Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CHEST PAIN

Facility

IP

$13,680.00

Service Code	MSDRG 313
Min. Negotiated Rate	$6,082.78
Max. Negotiated Rate	$13,680.00
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$10,036.97
Rate for Payer: Amerigroup Medicare	$10,036.97
Rate for Payer: BCBS of TX Blue Advantage	$6,082.78
Rate for Payer: BCBS of TX Blue Essentials	$7,298.63
Rate for Payer: BCBS of TX Medicare	$10,036.97
Rate for Payer: BCBS of TX PPO	$8,109.90
Rate for Payer: Cigna Commercial	$9,273.60
Rate for Payer: Cigna Medicare	$10,036.97
Rate for Payer: Employer Direct Commercial	$10,036.97
Rate for Payer: Humana Medicare/TRICARE	$10,036.97
Rate for Payer: Molina Dual Medicare/Medicaid	$10,036.97
Rate for Payer: Molina Medicare	$10,036.97
Rate for Payer: Multiplan Auto	$13,680.00
Rate for Payer: Multiplan Commercial	$13,680.00
Rate for Payer: Multiplan Workers Comp	$13,680.00
Rate for Payer: Scott and White EPO/PPO	$6,300.00
Rate for Payer: Scott and White Medicare	$10,036.97
Rate for Payer: Superior Health Plan EPO	$10,036.97
Rate for Payer: Superior Health Plan Medicare	$10,036.97
Rate for Payer: Universal American Dual Medicare/Medicaid	$10,036.97
Rate for Payer: Universal American Medicare	$10,036.97
Rate for Payer: Wellcare Medicare	$10,036.97
Rate for Payer: Wellmed Medicare	$10,036.97

CHEST PAIN

Facility

IP

$6,094.24

Service Code	APR-DRG 2034
Min. Negotiated Rate	$5,745.87
Max. Negotiated Rate	$6,094.24
Rate for Payer: Amerigroup CHIP/Medicaid	$5,745.87
Rate for Payer: Cigna Medicaid	$5,745.87
Rate for Payer: Molina CHIP/Medicaid	$5,745.87
Rate for Payer: Parkland Medicaid	$5,745.87
Rate for Payer: Superior Health Plan CHIP/Medicaid	$6,094.24

CHEST PAIN

Facility

IP

$2,721.04

Service Code	APR-DRG 2032
Min. Negotiated Rate	$2,565.49
Max. Negotiated Rate	$2,721.04
Rate for Payer: Amerigroup CHIP/Medicaid	$2,565.49
Rate for Payer: Cigna Medicaid	$2,565.49
Rate for Payer: Molina CHIP/Medicaid	$2,565.49
Rate for Payer: Parkland Medicaid	$2,565.49
Rate for Payer: Superior Health Plan CHIP/Medicaid	$2,721.04

CHI ANGPLSTY ILIAC ARTERY UNI LATRL

Facility

IP

$11,190.44

Service Code	HCPCS 37220
Hospital Charge Code	2170640
Hospital Revenue Code	361
Rate for Payer: Cash Price	$7,609.50

CHI ANGPLSTY ILIAC ARTERY UNI LATRL

Facility

OP

$11,190.44

Service Code	HCPCS 37220
Hospital Charge Code	2170640
Hospital Revenue Code	361
Min. Negotiated Rate	$1,007.14
Max. Negotiated Rate	$12,483.85
Rate for Payer: Amerigroup CHIP/Medicaid	$1,007.14
Rate for Payer: BCBS of TX Blue Advantage	$8,273.03
Rate for Payer: BCBS of TX Blue Essentials	$9,907.82
Rate for Payer: BCBS of TX PPO	$12,483.85
Rate for Payer: Cash Price	$7,609.50
Rate for Payer: Cash Price	$7,609.50
Rate for Payer: Cash Price	$7,609.50
Rate for Payer: Cigna Medicaid	$8,057.12
Rate for Payer: Molina CHIP/Medicaid	$8,057.12
Rate for Payer: Multiplan Auto	$10,000.00
Rate for Payer: Multiplan Commercial	$10,000.00
Rate for Payer: Multiplan Workers Comp	$10,000.00
Rate for Payer: Parkland Medicaid	$8,057.12
Rate for Payer: Scott and White EPO/PPO	$5,595.22
Rate for Payer: Superior Health Plan CHIP/Medicaid	$8,057.12
Rate for Payer: Superior Health Plan EPO	$1,521.90

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

IP

$114,775.97

Service Code	APR-DRG 0114
Min. Negotiated Rate	$108,214.81
Max. Negotiated Rate	$114,775.97
Rate for Payer: Amerigroup CHIP/Medicaid	$108,214.81
Rate for Payer: Cigna Medicaid	$108,214.81
Rate for Payer: Molina CHIP/Medicaid	$108,214.81
Rate for Payer: Parkland Medicaid	$108,214.81
Rate for Payer: Superior Health Plan CHIP/Medicaid	$114,775.97

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

IP

$25,775.96

Service Code	APR-DRG 0111
Min. Negotiated Rate	$24,302.48
Max. Negotiated Rate	$25,775.96
Rate for Payer: Amerigroup CHIP/Medicaid	$24,302.48
Rate for Payer: Cigna Medicaid	$24,302.48
Rate for Payer: Molina CHIP/Medicaid	$24,302.48
Rate for Payer: Parkland Medicaid	$24,302.48
Rate for Payer: Superior Health Plan CHIP/Medicaid	$25,775.96

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

IP

$45,324.92

Service Code	APR-DRG 0112
Min. Negotiated Rate	$42,733.92
Max. Negotiated Rate	$45,324.92
Rate for Payer: Amerigroup CHIP/Medicaid	$42,733.92
Rate for Payer: Cigna Medicaid	$42,733.92
Rate for Payer: Molina CHIP/Medicaid	$42,733.92
Rate for Payer: Parkland Medicaid	$42,733.92
Rate for Payer: Superior Health Plan CHIP/Medicaid	$45,324.92

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

IP

$65,221.64

Service Code	APR-DRG 0113
Min. Negotiated Rate	$61,493.24
Max. Negotiated Rate	$65,221.64
Rate for Payer: Amerigroup CHIP/Medicaid	$61,493.24
Rate for Payer: Cigna Medicaid	$61,493.24
Rate for Payer: Molina CHIP/Medicaid	$61,493.24
Rate for Payer: Parkland Medicaid	$61,493.24
Rate for Payer: Superior Health Plan CHIP/Medicaid	$65,221.64

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

IP

$820,473.20

Service Code	MSDRG 018
Min. Negotiated Rate	$321,247.95
Max. Negotiated Rate	$820,473.20
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$321,247.95
Rate for Payer: Amerigroup Medicare	$321,247.95
Rate for Payer: BCBS of TX Medicare	$321,247.95
Rate for Payer: Cigna Commercial	$556,194.46
Rate for Payer: Cigna Medicare	$321,247.95
Rate for Payer: Employer Direct Commercial	$321,247.95
Rate for Payer: Humana Medicare/TRICARE	$321,247.95
Rate for Payer: Molina Dual Medicare/Medicaid	$321,247.95
Rate for Payer: Molina Medicare	$321,247.95
Rate for Payer: Multiplan Auto	$820,473.20
Rate for Payer: Multiplan Commercial	$820,473.20
Rate for Payer: Multiplan Workers Comp	$820,473.20
Rate for Payer: Scott and White EPO/PPO	$377,849.50
Rate for Payer: Scott and White Medicare	$321,247.95
Rate for Payer: Superior Health Plan EPO	$321,247.95
Rate for Payer: Superior Health Plan Medicare	$321,247.95
Rate for Payer: Universal American Dual Medicare/Medicaid	$321,247.95
Rate for Payer: Universal American Medicare	$321,247.95
Rate for Payer: Wellcare Medicare	$321,247.95
Rate for Payer: Wellmed Medicare	$321,247.95

Chlamydia PCR

Facility

OP

$298.00

Service Code	HCPCS 87491
Hospital Charge Code	4107492
Hospital Revenue Code	306
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$214.56
Rate for Payer: Amerigroup CHIP/Medicaid	$13.69
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$35.09
Rate for Payer: Amerigroup Medicare	$35.09
Rate for Payer: BCBS of TX Blue Advantage	$89.40
Rate for Payer: BCBS of TX Blue Essentials	$107.28
Rate for Payer: BCBS of TX Medicare	$35.09
Rate for Payer: BCBS of TX PPO	$119.20
Rate for Payer: Cash Price	$202.64
Rate for Payer: Cash Price	$202.64
Rate for Payer: Cigna Medicaid	$214.56
Rate for Payer: Cigna Medicare	$35.09
Rate for Payer: Employer Direct Commercial	$35.09
Rate for Payer: Humana Medicare/TRICARE	$35.09
Rate for Payer: Molina CHIP/Medicaid	$214.56
Rate for Payer: Molina Dual Medicare/Medicaid	$35.09
Rate for Payer: Molina Medicare	$35.09
Rate for Payer: Multiplan Auto	$193.70
Rate for Payer: Multiplan Commercial	$193.70
Rate for Payer: Multiplan Workers Comp	$193.70
Rate for Payer: Parkland Medicaid	$214.56
Rate for Payer: Scott and White EPO/PPO	$43.86
Rate for Payer: Scott and White Medicare	$35.09
Rate for Payer: Superior Health Plan CHIP/Medicaid	$214.56
Rate for Payer: Superior Health Plan EPO	$35.09
Rate for Payer: Superior Health Plan Medicare	$35.09
Rate for Payer: Universal American Dual Medicare/Medicaid	$35.09
Rate for Payer: Universal American Medicare	$35.09
Rate for Payer: Wellcare Medicare	$35.09
Rate for Payer: Wellmed Medicare	$35.09

Chlamydia PCR

Facility

IP

$298.00

Service Code	HCPCS 87491
Hospital Charge Code	4107492
Hospital Revenue Code	306
Rate for Payer: Cash Price	$202.64

Chlamydia pneumoniae IgG Ab SO

Facility

OP

$124.00

Service Code	HCPCS 86631
Hospital Charge Code	1703305
Hospital Revenue Code	302
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$89.28
Rate for Payer: Amerigroup CHIP/Medicaid	$4.61
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$11.82
Rate for Payer: Amerigroup Medicare	$11.82
Rate for Payer: BCBS of TX Blue Advantage	$37.20
Rate for Payer: BCBS of TX Blue Essentials	$44.64
Rate for Payer: BCBS of TX Medicare	$11.82
Rate for Payer: BCBS of TX PPO	$49.60
Rate for Payer: Cash Price	$84.32
Rate for Payer: Cash Price	$84.32
Rate for Payer: Cigna Medicaid	$89.28
Rate for Payer: Cigna Medicare	$11.82
Rate for Payer: Employer Direct Commercial	$11.82
Rate for Payer: Humana Medicare/TRICARE	$11.82
Rate for Payer: Molina CHIP/Medicaid	$89.28
Rate for Payer: Molina Dual Medicare/Medicaid	$11.82
Rate for Payer: Molina Medicare	$11.82
Rate for Payer: Multiplan Auto	$80.60
Rate for Payer: Multiplan Commercial	$80.60
Rate for Payer: Multiplan Workers Comp	$80.60
Rate for Payer: Parkland Medicaid	$89.28
Rate for Payer: Scott and White EPO/PPO	$14.78
Rate for Payer: Scott and White Medicare	$11.82
Rate for Payer: Superior Health Plan CHIP/Medicaid	$89.28
Rate for Payer: Superior Health Plan EPO	$11.82
Rate for Payer: Superior Health Plan Medicare	$11.82
Rate for Payer: Universal American Dual Medicare/Medicaid	$11.82
Rate for Payer: Universal American Medicare	$11.82
Rate for Payer: Wellcare Medicare	$11.82
Rate for Payer: Wellmed Medicare	$11.82

Chlamydia pneumoniae IgG Ab SO

Facility

IP

$124.00

Service Code	HCPCS 86631
Hospital Charge Code	1703305
Hospital Revenue Code	302
Rate for Payer: Cash Price	$84.32

Chlamydia pneumoniae IgM SO

Facility

IP

$119.00

Service Code	HCPCS 86632
Hospital Charge Code	1703313
Hospital Revenue Code	302
Rate for Payer: Cash Price	$80.92

Chlamydia pneumoniae IgM SO

Facility

OP

$119.00

Service Code	HCPCS 86632
Hospital Charge Code	1703313
Hospital Revenue Code	302
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$85.68
Rate for Payer: Amerigroup CHIP/Medicaid	$4.95
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$12.68
Rate for Payer: Amerigroup Medicare	$12.68
Rate for Payer: BCBS of TX Blue Advantage	$35.70
Rate for Payer: BCBS of TX Blue Essentials	$42.84
Rate for Payer: BCBS of TX Medicare	$12.68
Rate for Payer: BCBS of TX PPO	$47.60
Rate for Payer: Cash Price	$80.92
Rate for Payer: Cash Price	$80.92
Rate for Payer: Cigna Medicaid	$85.68
Rate for Payer: Cigna Medicare	$12.68
Rate for Payer: Employer Direct Commercial	$12.68
Rate for Payer: Humana Medicare/TRICARE	$12.68
Rate for Payer: Molina CHIP/Medicaid	$85.68
Rate for Payer: Molina Dual Medicare/Medicaid	$12.68
Rate for Payer: Molina Medicare	$12.68
Rate for Payer: Multiplan Auto	$77.35
Rate for Payer: Multiplan Commercial	$77.35
Rate for Payer: Multiplan Workers Comp	$77.35
Rate for Payer: Parkland Medicaid	$85.68
Rate for Payer: Scott and White EPO/PPO	$15.85
Rate for Payer: Scott and White Medicare	$12.68
Rate for Payer: Superior Health Plan CHIP/Medicaid	$85.68
Rate for Payer: Superior Health Plan EPO	$12.68
Rate for Payer: Superior Health Plan Medicare	$12.68
Rate for Payer: Universal American Dual Medicare/Medicaid	$12.68
Rate for Payer: Universal American Medicare	$12.68
Rate for Payer: Wellcare Medicare	$12.68
Rate for Payer: Wellmed Medicare	$12.68

Chlamydia pneumoniae, PCR SO

Facility

IP

$260.00

Service Code	HCPCS 87486
Hospital Charge Code	8722543
Hospital Revenue Code	306
Rate for Payer: Cash Price	$176.80

Chlamydia pneumoniae, PCR SO

Facility

OP

$260.00

Service Code	HCPCS 87486
Hospital Charge Code	8722543
Hospital Revenue Code	306
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$187.20
Rate for Payer: Amerigroup CHIP/Medicaid	$13.69
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$35.09
Rate for Payer: Amerigroup Medicare	$35.09
Rate for Payer: BCBS of TX Blue Advantage	$78.00
Rate for Payer: BCBS of TX Blue Essentials	$93.60
Rate for Payer: BCBS of TX Medicare	$35.09
Rate for Payer: BCBS of TX PPO	$104.00
Rate for Payer: Cash Price	$176.80
Rate for Payer: Cash Price	$176.80
Rate for Payer: Cigna Medicaid	$187.20
Rate for Payer: Cigna Medicare	$35.09
Rate for Payer: Employer Direct Commercial	$35.09
Rate for Payer: Humana Medicare/TRICARE	$35.09
Rate for Payer: Molina CHIP/Medicaid	$187.20
Rate for Payer: Molina Dual Medicare/Medicaid	$35.09
Rate for Payer: Molina Medicare	$35.09
Rate for Payer: Multiplan Auto	$169.00
Rate for Payer: Multiplan Commercial	$169.00
Rate for Payer: Multiplan Workers Comp	$169.00
Rate for Payer: Parkland Medicaid	$187.20
Rate for Payer: Scott and White EPO/PPO	$43.86
Rate for Payer: Scott and White Medicare	$35.09
Rate for Payer: Superior Health Plan CHIP/Medicaid	$187.20
Rate for Payer: Superior Health Plan EPO	$35.09
Rate for Payer: Superior Health Plan Medicare	$35.09
Rate for Payer: Universal American Dual Medicare/Medicaid	$35.09
Rate for Payer: Universal American Medicare	$35.09
Rate for Payer: Wellcare Medicare	$35.09
Rate for Payer: Wellmed Medicare	$35.09

Chlamydia pneumoniae, PCR SO

Facility

IP

$260.00

Service Code	HCPCS 87486
Hospital Charge Code	1740900
Hospital Revenue Code	306
Rate for Payer: Cash Price	$176.80

Chlamydia pneumoniae, PCR SO

Facility

OP

$260.00

Service Code	HCPCS 87486
Hospital Charge Code	1740900
Hospital Revenue Code	306
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$187.20
Rate for Payer: Amerigroup CHIP/Medicaid	$13.69
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$35.09
Rate for Payer: Amerigroup Medicare	$35.09
Rate for Payer: BCBS of TX Blue Advantage	$78.00
Rate for Payer: BCBS of TX Blue Essentials	$93.60
Rate for Payer: BCBS of TX Medicare	$35.09
Rate for Payer: BCBS of TX PPO	$104.00
Rate for Payer: Cash Price	$176.80
Rate for Payer: Cash Price	$176.80
Rate for Payer: Cigna Medicaid	$187.20
Rate for Payer: Cigna Medicare	$35.09
Rate for Payer: Employer Direct Commercial	$35.09
Rate for Payer: Humana Medicare/TRICARE	$35.09
Rate for Payer: Molina CHIP/Medicaid	$187.20
Rate for Payer: Molina Dual Medicare/Medicaid	$35.09
Rate for Payer: Molina Medicare	$35.09
Rate for Payer: Multiplan Auto	$169.00
Rate for Payer: Multiplan Commercial	$169.00
Rate for Payer: Multiplan Workers Comp	$169.00
Rate for Payer: Parkland Medicaid	$187.20
Rate for Payer: Scott and White EPO/PPO	$43.86
Rate for Payer: Scott and White Medicare	$35.09
Rate for Payer: Superior Health Plan CHIP/Medicaid	$187.20
Rate for Payer: Superior Health Plan EPO	$35.09
Rate for Payer: Superior Health Plan Medicare	$35.09
Rate for Payer: Universal American Dual Medicare/Medicaid	$35.09
Rate for Payer: Universal American Medicare	$35.09
Rate for Payer: Wellcare Medicare	$35.09
Rate for Payer: Wellmed Medicare	$35.09

CHLORAPREP, ORNG, 26ML, STERILE SOLUTIN

Facility

IP

$32.49

Hospital Charge Code	993822
Hospital Revenue Code	270
Rate for Payer: Cash Price	$22.09

CHLORAPREP, ORNG, 26ML, STERILE SOLUTIN

Facility

OP

$32.49

Hospital Charge Code	993822
Hospital Revenue Code	270
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$23.39
Rate for Payer: Amerigroup CHIP/Medicaid	$2.92
Rate for Payer: BCBS of TX Blue Advantage	$9.75
Rate for Payer: BCBS of TX Blue Essentials	$11.70
Rate for Payer: BCBS of TX PPO	$13.00
Rate for Payer: Cash Price	$22.09
Rate for Payer: Cigna Medicaid	$23.39
Rate for Payer: Molina CHIP/Medicaid	$23.39
Rate for Payer: Multiplan Auto	$21.12
Rate for Payer: Multiplan Commercial	$21.12
Rate for Payer: Multiplan Workers Comp	$21.12
Rate for Payer: Parkland Medicaid	$23.39
Rate for Payer: Scott and White EPO/PPO	$16.25
Rate for Payer: Superior Health Plan CHIP/Medicaid	$23.39
Rate for Payer: Superior Health Plan EPO	$4.42

chlordiazePOXIDE 5 mg Cap

Facility

IP

$8.00

Service Code	HCPCS J3490
Hospital Charge Code	77454854
Hospital Revenue Code	250
Rate for Payer: Cash Price	$5.44

chlordiazePOXIDE 5 mg Cap

Facility

OP

$8.00

Service Code	HCPCS J3490
Hospital Charge Code	77454854
Hospital Revenue Code	250
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$5.76
Rate for Payer: Amerigroup CHIP/Medicaid	$0.72
Rate for Payer: BCBS of TX Blue Advantage	$2.40
Rate for Payer: BCBS of TX Blue Essentials	$2.88
Rate for Payer: BCBS of TX PPO	$3.20
Rate for Payer: Cash Price	$5.44
Rate for Payer: Cigna Medicaid	$5.76
Rate for Payer: Molina CHIP/Medicaid	$5.76
Rate for Payer: Multiplan Auto	$5.20
Rate for Payer: Multiplan Commercial	$5.20
Rate for Payer: Multiplan Workers Comp	$5.20
Rate for Payer: Parkland Medicaid	$5.76
Rate for Payer: Scott and White EPO/PPO	$4.00
Rate for Payer: Superior Health Plan CHIP/Medicaid	$5.76
Rate for Payer: Superior Health Plan EPO	$1.09

CHLORDIAZEPOXIDE HCL 25 MG CAP

Facility

IP

$8.00

Service Code	HCPCS J3490
Hospital Charge Code	77454801
Hospital Revenue Code	250
Rate for Payer: Cash Price	$5.44

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