specialty & Transplant HospitalMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 3.8×$34938 plans$129
Methodist Texsan HospitalMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 4.7×$28233 plans$129
Metropolitan Methodist HospitalMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 4.1×$32635 plans$129
Northeast Methodist HospitalMethodist Healthcare · file Sep 2026$1,324= list priceCash ÷ typical 4.0×$33235 plans$129
Northeast Baptist HospitalBaptist Health System · file Apr 2026$1,778——
Mission Trail Baptist HospitalBaptist Health System · file Apr 2026$1,778——
St. Luke's Baptist HospitalBaptist Health System · file Apr 2026$1,778——
North Central Baptist HospitalBaptist Health System · file Apr 2026$1,778——
Westover Hills Baptist HospitalBaptist Health System · file Apr 2026$1,778——

↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)

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
CHRISTUS Santa Rosa Hospital – Westover Hills$83–$354$56.67–$82.68$57.34–$72.62$83–$547$53.20–$82.68——$28–$156$41–$156
University Health University Hospital$334–$367$202–$213—$172———$34.75–$83.50$83–$145
Resolute Baptist Hospital$69–$127$22.58–$38.01$40.03–$51.57$80.90$78–$103$24.40–$33.38$55.95$35.09—
Methodist Hospital Atascosa$140–$391$129–$642$258–$341$182–$596———$35.09–$66.21—
Methodist Hospital Landmark$140–$391$129–$642$258–$341$182–$596———$35.09–$38.60—
Methodist Hospital Stone Oak$140–$391$129–$642$258–$341$182–$332———$35–$185—
Methodist Hospital Westover Hills$140–$391$129–$642$258–$341$182–$596———$35.09—
Methodist Hospital$140–$391$129–$642$258–$384$182–$332———$35–$1,324$649
Methodist Specialty & Transplant Hospital$140–$391$129–$642$258–$384$182–$596$861——$35–$1,324$649
Methodist Texsan Hospital$140–$391$129–$642$258–$341$182–$596———$35–$185—
Metropolitan Methodist Hospital$140–$391$129–$642$258–$341$182–$596———$35–$185—
Northeast Methodist Hospital$140–$391$129–$642$258–$341$182–$596———$35–$185—
Northeast Baptist Hospital—————————
Mission Trail Baptist Hospital—————————
St. Luke's Baptist Hospital—————————
North Central Baptist Hospital—————————
Westover Hills Baptist Hospital—————————
CHRISTUS Santa Rosa Hospital – Westover Hills: all 82 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareChip KMMedicaid / CHIP$27.74fee schedule
United HealthcareStar KMMedicaid / CHIP$27.74fee schedule
United HealthcareStar Plus KMMedicaid / CHIP$27.74fee schedule
Texas HealthspringMMMedicare Advantage$41.34fee schedule
HumanaChoicecareCommercial$53.20fee schedule
AetnaNew BusinessCommercial$56.67fee schedule
CignaNew BusinessCommercial$57.34fee schedule
AetnaEPOCommercial$62.97fee schedule
AetnaHMOCommercial$62.97fee schedule
AetnaPOSCommercial$62.97fee schedule
AetnaPPOCommercial$62.97fee schedule
CignaPPOCommercial$72.62fee schedule
AetnaMMCommercial$82.68fee schedule
AllwellSuperior Health MMMedicare Advantage$82.68fee schedule
Blue Cross Blue Shield of TexasMMCommercial$82.68fee schedule
Christus HealthMed Adv MMMedicare Advantage$82.68fee schedule
CoventryFirst Health MMCommercial$82.68fee schedule
HumanaGold Choice MMCommercial$82.68fee schedule
HumanaGold Plus MMMedicare Advantage$82.68fee schedule
MolinaMedicare Adv MMMedicare Advantage$82.68fee schedule
SuperiorStar Plus MMMedicaid / CHIP$82.68fee schedule
TriwestVA MMMilitary / VA$82.68fee schedule
United HealthcareMMCommercial$82.68fee schedule
WellcareMMMedicare Advantage$82.68fee schedule
Provider Partners Health PlanMMMedicare Advantage$85.16fee schedule
Texas Independence Health PlanMMMedicare Advantage$85.16fee schedule
Shared Health Insurance CompanyMMCommercial$86.81fee schedule
US Imaging NetworkPPOCommercial$88.47fee schedule
AmerigroupMMMedicaid / CHIP$89.29fee schedule
Devoted Health PlanMMMedicare Advantage$89.29fee schedule
American Health MedicareAdvantage MMMedicare Advantage$90.95fee schedule
Imperial Health PlanMMMedicare Advantage$90.95fee schedule
ProCare AdvantageMMMedicare Advantage$90.95fee schedule
Employer DirectHealthcare PPOCommercial$99.22fee schedule
Gilsbar Inc.MMCommercial$107fee schedule
AetnaChip KMMedicaid / CHIP$109fee schedule
AetnaStar KMMedicaid / CHIP$109fee schedule
Blue Cross Blue Shield Of TexasStar Chip KMMedicaid / CHIP$109fee schedule
Community FirstChip KMMedicaid / CHIP$109fee schedule
Community FirstStar KMMedicaid / CHIP$109fee schedule
Community FirstStar Kids KMMedicaid / CHIP$109fee schedule
Driscoll Children's Health PlanChip KMMedicaid / CHIP$109fee schedule
Driscoll Children's Health PlanStar KMMedicaid / CHIP$109fee schedule
Driscoll Children's Health PlanStar Kids KMMedicaid / CHIP$109fee schedule
El Paso FirstKMMedicaid / CHIP$109fee schedule
First CareKMCommercial$109fee schedule
MolinaChip KMMedicaid / CHIP$109fee schedule
MolinaStar Plus KMMedicaid / CHIP$109fee schedule
SuperiorChip KMMedicaid / CHIP$109fee schedule
SuperiorFoster Care KMMedicaid / CHIP$109fee schedule
SuperiorStar KMMedicaid / CHIP$109fee schedule
SuperiorStar Kids KMMedicaid / CHIP$109fee schedule
SuperiorStar Plus KMMedicaid / CHIP$109fee schedule
Texas Childrens Health PlanChip KMMedicaid / CHIP$115fee schedule
Texas Childrens Health PlanStar Plus KMMedicaid / CHIP$115fee schedule
Christus HealthHIXCommercial$116fee schedule
AmerigroupChip KMMedicaid / CHIP$156percent of total billed charges
AmerigroupStar KMMedicaid / CHIP$156percent of total billed charges
AmerigroupStar Kids KMMedicaid / CHIP$156percent of total billed charges
AmerigroupStar Plus KMMedicaid / CHIP$156percent of total billed charges
Community FirstMed Adv MMMedicare Advantage$156percent of total billed charges
Naphcare Inc.RRMBPublic program$165fee schedule
Blue Cross Blue Shield of TexasBlue AdvantangeHMOCommercial$247fee schedule
Blue Cross Blue Shield of TexasHMOCommercial$299fee schedule
Blue Cross Blue Shield of TexasHEBCommercial$303fee schedule
Blue Cross Blue Shield of TexasPPOCommercial$337fee schedule
Blue Cross Blue Shield of TexasTraditionalCommercial$354fee schedule
United HealthcareAll PayerCommercial$547percent of total billed charges
Community First Health PlanHMOCommercial$573percent of total billed charges
Healthcare HighwaysPPOCommercial$586percent of total billed charges
Christian Brothers ServicesPPOCommercial$716percent of total billed charges
First HealthPPOCommercial$846percent of total billed charges
HealthsmartAccel PPOCommercial$846percent of total billed charges
MultiplanPPOCommercial$846percent of total billed charges
PhcsPPOCommercial$846percent of total billed charges
Five Point Credit UnionPPOCommercial$911percent of total billed charges
Medicus InternatiaonalPPOCommercial$977percent of total billed charges
Beech StreetPPOCommercial$1,042percent of total billed charges
Health Management NetworkPPOCommercial$1,042percent of total billed charges
HealthSmartPPOCommercial$1,042percent of total billed charges
Provider SelectPPOCommercial$1,042percent of total billed charges
National ChoicecarePPOCommercial$1,237percent of total billed charges
University Health University Hospital: all 55 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue Shield Star/CHIPManaged MedicaidMedicaid / CHIP$34.75fee schedule
Community First Health PlanManaged MedicaidMedicaid / CHIP$34.75fee schedule
First Care/Scott and WhiteManaged MedicaidMedicaid / CHIP$34.75fee schedule
United HealthcareManaged MedicaidMedicaid / CHIP$34.75fee schedule
El Paso HealthManaged MedicaidMedicaid / CHIP$35.45fee schedule
Superior Health PlanManaged MedicaidMedicaid / CHIP$35.79fee schedule
WellpointManaged Medicaid/CHIPMedicaid / CHIP$35.79fee schedule
Molina HealthcareManaged MedicaidMedicaid / CHIP$36.84fee schedule
Driscoll Health PlanManaged MedicaidMedicaid / CHIP$37.53fee schedule
Blue Cross Blue Shield Star Kids/Star PlusManaged MedicaidMedicaid / CHIP$38.23fee schedule
Aetna Better HealthManaged Medicaid and CHIPMedicaid / CHIP$41.70fee schedule
Point Comfort - Adult RefugeeManaged MedicaidPublic program$59.08fee schedule
Community First Health PlanMedicare AdvantageMedicare Advantage$82.68fee schedule
HumanaMedicare AdvantageMedicare Advantage$82.68fee schedule
Superior Health PlanMedicare AdvantageMedicare Advantage$82.68fee schedule
WellMedMedicare AdvantageMedicare Advantage$82.68fee schedule
United HealthcareMedicare AdvantageMedicare Advantage$82.68fee schedule
MultiplanMedicare AdvantageMedicare Advantage$82.68fee schedule
AetnaMedicare AdvantageMedicare Advantage$82.68fee schedule
Community First EPO Affordable CareCommercialCommercial$82.68fee schedule
Scott and White InsuranceMedicare AdvantageMedicare Advantage$82.68fee schedule
WellpointMedicare/Medicaid Dual ProgramMedicaid / CHIP$83.50fee schedule
WellpointMedicare AdvantageMedicare Advantage$83.50fee schedule
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$84.33fee schedule
MolinaMedicare AdvantageMedicare Advantage$85.16fee schedule
WellcareMedicare AdvantageMedicare Advantage$85.16fee schedule
Texas Independence Health PlanMedicare AdvantageMedicare Advantage$90.94fee schedule
Provider Partner Health PlansMedicare AdvantageMedicare Advantage$90.94fee schedule
Procare AdvantageMedicare AdvantageMedicare Advantage$90.94fee schedule
EntrustCommercialCommercial$99.21fee schedule
Point Comfort - Unaccompanied Minor HealthcareMedicare AdvantagePublic program$99.21fee schedule
WellpointExchangeCommercial$103fee schedule
WellpointCommercialCommercial$116fee schedule
Molina Healthcare Affordable CareCommercialCommercial$132fee schedule
CurativeCommercialCommercial$136fee schedule
HPHG LLC dba 90 DegreesCommercialCommercial$145fee schedule
Universal Benefits ConsortiumCommercialCommercial$145fee schedule
EBSOCommercialCommercial$145fee schedule
Velocity National Provider NetworkMedicare AdvantageMedicare Advantage$145fee schedule
Scott and White InsuranceCommercialCommercial$148fee schedule
United HealthcareCommercialCommercial$172fee schedule
AetnaExchangeCommercial$202fee schedule
AetnaCommercialCommercial$213fee schedule
USAACommercialCommercial$309percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$334percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$367percent of total billed charges
Independent Medical SystemsCommercialCommercial$418percent of total billed charges
First Health NetworkCommercialCommercial$476percent of total billed charges
MultiplanPrimary NetworkCommercial$543percent of total billed charges
Prime HealthCommercialCommercial$585percent of total billed charges
MultiplanComplementary NetworkCommercial$585percent of total billed charges
HealthSmartCommercialCommercial$585percent of total billed charges
Community First Health PlanCommercialCommercial$585percent of total billed charges
Velocity National Provider NetworkCommercialCommercial$668percent of total billed charges
Three Rivers Provider NetworkCommercialCommercial$710percent of total billed charges
Resolute Baptist Hospital: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
AETNAAETNA EXCHANGECommercial$22.58fee schedule
AETNAAETNA SOUTH SAN ANTONIO ISDCommercial$22.58fee schedule
AETNAAETNA EXCHANGE HIXCommercial$23.03fee schedule
OSCAR HEALTH PLANOSCAR HEALTH PLAN HMO HIXCommercial$24.40fee schedule
AETNAAETNA SPPCommercial$29.07fee schedule
AETNAAETNA QPICCommercial$32.42fee schedule
OSCAR HEALTH PLANOSCAR HEALTH PLAN HIXCommercial$33.38fee schedule
AETNAAETNA COMMERCIAL NEW BUSINESS DISCOUNTCommercial$33.76fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE MEDICAID STAR PLUSMedicaid / CHIP$35.09fee schedule
AETNAAETNA COMMERCIALCommercial$38.01fee schedule
SCOTT AND WHITE HEALTH PLANSCOTT AND WHITE EXCHANGECommercial$39.87fee schedule
CIGNACIGNA COMMERCIALCommercial$40.03fee schedule
TEXICARETEXICARE COMMCommercial$41.60fee schedule
CIGNACIGNA HEALTH PLAN - NEW BUSINESSCommercial$44.56fee schedule
CIGNACIGNA HEALTH PLAN - HMOCommercial$46.42fee schedule
CIGNACIGNA HEALTH PLAN - PPOCommercial$51.57fee schedule
AMBETTERAMBETTER EXCHANGE VALUE AND SELECT NONPARCommercial$55.95fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS MYBLUE HEALTH HIXCommercial$69.43fee schedule
BLUE CROSS/BLUE SHIELDBLUE ADVANTAGE HMOCommercial$70.23fee schedule
BLUE CROSS/BLUE SHIELDBLUE OPTIONS/BLUE PRECISIONCommercial$71.44fee schedule
HUMANAHUMANA EXCHANGE HMOXCommercial$78.29fee schedule
HUMANAHUMANA COMMERCIALCommercial$80.84fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE EXCHANGECommercial$80.90fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE NON OPTIONSCommercial$80.90fee schedule
UNITED HEALTHCAREUNITED HEALTHCARE OPTIONS PPOCommercial$80.90fee schedule
HUMANAHUMANA EXCHANGECommercial$103fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD HMO BLUECommercial$113fee schedule
BLUE CROSS/BLUE SHIELDBLUE CROSS BLUE SHIELD PPO/POSCommercial$127fee schedule
Methodist Hospital Atascosa: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
MolinaCHIPHMOMedicaid / CHIP$35.09fee schedule
MolinaCHIPPERINATEMedicaid / CHIP$35.09fee schedule
MolinaSTARMedicaid / CHIP$35.09fee schedule
MolinaSTAR+PLUSMedicaid / CHIP$35.09fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueAdvantageCommercial$184fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
BCBSBlueEssentialsCommercial$275fee schedule
BCBSBlueEssentialsAccessCommercial$275fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$306fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
BCBSPPOCommercial$337fee schedule
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Methodist Hospital Landmark: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
BCBSBlueAdvantageCommercial$158fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Methodist Hospital Stone Oak: all 61 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueAdvantageCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
CignaNewBusinessNetworkCommercial$258fee schedule
BCBSBlueEssentialsCommercial$275fee schedule
BCBSBlueEssentialsAccessCommercial$275fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$306fee schedule
UnitedOptionsPPOCommercial$332percent of total billed charges
BCBSPPOCommercial$337fee schedule
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
AetnaASACommercial$642percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Methodist Hospital Westover Hills: all 33 plan rates
PayerPlan (as written in the file)TypeRateMethod
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
BCBSBlueAdvantageCommercial$158fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Methodist Hospital: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
BCBSBlueAdvantageCommercial$158fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$332percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
Cigna LifesourceCOMMCommercial$384percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
AetnaASACommercial$642percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$649percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$887percent of total billed charges
TML Intergovernmental EBPPPOCommercial$927percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
USA Managed CarePPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
OptumMCDMedicaid / CHIP$1,324percent of total billed charges
Methodist Specialty & Transplant Hospital: all 69 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueAdvantageCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
CignaNewBusinessNetworkCommercial$258fee schedule
BCBSBlueEssentialsCommercial$275fee schedule
BCBSBlueEssentialsAccessCommercial$275fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$299fee schedule
BCBSPPOCommercial$323fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
Cigna LifesourceCOMMCommercial$384percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
Emerging Therapy SolutionsMCRMedicare Advantage$649percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
HumanaBHCOMMCommercial$861percent of total billed charges
Emerging Therapy SolutionsCOMMCommercial$887percent of total billed charges
TML Intergovernmental EBPPPOCommercial$927percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
USA Managed CarePPOCommercial$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
OptumMCDMedicaid / CHIP$1,324percent of total billed charges
Methodist Texsan Hospital: all 61 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
BCBSBlueAdvantageCommercial$158fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Metropolitan Methodist Hospital: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
BCBSBlueAdvantageCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$326percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
TML Intergovernmental EBPPPOCommercial$927percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
USA Managed CarePPOCommercial$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent of total billed charges
Northeast Methodist Hospital: all 64 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupCHIPMedicaid / CHIP$34.75fee schedule
AmerigroupMCDMedicaid / CHIP$34.75fee schedule
UnitedMCDMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansCHIPPerinateMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARMedicaid / CHIP$35.09fee schedule
USA Managed Care CHIPCHIPMedicaid / CHIP$35.09fee schedule
Community First Health PlansMCDSTARKIDSMedicaid / CHIP$35.79fee schedule
Community First Health PlansSTARPLUSMedicaid / CHIP$35.79fee schedule
Aetna Better HealthCHIPMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPEPOMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHIPPerinateMedicaid / CHIP$37.53fee schedule
Aetna Better HealthCHPFCMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTAR+PLUSMedicaid / CHIP$37.53fee schedule
Aetna Better HealthSTARKidsMedicaid / CHIP$37.53fee schedule
Molina HealthcareCHIPMedicaid / CHIP$38.60fee schedule
Molina HealthcareMCDSTARMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTAR+PLUSMedicaid / CHIP$38.60fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$38.60fee schedule
HumanaMGMCDMedicaid / CHIP$43.86fee schedule
Superior HealthCHIPMedicaid / CHIP$66.21percent of total billed charges
Superior HealthCHPFCMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARKidsMedicaid / CHIP$66.21percent of total billed charges
Superior HealthSTARPLUSMedicaid / CHIP$66.21percent of total billed charges
AetnaNarrowNetworkCommercial$129fee schedule
BCBSMyBlueHealthCommercial$140fee schedule
AetnaNewBusinessRatesCommercial$153fee schedule
AetnaCommercialBaseNetworkCommercial$156fee schedule
BCBSBlueAdvantageCommercial$158fee schedule
UnitedAllPayerAppendixCommercial$182fee schedule
UnitedCharterCommercial$182fee schedule
UnitedNexusACOCommercial$182fee schedule
UnitedSmallGroupCommercial$182fee schedule
AetnaOONCommercial$184fee schedule
AmerigroupCHIPBHMedicaid / CHIP$185percent of total billed charges
AmerigroupMCDBHMedicaid / CHIP$185percent of total billed charges
BCBSBlueEssentialsCommercial$190fee schedule
BCBSBlueEssentialsAccessCommercial$190fee schedule
BCBSHealthSelectOpenAccess(EPOSOA)Commercial$207fee schedule
BCBSPPOCommercial$223fee schedule
CignaNewBusinessNetworkCommercial$258fee schedule
CignaHMOCommercial$282fee schedule
CignaOpenAccessPlusCommercial$282fee schedule
UnitedOptionsPPOCommercial$332percent of total billed charges
CignaPPOCommercial$341fee schedule
Community First Health PlansHMOCommercial$358percent of total billed charges
BCBSTRADCommercial$391percent of total billed charges
Focus Health SolutionsCOMMCommercial$397percent of total billed charges
Healthcare HighwaysNarrowNetworkCommercial$408percent of total billed charges
ValenzNXNetworkCommercial$464percent of total billed charges
Evry HealthBroadCommercial$487percent of total billed charges
Curative AdministratorsCOMMCommercial$530percent of total billed charges
UnitedGlobalBenefitPlanCommercial$596percent of total billed charges
AetnaASACommercial$642percent of total billed charges
TX Healthcare FoundationPPOCommercial$662percent of total billed charges
HealthSmart Preferred CareAccelCommercial$728percent of total billed charges
TML Intergovernmental EBPPPOCommercial$927percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$993percent of total billed charges
TriWest Health AllianceTRICAREMilitary / VA$993percent of total billed charges
USA Managed CarePPOCommercial$993percent of total billed charges
DirectCare AmericaPPOCommercial$1,059percent of total billed charges
MultiplanComplementaryNetworkCommercial$1,126percent 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 73030 (Shoulder X-ray (2+ 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