| UTHealth East Texas Henderson | Henderson | $2 | $20 |
| St. Luke's Health Memorial Livingston | Livingston | $2.55 | $17 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2.55 | $17 |
| St. Luke's Health Memorial San Augustine | San Augustine | $2.55 | $17 |
| South Texas Health System Edinburg | Edinburg | $3 | $4 |
| South Texas Health System Heart | McAllen | $3 | $4 |
| South Texas Health System McAllen | McAllen | $3 | $4 |
| Harris Health Ben Taub Hospital | Houston | $3.17 | $105 |
| Harris Health Lyndon B Johnson Hospital | Houston | $3.17 | $105 |
| UTHealth East Texas Jacksonville | Jacksonville | $4.30 | $43 |
| University Medical Center Surgical Hospital | El Paso | $6.72 | $33.60 |
| University Medical Center of El Paso | El Paso | $6.72 | $33.60 |
| BSA Hospital | Amarillo | $12.30 | $123 |
| Harrington Cancer Center | Amarillo | $12.30 | $123 |
| University Health Dialysis Medical Center | San Antonio | $13.25 | $53 |
| University Health Dialysis South | San Antonio | $13.25 | $53 |
| University Health Dialysis Southeast | San Antonio | $13.25 | $53 |
| University Health Dialysis West at Texas Diabetes Institute | San Antonio | $13.25 | $53 |
| University Health System Children's Kidney Center | San Antonio | $13.25 | $53 |
| University Hospital | San Antonio | $13.25 | $53 |
| UTHealth East Texas Carthage | Carthage | $14.40 | $144 |
| UTHealth East Texas Pittsburg | Pittsburg | $14.40 | $144.04 |
| UTHealth East Texas Quitman | Quitman | $14.51 | $145.08 |
| UTHealth East Texas Athens | Athens | $17.70 | $177 |
| UTHealth East Texas North Campus | Tyler | $18.30 | $183 |
| UTHealth East Texas Rehabilitation Center | Tyler | $19.50 | $195 |
| William P Clements Jr University Hospital | Dallas | $19.50 | $26 |
| Covenant Health Emergency Center - Milwaukee Ave | Lubbock | $23.94 | $57 |
| Covenant Health Emergency Center - Quaker Ave | Lubbock | $23.94 | $57 |
| Covenant Medical Center | Lubbock | $23.94 | $57 |
| UTHealth East Texas Tyler | Tyler | $24.90 | $249 |
| UMC Children's Hospital | Lubbock | $29 | $29 |
| UMC Health & Wellness Hospital | Lubbock | $29 | $29 |
| University Medical Center | Lubbock | $29 | $29 |
| Covenant Hospital Levelland | Levelland | $33.18 | $79 |
| Ascension Providence | Waco | $33.66 | $93.50 |
| Covenant Hospital Plainview | Plainview | $46.62 | $111 |
| Hendrick Medical Center Brownwood | Brownwood | $51.24 | $102.48 |
| Longview Regional Medical Center | Longview | $54.41 | $201.50 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $60.42 | $167.83 |
| Methodist Celina Medical Center | Celina | $70.20 | $234 |
| Methodist Dallas Medical Center | Dallas | $70.20 | $234 |
| Methodist Mansfield Medical Center | Mansfield | $70.20 | $234 |
| Methodist Midlothian Medical Center | Midlothian | $70.20 | $234 |
| Methodist Richardson Medical Center | Richardson | $70.20 | $234 |
| Methodist Richardson Medical Center Campus for Continuing Care | Richardson | $70.20 | $234 |
| Methodist Southlake Medical Center | Southlake | $70.20 | $234 |
| St. Joseph Health Regional Hospital | Bryan | $71.07 | $343 |
| St. Joseph Health College Station Hospital | College Station | $71.52 | $343 |
| Behavioral Medicine at Renaissance | Edinburg | $72.91 | $72.91 |
| Doctors Hospital at Renaissance | Edinburg | $72.91 | $72.91 |
| Rehab Center at Renaissance | Edinburg | $72.91 | $72.91 |
| Womens Hospitalat Renaissance | Edinburg | $72.91 | $72.91 |
| DHR Health Brownsville | Brownsville | $76.56 | $76.56 |
| Parkland Health | Dallas | $79.20 | $198 |
| St. Joseph Health Madison Hospital | Madisonville | $80.82 | $343 |
| Baylor Scott & White All Saints Medical Center - Fort Worth | Fort Worth | $80.98 | $134.97 |
| Baylor Scott & White Continuing Care Hospital | Temple | $80.98 | $134.97 |
| Baylor Scott & White Emergency Medical Center - Cedar Park | Cedar Park | $80.98 | $134.97 |
| Baylor Scott & White Heart and Vascular Hospital - Dallas | Dallas | $80.98 | $134.97 |
| Baylor Scott & White Heart and Vascular Hospital - Waxahachie | Waxahachie | $80.98 | $134.97 |
| Baylor Scott & White McLane Children's Medical Center | Temple | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Austin | Austin | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Brenham | Brenham | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Buda | Buda | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Centennial | Frisco | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - College Station | College Station | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway | Frisco | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Grapevine | Grapevine | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Irving | Irving | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Lake Pointe | Rowlett | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Lakeway | Lakeway | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - McKinney | McKinney | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Plano | Plano | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Round Rock | Round Rock | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Taylor | Taylor | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Temple | Temple | $80.98 | $134.97 |
| Baylor Scott & White Medical Center - Waxahachie | Waxahachie | $80.98 | $134.97 |
| Baylor Scott & White Medical Center Hillcrest | Waco | $80.98 | $134.97 |
| Baylor Scott & White Pavilion - Temple | Temple | $80.98 | $134.97 |
| Baylor Scott & White the Heart Hospital - Denton | Denton | $80.98 | $134.97 |
| Baylor Scott & White the Heart Hospital - McKinney | McKinney | $80.98 | $134.97 |
| Baylor Scott & White the Heart Hospital - Plano | Plano | $80.98 | $134.97 |
| Baylor University Medical Center | Dallas | $80.98 | $134.97 |
| St. Joseph Health Burleson Hospital | Caldwell | $81.50 | $343 |
| JPS Health Network | Fort Worth | $85.80 | $143 |
| Trinity Spring North | Fort Worth | $85.80 | $143 |
| Ascension Seton Hays (Ascension Seton) | Kyle | $86.85 | $241.25 |
| United Regional Health Care System | Wichita Falls | $88.59 | $100.10 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $90.27 | $250.75 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $90.27 | $250.75 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $90.27 | $250.75 |
| Ascension Seton Southwest (Ascension Seton) | 1826 Austin | $90.27 | $250.75 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $90.27 | $250.75 |
| CHRISTUS Santa Rosa Hospital - Westover Hills | San Antonio | $91.41 | $277 |
| Midland County Hospital District | Midland | $99 | $132 |
| Midland Memorial Hospital | Midland | $99 | $132 |
| Houston Methodist Emergency Care Center at Kirby | Houston | $105.50 | $211 |
| Houston Methodist Emergency Care Center at Voss | Houston | $105.50 | $211 |
| Houston Methodist Emergency Care Center in Pearland | Houston | $105.50 | $211 |
| Houston Methodist Hospital | Houston | $105.50 | $211 |
| Texas Health Arlington Memorial Hospital | Arlington | $107.85 | $179.75 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Azle | Azle | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Southlake | Southlake | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $107.85 | $179.75 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville | $107.85 | $179.75 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington | $107.85 | $179.75 |
| Texas Health Hospital Clearfork | Fort Worth | $107.85 | $179.75 |
| Texas Health Hospital Frisco | Frisco | $107.85 | $179.75 |
| Texas Health Hospital Rockwall | Rockwall | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Allen | Allen | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Denton | Denton | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman | $107.85 | $179.75 |
| Texas Health Presbyterian Hospital Plano | Plano | $107.85 | $179.75 |
| Texas Health Specialty Hospital Fort Worth | Fort Worth | $107.85 | $179.75 |
| Medical Center Hospital | Odessa | $108 | $108 |
| Hendrick Medical Center | Abilene | $109.84 | $219.68 |
| Hendrick Medical Center South | Abilene | $109.84 | $219.68 |
| Shannon Medical Center | San Angelo | $115 | $230 |
| Shannon Medical Center Big Spring | Big Spring | $115 | $230 |
| Shannon Medical Center South | San Angelo | $115 | $230 |
| Shannon Medical Center St John's Campus | San Angelo | $115 | $230 |
| Shannon River Crest Hospital | San Angelo | $115 | $230 |
| Children's Memorial Hermann Hospital | Houston | $121.44 | $379.50 |
| Memorial Hermann Cypress Hospital | Cypress | $121.44 | $379.50 |
| Memorial Hermann Greater Heights Hospital | Houston | $121.44 | $379.50 |
| Memorial Hermann Imaging Center (Bellaire) | Bellaire | $121.44 | $379.50 |
| Memorial Hermann Imaging Center (Cypress) | Cypress | $121.44 | $379.50 |
| Memorial Hermann Imaging Center (Texas Medical Center) | Houston | $121.44 | $379.50 |
| Memorial Hermann Imaging Center (Upper Kirby) | Houston | $121.44 | $379.50 |
| Memorial Hermann Katy Hospital | Katy | $121.44 | $379.50 |
| Memorial Hermann Memorial City Medical Center | Houston | $121.44 | $379.50 |
| Memorial Hermann Northeast Hospital | Humble | $121.44 | $379.50 |
| Memorial Hermann Pearland Hospital | Pearland | $121.44 | $379.50 |
| Memorial Hermann Rehabilitation Hospital-Katy | Katy | $121.44 | $379.50 |
| Memorial Hermann Rockets Orthopedic Hospital | Bellaire | $121.44 | $379.50 |
| Memorial Hermann Southeast Hospital | Houston | $121.44 | $379.50 |
| Memorial Hermann Southwest Hospital | Houston | $121.44 | $379.50 |
| Memorial Hermann Sugar Land Hospital | Sugar Land | $121.44 | $379.50 |
| Memorial Hermann The Woodlands Medical Center | The Woodlands | $121.44 | $379.50 |
| Memorial Hermann-Texas Medical Center | Houston | $121.44 | $379.50 |
| TIRR Memorial Hermann | Houston | $121.44 | $379.50 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $134.01 | $372.25 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $134.01 | $372.25 |
| Covenant Children's Hospital | Lubbock | $148.68 | $354 |
| Covenant Specialty Hospital | Lubbock | $148.68 | $354 |
| Children's Medical Center of Dallas | Dallas | $151.50 | $202 |
| Children's Medical Center of Plano | Plano | $151.50 | $202 |
| Texas Children's Hospital | Houston | $156.11 | $233 |
| Texas Children's Hospital North Austin Campus | Austin | $156.11 | $233 |
| Texas Children's Hospital The Woodlands | The Woodlands | $156.11 | $233 |
| Texas Children's Hospital West Campus | Houston | $156.11 | $233 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $175.53 | $250.75 |
| Dell Children's Medical Center North Campus (Ascension Seton) | Austin | $175.53 | $250.75 |
| CHRISTUS Health - West Beaumont | Beaumont | $184.14 | $558 |
| CHRISTUS Hospital - Orange | Orange | $184.14 | $558 |
| CHRISTUS Southeast Texas - MidCounty | Port Arthur | $184.14 | $558 |
| CHRISTUS Southeast Texas Orthopedic Specialty Center | Port Arthur | $184.14 | $558 |
| CHRISTUS Southeast Texas St. Elizabeth | Beaumont | $184.14 | $558 |
| Cook Children's Medical Center | Fort Worth | $189.71 | $252.95 |
| Medical City Mental Health and Wellness Center Frisco | Frisco | $205.48 | $205.48 |
| Medical City Green Oaks Hospital | Dallas | $221.92 | $221.92 |
| Medical City Mental Health and Wellness Center - Alliance | Fort Worth | $221.92 | $221.92 |
| Houston Methodist Baytown Hospital | Baytown | $273 | $546 |
| Houston Methodist Clear Lake Hospital | Nassau Bay | $273 | $546 |
| Houston Methodist Continuing Care Hospital | Katy | $273 | $546 |
| Houston Methodist Cypress Hospital | Cypress | $273 | $546 |
| Houston Methodist Emergency Care Center at Cinco Ranch | Houston | $273 | $546 |
| Houston Methodist Emergency Care Center in Cypress | Houston | $273 | $546 |
| Houston Methodist Emergency Care Center in Deer Park | Nassau Bay | $273 | $546 |
| Houston Methodist Emergency Care Center in League City | Nassau Bay | $273 | $546 |
| Houston Methodist Emergency Care Center in Magnolia | Houston | $273 | $546 |
| Houston Methodist Emergency Care Center in Sienna | Houston | $273 | $546 |
| Houston Methodist Emergency Care Center in Spring | The Woodlands | $273 | $546 |
| Houston Methodist Emergency Care Center in The Woodlands | The Woodlands | $273 | $546 |
| Houston Methodist Sugar Land Hospital | Sugar Land | $273 | $546 |
| Houston Methodist The Woodlands Hospital | The Woodlands | $273 | $546 |
| Houston Methodist West Hospital | Houston | $273 | $546 |
| Houston Methodist Willowbrook Hospital | Houston | $273 | $546 |
| ER 24/7 Brownsville | Brownsville | $380.66 | $380.66 |
| ER 24/7 Harlingen | Brownsville | $380.66 | $380.66 |
| Valley Regional Medical Center | Brownsville | $380.66 | $380.66 |
| Medical City ER White Settlement | Fort Worth | $389.68 | $389.68 |
| Medical City Fort Worth Hospital | Fort Worth | $389.68 | $389.68 |
| Round Rock Medical Center | Leander | $391 | $391 |
| St. David's Emergency Center - Leander | Leander | $391 | $391 |
| South Austin Medical Center | Bastrop | $406 | $406 |
| St. David's Emergency Center - Bastrop | Bastrop | $406 | $406 |
| St. David's Emergency Center - Bee Cave | Bastrop | $406 | $406 |
| St. David's Emergency Center – South Lamar | Bastrop | $406 | $406 |
| Heart Hospital of Austin | Austin | $421 | $421 |
| Heart Hospital of Austin at St. Davids Round Rock | Round Rock | $421 | $421 |
| St. David's Emergency Center – Manor | Manor | $421 | $421 |
| St. David's Emergency Center – Mueller | Manor | $421 | $421 |
| St. David's Emergency Center – Riverside | Manor | $421 | $421 |
| St. David's Georgetown | Georgetown | $421 | $421 |
| St. David's Medical Center | Manor | $421 | $421 |
| St. David's Rehabilitation Hospital | Austin | $421 | $421 |
| Methodist ER Bulverde | Spring Branch | $434.21 | $434.21 |
| Methodist Hospital Atascosa | Jourdanton | $434.21 | $434.21 |
| Methodist Hospital Stone Oak | Spring Branch | $434.21 | $434.21 |
| Methodist Stone Oak Rehabilitation Hospital | San Antonio | $434.21 | $434.21 |
| South Texas Health System Behavioral | Edinburg | $464.25 | $619 |
| Methodist Childrens Hospital | San Antonio | $466.92 | $466.92 |
| Methodist ER Alamo Heights | San Antonio | $466.92 | $466.92 |
| Methodist ER Boerne | San Antonio | $466.92 | $466.92 |
| Methodist ER City Base | San Antonio | $466.92 | $466.92 |
| Methodist ER Converse | San Antonio | $466.92 | $466.92 |
| Methodist ER De Zavala Rd | San Antonio | $466.92 | $466.92 |
| Methodist ER Helotes | San Antonio | $466.92 | $466.92 |
| Methodist ER Legacy Trails | San Antonio | $466.92 | $466.92 |
| Methodist ER Nacogdoches | San Antonio | $466.92 | $466.92 |
| Methodist ER Westover Hills | San Antonio | $466.92 | $466.92 |
| Methodist Hospital | San Antonio | $466.92 | $466.92 |
| Methodist Hospital Hill Country | Fredericksburg | $466.92 | $466.92 |
| Methodist Hospital Landmark | San Antonio | $466.92 | $466.92 |
| Methodist Hospital Westover Hills | San Antonio | $466.92 | $466.92 |
| Methodist Rehabilitation Hospital Texsan | San Antonio | $466.92 | $466.92 |
| Methodist Specialty & Transplant Hospital | San Antonio | $466.92 | $466.92 |
| Methodist Texsan Hospital | San Antonio | $466.92 | $466.92 |
| Metropolitan Methodist Hospital | San Antonio | $466.92 | $466.92 |
| New Braunfels ER | San Antonio | $466.92 | $466.92 |
| Northeast Methodist Hospital | San Antonio | $466.92 | $466.92 |
| Medical City Weatherford Hospital | Weatherford | $485.64 | $485.64 |
| Medical City Arlington Hospital | Arlington | $492.15 | $492.15 |
| Medical City ER Grand Prarie | Arlington | $492.15 | $492.15 |
| Medical City ER Red Oak | Arlington | $492.15 | $492.15 |
| HCA Houston ER 24/7 - Fort Bend Parkway | Houston | $518.85 | $518.85 |
| HCA Houston Pearland | Houston | $518.85 | $518.85 |
| Medical City North Hills Hospital | North Richland Hills | $562.70 | $562.70 |
| HCA Houston Clear Lake | Alvin | $593.68 | $593.68 |
| HCA Houston ER 24/7 - Alvin | Alvin | $593.68 | $593.68 |
| HCA Houston ER 24/7 - Friendswood | Alvin | $593.68 | $593.68 |
| HCA Houston ER 24/7 - Pearland | Alvin | $593.68 | $593.68 |
| HCA Houston ER 24/7 - Texas City | Alvin | $593.68 | $593.68 |
| HCA Houston ER 24/7 - Cypress/fm 1960 | Houston | $610.63 | $610.63 |
| HCA Houston ER 24/7 – Jersey Village | Houston | $610.63 | $610.63 |
| HCA Houston Tomball | Houston | $610.63 | $610.63 |
| Medical City Frisco Hospital | Frisco | $612.98 | $612.98 |
| Medical City Plano Hospital | Plano | $612.98 | $612.98 |
| Medical City Sachse Hospital | Sachse | $612.98 | $612.98 |
| HCA Houston ER 24/7 - Mission Bend | Houston | $620 | $620 |
| HCA Houston ER 24/7 - Stafford | Houston | $620 | $620 |
| HCA Houston ER 24/7 - Westchase | Houston | $620 | $620 |
| HCA Houston West | Houston | $620 | $620 |
| Medical City Argyle Hospital | Argyle | $626.35 | $626.35 |
| Medical City Decatur Behavioral Health | Decatur | $626.35 | $626.35 |
| Medical City Decatur Hospital | Decatur | $626.35 | $626.35 |
| Medical City Denton Hospital | Denton | $626.35 | $626.35 |
| Medical City ER Argyle | Denton | $626.35 | $626.35 |
| Medical City Alliance Hospital | Fort Worth | $644.75 | $644.75 |
| Medical City ER Haslet | Fort Worth | $644.75 | $644.75 |
| Medical City ER Saginaw | Fort Worth | $644.75 | $644.75 |
| Medical City Surgical Hospital Alliance | Fort Worth | $644.75 | $644.75 |
| HCA Houston Conroe | Conroe | $670.68 | $670.68 |
| HCA Houston ER 24/7 Fallbrook | Houston | $691 | $691 |
| HCA Houston ER 24/7 Spring | Houston | $691 | $691 |
| HCA Houston Northwest | Houston | $691 | $691 |
| Medical City Children's Hospital | Garland | $701.88 | $701.88 |
| Medical City Dallas Hospital | Garland | $701.88 | $701.88 |
| Medical City ER Garland | Garland | $701.88 | $701.88 |
| Medical City Heart Hospital | Dallas | $701.88 | $701.88 |
| Medical City Spine Hospital | Dallas | $701.88 | $701.88 |
| HCA Houston ER 24/7 Bellaire | Houston | $708 | $708 |
| HCA Houston ER 24/7 Heights | Houston | $708 | $708 |
| HCA Houston ER 24/7 Memorial City | Houston | $708 | $708 |
| HCA Houston ER 24/7 Montrose | Houston | $708 | $708 |
| HCA Houston Medical Center | Houston | $708 | $708 |
| HCA Houston ER 24/7 - Fairmont | Pasadena | $713.74 | $713.74 |
| HCA Houston ER 24/7 - North Channel | Pasadena | $713.74 | $713.74 |
| HCA Houston Rehabilitation Hospital Southeast | Pasadena | $713.74 | $713.74 |
| HCA Houston Southeast | Pasadena | $713.74 | $713.74 |
| HCA Houston Mainland | Texas City | $734.79 | $734.79 |
| HCA Houston ER 24/7 - Atascocita | Humble | $735.76 | $735.76 |
| HCA Houston ER 24/7 - Cleveland | Humble | $735.76 | $735.76 |
| HCA Houston ER 24/7 - Fall Creek | Humble | $735.76 | $735.76 |
| HCA Houston ER 24/7 - Fry Road | Houston | $735.76 | $735.76 |
| HCA Houston ER 24/7 - Towne Lake | Houston | $735.76 | $735.76 |
| HCA Houston ER 24/7 Copperfield | Houston | $735.76 | $735.76 |
| HCA Houston ER 24/7 Willowbrook | Houston | $735.76 | $735.76 |
| HCA Houston Kingwood | Humble | $735.76 | $735.76 |
| HCA Houston North Cypress | Houston | $735.76 | $735.76 |
| Medical City Las Colinas Hospital | Irving | $766.23 | $766.23 |
| ER 24/7 Edinburg | Edinburg | $774.69 | $774.69 |
| ER 24/7 McAllen | Edinburg | $774.69 | $774.69 |
| ER 24/7 Mission | Edinburg | $774.69 | $774.69 |
| ER 24/7 San Juan | Edinburg | $774.69 | $774.69 |
| Rio Grande Regional Hospital | Edinburg | $774.69 | $774.69 |
| Medical City Lewisville Hospital | Lewisville | $782.09 | $782.09 |
| Medical City ER Stonebridge | McKinney | $846.10 | $846.10 |
| Medical City McKinney Hospital | McKinney | $846.10 | $846.10 |
| North Austin Medical Center | Austin | $851 | $851 |
| St. David's Emergency Center Pflugerville | Austin | $851 | $851 |
| St. David's Emergency Center – Anderson Mill | Austin | $851 | $851 |
| St. David's Emergency Center – Arboretum | Austin | $851 | $851 |
| St. David's Emergency Center – Wells Branch | Austin | $851 | $851 |
| St. David's Surgical Hospital | Austin | $851 | $851 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos | Not published | Not published |
| Cook Children's Medical Center - Prosper | Prosper | Not published | Not published |
| Northwest Emergency at Eastern, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $118 |
| Northwest Emergency at Tascosa, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $118 |
| Northwest Emergency at Town Square, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $118 |
| Northwest Emergency on Georgia, a Service of Northwest Texas Healthcare System | Amarillo | Not published | $118 |
| Northwest Texas Healthcare System | Amarillo | Not published | $118 |
| Northwest Texas Healthcare System Behavioral Health | Amarillo | Not published | $222 |
| Northwest Texas Healthcare System Surgery Center | Amarillo | Not published | $222 |
| University of Texas MD Anderson Cancer Center | Houston | Not published | $117 |
