| St. Luke's Health Memorial Livingston | Livingston | $12.30 | $82 |
| St. Luke's Health Memorial Lufkin | Lufkin | $12.30 | $82 |
| St. Luke's Health Memorial San Augustine | San Augustine | $12.30 | $82 |
| St. Joseph Health Regional Hospital | Bryan | $26.32 | $127 |
| St. Joseph Health College Station Hospital | College Station | $26.48 | $127 |
| University Medical Center Surgical Hospital | El Paso | $28.89 | $144.47 |
| University Medical Center of El Paso | El Paso | $28.89 | $144.47 |
| St. Joseph Health Madison Hospital | Madisonville | $29.93 | $127 |
| St. Joseph Health Burleson Hospital | Caldwell | $30.18 | $127 |
| CHRISTUS Santa Rosa Hospital - Westover Hills | San Antonio | $36.63 | $111 |
| University Health Dialysis Medical Center | San Antonio | $39.50 | $158 |
| University Health Dialysis South | San Antonio | $39.50 | $158 |
| University Health Dialysis Southeast | San Antonio | $39.50 | $158 |
| University Health Dialysis West at Texas Diabetes Institute | San Antonio | $39.50 | $158 |
| University Health System Children's Kidney Center | San Antonio | $39.50 | $158 |
| University Hospital | San Antonio | $39.50 | $158 |
| CHRISTUS Health - West Beaumont | Beaumont | $43.23 | $131 |
| CHRISTUS Hospital - Orange | Orange | $43.23 | $131 |
| CHRISTUS Southeast Texas - MidCounty | Port Arthur | $43.23 | $131 |
| CHRISTUS Southeast Texas Orthopedic Specialty Center | Port Arthur | $43.23 | $131 |
| CHRISTUS Southeast Texas St. Elizabeth | Beaumont | $43.23 | $131 |
| Covenant Hospital Levelland | Levelland | $70.14 | $167 |
| Covenant Hospital Plainview | Plainview | $70.14 | $167 |
| Methodist ER Bulverde | Spring Branch | $107.59 | $107.59 |
| Methodist Hospital Stone Oak | Spring Branch | $107.59 | $107.59 |
| Children's Memorial Hermann Hospital | Houston | $110.08 | $344 |
| Memorial Hermann Cypress Hospital | Cypress | $110.08 | $344 |
| Memorial Hermann Greater Heights Hospital | Houston | $110.08 | $344 |
| Memorial Hermann Imaging Center (Bellaire) | Bellaire | $110.08 | $344 |
| Memorial Hermann Imaging Center (Cypress) | Cypress | $110.08 | $344 |
| Memorial Hermann Imaging Center (Texas Medical Center) | Houston | $110.08 | $344 |
| Memorial Hermann Imaging Center (Upper Kirby) | Houston | $110.08 | $344 |
| Memorial Hermann Katy Hospital | Katy | $110.08 | $344 |
| Memorial Hermann Memorial City Medical Center | Houston | $110.08 | $344 |
| Memorial Hermann Northeast Hospital | Humble | $110.08 | $344 |
| Memorial Hermann Pearland Hospital | Pearland | $110.08 | $344 |
| Memorial Hermann Rehabilitation Hospital-Katy | Katy | $110.08 | $344 |
| Memorial Hermann Rockets Orthopedic Hospital | Bellaire | $110.08 | $344 |
| Memorial Hermann Southeast Hospital | Houston | $110.08 | $344 |
| Memorial Hermann Southwest Hospital | Houston | $110.08 | $344 |
| Memorial Hermann Sugar Land Hospital | Sugar Land | $110.08 | $344 |
| Memorial Hermann The Woodlands Medical Center | The Woodlands | $110.08 | $344 |
| Memorial Hermann-Texas Medical Center | Houston | $110.08 | $344 |
| TIRR Memorial Hermann | Houston | $110.08 | $344 |
| Methodist Celina Medical Center | Celina | $126.60 | $422 |
| Methodist Dallas Medical Center | Dallas | $126.60 | $422 |
| Methodist Mansfield Medical Center | Mansfield | $126.60 | $422 |
| Methodist Midlothian Medical Center | Midlothian | $126.60 | $422 |
| Methodist Richardson Medical Center | Richardson | $126.60 | $422 |
| Methodist Richardson Medical Center Campus for Continuing Care | Richardson | $126.60 | $422 |
| Methodist Southlake Medical Center | Southlake | $126.60 | $422 |
| Harris Health Ben Taub Hospital | Houston | $126.71 | $130 |
| Harris Health Lyndon B Johnson Hospital | Houston | $126.71 | $130 |
| Medical City ER White Settlement | Fort Worth | $126.71 | $126.71 |
| Medical City Fort Worth Hospital | Fort Worth | $126.71 | $126.71 |
| ER 24/7 Edinburg | Edinburg | $130.20 | $130.20 |
| ER 24/7 McAllen | Edinburg | $130.20 | $130.20 |
| ER 24/7 Mission | Edinburg | $130.20 | $130.20 |
| ER 24/7 San Juan | Edinburg | $130.20 | $130.20 |
| Rio Grande Regional Hospital | Edinburg | $130.20 | $130.20 |
| Cook Children's Medical Center | Fort Worth | $150.28 | $200.37 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford | $154.65 | $257.75 |
| Texas Health Harris Methodist Hospital Southlake | Southlake | $154.65 | $257.75 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman | $154.65 | $257.75 |
| Texas Health Presbyterian Hospital Plano | Plano | $154.65 | $257.75 |
| Medical City Decatur Behavioral Health | Decatur | $162.13 | $162.13 |
| Medical City Decatur Hospital | Decatur | $162.13 | $162.13 |
| Shannon Medical Center | San Angelo | $175.50 | $351 |
| Shannon Medical Center Big Spring | Big Spring | $175.50 | $351 |
| Shannon Medical Center South | San Angelo | $175.50 | $351 |
| Shannon Medical Center St John's Campus | San Angelo | $175.50 | $351 |
| Shannon River Crest Hospital | San Angelo | $175.50 | $351 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $198.99 | $552.74 |
| Parkland Health | Dallas | $200.40 | $501 |
| Houston Methodist Baytown Hospital | Baytown | $204.50 | $409 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $204.50 | $409 |
| Houston Methodist Continuing Care Hospital | Katy | $204.50 | $409 |
| Houston Methodist Cypress Hospital | Cypress | $204.50 | $409 |
| Houston Methodist Emergency Care Center at Cinco Ranch | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center at Kirby | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center at Voss | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Cypress | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Deer Park | Nassau Bay | $204.50 | $409 |
| Houston Methodist Emergency Care Center in League City | Nassau Bay | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Magnolia | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Pearland | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Sienna | Houston | $204.50 | $409 |
| Houston Methodist Emergency Care Center in Spring | The Woodlands | $204.50 | $409 |
| Houston Methodist Emergency Care Center in The Woodlands | The Woodlands | $204.50 | $409 |
| Houston Methodist Hospital | Houston | $204.50 | $409 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $204.50 | $409 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $204.50 | $409 |
| Houston Methodist West Hospital | Houston | $204.50 | $409 |
| Houston Methodist Willowbrook Hospital | Houston | $204.50 | $409 |
| Ascension Providence | Waco | $209.97 | $583.25 |
| JPS Health Network | Fort Worth | $210 | $350 |
| Trinity Spring North | Fort Worth | $210 | $350 |
| Medical City Frisco Hospital | Frisco | $226.24 | $226.24 |
| Heart Hospital of Austin | Austin | $231 | $231 |
| St. David's Georgetown | Georgetown | $231 | $231 |
| Children's Medical Center of Dallas | Dallas | $231.75 | $309 |
| Children's Medical Center of Plano | Plano | $231.75 | $309 |
| Medical Center Hospital | Odessa | $249 | $249 |
| Texas Health Harris Methodist Hospital Azle | Azle | $255.60 | $426 |
| Texas Health Specialty Hospital Fort Worth | Fort Worth | $255.60 | $426 |
| William P Clements Jr University Hospital | Dallas | $282.50 | $565 |
| Medical City ER Stonebridge | McKinney | $293.13 | $293.13 |
| Medical City McKinney Hospital | McKinney | $293.13 | $293.13 |
| Medical City Plano Hospital | Plano | $305.62 | $305.62 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $305.70 | $509.50 |
| North Austin Medical Center | Austin | $315 | $315 |
| St. David's Emergency Center Pflugerville | Austin | $315 | $315 |
| St. David's Emergency Center – Anderson Mill | Austin | $315 | $315 |
| St. David's Emergency Center – Arboretum | Austin | $315 | $315 |
| St. David's Emergency Center – Wells Branch | Austin | $315 | $315 |
| Behavioral Medicine at Renaissance | Edinburg | $326.67 | $326.67 |
| DHR Health Brownsville | Brownsville | $326.67 | $326.67 |
| Doctors Hospital at Renaissance | Edinburg | $326.67 | $326.67 |
| Rehab Center at Renaissance | Edinburg | $326.67 | $326.67 |
| Womens Hospitalat Renaissance | Edinburg | $326.67 | $326.67 |
| Medical City Arlington Hospital | Arlington | $342.64 | $342.64 |
| Medical City ER Grand Prarie | Arlington | $342.64 | $342.64 |
| Medical City ER Red Oak | Arlington | $342.64 | $342.64 |
| Texas Health Arlington Memorial Hospital | Arlington | $352.50 | $587.50 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $352.50 | $587.50 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | $352.50 | $587.50 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $352.50 | $587.50 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $352.50 | $587.50 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville | $352.50 | $587.50 |
| Texas Health Hospital Clearfork | Fort Worth | $352.50 | $587.50 |
| Texas Health Hospital Frisco | Frisco | $352.50 | $587.50 |
| Texas Health Hospital Rockwall | Rockwall | $352.50 | $587.50 |
| Texas Health Presbyterian Hospital Allen | Allen | $352.50 | $587.50 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $352.50 | $587.50 |
| Texas Health Presbyterian Hospital Denton | Denton | $352.50 | $587.50 |
| South Texas Health System McAllen | McAllen | $354.75 | $473 |
| HCA Houston ER 24/7 - Fairmont | Pasadena | $375 | $375 |
| HCA Houston ER 24/7 - North Channel | Pasadena | $375 | $375 |
| HCA Houston Rehabilitation Hospital Southeast | Pasadena | $375 | $375 |
| HCA Houston Southeast | Pasadena | $375 | $375 |
| ER 24/7 Brownsville | Brownsville | $376 | $376 |
| ER 24/7 Harlingen | Brownsville | $376 | $376 |
| Valley Regional Medical Center | Brownsville | $376 | $376 |
| Cook Children's Medical Center - Prosper | Prosper | $408.02 | $544.03 |
| Midland County Hospital District | Midland | $408.75 | $545 |
| Midland Memorial Hospital | Midland | $408.75 | $545 |
| UMC Children's Hospital | Lubbock | $413.55 | $413.55 |
| UMC Health & Wellness Hospital | Lubbock | $413.55 | $413.55 |
| University Medical Center | Lubbock | $413.55 | $413.55 |
| HCA Houston ER 24/7 Bellaire | Houston | $437 | $437 |
| HCA Houston ER 24/7 Heights | Houston | $437 | $437 |
| HCA Houston ER 24/7 Memorial City | Houston | $437 | $437 |
| HCA Houston ER 24/7 Montrose | Houston | $437 | $437 |
| HCA Houston Medical Center | Houston | $437 | $437 |
| Medical City Lewisville Hospital | Lewisville | $476.46 | $476.46 |
| Medical City North Hills Hospital | North Richland Hills | $485.36 | $485.36 |
| HCA Houston Mainland | Texas City | $519 | $519 |
| HCA Houston ER 24/7 - Fry Road | Houston | $611.01 | $611.01 |
| HCA Houston ER 24/7 - Towne Lake | Houston | $611.01 | $611.01 |
| HCA Houston ER 24/7 Copperfield | Houston | $611.01 | $611.01 |
| HCA Houston ER 24/7 Willowbrook | Houston | $611.01 | $611.01 |
| HCA Houston North Cypress | Houston | $611.01 | $611.01 |
| Methodist ER Alamo Heights | San Antonio | $611.34 | $611.34 |
| Methodist ER City Base | San Antonio | $611.34 | $611.34 |
| Methodist ER Converse | San Antonio | $611.34 | $611.34 |
| Methodist ER Nacogdoches | San Antonio | $611.34 | $611.34 |
| Methodist Hospital Atascosa | Jourdanton | $611.34 | $611.34 |
| Methodist Hospital Landmark | San Antonio | $611.34 | $611.34 |
| Methodist Specialty & Transplant Hospital | San Antonio | $611.34 | $611.34 |
| Methodist Stone Oak Rehabilitation Hospital | San Antonio | $611.34 | $611.34 |
| Metropolitan Methodist Hospital | San Antonio | $611.34 | $611.34 |
| New Braunfels ER | San Antonio | $611.34 | $611.34 |
| Northeast Methodist Hospital | San Antonio | $611.34 | $611.34 |
| HCA Houston Clear Lake | Alvin | $624.57 | $624.57 |
| HCA Houston ER 24/7 - Alvin | Alvin | $624.57 | $624.57 |
| HCA Houston ER 24/7 - Friendswood | Alvin | $624.57 | $624.57 |
| HCA Houston ER 24/7 - Pearland | Alvin | $624.57 | $624.57 |
| HCA Houston ER 24/7 - Texas City | Alvin | $624.57 | $624.57 |
| HCA Houston ER 24/7 - Mission Bend | Houston | $656 | $656 |
| HCA Houston ER 24/7 - Stafford | Houston | $656 | $656 |
| HCA Houston ER 24/7 - Westchase | Houston | $656 | $656 |
| HCA Houston West | Houston | $656 | $656 |
| Texas Children's Hospital | Houston | $707.52 | $1,056 |
| Texas Children's Hospital North Austin Campus | Austin | $707.52 | $1,056 |
| Texas Children's Hospital The Woodlands | The Woodlands | $707.52 | $1,056 |
| Texas Children's Hospital West Campus | Houston | $707.52 | $1,056 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington | $710.40 | $1,184 |
| Methodist Childrens Hospital | San Antonio | $777.15 | $777.15 |
| Methodist ER Boerne | San Antonio | $777.15 | $777.15 |
| Methodist ER De Zavala Rd | San Antonio | $777.15 | $777.15 |
| Methodist ER Helotes | San Antonio | $777.15 | $777.15 |
| Methodist ER Legacy Trails | San Antonio | $777.15 | $777.15 |
| Methodist ER Westover Hills | San Antonio | $777.15 | $777.15 |
| Methodist Hospital | San Antonio | $777.15 | $777.15 |
| Methodist Hospital Hill Country | Fredericksburg | $777.15 | $777.15 |
| Methodist Rehabilitation Hospital Texsan | San Antonio | $777.15 | $777.15 |
| Methodist Texsan Hospital | San Antonio | $777.15 | $777.15 |
| Medical City Argyle Hospital | Argyle | $839.64 | $839.64 |
| Medical City Denton Hospital | Denton | $839.64 | $839.64 |
| Medical City ER Argyle | Denton | $839.64 | $839.64 |
| Medical City Children's Hospital | Garland | $860.50 | $860.50 |
| Medical City Dallas Hospital | Garland | $860.50 | $860.50 |
| Medical City ER Garland | Garland | $860.50 | $860.50 |
| Medical City Heart Hospital | Dallas | $860.50 | $860.50 |
| Medical City Spine Hospital | Dallas | $860.50 | $860.50 |
| Medical City Weatherford Hospital | Weatherford | $1,121.58 | $1,121.58 |
| HCA Houston Conroe | Conroe | $1,240.13 | $1,240.13 |
| Heart Hospital of Austin at St. Davids Round Rock | Round Rock | $1,796 | $1,796 |
| Round Rock Medical Center | Leander | $2,090 | $2,090 |
| St. David's Emergency Center - Leander | Leander | $2,090 | $2,090 |
| St. David's Emergency Center – Manor | Manor | $2,094 | $2,094 |
| St. David's Emergency Center – Mueller | Manor | $2,094 | $2,094 |
| St. David's Emergency Center – Riverside | Manor | $2,094 | $2,094 |
| St. David's Medical Center | Manor | $2,094 | $2,094 |
| St. David's Rehabilitation Hospital | Austin | $2,094 | $2,094 |
| South Austin Medical Center | Bastrop | $2,241 | $2,241 |
| St. David's Emergency Center - Bastrop | Bastrop | $2,241 | $2,241 |
| St. David's Emergency Center - Bee Cave | Bastrop | $2,241 | $2,241 |
| St. David's Emergency Center – South Lamar | Bastrop | $2,241 | $2,241 |
| HCA Houston ER 24/7 - Cypress/fm 1960 | Houston | $2,591.89 | $2,591.89 |
| HCA Houston ER 24/7 – Jersey Village | Houston | $2,591.89 | $2,591.89 |
| HCA Houston Tomball | Houston | $2,591.89 | $2,591.89 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | Not published | Not published |
| Ascension Seton Hays (Ascension Seton) | Kyle | Not published | Not published |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | Not published | Not published |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | Not published | Not published |
| Ascension Seton Northwest (Ascension Seton) | Austin | Not published | Not published |
| Ascension Seton Smithville (Ascension Seton) | Smithville | Not published | Not published |
| Ascension Seton Southwest (Ascension Seton) | 1826 Austin | Not published | Not published |
| Covenant Children's Hospital | Lubbock | Not published | Not published |
| Covenant Health Emergency Center - Milwaukee Ave | Lubbock | Not published | Not published |
| Covenant Health Emergency Center - Quaker Ave | Lubbock | Not published | Not published |
| Covenant Medical Center | Lubbock | Not published | Not published |
| Dell Children's Medical Center (Ascension Seton) | Austin | Not published | Not published |
| Dell Children's Medical Center North Campus (Ascension Seton) | Austin | Not published | Not published |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | Not published | Not published |
| HCA Houston ER 24/7 - Atascocita | Humble | Not published | Not published |
| HCA Houston ER 24/7 - Cleveland | Humble | Not published | Not published |
| HCA Houston ER 24/7 - Fall Creek | Humble | Not published | Not published |
| HCA Houston ER 24/7 - Fort Bend Parkway | Houston | Not published | Not published |
| HCA Houston ER 24/7 Fallbrook | Houston | Not published | Not published |
| HCA Houston ER 24/7 Spring | Houston | Not published | Not published |
| HCA Houston Kingwood | Humble | Not published | Not published |
| HCA Houston Northwest | Houston | Not published | Not published |
| HCA Houston Pearland | Houston | Not published | Not published |
| Hendrick Medical Center Brownwood | Brownwood | Not published | Not published |
| Medical City Alliance Hospital | Fort Worth | Not published | Not published |
| Medical City ER Haslet | Fort Worth | Not published | Not published |
| Medical City ER Saginaw | Fort Worth | Not published | Not published |
| Medical City Green Oaks Hospital | Dallas | Not published | Not published |
| Medical City Las Colinas Hospital | Irving | Not published | Not published |
| Medical City Mental Health and Wellness Center Frisco | Frisco | Not published | Not published |
| Medical City Sachse Hospital | Sachse | Not published | Not published |
| Medical City Surgical Hospital Alliance | Fort Worth | Not published | Not published |
| Methodist Hospital Westover Hills | San Antonio | Not published | Not published |
| Northwest Emergency at Eastern, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $909 |
| Northwest Emergency at Tascosa, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $909 |
| Northwest Emergency at Town Square, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $909 |
| Northwest Emergency on Georgia, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $909 |
| Northwest Texas Healthcare System | Amarillo | Not published | $909 |
| St. David's Surgical Hospital | Austin | Not published | Not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | Not published | Not published |
| University of Texas MD Anderson Cancer Center | Houston | Not published | $297 |
