Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room UTMB Health at Angleton Danbury Campus Angleton Fredricksburg (EMCARE) Amed Sayeed, M.D. Diagnostic Imaging Texan Star - EMCARE 47% MATAGORDA REGIONAL Bay Bay Texas 97% Magnetic Resonance Imaging Bay Prairie (EMCARE) METHODIST SAN JACINTO Baytown US 5% Methodist Baytown 18% Physician Pr Services 98% TCH FIRST STREET Bellaire Advanced Diagnostics 99% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room ORTHOPEDIC SPINE Bellaire Associated Anesthesiologists PA Delahoussaye and, PA Innovative 60 1 BELLVILLE GENERAL Bellville Colorado Valley Service Brazos Valley Bryan Concord 4% SCOTT & WHITE - BRENHAM Brenham Independence Brazos Valley Bryan Scott and White 75% COLUMBUS COMMUNITY Columbus Huffman 10 Regional Humble Concord 79% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room ASPIRE Conroe James S. Coleman, MD LabCorp Advanced Diagnostics 47% Service not CONROE REGIONAL Conroe North College Innovative 7% EmCare (TX- Services, PA) 2 Newborn Intensive Care Specialists CUERO COMMUNITY Cuero Clinical Regional Victoria Assoc Cuero ER 24% NORTH CYPRESS Cypress US 5% J S Wilkenfeld and West 5% 10 A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room RICE Eagle Lake Huffman Regional Laboratories West Rice District Hosp 23% JACKSON HEALTHCARE Edna Jackson County Hospital Physician Regional Laboratories West 47% Jackson County Hospital Physician 83% EL CAMPO El Campo Goodwill West El Campo ER 5% SHRINER'S GALVESTON Galveston Lee Woodson, MD TBD Hal Hawkins, MD TBD Leonard Swischuk, MD TBD Service not A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room UNIVERSITY OF TEXAS BRANCH AT GALVESTON Galveston UTMB UTMB UTMB Barrier Reef ER 29% UTMB LAVACA Halletsville Center CRNA Regional West Lavaca Center HPB 24% BAYSHORE - E. CAMPUS BEN TAUB (HARRIS COUNTY DISTRICT) Beltway Services, PA College 9% 1 United Northeast / Gulf Imaging, PA College Associated Greater / Emcare, Inc College 6% Neonatal 7% Catherine Gannon, M.D. Joseph Garcia- Prats, M.D. A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room CHI ST LUKES HEALTH - BAYLOR COLLEGE OF MEDICINE US Gulf Coast Singleton Assocates 5% Center ER 9% College CHILDRENS HERMANN UT UT UT UT 3% UT CYPRESS FAIRBANKS Cypress Richard Hausner MD & Assoc Northwest Emcare-IAH ER 9% Newborn Intensive Care Specialists DOCTORS TIDWELL J & D Anesthesiology Northeast Akala Imaging 87% North Phys 17% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room FOR SPECIALIZED SURGERY College Gulf Service not Service not 26% METHODIST US 98% TCH METHODIST WEST H US 3% THM Physician Organization 99% METHODIST WILLOWBROOK US 5% Methodist Neptune ER TCH A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room COUNTY ASF Inc. Lufkin Bryan NORTHWEST Bayou North Northwest 15% Emcare, Inc 99% LYNDON B. JOHNSON (HARRIS COUNTY DISTRICT) UT 1 UT UT 7% UT MD ANDERSON CANCER MD Anderson Anesthesiologists MD Anderson Pathologists MD Anderson Radiologist s MD Anderson 15% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room HERMANN HEART VASCULAR INSTITUTE SOUTHWEST US Synergy Service not HERMANN UT 3% UT 5% UT 19% UT HERMANN CITY PARK PLAZA Metrowest Park Plaza 3% Brown & Innovative / Synergy 49% ACS TEAM Health Caroline 4 Spring Branch Neonatal Magella SHRINER'S Melanie Lux, MD 10 University Texas University Texas Service not A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room ST JOSEPH NorthStar S J Associate Pathologists Services College Associated / Greater 1 99% ST JOSEPH in the HEIGHTS NorthStar S J Associate Pathologists Services 3% College Associated / Greater 1 10 4% ST LUKES AT THE VINTAGE Association Anesthesiology Gulf Coast West 1 Center Physician 4% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room TEXAS CHILDRENS (Texas Children's Physician Services Organization) Pediatric Neurodiagn ostic, Singleton Assoc Attending cover ER 15% College Texas Children's Physician Services Organizatio TEXAS ORTHOPEDIC Greater Anesthesiology 56% Orthopedic 10 Fondren Orthopedic 4 THE WOMANS OF TEXAS MedNax Womens EmCare (TX- Services, PA) 19% Center Neonatal, P.A. / TOPS SURGICAL SPECIALTY Best Choice North 24% Rose Imaging Oak Tree - EMCARE 25% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room UNIVERSITY GENERAL Bayou College Associated 10 79% WEST US 4% Mangini, Lakhia & West 4% Greater / Emcare, Inc 33% WESTBURY COMMUNITY Elite Clinical Labs Horizon Service not HUMBLE SURGICAL Humble Best Choice Trustpoint 9% Precise Penn Imaging Humble 3 Outreach A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room HERMANN GREATER HEIGHTS Humble Texans Synergy ACS TEAM Health 3% HERMANN NORTHEAST Humble U.S. Texas 6% North Synergy 3% ACS TEAM Health 1 Angel Munoz MD HERMANN SOUTHEAST Humble Texans Synergy ACS TEAM Health 3% HERMANN SOUTHWEST Humble US Synergy ACS TEAM Health 3% / UT HERMANN THE WOODLANDS Humble US Synergy ACS TEAM Health 3% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room HUNTSVILLE Huntsville Premier Bryan ACS TEAM Health METHODIST ST CATHERINE Katy US S J Associate Pathologists Greater The Schumache r Newborn Intensive Care Specialists HERMANN KATY Katy Metrowest Brown & Synergy ACS TEAM Health 4% Spring Branch Neonatal KINGWOOD Kingwood US Texas 8% Gulf Coast Northwest 15% EmCare (TX- Services, PA) 34% Neonatal HERMANN SPECIALTY Kingwood U.S. Texas 7% North Synergy Eastex - Emcare 54% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room BRAZOSPORT Lake Jackson AHP Texas Brazoport 10 METHODIST ST JOHN Nassau Bay Space Coastal Greater 8% The Schumache r 10 Magella / UTMB Faculty GRIMES ST JOSEPH HEALTH Navasota Brazos Brazos Valley Austin Bryan Bryan 13% PALACIOS COMMUNITY Palacios Bob Maxcey MD Palacios Med Ctr A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room BAYSHORE Pasadena Bayshore / Beltway Services, PA Alliance 23% Gulf Imaging, PA 7% Greater / Emcare Inc 8% Neonatal ST LUKES PATIENTS Pasadena Space College Associated Bay Area ER 45% PORT LAVACA Port Lavaca Port Lavaca Unlimited Med Center ER 29% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room OAKBEND Richmond/ Sugar Land US 43% Brown & 14% West 4% 98% Newborn Intensive Specialists APOLLO SYSTEM, LP Shenandoah US 4% GHPMA GHPMA 99% Greater METHODIST SUGARLAND Sugar Land US Methodist 99% HERMANN SUGAR LAND Sugar Land US Brown & 4 ACS TEAM Health 3% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room ST LUKES SUGARLAND HOSP Sugar Land US Gulf Coast Singleton Assoc. 7% Center Physician 2 SUGAR LAND SURGICAL Sugar Land TL Billing and Practice Mangement Sweetwater Sweet Water 4% SWEENY COMMUNITY Sweeny Sweeny Hosp 44% Ahmed Sayeed, M.D. West A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room CLEAR LAKE REGIONAL Texas Guardian Clear Lake Southwest EmCare(TX- 1 18% Neonatal ST LUKES LAKESIDE The Woodlands US Gulf Coast Singleton Center Physician 3% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room ST LUKES THE WOODLANDS The Woodlands US Gulf Coast Singleton 6% Center Physician College Texas Children's Physician Services Organizatio TOMBALL REGIONAL Tomball NW Anesthesiology and Pain Tejas Northwest 99% Newborn Intensive Care Specialists CITIZENS Victoria Victoria Assoc Regional Victoria Assoc 3% 99% DETAR NAVARRO Victoria Victoria Assoc PLLC Crossroads Diagnostic Imaging, Inc 7% Victoria Assoc., LLC A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room CLEAR LAKE REGIONAL Webster 88% Clear Lake, SouthPath Synergy / Mainland Greater 2 Neonatal Consultant PHYSICIANS Webster Tx Gulf Imaging Space ER 10 BAY AREA REGIONAL Wester U.S. TBD College TBD Advanced Diagnostics Healthcare TBD Enfina Healthcare Solutions TBD GULF COAST Wharton Unlimited Inc Bay Bay 5 Sherdan Services 36% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association
Hospital Based Blue Choice PPO SM Current as : July 2016 This grid indicates the contracting status and out network dollars billed as a percent total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Room and Neonatologists /s Anesthesiology Room YOAKUM COMMUNITY Yoakum Yoakum Hosp CRNA's Regional Laboratories Victoria Assoc Land Leather 6% A Division Health Care Service Corporation, A Mutual Legal Reserve Corporation An Independent Licensee the Blue Cross and Blue Shield Association