| University Medical Center Surgical Hospital | El Paso | $131.54 | $657.69 |
| Harris Health Ben Taub Hospital | Houston | $170.82 | $2,776 |
| Harris Health Lyndon B Johnson Hospital | Houston | $170.82 | $2,776 |
| Covenant Children's Hospital | Lubbock | $230 | $10,059 |
| UTHealth East Texas Quitman | Quitman | $274.04 | $2,740.40 |
| UTHealth East Texas Pittsburg | Pittsburg | $287.30 | $2,873 |
| UTHealth East Texas North Campus | Tyler | $420.10 | $4,201 |
| CHRISTUS Health - West Beaumont | Beaumont | $458.37 | $1,389 |
| CHRISTUS Hospital - Orange | Orange | $458.37 | $1,389 |
| CHRISTUS Southeast Texas - MidCounty | Port Arthur | $458.37 | $1,389 |
| CHRISTUS Southeast Texas Orthopedic Specialty Center | Port Arthur | $458.37 | $1,389 |
| CHRISTUS Southeast Texas St. Elizabeth | Beaumont | $458.37 | $1,389 |
| UTHealth East Texas Henderson | Henderson | $520.10 | $5,201 |
| BSA Hospital | Amarillo | $621.30 | $6,213 |
| Harrington Cancer Center | Amarillo | $621.30 | $6,213 |
| UTHealth East Texas Carthage | Carthage | $695.60 | $6,956 |
| University Medical Center of El Paso | El Paso | $698.70 | $3,493.49 |
| UTHealth East Texas Athens | Athens | $728.80 | $7,288 |
| Covenant Health Emergency Center - Milwaukee Ave | Lubbock | $752.64 | $1,792 |
| Covenant Health Emergency Center - Quaker Ave | Lubbock | $752.64 | $1,792 |
| Covenant Medical Center | Lubbock | $752.64 | $1,792 |
| UTHealth East Texas Jacksonville | Jacksonville | $755.90 | $7,559 |
| St. Joseph Health Regional Hospital | Bryan | $764.37 | $3,689 |
| St. Joseph Health College Station Hospital | College Station | $769.16 | $3,689 |
| UTHealth East Texas Rehabilitation Center | Tyler | $797.30 | $7,973 |
| UTHealth East Texas Tyler | Tyler | $797.30 | $7,973 |
| Covenant Hospital Levelland | Levelland | $836.22 | $1,991 |
| St. Joseph Health Madison Hospital | Madisonville | $869.13 | $3,689 |
| CHRISTUS Santa Rosa Hospital - Westover Hills | San Antonio | $871.86 | $2,642 |
| St. Joseph Health Burleson Hospital | Caldwell | $876.51 | $3,689 |
| St. Luke's Health Memorial Livingston | Livingston | $918.45 | $6,123 |
| St. Luke's Health Memorial Lufkin | Lufkin | $918.45 | $6,123 |
| St. Luke's Health Memorial San Augustine | San Augustine | $918.45 | $6,123 |
| Ascension Providence | Waco | $1,002.60 | $2,785 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $1,065.24 | $2,959 |
| St. David's Surgical Hospital | Austin | $1,123 | $1,123 |
| Houston Methodist Baytown Hospital | Baytown | $1,197.50 | $2,395 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $1,197.50 | $2,395 |
| Houston Methodist Continuing Care Hospital | Katy | $1,197.50 | $2,395 |
| Houston Methodist Cypress Hospital | Cypress | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center at Cinco Ranch | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center at Kirby | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center at Voss | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Cypress | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Deer Park | Nassau Bay | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in League City | Nassau Bay | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Magnolia | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Pearland | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Sienna | Houston | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in Spring | The Woodlands | $1,197.50 | $2,395 |
| Houston Methodist Emergency Care Center in The Woodlands | The Woodlands | $1,197.50 | $2,395 |
| Houston Methodist Hospital | Houston | $1,197.50 | $2,395 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $1,197.50 | $2,395 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $1,197.50 | $2,395 |
| Houston Methodist West Hospital | Houston | $1,197.50 | $2,395 |
| Houston Methodist Willowbrook Hospital | Houston | $1,197.50 | $2,395 |
| Ascension Seton Hays (Ascension Seton) | Kyle | $1,208.70 | $3,357.50 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $1,208.70 | $3,357.50 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $1,209.33 | $3,359.25 |
| Covenant Hospital Plainview | Plainview | $1,231.86 | $2,933 |
| Methodist Celina Medical Center | Celina | $1,351.50 | $4,505 |
| Methodist Dallas Medical Center | Dallas | $1,351.50 | $4,505 |
| Methodist Mansfield Medical Center | Mansfield | $1,351.50 | $4,505 |
| Methodist Midlothian Medical Center | Midlothian | $1,351.50 | $4,505 |
| Methodist Richardson Medical Center | Richardson | $1,351.50 | $4,505 |
| Methodist Richardson Medical Center Campus for Continuing Care | Richardson | $1,351.50 | $4,505 |
| Methodist Southlake Medical Center | Southlake | $1,351.50 | $4,505 |
| William P Clements Jr University Hospital | Dallas | $1,374.50 | $2,749 |
| University Health Dialysis Medical Center | San Antonio | $1,393.50 | $5,574 |
| University Health Dialysis South | San Antonio | $1,393.50 | $5,574 |
| University Health Dialysis Southeast | San Antonio | $1,393.50 | $5,574 |
| University Health Dialysis West at Texas Diabetes Institute | San Antonio | $1,393.50 | $5,574 |
| University Health System Children's Kidney Center | San Antonio | $1,393.50 | $5,574 |
| University Hospital | San Antonio | $1,393.50 | $5,574 |
| JPS Health Network | Fort Worth | $1,484.40 | $2,474 |
| Trinity Spring North | Fort Worth | $1,484.40 | $2,474 |
| Memorial Hermann Greater Heights Hospital | Houston | $1,513.44 | $4,729.50 |
| Memorial Hermann Katy Hospital | Katy | $1,513.44 | $4,729.50 |
| Memorial Hermann Memorial City Medical Center | Houston | $1,513.44 | $4,729.50 |
| Memorial Hermann Northeast Hospital | Humble | $1,513.44 | $4,729.50 |
| Memorial Hermann Pearland Hospital | Pearland | $1,513.44 | $4,729.50 |
| Memorial Hermann Rehabilitation Hospital-Katy | Katy | $1,513.44 | $4,729.50 |
| Memorial Hermann Southeast Hospital | Houston | $1,513.44 | $4,729.50 |
| Memorial Hermann Southwest Hospital | Houston | $1,513.44 | $4,729.50 |
| Memorial Hermann Sugar Land Hospital | Sugar Land | $1,513.44 | $4,729.50 |
| Memorial Hermann The Woodlands Medical Center | The Woodlands | $1,513.44 | $4,729.50 |
| TIRR Memorial Hermann | Houston | $1,513.44 | $4,729.50 |
| Longview Regional Medical Center | Longview | $1,581.05 | $5,855.75 |
| Children's Memorial Hermann Hospital | Houston | $1,659.12 | $5,184.75 |
| Memorial Hermann Cypress Hospital | Cypress | $1,659.12 | $5,184.75 |
| Memorial Hermann Imaging Center (Bellaire) | Bellaire | $1,659.12 | $5,184.75 |
| Memorial Hermann Imaging Center (Cypress) | Cypress | $1,659.12 | $5,184.75 |
| Memorial Hermann Imaging Center (Texas Medical Center) | Houston | $1,659.12 | $5,184.75 |
| Memorial Hermann Imaging Center (Upper Kirby) | Houston | $1,659.12 | $5,184.75 |
| Memorial Hermann Rockets Orthopedic Hospital | Bellaire | $1,659.12 | $5,184.75 |
| Memorial Hermann-Texas Medical Center | Houston | $1,659.12 | $5,184.75 |
| Parkland Health | Dallas | $1,971.20 | $4,928 |
| Baylor Scott & White All Saints Medical Center - Fort Worth | Fort Worth | $2,084.06 | $3,473.43 |
| Baylor Scott & White Heart and Vascular Hospital - Dallas | Dallas | $2,084.06 | $3,473.43 |
| Baylor Scott & White Heart and Vascular Hospital - Waxahachie | Waxahachie | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Centennial | Frisco | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway | Frisco | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Grapevine | Grapevine | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Irving | Irving | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Lake Pointe | Rowlett | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - McKinney | McKinney | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Plano | Plano | $2,084.06 | $3,473.43 |
| Baylor Scott & White Medical Center - Waxahachie | Waxahachie | $2,084.06 | $3,473.43 |
| Baylor Scott & White the Heart Hospital - Denton | Denton | $2,084.06 | $3,473.43 |
| Baylor Scott & White the Heart Hospital - McKinney | McKinney | $2,084.06 | $3,473.43 |
| Baylor Scott & White the Heart Hospital - Plano | Plano | $2,084.06 | $3,473.43 |
| Baylor University Medical Center | Dallas | $2,084.06 | $3,473.43 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2,120.67 | $5,890.75 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $2,120.67 | $5,890.75 |
| Ascension Seton Southwest (Ascension Seton) | 1826 Austin | $2,120.67 | $5,890.75 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $2,120.67 | $5,890.75 |
| Baylor Scott & White Continuing Care Hospital | Temple | $2,253.68 | $3,756.13 |
| Baylor Scott & White McLane Children's Medical Center | Temple | $2,253.68 | $3,756.13 |
| Baylor Scott & White Medical Center - Brenham | Brenham | $2,253.68 | $3,756.13 |
| Baylor Scott & White Medical Center - College Station | College Station | $2,253.68 | $3,756.13 |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls | $2,253.68 | $3,756.13 |
| Baylor Scott & White Medical Center - Temple | Temple | $2,253.68 | $3,756.13 |
| Baylor Scott & White Medical Center Hillcrest | Waco | $2,253.68 | $3,756.13 |
| Baylor Scott & White Pavilion - Temple | Temple | $2,253.68 | $3,756.13 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $2,350.25 | $3,357.50 |
| Dell Children's Medical Center North Campus (Ascension Seton) | Austin | $2,350.25 | $3,357.50 |
| Hendrick Medical Center Brownwood | Brownwood | $2,442.40 | $4,884.79 |
| Texas Children's Hospital | Houston | $2,614.34 | $3,902 |
| Texas Children's Hospital North Austin Campus | Austin | $2,614.34 | $3,902 |
| Texas Children's Hospital The Woodlands | The Woodlands | $2,614.34 | $3,902 |
| Texas Children's Hospital West Campus | Houston | $2,614.34 | $3,902 |
| United Regional Health Care System | Wichita Falls | $2,633.98 | $2,976.25 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,656.20 | $4,427 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Azle | Azle | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Southlake | Southlake | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $2,656.20 | $4,427 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville | $2,656.20 | $4,427 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington | $2,656.20 | $4,427 |
| Texas Health Hospital Clearfork | Fort Worth | $2,656.20 | $4,427 |
| Texas Health Hospital Frisco | Frisco | $2,656.20 | $4,427 |
| Texas Health Hospital Rockwall | Rockwall | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Allen | Allen | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Denton | Denton | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman | $2,656.20 | $4,427 |
| Texas Health Presbyterian Hospital Plano | Plano | $2,656.20 | $4,427 |
| Texas Health Specialty Hospital Fort Worth | Fort Worth | $2,656.20 | $4,427 |
| Children's Medical Center of Dallas | Dallas | $2,710.50 | $3,614 |
| Children's Medical Center of Plano | Plano | $2,710.50 | $3,614 |
| Shannon Medical Center | San Angelo | $2,746 | $5,492 |
| Shannon Medical Center Big Spring | Big Spring | $2,746 | $5,492 |
| Shannon Medical Center South | San Angelo | $2,746 | $5,492 |
| Shannon Medical Center St John's Campus | San Angelo | $2,746 | $5,492 |
| Shannon River Crest Hospital | San Angelo | $2,746 | $5,492 |
| Baylor Scott & White Emergency Medical Center - Cedar Park | Cedar Park | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Austin | Austin | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Buda | Buda | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Lakeway | Lakeway | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Round Rock | Round Rock | $2,765.87 | $4,609.78 |
| Baylor Scott & White Medical Center - Taylor | Taylor | $2,765.87 | $4,609.78 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $2,916.19 | $8,100.53 |
| Behavioral Medicine at Renaissance | Edinburg | $3,099.30 | $3,099.30 |
| Doctors Hospital at Renaissance | Edinburg | $3,099.30 | $3,099.30 |
| Rehab Center at Renaissance | Edinburg | $3,099.30 | $3,099.30 |
| Womens Hospitalat Renaissance | Edinburg | $3,099.30 | $3,099.30 |
| DHR Health Brownsville | Brownsville | $3,254.27 | $3,254.27 |
| Medical Center Hospital | Odessa | $3,295 | $3,295 |
| Heart Hospital of Austin | Austin | $3,552 | $3,552 |
| Heart Hospital of Austin at St. Davids Round Rock | Round Rock | $3,552 | $3,552 |
| St. David's Emergency Center – Manor | Manor | $3,552 | $3,552 |
| St. David's Emergency Center – Mueller | Manor | $3,552 | $3,552 |
| St. David's Emergency Center – Riverside | Manor | $3,552 | $3,552 |
| St. David's Georgetown | Georgetown | $3,552 | $3,552 |
| St. David's Medical Center | Manor | $3,552 | $3,552 |
| St. David's Rehabilitation Hospital | Austin | $3,552 | $3,552 |
| Covenant Specialty Hospital | Lubbock | $3,773.28 | $8,984 |
| South Texas Health System Edinburg | Edinburg | $3,932.25 | $5,243 |
| South Texas Health System Heart | McAllen | $3,932.25 | $5,243 |
| South Texas Health System McAllen | McAllen | $3,932.25 | $5,243 |
| Midland County Hospital District | Midland | $3,962.25 | $5,283 |
| Midland Memorial Hospital | Midland | $3,962.25 | $5,283 |
| Hendrick Medical Center | Abilene | $4,014.32 | $8,028.63 |
| Hendrick Medical Center South | Abilene | $4,014.32 | $8,028.63 |
| Cook Children's Medical Center | Fort Worth | $4,086.17 | $5,448.23 |
| Cook Children's Medical Center - Prosper | Prosper | $4,086.17 | $5,448.23 |
| Medical City Las Colinas Hospital | Irving | $4,419.47 | $4,419.47 |
| UMC Children's Hospital | Lubbock | $4,601 | $4,601 |
| UMC Health & Wellness Hospital | Lubbock | $4,601 | $4,601 |
| University Medical Center | Lubbock | $4,601 | $4,601 |
| North Austin Medical Center | Austin | $4,766 | $4,766 |
| St. David's Emergency Center Pflugerville | Austin | $4,766 | $4,766 |
| St. David's Emergency Center – Anderson Mill | Austin | $4,766 | $4,766 |
| St. David's Emergency Center – Arboretum | Austin | $4,766 | $4,766 |
| St. David's Emergency Center – Wells Branch | Austin | $4,766 | $4,766 |
| Medical City Weatherford Hospital | Weatherford | $5,006.32 | $5,006.32 |
| Medical City Children's Hospital | Garland | $5,209.24 | $5,209.24 |
| Medical City Dallas Hospital | Garland | $5,209.24 | $5,209.24 |
| Medical City ER Garland | Garland | $5,209.24 | $5,209.24 |
| Medical City Heart Hospital | Dallas | $5,209.24 | $5,209.24 |
| Medical City Spine Hospital | Dallas | $5,209.24 | $5,209.24 |
| Medical City North Hills Hospital | North Richland Hills | $6,139.57 | $6,139.57 |
| Medical City Alliance Hospital | Fort Worth | $6,454.12 | $6,454.12 |
| Medical City ER Haslet | Fort Worth | $6,454.12 | $6,454.12 |
| Medical City ER Saginaw | Fort Worth | $6,454.12 | $6,454.12 |
| Medical City Surgical Hospital Alliance | Fort Worth | $6,454.12 | $6,454.12 |
| Round Rock Medical Center | Leander | $6,971 | $6,971 |
| St. David's Emergency Center - Leander | Leander | $6,971 | $6,971 |
| Medical City Lewisville Hospital | Lewisville | $8,200.41 | $8,200.41 |
| Medical City Argyle Hospital | Argyle | $8,418.17 | $8,418.17 |
| Medical City Decatur Behavioral Health | Decatur | $8,418.17 | $8,418.17 |
| Medical City Decatur Hospital | Decatur | $8,418.17 | $8,418.17 |
| Medical City Denton Hospital | Denton | $8,418.17 | $8,418.17 |
| Medical City ER Argyle | Denton | $8,418.17 | $8,418.17 |
| Medical City Frisco Hospital | Frisco | $8,435.76 | $8,435.76 |
| Medical City Plano Hospital | Plano | $8,435.76 | $8,435.76 |
| Medical City Sachse Hospital | Sachse | $8,435.76 | $8,435.76 |
| South Austin Medical Center | Bastrop | $8,548 | $8,548 |
| St. David's Emergency Center - Bastrop | Bastrop | $8,548 | $8,548 |
| St. David's Emergency Center - Bee Cave | Bastrop | $8,548 | $8,548 |
| St. David's Emergency Center – South Lamar | Bastrop | $8,548 | $8,548 |
| Methodist Childrens Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Alamo Heights | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Boerne | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Bulverde | Spring Branch | $8,690.33 | $8,690.33 |
| Methodist ER City Base | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Converse | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER De Zavala Rd | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Helotes | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Legacy Trails | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Nacogdoches | San Antonio | $8,690.33 | $8,690.33 |
| Methodist ER Westover Hills | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Hospital Atascosa | Jourdanton | $8,690.33 | $8,690.33 |
| Methodist Hospital Hill Country | Fredericksburg | $8,690.33 | $8,690.33 |
| Methodist Hospital Landmark | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Hospital Stone Oak | Spring Branch | $8,690.33 | $8,690.33 |
| Methodist Hospital Westover Hills | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Rehabilitation Hospital Texsan | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Specialty & Transplant Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Stone Oak Rehabilitation Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Methodist Texsan Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Metropolitan Methodist Hospital | San Antonio | $8,690.33 | $8,690.33 |
| New Braunfels ER | San Antonio | $8,690.33 | $8,690.33 |
| Northeast Methodist Hospital | San Antonio | $8,690.33 | $8,690.33 |
| Medical City Arlington Hospital | Arlington | $9,104.62 | $9,104.62 |
| Medical City ER Grand Prarie | Arlington | $9,104.62 | $9,104.62 |
| Medical City ER Red Oak | Arlington | $9,104.62 | $9,104.62 |
| Medical City ER White Settlement | Fort Worth | $9,246.28 | $9,246.28 |
| Medical City Fort Worth Hospital | Fort Worth | $9,246.28 | $9,246.28 |
| Medical City ER Stonebridge | McKinney | $10,206.79 | $10,206.79 |
| Medical City McKinney Hospital | McKinney | $10,206.79 | $10,206.79 |
| HCA Houston ER 24/7 - Fort Bend Parkway | Houston | $12,111.89 | $12,111.89 |
| HCA Houston Pearland | Houston | $12,111.89 | $12,111.89 |
| HCA Houston Clear Lake | Alvin | $13,068.31 | $13,068.31 |
| HCA Houston ER 24/7 - Alvin | Alvin | $13,068.31 | $13,068.31 |
| HCA Houston ER 24/7 - Friendswood | Alvin | $13,068.31 | $13,068.31 |
| HCA Houston ER 24/7 - Pearland | Alvin | $13,068.31 | $13,068.31 |
| HCA Houston ER 24/7 - Texas City | Alvin | $13,068.31 | $13,068.31 |
| HCA Houston Mainland | Texas City | $13,068.31 | $13,068.31 |
| HCA Houston ER 24/7 Bellaire | Houston | $13,662.38 | $13,662.38 |
| HCA Houston ER 24/7 Heights | Houston | $13,662.38 | $13,662.38 |
| HCA Houston ER 24/7 Memorial City | Houston | $13,662.38 | $13,662.38 |
| HCA Houston ER 24/7 Montrose | Houston | $13,662.38 | $13,662.38 |
| HCA Houston Medical Center | Houston | $13,662.38 | $13,662.38 |
| HCA Houston ER 24/7 - Cypress/fm 1960 | Houston | $13,771.12 | $13,771.12 |
| HCA Houston ER 24/7 – Jersey Village | Houston | $13,771.12 | $13,771.12 |
| HCA Houston Tomball | Houston | $13,771.12 | $13,771.12 |
| HCA Houston ER 24/7 - Fry Road | Houston | $14,045 | $14,045 |
| HCA Houston ER 24/7 - Towne Lake | Houston | $14,045 | $14,045 |
| HCA Houston ER 24/7 Copperfield | Houston | $14,045 | $14,045 |
| HCA Houston ER 24/7 Willowbrook | Houston | $14,045 | $14,045 |
| HCA Houston North Cypress | Houston | $14,045 | $14,045 |
| HCA Houston ER 24/7 - Atascocita | Humble | $14,045.54 | $14,045.54 |
| HCA Houston ER 24/7 - Cleveland | Humble | $14,045.54 | $14,045.54 |
| HCA Houston ER 24/7 - Fall Creek | Humble | $14,045.54 | $14,045.54 |
| HCA Houston Kingwood | Humble | $14,045.54 | $14,045.54 |
| HCA Houston ER 24/7 Fallbrook | Houston | $15,853.55 | $15,853.55 |
| HCA Houston ER 24/7 Spring | Houston | $15,853.55 | $15,853.55 |
| HCA Houston Northwest | Houston | $15,853.55 | $15,853.55 |
| ER 24/7 Brownsville | Brownsville | $16,221.47 | $16,221.47 |
| ER 24/7 Harlingen | Brownsville | $16,221.47 | $16,221.47 |
| Valley Regional Medical Center | Brownsville | $16,221.47 | $16,221.47 |
| ER 24/7 Edinburg | Edinburg | $16,605.46 | $16,605.46 |
| ER 24/7 McAllen | Edinburg | $16,605.46 | $16,605.46 |
| ER 24/7 Mission | Edinburg | $16,605.46 | $16,605.46 |
| ER 24/7 San Juan | Edinburg | $16,605.46 | $16,605.46 |
| Rio Grande Regional Hospital | Edinburg | $16,605.46 | $16,605.46 |
| HCA Houston ER 24/7 - Fairmont | Pasadena | $18,325.46 | $18,325.46 |
| HCA Houston ER 24/7 - North Channel | Pasadena | $18,325.46 | $18,325.46 |
| HCA Houston Rehabilitation Hospital Southeast | Pasadena | $18,325.46 | $18,325.46 |
| HCA Houston Southeast | Pasadena | $18,325.46 | $18,325.46 |
| HCA Houston ER 24/7 - Mission Bend | Houston | $18,583 | $18,583 |
| HCA Houston ER 24/7 - Stafford | Houston | $18,583 | $18,583 |
| HCA Houston ER 24/7 - Westchase | Houston | $18,583 | $18,583 |
| HCA Houston West | Houston | $18,583 | $18,583 |
| HCA Houston Conroe | Conroe | $18,851 | $18,851 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos | Not published | Not published |
| Medical City Green Oaks Hospital | Dallas | Not published | Not published |
| Medical City Mental Health and Wellness Center - Alliance | Fort Worth | Not published | Not published |
| Northwest Emergency at Eastern, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $6,106 |
| Northwest Emergency at Tascosa, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $6,106 |
| Northwest Emergency at Town Square, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $6,106 |
| Northwest Emergency on Georgia, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $6,106 |
| Northwest Texas Healthcare System | Amarillo | Not published | $6,106 |
| Northwest Texas Healthcare System Behavioral Health | Amarillo | Not published | $6,106 |
| University of Texas MD Anderson Cancer Center | Houston | Not published | $3,704 |
