City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

ALVIN** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

ANGLETON

** UTMB HEALTH

ANGLETON DANBURY

Anesthesiology 0% IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency Room 27%IN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

BAY CITY

MATAGORDA REGIONAL MEDICAL CENTER

Anesthesiology 1% IN NETWORK BAY CITY TEXAS ANESTHESIOLOGISTS

Emergency Room 0% IN NETWORK BAY PRAIRIE EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

BAYTOWN

HOUSTON METHODIST BAYTOWN HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room SERVICE NOT AVAILABLE

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

BELLAIRE FIRST SURGICAL HOSPITAL

Anesthesiology 13%IN NETWORK MEDICAL ANESTHESIOLOGY ASSOCIATES

OUT OF NETWORK LINK ANESTHESIA STAFFING LLC

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology 15% IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

UNITED PATHOLOGY ASSOCIATES PLLC

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

BELLAIRE

FIRST SURGICAL HOSPITAL

Pathology 15% OUT OF NETWORK GALAPATHOLOGY ASSOCIATES PLLC

Radiology 0% IN NETWORK HOUSTON NW RADIOLOGY ASSOCIATION

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

BELLVILLEBELLVILLE MEDICAL CENTER

Anesthesiology 43% IN NETWORK PERFORMANCE ANESTHESIA SERVICES

Emergency Room 92% OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKAUSTIN PATHOLOGY ASSOCIATES

PEDIATRIC PATHOLOGY CONSULTANTSRadiology 0% IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

BRENHAM

BAYLOR SCOTT & WHITE MEDICAL CENTER

BRENHAM

Anesthesiology 0% IN NETWORKSCOTT & WHITE CLINIC

SCOTT & WHITE MEMORIAL HOSPITALEmergency Room 0% IN NETWORK CENTURY INTEGRATED PARTNERS INC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK SCOTT AND WHITE CLINIC

Radiology 0% IN NETWORK SCOTT AND WHITE CLINIC

COLUMBUSCOLUMBUS

COMMUNITY HOSPITAL

Anesthesiology 0% IN NETWORK HUFFMAN ANESTHESIA PLLC

Emergency Room 48%IN NETWORK CONCORD MEDICAL GROUP PLLC

OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology 1% IN NETWORKCOASTAL PATHOLOGY PA

NORTHEAST PATHOLOGY GROUP PARadiology SERVICE NOT AVAILABLE

CONROE ASPIRE HOSPITAL LLC

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

NORTH LAKES PAIN CONSULTANTS

Emergency Room 20%IN NETWORK

ACS PRIMARY CARE PHYSICIANS SW PAMEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

CONROE

ASPIRE HOSPITAL LLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK

COMMUNITY PATHOLOGY ASSOCIATESGULF COAST PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PAMETHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

HCA HOUSTON HEALTHCARE

CONROE

Anesthesiology 0% IN NETWORKINDEPENDENT PHYSICIANS NETWORK

STAR ANESTHESIA PAEmergency Room 97% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK GULF COAST PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PAWEST HOUSTON RADIOLOGY ASSOCIATES

CUEROCUERO

REGIONAL HOSPITAL

Anesthesiology 0% IN NETWORK AM ANESTHESIA SVCS SOUTH TX CUERO

Emergency Room 100% OUT OF NETWORK TEXAS EMERGENCY GROUP LLC

Neonatology SERVICE NOT AVAILABLE

Pathology 3% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

CYPRESS

** HCA HOUSTON

HEALTHCARE N CYPRESS

CAMPUS OF HCA HOUSTON HC KINGWOOD

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 98% OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANSCYPRESS EMERGENCY ASSOCIATES PA

Neonatology 0% IN NETWORKHEALTHCARE SPECIALISTS PLLC

PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORKGULF COAST PATHOLOGY ASSOCIATESJ S WILKENFELD MD AND ASSOCIATES

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

CYPRESS

** MEMORIAL HERMANN CYPRESS HOSPITAL

Anesthesiology 0% IN NETWORK UT PHYSICIANS

Emergency Room 5% IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

UT PHYSICIANSNeonatology 0% IN NETWORK UT PHYSICIANS

Pathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

EAGLE LAKE RICE MEDICAL CENTER

Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

Emergency Room 7% IN NETWORK RICE MEDICAL CENTER

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKMETHODIST PATHOLOGY ASSOC PLLCNORTHEAST PATHOLOGY GROUP PA

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

EDNAJACKSON

HEALTHCARE CENTER

Anesthesiology 0% IN NETWORK JACKSON CTY HOSP PHYSICIAN GROUP

Emergency Room 8% IN NETWORK JACKSON CTY HOSP PHYSICIAN GROUP

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

EL CAMPOEL CAMPO MEMORIAL HOSPITAL

Anesthesiology 0% IN NETWORK COWBOY ANESTHESIA SERVICES PLLC

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK

BROWN & ASSOC MED LABORATORIESCOMMUNITY PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PAMETHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORK CONCORD RADIOLOGY PLLC

FRIENDSWOOD** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

FRIENDSWOOD ** HOUSTON PHYSICIANS HO

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

GALVESTON

SHRINERS HOSPITALS FOR

CHILDREN

Anesthesiology 22% IN NETWORK SHRINERS HOSPITALS FOR CHILDREN

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

UTMB HEALTH GALVESTON

Anesthesiology 0% IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency Room 27%IN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

HALLETTSVILLELAVACA

MEDICAL CENTER

Anesthesiology 0% IN NETWORK LAVACA MEDICAL CENTER

Emergency Room 13% IN NETWORK LAVACA MEDICAL CENTER

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK

CLINICAL PATHOLOGY ASSOCIATESCOMMUNITY PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PANORTHEAST PATHOLOGY GROUP PA

Radiology 0% IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

HOUSTON AD HOSPITAL EAST LLC

Anesthesiology 3%IN NETWORK

ADVANCED SURGEONS & PHYS NWKBEST CHOICE ANES & PAIN PLLC

OUT OF NETWORK ADV INVASIVE PAIN MGMT OF HOUSTON

Emergency Room 3% IN NETWORKADVANCED SURGEONS & PHYS NWK

BAY AREA EMERGENCY PARTNERSNeonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

NORTH HOUSTON PATHOLOGY ASSOCS

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

Radiology 0% IN NETWORK ADVANCED DIAGNOSTICS

BEN TAUB GENERAL HOSPITAL

Anesthesiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room 3% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

CHI ST LUKES HLTH BAYLOR

COLLEGE MEDICINE

MEDICAL CTR

Anesthesiology 0% IN NETWORKBCM PHYSICIANS

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room 10% IN NETWORK MEDICAL CENTER EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** CHILDRENS MEMORIAL HERMANN HOSPITAL

Anesthesiology 0% IN NETWORK UT PHYSICIANS

Emergency Room 5% IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

UT PHYSICIANSNeonatology 0% IN NETWORK UT PHYSICIANS

Pathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

DOCTORS HOSPITAL PARKWAY TIDWELL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room 58%IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

OUT OF NETWORK VIVENTI MED LLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLCRadiology 0% IN NETWORK PINEY WOODS RADIOLOGY PLLC

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

FIRST TEXAS HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 55% IN NETWORK NATIONAL MEDICAL PROS OF HOUSTON

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKGULF COAST PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PAMETHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

HCA HOUSTON HEALTHCARE

MEDICAL CENTER

Anesthesiology 0% IN NETWORKREMIX MEDICAL PLLC

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 98% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORK BROWN & ASSOC MED LABORATORIES

Radiology 0% IN NETWORKINNOVATIVE RADIOLOGY PASINGLETON ASSOCIATES PA

HCA HOUSTON HEALTHCARE NORTHWEST

Anesthesiology 9% IN NETWORKBEST CHOICE ANES & PAIN PLLC

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room 98% OUT OF NETWORK HERALD EMERGENCY PHYSICIANS PLLC

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK NORTH HOUSTON PATHOLOGY ASSOCS

Radiology 1% IN NETWORK HOUSTON NW RADIOLOGY ASSOCIATION

HCA HOUSTON HEALTHCARE

WEST

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 98% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK MANGINI LAKHIA & ASSOCIATES PA

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PAWEST HOUSTON RADIOLOGY ASSOCIATES

HOUSTON METHODIST

HOSPITAL

Anesthesiology 0% IN NETWORKANESTHESIA COMPANY OF HOUSTON

GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORKEMERGIGROUP PHYSICIAN ASSOC PAKIRBY EMERGENCY PHYSICIANS PLLC

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

HOUSTON METHODIST

HOSPITAL

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORK HOUSTON RADIOLOGY ASSOCIATED

HOUSTON METHODIST

WEST HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORKKIRBY EMERGENCY PHYSICIANS PLLC

WEST HOUSTON EMERGENCY PHYSICIANSNeonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

HOUSTON METHODIST

WILLOWBROOK

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORK WOODLANDS EMERGENCY PHYSICIANS

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology

SERVICE NOT AVAILABLE

0% IN NETWORKSPACE CITY PAIN SPECIALISTS LLP

TX ANESTHESIA CONSULTANTS HOUSTONTX ANESTHESIOLOGY CNS HOUSTON

Emergency RoomSERVICE NOT AVAILABLE

97% OUT OF NETWORK HPH EMERGENCY PHYSICIANS PLLC

NeonatologyINSUFFICIENT CLAIMS DATA

SERVICE NOT AVAILABLE

PathologySERVICE NOT AVAILABLE

0% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

UTMB FACULTY GROUP PRACTICE

RadiologySERVICE NOT AVAILABLE

0% IN NETWORKGULF IMAGING ASSOCIATES PA

SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

** LYNDON B JOHNSON GENERAL HOSPITAL

Anesthesiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room 3% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

MD ANDERSON CANCER CENTER

Anesthesiology 0% IN NETWORK PHYSICIANS REFERRAL SERVICE

Emergency Room 6% IN NETWORK PHYSICIANS REFERRAL SERVICE

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK PHYSICIANS REFERRAL SERVICE

Radiology 0% IN NETWORK PHYSICIANS REFERRAL SERVICE

** MEMORIAL HERMANN GREATER HEIGHTS

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 2% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

** MEMORIAL HERMANN HEART &

VASCULAR INSTITUTE

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

MEMORIAL HERMANN HOSPITAL

Anesthesiology 0% IN NETWORK UT PHYSICIANS

Emergency Room 5% IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

UT PHYSICIANSNeonatology 0% IN NETWORK UT PHYSICIANS

Pathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

MEMORIAL HERMANN

MEMORIAL CITY HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 3% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SINGLETON ASSOCIATES PA

** MEMORIAL HERMANN

SOUTHEAST HOSPITAL

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 2% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

MEMORIAL HERMANN

SOUTHWEST HOSPITAL

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 2% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

** QUENTIN MEASE

COMMUNITY HOSPITAL

Anesthesiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room 3% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology 0% IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

RIVER OAKS HOSPITAL & CLINICS LLC

Anesthesiology 0% IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKMEMORIAL PATHOLOGY CONSULTANTS PA

NORTH HOUSTON PATHOLOGY ASSOCSRadiology SERVICE NOT AVAILABLE

SHRINERS HOSPITALS FOR

CHILDREN

Anesthesiology 0% IN NETWORK SHRINERS HOSPITALS FOR CHILDREN

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

ST JOSEPH MEDICAL CENTER

Anesthesiology 0% IN NETWORK ANESTHESIA OF SOUTHEAST TEXAS

Emergency Room 97% OUT OF NETWORK ST JOSEPH EMERGENCY PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

** ST JOSEPH MEDICAL

CENTER IN THE HEIGHTS

Anesthesiology 0% IN NETWORK ANESTHESIA OF SOUTHEAST TEXAS

Emergency Room 97% OUT OF NETWORK ST JOSEPH EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

** ST JOSEPH MEDICAL CENTE

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

ST LUKES HOSPITAL AT THE VINTAGE

Anesthesiology 1% IN NETWORKBCM PHYSICIANS

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room 7% IN NETWORK MEDICAL CENTER EMERG PHYSICIANS

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

TEXAS CHILDRENS HOSPITAL

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXAS CHILDRENS PHYSICIAN GROUPEmergency Room 9% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK PEDIATRIC PATHOLOGY CONSULTANTS

Radiology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

TEXAS ORTHOPEDIC

HOSPITAL

Anesthesiology 0% IN NETWORKCAPITOL MEDICAL MANAGEMENT GROUPGREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 69%

IN NETWORKACS PRIMARY CARE PHYSICIANS SW PAMEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANSEMERGIGROUP PHYSICIAN ASSOC PA

ROUND TABLE PHYSICIANS GROUP PLLCNeonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK MUSCULOSKELETAL RADIOLOGY ASSOC

THE WOMANS HOSPITAL OF

TEXAS

Anesthesiology 0% IN NETWORK AUSTIN ANESTHESIOLOGY GROUP PLLC

Emergency Room 95% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK HOUSTON PATHOLOGY ASSOCIATES PLLC

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HOUSTON

TOPS SURGICAL SPECIALTY HOSPITAL

Anesthesiology 10% IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room 100% OUT OF NETWORK HERALD EMERGENCY PHYSICIANS PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK

AVERO DIAGNOSTICSMEDICAL & PATHOLOGY LAB

NORTH HOUSTON PATHOLOGY ASSOCSUNITED PATHOLOGY ASSOCIATES PLLC

Radiology 0% IN NETWORK ROSE IMAGING SPECIALIST PA

** TOWNSEN MEMORIAL SURGERY

CENTER MED CENTER

Anesthesiology 0% IN NETWORKCOMPASS ANESTHESIA PROVIDERS LLC

NORTH MEDICAL SERVICES PLLCEmergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

** UNITED MEMORIAL

MEDICAL CENTER NORTH

HOSPITAL

Anesthesiology 0% IN NETWORKBEST CHOICE ANES & PAIN PLLCNORTH MEDICAL SERVICES PLLC

Emergency Room 58%IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

OUT OF NETWORK VIVENTI MED LLC

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLCRadiology 0% IN NETWORK PINEY WOODS RADIOLOGY PLLC

HUMBLE

MEMORIAL HERMANN

NORTHEAST HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 3% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK NORTH HOUSTON PATHOLOGY ASSOCS

Radiology 0% IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

TOWNSEN MEMORIAL HOSPITAL

Anesthesiology 0% IN NETWORKCOMPASS ANESTHESIA PROVIDERS LLC

NORTH MEDICAL SERVICES PLLCEmergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

HUMBLE TOWNSEN MEMORIAL HOS

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

HUNTSVILLEHUNTSVILLE MEMORIAL HOSPITAL

Anesthesiology 0% IN NETWORK PREMIER ANESTHESIA OF HUNTSVILLE

Emergency Room 5% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

KATYMEMORIAL HERMANN

KATY HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 6% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK BROWN & ASSOC MED LABORATORIES

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

KINGWOOD

HCA HOUSTON HEALTHCARE KINGWOOD

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 98% OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANSCYPRESS EMERGENCY ASSOCIATES PA

Neonatology 0% IN NETWORKHEALTHCARE SPECIALISTS PLLC

PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORKGULF COAST PATHOLOGY ASSOCIATESJ S WILKENFELD MD AND ASSOCIATES

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

MEMORIAL HERMANN SURGICAL HOSPITAL

KINGWOOD

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PANORTHWEST ANESTHESIA AND PAIN MA

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCOASTAL PATHOLOGY PA

MANGINI LAKHIA & ASSOCIATES PANORTH HOUSTON PATHOLOGY ASSOCS

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

Radiology 0% IN NETWORK WEST HOUSTON RADIOLOGY ASSOCIATES

LAKE JACKSONCHI ST LUKES

HEALTH BRAZOSPORT

Anesthesiology 76% IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room 98% OUT OF NETWORK OXBOW EMERGENCY PHYSICIANS

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

LEAGUE CITY

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

** UTMB HEALTH AT

LEAGUE CITY

Anesthesiology 0% IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency Room 27%IN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

NASSAU BAY

HOUSTON METHODIST CLEAR LAKE

HOSPITAL

Anesthesiology 0% IN NETWORK SPACE CITY ANESTHESIA

Emergency Room SERVICE NOT AVAILABLE

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

NAVASOTA** GRIMES ST

JOSEPH HEALTH CENTER

Anesthesiology 0% IN NETWORKAUSTIN ANESTHESIOLOGY GROUP PLLC

AUSTIN ANESTHESIOLOGY GRP PLLCEmergency Room 2% IN NETWORK BRYAN EMERGENCY PHYSICIANS PA

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK AUSTIN PATHOLOGY ASSOCIATES

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

NAVASOTA Radiology 0% IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

PALACIOS

PALACIOS COMMUNITY

MEDICAL CENTER

Anesthesiology INSUFFICIENT CLAIMS DATA

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology 0% IN NETWORK CONCORD RADIOLOGY PLLC

PASADENA

HCA HOUSTON HEALTHCARE SOUTHEAST

Anesthesiology 1% IN NETWORK BELTWAY ANESTHIA GROUP PA

Emergency Room 99% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK ALLIANCE PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKGULF IMAGING ASSOCIATES PAROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PA

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

ST LUKES PATIENTS MEDICAL CENTER

Anesthesiology 1% IN NETWORK SPACE CITY ANESTHESIA

Emergency Room 41%IN NETWORK BAY AREA EMERGENCY PARTNERS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

SURGERY SPECIALTY

HOSPITALS OF AMERICA SE

HOUSTON

Anesthesiology 8% IN NETWORK ANES ASSOC OF HOUSTON METROPLEX

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology INSUFFICIENT CLAIMS DATA

Radiology 0% IN NETWORK EL PASO VINTON DIAGNOSTIC PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

PEARLAND

HCA HOUSTON HEALTHCARE

PEARLAND

Anesthesiology 36% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room 98% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK MANGINI LAKHIA & ASSOCIATES PA

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PAWEST HOUSTON RADIOLOGY ASSOCIATES

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

** MEMORIAL HERMANN PEARLAND HOSPITAL

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 2% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

PORT LAVACAMEMORIAL

MEDICAL CENTER

Anesthesiology 0% IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room 100% IN NETWORK ESS OF PORT LAVACA LLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

RICHMONDOAKBEND MEDICAL CENTER

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 98% OUT OF NETWORK ROSE RICH EM PHYSICIANS PA

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK BROWN & ASSOC MED LABORATORIES

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

RICHMOND OAKBEND MEDICAL CENTE

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

SHENANDOAH

HOUSTON METHODIST

THE WOODLANDS

HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORK WOODLANDS EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

SPRING

** UNITED MEMORIAL

MEDICAL CENTER SPRING

HOSPITAL

Anesthesiology 0% IN NETWORKBEST CHOICE ANES & PAIN PLLCNORTH MEDICAL SERVICES PLLC

Emergency Room 58%IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

OUT OF NETWORK VIVENTI MED LLC

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLCRadiology 0% IN NETWORK PINEY WOODS RADIOLOGY PLLC

SUGAR LAND

HOUSTON METHODIST SUGAR LAND

HOSPITAL

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORKEMERGIGROUP PHYSICIAN ASSOC PAKIRBY EMERGENCY PHYSICIANS PLLC

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 0% IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

SUGAR LAND

MEMORIAL HERMANN SURGICAL

HOSPITAL FIRST COLONY

Anesthesiology 4% IN NETWORKENDO SEDATION LLC

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

TX DIGESTIVE DISEASE CONSULTANTSRadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

MHHS SUGAR LAND HOSPITAL

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 7% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK BROWN & ASSOC MED LABORATORIES

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SINGLETON ASSOCIATES PA

ST LUKES SUGAR LAND

HOSPITAL

Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 7% IN NETWORK MEDICAL CENTER EMERG PHYSICIANS

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** UNITED MEMORIAL

MEDICAL CENTER SUGAR LAND HOSPITAL

Anesthesiology 0% IN NETWORKBEST CHOICE ANES & PAIN PLLCNORTH MEDICAL SERVICES PLLC

Emergency Room 58%IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

OUT OF NETWORK VIVENTI MED LLC

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLCRadiology 0% IN NETWORK PINEY WOODS RADIOLOGY PLLC

SWEENYSWEENY

COMMUNITY HOSPITAL

Anesthesiology 0% IN NETWORKDELEON, GEORGE W, MD

SWEENY COMMUNITY HOSPITALEmergency Room 1% IN NETWORK BAY AREA EMERGENCY PARTNERS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

SWEENYSWEENY

COMMUNITY HOSPITAL

Pathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKSINGLETON ASSOCIATES PA

WEST HOUSTON RADIOLOGY ASSOCIATES

TEXAS CITY

** HCA HOUSTON HC MAINLAND A CAMPUS OF

HCA HOUSTON HC CLEAR LAKE

Anesthesiology 37% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room 99% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCLEARLAKE PATHOLOGY PARTNERS LTD

S J ASSOCIATE PATHOLOGISTS LC

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY ASSOCIATES PA

THE WOODLANDS

** MEMORIAL HERMANN THE WOODLANDS

MEDICAL CENTER

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room 2% IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology 0% IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology 0% IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

ST LUKES LAKESIDE

HOSPITAL LLC

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 10% IN NETWORK MEDICAL CENTER EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

ST LUKES THE WOODLANDS

HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 7% IN NETWORK MEDICAL CENTER EMERG PHYSICIANS

Neonatology 0% IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

TOMBALLHCA HOUSTON HEALTHCARE

TOMBALL

Anesthesiology 15% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 99% OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANS

HERALD EMERGENCY PHYSICIANS PLLCNeonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORKSIRUIUS PA

TOMBALL CLINICAL LAB PLLCRadiology 1% IN NETWORK HOUSTON NW RADIOLOGY ASSOCIATION

VICTORIA

CITIZENS MEDICAL CENTER

Anesthesiology 0% IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room 99% IN NETWORK OLEANDER EMERGENCY MEDICINE ASSOC

Neonatology 0% IN NETWORKCHILDRENS PHYSICIAN SVCS SOUTH TX

MAGELLA MEDICAL ASSOCIATESPathology 0% IN NETWORK NORTHEAST PATHOLOGY GROUP PA

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

DETAR HOSPITAL NAVARRO

Anesthesiology 1% IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room 99% OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology 56% IN NETWORK ONSITE NEONATAL TEXAS PLLC

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK DIAGNOSTIC IMAGING ASSOCIATES PA

** DETAR HOSPITAL

NORTH

Anesthesiology 1% IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room 99% OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology 56% IN NETWORK ONSITE NEONATAL TEXAS PLLC

Pathology 0% IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK DIAGNOSTIC IMAGING ASSOCIATES PA

WEBSTERHCA HOUSTON HEALTHCARE CLEAR LAKE

Anesthesiology 37% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room 99% OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORKCLEARLAKE PATHOLOGY PARTNERS LTD

S J ASSOCIATE PATHOLOGISTS LC

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

WEBSTER

** HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology 0% IN NETWORKSPACE CITY PAIN SPECIALISTS LLP

TX ANESTHESIA CONSULTANTS HOUSTONTX ANESTHESIOLOGY CNS HOUSTON

Emergency Room 97% OUT OF NETWORK HPH EMERGENCY PHYSICIANS PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

UTMB FACULTY GROUP PRACTICE

Radiology 0% IN NETWORKGULF IMAGING ASSOCIATES PA

SINGLETON ASSOCIATES PA

** UTMB HEALTH

GALVESTON

Anesthesiology 0% IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency Room 27%IN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology 0% IN NETWORK UTMB FACULTY GROUP PRACTICE

YOAKUMYOAKUM

COMMUNITY HOSPTAL

Anesthesiology 0% IN NETWORK YOAKUM FAMILY PRACTICE

Emergency Room 99% OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology SERVICE NOT AVAILABLE

Pathology 3% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 5/1/2019 - 4/30/2020

BlueChoice PPO℠ Current as of August 2020

Houston Texas Hospital Based Physicians

Counties: Austin, Brazoria, Calhoun, Colorado, DeWitt, Fort Bend, Galveston, Goliad, Grimes, Harris, Jackson, Lavaca, Matagorda, Montgomery, Victoria, Walker, Waller, Washington, Wharton

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups