Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$16,450.20

Service Code	MSDRG 770
Min. Negotiated Rate	$7,575.75
Max. Negotiated Rate	$16,450.20
Rate for Payer: BCBS of TX Blue Advantage	$9,183.94
Rate for Payer: BCBS of TX Blue Essentials	$11,019.66
Rate for Payer: BCBS of TX PPO	$12,244.54

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$2,785.16

Service Code	APR-DRG 5432
Min. Negotiated Rate	$2,625.95
Max. Negotiated Rate	$2,785.16
Rate for Payer: Amerigroup CHIP/Medicaid	$2,625.95
Rate for Payer: Cigna Medicaid	$2,625.95
Rate for Payer: Molina CHIP/Medicaid	$2,625.95
Rate for Payer: Parkland Medicaid	$2,625.95
Rate for Payer: Superior Health Plan CHIP/Medicaid	$2,785.16

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$16,450.20

Service Code	MSDRG 770
Min. Negotiated Rate	$7,575.75
Max. Negotiated Rate	$16,450.20
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$12,108.89
Rate for Payer: Amerigroup Medicare	$12,108.89
Rate for Payer: BCBS of TX Medicare	$12,108.89
Rate for Payer: Cigna Commercial	$12,914.78
Rate for Payer: Cigna Medicare	$12,108.89
Rate for Payer: Employer Direct Commercial	$12,108.89
Rate for Payer: Humana Medicare/TRICARE	$12,108.89
Rate for Payer: Molina Dual Medicare/Medicaid	$12,108.89
Rate for Payer: Molina Medicare	$12,108.89
Rate for Payer: Multiplan Auto	$16,450.20
Rate for Payer: Multiplan Commercial	$16,450.20
Rate for Payer: Multiplan Workers Comp	$16,450.20
Rate for Payer: Scott and White EPO/PPO	$7,575.75
Rate for Payer: Scott and White Medicare	$12,108.89
Rate for Payer: Superior Health Plan EPO	$12,108.89
Rate for Payer: Superior Health Plan Medicare	$12,108.89
Rate for Payer: Universal American Dual Medicare/Medicaid	$12,108.89
Rate for Payer: Universal American Medicare	$12,108.89
Rate for Payer: Wellcare Medicare	$12,108.89
Rate for Payer: Wellmed Medicare	$12,108.89

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$12,182.07

Service Code	APR-DRG 5434
Min. Negotiated Rate	$11,485.69
Max. Negotiated Rate	$12,182.07
Rate for Payer: Amerigroup CHIP/Medicaid	$11,485.69
Rate for Payer: Cigna Medicaid	$11,485.69
Rate for Payer: Molina CHIP/Medicaid	$11,485.69
Rate for Payer: Parkland Medicaid	$11,485.69
Rate for Payer: Superior Health Plan CHIP/Medicaid	$12,182.07

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$2,162.80

Service Code	APR-DRG 5431
Min. Negotiated Rate	$2,039.17
Max. Negotiated Rate	$2,162.80
Rate for Payer: Amerigroup CHIP/Medicaid	$2,039.17
Rate for Payer: Cigna Medicaid	$2,039.17
Rate for Payer: Molina CHIP/Medicaid	$2,039.17
Rate for Payer: Parkland Medicaid	$2,039.17
Rate for Payer: Superior Health Plan CHIP/Medicaid	$2,162.80

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$4,365.96

Service Code	APR-DRG 5433
Min. Negotiated Rate	$4,116.38
Max. Negotiated Rate	$4,365.96
Rate for Payer: Amerigroup CHIP/Medicaid	$4,116.38
Rate for Payer: Cigna Medicaid	$4,116.38
Rate for Payer: Molina CHIP/Medicaid	$4,116.38
Rate for Payer: Parkland Medicaid	$4,116.38
Rate for Payer: Superior Health Plan CHIP/Medicaid	$4,365.96

ABORTION WITHOUT D&C

Facility

IP

$19,353.40

Service Code	MSDRG 779
Min. Negotiated Rate	$6,486.98
Max. Negotiated Rate	$19,353.40
Rate for Payer: Amerigroup Dual Medicare/Medicaid	$10,925.98
Rate for Payer: Amerigroup Medicare	$10,925.98
Rate for Payer: BCBS of TX Medicare	$10,925.98
Rate for Payer: Cigna Commercial	$9,184.73
Rate for Payer: Cigna Medicare	$10,925.98
Rate for Payer: Employer Direct Commercial	$10,925.98
Rate for Payer: Humana Medicare/TRICARE	$10,925.98
Rate for Payer: Molina Dual Medicare/Medicaid	$10,925.98
Rate for Payer: Molina Medicare	$10,925.98
Rate for Payer: Multiplan Auto	$19,353.40
Rate for Payer: Multiplan Commercial	$19,353.40
Rate for Payer: Multiplan Workers Comp	$19,353.40
Rate for Payer: Scott and White EPO/PPO	$8,912.75
Rate for Payer: Scott and White Medicare	$10,925.98
Rate for Payer: Superior Health Plan EPO	$10,925.98
Rate for Payer: Superior Health Plan Medicare	$10,925.98
Rate for Payer: Universal American Dual Medicare/Medicaid	$10,925.98
Rate for Payer: Universal American Medicare	$10,925.98
Rate for Payer: Wellcare Medicare	$10,925.98
Rate for Payer: Wellmed Medicare	$10,925.98

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$1,379.38

Service Code	APR-DRG 5641
Min. Negotiated Rate	$1,300.53
Max. Negotiated Rate	$1,379.38
Rate for Payer: Amerigroup CHIP/Medicaid	$1,300.53
Rate for Payer: Cigna Medicaid	$1,300.53
Rate for Payer: Molina CHIP/Medicaid	$1,300.53
Rate for Payer: Parkland Medicaid	$1,300.53
Rate for Payer: Superior Health Plan CHIP/Medicaid	$1,379.38

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$3,626.67

Service Code	APR-DRG 5643
Min. Negotiated Rate	$3,419.35
Max. Negotiated Rate	$3,626.67
Rate for Payer: Amerigroup CHIP/Medicaid	$3,419.35
Rate for Payer: Cigna Medicaid	$3,419.35
Rate for Payer: Molina CHIP/Medicaid	$3,419.35
Rate for Payer: Parkland Medicaid	$3,419.35
Rate for Payer: Superior Health Plan CHIP/Medicaid	$3,626.67

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$13,583.33

Service Code	APR-DRG 5644
Min. Negotiated Rate	$12,806.84
Max. Negotiated Rate	$13,583.33
Rate for Payer: Amerigroup CHIP/Medicaid	$12,806.84
Rate for Payer: Cigna Medicaid	$12,806.84
Rate for Payer: Molina CHIP/Medicaid	$12,806.84
Rate for Payer: Parkland Medicaid	$12,806.84
Rate for Payer: Superior Health Plan CHIP/Medicaid	$13,583.33

ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

IP

$1,888.59

Service Code	APR-DRG 5642
Min. Negotiated Rate	$1,780.62
Max. Negotiated Rate	$1,888.59
Rate for Payer: Amerigroup CHIP/Medicaid	$1,780.62
Rate for Payer: Cigna Medicaid	$1,780.62
Rate for Payer: Molina CHIP/Medicaid	$1,780.62
Rate for Payer: Parkland Medicaid	$1,780.62
Rate for Payer: Superior Health Plan CHIP/Medicaid	$1,888.59

ABORTION W/O D&C

Facility

IP

$19,353.40

Service Code	MSDRG 779
Min. Negotiated Rate	$6,486.98
Max. Negotiated Rate	$19,353.40
Rate for Payer: BCBS of TX Blue Advantage	$6,486.98
Rate for Payer: BCBS of TX Blue Essentials	$7,783.62
Rate for Payer: BCBS of TX PPO	$8,648.80

ABSOLUTE PRO VASCULAR

Facility

OP

$6,198.80

Service Code	HCPCS C1876
Hospital Charge Code	991290
Hospital Revenue Code	278
Min. Negotiated Rate	$557.89
Max. Negotiated Rate	$4,463.14
Rate for Payer: Amerigroup CHIP/Medicaid	$557.89
Rate for Payer: BCBS of TX Blue Advantage	$1,859.64
Rate for Payer: BCBS of TX Blue Essentials	$2,231.57
Rate for Payer: BCBS of TX PPO	$2,479.52
Rate for Payer: Cash Price	$4,215.18
Rate for Payer: Cigna Medicaid	$4,463.14
Rate for Payer: Molina CHIP/Medicaid	$4,463.14
Rate for Payer: Multiplan Auto	$3,099.40
Rate for Payer: Multiplan Commercial	$3,099.40
Rate for Payer: Multiplan Workers Comp	$3,099.40
Rate for Payer: Parkland Medicaid	$4,463.14
Rate for Payer: Scott and White EPO/PPO	$3,099.40
Rate for Payer: Superior Health Plan CHIP/Medicaid	$4,463.14
Rate for Payer: Superior Health Plan EPO	$843.04

ABSOLUTE PRO VASCULAR

Facility

IP

$6,198.80

Service Code	HCPCS C1876
Hospital Charge Code	991290
Hospital Revenue Code	278
Min. Negotiated Rate	$1,549.70
Max. Negotiated Rate	$3,099.40
Rate for Payer: Cash Price	$4,215.18
Rate for Payer: Cigna Commercial	$1,549.70
Rate for Payer: Multiplan Auto	$3,099.40
Rate for Payer: Multiplan Commercial	$3,099.40
Rate for Payer: Multiplan Workers Comp	$3,099.40
Rate for Payer: Scott and White EPO/PPO	$3,099.40

ABSORBER, MEDISORB EF, DISP, .8KG

Facility

OP

$82.84

Hospital Charge Code	992907
Hospital Revenue Code	270
Min. Negotiated Rate	$7.46
Max. Negotiated Rate	$59.64
Rate for Payer: Amerigroup CHIP/Medicaid	$7.46
Rate for Payer: BCBS of TX Blue Advantage	$24.85
Rate for Payer: BCBS of TX Blue Essentials	$29.82
Rate for Payer: BCBS of TX PPO	$33.14
Rate for Payer: Cash Price	$56.33
Rate for Payer: Cigna Medicaid	$59.64
Rate for Payer: Molina CHIP/Medicaid	$59.64
Rate for Payer: Multiplan Auto	$53.85
Rate for Payer: Multiplan Commercial	$53.85
Rate for Payer: Multiplan Workers Comp	$53.85
Rate for Payer: Parkland Medicaid	$59.64
Rate for Payer: Scott and White EPO/PPO	$41.42
Rate for Payer: Superior Health Plan CHIP/Medicaid	$59.64
Rate for Payer: Superior Health Plan EPO	$11.27

ABSORBER, MEDISORB EF, DISP, .8KG

Facility

IP

$82.84

Hospital Charge Code	992907
Hospital Revenue Code	270
Rate for Payer: Cash Price	$56.33

ACAPELLA DH (GREEN) VIBRATORY PEP SYSTEM

Facility

IP

$193.86

Hospital Charge Code	111966
Hospital Revenue Code	272
Rate for Payer: Cash Price	$131.82

ACAPELLA DH (GREEN) VIBRATORY PEP SYSTEM

Facility

OP

$193.86

Hospital Charge Code	111966
Hospital Revenue Code	272
Min. Negotiated Rate	$17.45
Max. Negotiated Rate	$139.58
Rate for Payer: Amerigroup CHIP/Medicaid	$17.45
Rate for Payer: BCBS of TX Blue Advantage	$58.16
Rate for Payer: BCBS of TX Blue Essentials	$69.79
Rate for Payer: BCBS of TX PPO	$77.54
Rate for Payer: Cash Price	$131.82
Rate for Payer: Cigna Medicaid	$139.58
Rate for Payer: Molina CHIP/Medicaid	$139.58
Rate for Payer: Multiplan Auto	$126.01
Rate for Payer: Multiplan Commercial	$126.01
Rate for Payer: Multiplan Workers Comp	$126.01
Rate for Payer: Parkland Medicaid	$139.58
Rate for Payer: Scott and White EPO/PPO	$96.93
Rate for Payer: Superior Health Plan CHIP/Medicaid	$139.58
Rate for Payer: Superior Health Plan EPO	$26.36

access platform

Facility

IP

$1,239.42

Hospital Charge Code	993278
Hospital Revenue Code	270
Rate for Payer: Cash Price	$842.81

access platform

Facility

OP

$1,239.42

Hospital Charge Code	993278
Hospital Revenue Code	270
Min. Negotiated Rate	$111.55
Max. Negotiated Rate	$892.38
Rate for Payer: Amerigroup CHIP/Medicaid	$111.55
Rate for Payer: BCBS of TX Blue Advantage	$371.83
Rate for Payer: BCBS of TX Blue Essentials	$446.19
Rate for Payer: BCBS of TX PPO	$495.77
Rate for Payer: Cash Price	$842.81
Rate for Payer: Cigna Medicaid	$892.38
Rate for Payer: Molina CHIP/Medicaid	$892.38
Rate for Payer: Multiplan Auto	$805.62
Rate for Payer: Multiplan Commercial	$805.62
Rate for Payer: Multiplan Workers Comp	$805.62
Rate for Payer: Parkland Medicaid	$892.38
Rate for Payer: Scott and White EPO/PPO	$619.71
Rate for Payer: Superior Health Plan CHIP/Medicaid	$892.38
Rate for Payer: Superior Health Plan EPO	$168.56

ACCOLADE MRI DR IS-1

Facility

OP

$19,953.30

Service Code	HCPCS C1785
Hospital Charge Code	992466
Hospital Revenue Code	275
Min. Negotiated Rate	$1,795.80
Max. Negotiated Rate	$14,366.38
Rate for Payer: Amerigroup CHIP/Medicaid	$1,795.80
Rate for Payer: BCBS of TX Blue Advantage	$5,985.99
Rate for Payer: BCBS of TX Blue Essentials	$7,183.19
Rate for Payer: BCBS of TX PPO	$7,981.32
Rate for Payer: Cash Price	$13,568.24
Rate for Payer: Cigna Medicaid	$14,366.38
Rate for Payer: Molina CHIP/Medicaid	$14,366.38
Rate for Payer: Multiplan Auto	$9,976.65
Rate for Payer: Multiplan Commercial	$9,976.65
Rate for Payer: Multiplan Workers Comp	$9,976.65
Rate for Payer: Parkland Medicaid	$14,366.38
Rate for Payer: Scott and White EPO/PPO	$9,976.65
Rate for Payer: Superior Health Plan CHIP/Medicaid	$14,366.38
Rate for Payer: Superior Health Plan EPO	$2,713.65

ACCOLADE MRI DR IS-1

Facility

IP

$19,953.30

Service Code	HCPCS C1785
Hospital Charge Code	992466
Hospital Revenue Code	275
Min. Negotiated Rate	$4,988.32
Max. Negotiated Rate	$9,976.65
Rate for Payer: Cash Price	$13,568.24
Rate for Payer: Cigna Commercial	$4,988.32
Rate for Payer: Multiplan Auto	$9,976.65
Rate for Payer: Multiplan Commercial	$9,976.65
Rate for Payer: Multiplan Workers Comp	$9,976.65
Rate for Payer: Scott and White EPO/PPO	$9,976.65

ACECIDE-C-ELITE PERACETIC ACID 4 SETS/CS

Facility

IP

$15,682.07

Hospital Charge Code	993944
Hospital Revenue Code	271
Rate for Payer: Cash Price	$10,663.81

ACECIDE-C-ELITE PERACETIC ACID 4 SETS/CS

Facility

OP

$15,682.07

Hospital Charge Code	993944
Hospital Revenue Code	271
Min. Negotiated Rate	$1,411.39
Max. Negotiated Rate	$11,291.09
Rate for Payer: Amerigroup CHIP/Medicaid	$1,411.39
Rate for Payer: BCBS of TX Blue Advantage	$4,704.62
Rate for Payer: BCBS of TX Blue Essentials	$5,645.55
Rate for Payer: BCBS of TX PPO	$6,272.83
Rate for Payer: Cash Price	$10,663.81
Rate for Payer: Cigna Medicaid	$11,291.09
Rate for Payer: Molina CHIP/Medicaid	$11,291.09
Rate for Payer: Multiplan Auto	$10,193.35
Rate for Payer: Multiplan Commercial	$10,193.35
Rate for Payer: Multiplan Workers Comp	$10,193.35
Rate for Payer: Parkland Medicaid	$11,291.09
Rate for Payer: Scott and White EPO/PPO	$7,841.03
Rate for Payer: Superior Health Plan CHIP/Medicaid	$11,291.09
Rate for Payer: Superior Health Plan EPO	$2,132.76

ACECIDE-C PERACETIC ACID 6 SETS/CASE

Facility

IP

$4,668.12

Hospital Charge Code	993938
Hospital Revenue Code	271
Rate for Payer: Cash Price	$3,174.32

<<
<
32
33
34
35
36
37
38
39
40
41
>
>>