%oxh (vvhqwldov +02 m current as of may 2020 · pediatric pathology consultants radiology in...

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City Hospital Facility Name Specialty 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 IN NETWORK UTMB FACULTY GROUP PRACTICE UTMB HOSPITAL Emergency Room IN NETWORK BARRIER REEF EMERGENCY PHYSICIANS TEXAN STAR EMERGENCY PHYSICIANS OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA Neonatology IN NETWORK UTMB FACULTY GROUP PRACTICE Pathology IN NETWORK UTMB FACULTY GROUP PRACTICE Radiology IN NETWORK UTMB FACULTY GROUP PRACTICE BAY CITY MATAGORDA REGIONAL MEDICAL CENTER Anesthesiology IN NETWORK BAY CITY TEXAS ANESTHESIOLOGISTS Emergency Room IN NETWORK BAY PRAIRIE EMERGENCY PHYSICIANS Neonatology SERVICE NOT AVAILABLE Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES Radiology IN NETWORK SINGLETON ASSOCIATES PA BAYTOWN BAYTOWN MEDICAL CENTER LP Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA Emergency Room IN NETWORK TK EMERGENCY PHYSICIANS GROUP OUT OF NETWORK ALTUS ER PHYSICIANS GROUP PLLC Neonatology INSUFFICIENT CLAIMS DATA Pathology IN NETWORK MANGINI LAKHIA & ASSOCIATES PA METHODIST PATHOLOGY ASSOC PLLC Radiology IN NETWORK SINGLETON ASSOCIATES PA HOUSTON METHODIST BAYTOWN HOSPITAL Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA Emergency Room SERVICE NOT AVAILABLE Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC Radiology IN NETWORK HOUSTON RADIOLOGY ASSOCIATED * 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 Current as of January 2021 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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

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Page 1: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty 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 IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency RoomIN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology IN NETWORK UTMB FACULTY GROUP PRACTICE

BAY CITYMATAGORDA

REGIONAL MEDICAL CENTER

Anesthesiology IN NETWORK BAY CITY TEXAS ANESTHESIOLOGISTS

Emergency Room IN NETWORK BAY PRAIRIE EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

BAYTOWN

BAYTOWN MEDICAL CENTER

LP

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency RoomIN NETWORK TK EMERGENCY PHYSICIANS GROUP

OUT OF NETWORK ALTUS ER PHYSICIANS GROUP PLLC

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

METHODIST PATHOLOGY ASSOC PLLCRadiology IN NETWORK SINGLETON ASSOCIATES PA

HOUSTON METHODIST BAYTOWN HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room SERVICE NOT AVAILABLE

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORK HOUSTON RADIOLOGY ASSOCIATED

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 2: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

BAYTOWN

HOUSTON METHODIST BAYTOWN HOSPITAL

Radiology IN NETWORK MASTOS IMAGING ASSOCIATES

BELLAIRE

FIRST SURGICAL HOSPITAL

AnesthesiologyIN NETWORK MEDICAL ANESTHESIOLOGY ASSOCIATES

OUT OF NETWORK LINK ANESTHESIA STAFFING LLC

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

UNITED PATHOLOGY ASSOCIATES PLLCRadiology 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

BELLVILLE BELLVILLE MEDICAL CENTER

Anesthesiology IN NETWORKM AND M CLINICAL GROUP PLLC

PERFORMANCE ANESTHESIA SERVICESEmergency Room OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKAUSTIN PATHOLOGY ASSOCIATES

BROWN & ASSOC MED LABORATORIESPEDIATRIC PATHOLOGY CONSULTANTS

Radiology IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

BRENHAM

BAYLOR SCOTT & WHITE MEDICAL

CENTER BRENHAM

Anesthesiology IN NETWORKSCOTT & WHITE CLINIC

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

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK SCOTT AND WHITE CLINIC

Radiology IN NETWORK SCOTT AND WHITE CLINIC

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 3: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

COLUMBUSCOLUMBUS

COMMUNITY HOSPITAL

Anesthesiology IN NETWORK HUFFMAN ANESTHESIA PLLC

Emergency Room OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOASTAL PATHOLOGY PA

NORTHEAST PATHOLOGY GROUP PARadiology SERVICE NOT AVAILABLE

CONROE

ASPIRE HOSPITAL LLC

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

NORTH LAKES PAIN CONSULTANTS

Emergency RoomIN NETWORK

ACS PRIMARY CARE PHYSICIANS SW PAMEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATESGULF COAST PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PARadiology IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

HCA HOUSTON HEALTHCARE

CONROE

Anesthesiology IN NETWORK INDEPENDENT PHYSICIANS NETWORK

Emergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK GULF COAST PATHOLOGY ASSOCIATES

Radiology IN NETWORKROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PA

CUEROCUERO

REGIONAL HOSPITAL

Anesthesiology IN NETWORK AM ANESTHESIA SVCS SOUTH TX CUERO

Emergency Room OUT OF NETWORK TEXAS EMERGENCY GROUP LLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 4: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

CYPRESS

* HCA HOUSTON HEALTHCARE N

CYPRESS CAMPUS OF HCA

HOUSTON HC KINGWOOD

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANSCYPRESS EMERGENCY ASSOCIATES PA

OXBOW EMERGENCY PHYSICIANS

Neonatology IN NETWORKHEALTHCARE SPECIALISTS PLLC

PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORKGULF COAST PATHOLOGY ASSOCIATESJ S WILKENFELD MD AND ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

* MEMORIAL HERMANN CYPRESS HOSPITAL

Anesthesiology IN NETWORK UT PHYSICIANS

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPUT PHYSICIANS

Neonatology IN NETWORK UT PHYSICIANS

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

EAGLE LAKE RICE MEDICAL CENTER

Anesthesiology IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

Emergency Room IN NETWORK RICE MEDICAL CENTER

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK NORTHEAST PATHOLOGY GROUP PA

Radiology IN NETWORK SINGLETON ASSOCIATES PA

EDNAJACKSON

HEALTHCARE CENTER

Anesthesiology IN NETWORK JACKSON CTY HOSP PHYSICIAN GROUP

Emergency Room IN NETWORK JACKSON CTY HOSP PHYSICIAN GROUP

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology IN NETWORK SINGLETON ASSOCIATES PA

EL CAMPOEL CAMPO MEMORIAL HOSPITAL

Anesthesiology IN NETWORK COWBOY ANESTHESIA SERVICES PLLC

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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 5: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

EL CAMPOEL CAMPO MEMORIAL HOSPITAL

Pathology IN NETWORK

BROWN & ASSOC MED LABORATORIESCOMMUNITY PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PAMETHODIST PATHOLOGY ASSOC PLLCNORTHEAST PATHOLOGY GROUP PA

Radiology IN NETWORK CONCORD RADIOLOGY PLLC

FRIENDSWOOD* HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology SERVICE NOT AVAILABLE

GALVESTON

SHRINERS HOSPITALS FOR

CHILDREN

Anesthesiology 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 IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency RoomIN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology IN NETWORK UTMB FACULTY GROUP PRACTICE

HALLETTSVILLE LAVACA MEDICAL CENTER

Anesthesiology IN NETWORK LAVACA MEDICAL CENTER

Emergency Room IN NETWORK LAVACA MEDICAL CENTER

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCLINICAL PATHOLOGY ASSOCIATES

COMMUNITY PATHOLOGY ASSOCIATESNORTHEAST PATHOLOGY GROUP PA

Radiology IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 6: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

AD HOSPITAL EAST LLC

Anesthesiology IN NETWORKADV INVASIVE PAIN MGMT OF HOUSTON

ADVANCED SURGEONS & PHYS NWKBEST CHOICE ANES & PAIN PLLC

Emergency Room IN NETWORK BAY AREA EMERGENCY PARTNERS

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

NORTH HOUSTON PATHOLOGY ASSOCSRadiology IN NETWORK ADVANCED DIAGNOSTICS

BEN TAUB GENERAL HOSPITAL

Anesthesiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

CHI ST LUKES HLTH BAYLOR

COLLEGE MEDICINE

MEDICAL CTR

Anesthesiology IN NETWORKBCM PHYSICIANS

GREATER HOUSTON ANESTHESIOLOGY PA

Emergency RoomIN NETWORK MEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORKBCM PHYSICIANS

SINGLETON ASSOCIATES PA

* CHILDRENS MEMORIAL HERMANN HOSPITAL

Anesthesiology IN NETWORK UT PHYSICIANS

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPUT PHYSICIANS

Neonatology IN NETWORK UT PHYSICIANS

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 7: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

* CHILDRENS MEMORIAL HERMANN HOSPITAL

Radiology IN NETWORK

SYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

DOCTORS HOSPITAL PARKWAY TIDWELL

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLC

Radiology IN NETWORKPINEY WOODS RADIOLOGY PLLC

SINGLETON ASSOCIATES PA

FIRST TEXAS HOSPITAL

Anesthesiology IN NETWORKCOMPASS ANESTHESIA PROVIDERS LLC

GREATER HOUSTON ANESTHESIOLOGY PANORTH MEDICAL SERVICES PLLC

Emergency Room IN NETWORK NATIONAL MEDICAL PROS OF HOUSTON

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKMEMORIAL PATHOLOGY CONSULTANTS PA

METHODIST PATHOLOGY ASSOC PLLCRadiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

HCA HOUSTON HEALTHCARE

MEDICAL CENTER

Anesthesiology IN NETWORKREMIX MEDICAL PLLC

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

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKBROWN & ASSOC MED LABORATORIESGULF COAST PATHOLOGY ASSOCIATES

NORTH HOUSTON PATHOLOGY ASSOCSRadiology IN NETWORK SINGLETON ASSOCIATES PA

HCA HOUSTON HEALTHCARE NORTHWEST

Anesthesiology IN NETWORKBEST CHOICE ANES & PAIN PLLC

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

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 8: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

HCA HOUSTON HEALTHCARE NORTHWEST

Pathology IN NETWORK NORTH HOUSTON PATHOLOGY ASSOCS

Radiology IN NETWORK HOUSTON NW RADIOLOGY ASSOCIATION

HCA HOUSTON HEALTHCARE

WEST

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK MANGINI LAKHIA & ASSOCIATES PA

Radiology IN NETWORKROSE IMAGING SPECIALIST PA

SINGLETON ASSOCIATES PA

HOUSTON METHODIST

HOSPITAL

Anesthesiology IN NETWORKANESTHESIA COMPANY OF HOUSTON

GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKEMERGIGROUP PHYSICIAN ASSOC PAKIRBY EMERGENCY PHYSICIANS PLLC

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORK HOUSTON RADIOLOGY ASSOCIATED

HOUSTON METHODIST

WEST HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKKIRBY EMERGENCY PHYSICIANS PLLC

WEST HOUSTON EMERGENCY PHYSICIANSNeonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

HOUSTON METHODIST

WILLOWBROOK

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORK WOODLANDS EMERGENCY PHYSICIANS

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

* HOUSTON PHYSICIANS

HOSPITALAnesthesiology

SERVICE NOT AVAILABLE

IN NETWORKCOMPASS ANESTHESIA PROVIDERS LLC

SPACE CITY PAIN SPECIALISTS LLP

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 9: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

* HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology IN NETWORKTX ANESTHESIA CONSULTANTS HOUSTON

TX ANESTHESIOLOGY CNS HOUSTON

Emergency RoomSERVICE NOT AVAILABLE

OUT OF NETWORK HPH EMERGENCY PHYSICIANS PLLC

NeonatologyINSUFFICIENT CLAIMS DATA

SERVICE NOT AVAILABLE

PathologySERVICE NOT AVAILABLE

IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

UTMB FACULTY GROUP PRACTICE

RadiologySERVICE NOT AVAILABLE

IN NETWORK SINGLETON ASSOCIATES PA

* LYNDON B JOHNSON GENERAL HOSPITAL

Anesthesiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

MD ANDERSON CANCER CENTER

Anesthesiology IN NETWORK PHYSICIANS REFERRAL SERVICE

Emergency Room IN NETWORK PHYSICIANS REFERRAL SERVICE

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK PHYSICIANS REFERRAL SERVICE

Radiology IN NETWORK PHYSICIANS REFERRAL SERVICE

* MEMORIAL HERMANN GREATER HEIGHTS

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 10: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

* MEMORIAL HERMANN GREATER HEIGHTS

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

* MEMORIAL HERMANN HEART &

VASCULAR INSTITUTE

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLCEmergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

MEMORIAL HERMANN HOSPITAL

Anesthesiology IN NETWORK UT PHYSICIANS

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPUT PHYSICIANS

Neonatology IN NETWORK UT PHYSICIANS

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PA

UT PHYSICIANS

MEMORIAL HERMANN

MEMORIAL CITY HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORKPHYSICIANS REFERRAL SERVICE

SINGLETON ASSOCIATES PA

* MEMORIAL HERMANN

SOUTHEAST HOSPITAL

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 11: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

* MEMORIAL HERMANN

SOUTHEAST HOSPITAL

Pathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

MEMORIAL HERMANN

SOUTHWEST HOSPITAL

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

* QUENTIN MEASE

COMMUNITY HOSPITAL

Anesthesiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Emergency Room IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Neonatology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

Pathology IN NETWORKBAYLOR COLLEGE OF MEDICINE

HARRIS COUNTY PSYCHIATRIC CENTER

Radiology IN NETWORKBAYLOR COLLEGE OF MEDICINE

UT PHYSICIANS

RIVER OAKS HOSPITAL & CLINICS LLC

Anesthesiology IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room SERVICE NOT AVAILABLE

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

MEMORIAL PATHOLOGY CONSULTANTS PANORTH HOUSTON PATHOLOGY ASSOCS

Radiology SERVICE NOT AVAILABLE

ST JOSEPH MEDICAL CENTER

Anesthesiology IN NETWORK ANESTHESIA OF SOUTHEAST TEXAS

Emergency Room OUT OF NETWORK ST JOSEPH EMERGENCY PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

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City Hospital Facility Name Specialty Network Status Providers

HOUSTON

ST JOSEPH MEDICAL CENTER

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORKHOUSTON RADIATION PLLC

ONCOLOGY CONSULTANTS PASINGLETON ASSOCIATES PA

* ST JOSEPH MEDICAL CENTER IN THE HEIGHTS

Anesthesiology IN NETWORK ANESTHESIA OF SOUTHEAST TEXAS

Emergency Room OUT OF NETWORK ST JOSEPH EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORKHOUSTON RADIATION PLLC

ONCOLOGY CONSULTANTS PASINGLETON ASSOCIATES PA

ST LUKES HOSPITAL AT THE

VINTAGE

Anesthesiology IN NETWORKBCM PHYSICIANS

GREATER HOUSTON ANESTHESIOLOGY PA

Emergency RoomIN NETWORK MEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

TEXAS CHILDRENS HOSPITAL

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXAS CHILDRENS PHYSICIAN GROUPEmergency Room IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK PEDIATRIC PATHOLOGY CONSULTANTS

Radiology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

TEXAS ORTHOPEDIC

HOSPITAL

Anesthesiology IN NETWORKCAPITOL MEDICAL MANAGEMENT GROUPGREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room

IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

OUT OF NETWORK

BEAUMONT ER PHYSICIANS PLLCCAMINO REAL EMERGENCY PHYSICIANS

COMPASS POINT EMERG PHYSICIANSEMERGIGROUP PHYSICIAN ASSOC 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

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City Hospital Facility Name Specialty Network Status Providers

HOUSTON

TEXAS ORTHOPEDIC

HOSPITAL

Emergency Room OUT OF NETWORK

GOLDEN TRIANGLE EMERGENCY SERVICEPHYSICIAN ACUTE CARE SERVICES RIC

ROUND TABLE PHYSICIANS GROUP PLLCSOUND PHYSICIANS EMERG MED OF TX

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK MUSCULOSKELETAL RADIOLOGY ASSOC

THE HEIGHTS HOSPITAL

Anesthesiology IN NETWORKDYNAMIC ANESTHESIA PROVIDERS PLLCPRIVIA MEDICAL GROUP GULF COAST P

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

THE WOMANS HOSPITAL OF

TEXAS

Anesthesiology IN NETWORK AUSTIN ANESTHESIOLOGY GROUP PLLC

Emergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK HOUSTON PATHOLOGY ASSOCIATES PLLC

Radiology IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY ASSOCIATES PA

TOPS SURGICAL SPECIALTY HOSPITAL

Anesthesiology IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room

IN NETWORKACS PRIMARY CARE PHYSICIANS SW PATEXAS CHILDRENS PHYSICIAN GROUPTK EMERGENCY PHYSICIANS GROUP

OUT OF NETWORKCYPRESS EMERGENCY ASSOCIATES PAHERALD EMERGENCY PHYSICIANS PLLCSUBLIME CARE MEDICAL GROUP PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK

AVERO DIAGNOSTICSMEDICAL & PATHOLOGY LAB

NORTH HOUSTON PATHOLOGY ASSOCSUNITED 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 14: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

HOUSTON

TOPS SURGICAL SPECIALTY HOSPITAL

Radiology IN NETWORK ROSE IMAGING SPECIALIST PA

* TOWNSEN MEMORIAL

SURGERY CENTER MED CENTER

Anesthesiology IN NETWORKADRIAN C DUMITRU MDPA

COMPASS ANESTHESIA PROVIDERS LLCLANCE LAFLEUR MD PLLC

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology INSUFFICIENT CLAIMS DATA

* UNITED MEMORIAL

MEDICAL CENTER NORTH HOSPITAL

Anesthesiology IN NETWORKBEST CHOICE ANES & PAIN PLLC

COMPASS ANESTHESIA PROVIDERS LLCNORTH MEDICAL SERVICES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLC

Radiology IN NETWORKPINEY WOODS RADIOLOGY PLLC

SINGLETON ASSOCIATES PA

HUMBLE

MEMORIAL HERMANN

NORTHEAST HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK NORTH HOUSTON PATHOLOGY ASSOCS

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

TOWNSEN MEMORIAL HOSPITAL

Anesthesiology IN NETWORKADRIAN C DUMITRU MDPA

COMPASS ANESTHESIA PROVIDERS LLCLANCE LAFLEUR MD PLLC

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

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City Hospital Facility Name Specialty Network Status Providers

HUMBLETOWNSEN MEMORIAL HOSPITAL

Radiology INSUFFICIENT CLAIMS DATA

HUNTSVILLEHUNTSVILLE MEMORIAL HOSPITAL

Anesthesiology IN NETWORK PREMIER ANESTHESIA OF HUNTSVILLE

Emergency Room IN NETWORK ACS PRIMARY CARE PHYSICIANS SW PA

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

SAGIS PLLCRadiology IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

KATYMEMORIAL

HERMANN KATY HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology IN NETWORK BROWN & ASSOC MED LABORATORIES

Radiology IN NETWORKPHYSICIANS REFERRAL SERVICE

SYNERGY RADIOLOGY ASSOCIATES PA

KINGWOOD

HCA HOUSTON HEALTHCARE KINGWOOD

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANSCYPRESS EMERGENCY ASSOCIATES PA

OXBOW EMERGENCY PHYSICIANS

Neonatology IN NETWORKHEALTHCARE SPECIALISTS PLLC

PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORKGULF COAST PATHOLOGY ASSOCIATESJ S WILKENFELD MD AND ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

MEMORIAL HERMANN SURGICAL HOSPITAL

KINGWOOD

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PANORTHWEST ANESTHESIA AND PAIN MA

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 16: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

KINGWOOD

MEMORIAL HERMANN SURGICAL HOSPITAL

KINGWOOD

Radiology IN NETWORK SINGLETON ASSOCIATES PA

LAKE JACKSONCHI ST LUKES

HEALTH BRAZOSPORT

Anesthesiology IN NETWORK BEST CHOICE ANES & PAIN PLLC

Emergency Room OUT OF NETWORK OXBOW EMERGENCY PHYSICIANS

Neonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 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 IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency RoomIN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology IN NETWORK UTMB FACULTY GROUP PRACTICE

NASSAU BAY

HOUSTON METHODIST CLEAR LAKE

HOSPITAL

Anesthesiology IN NETWORK SPACE CITY ANESTHESIA

Emergency Room SERVICE NOT AVAILABLE

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

NAVASOTA* GRIMES ST

JOSEPH HEALTH CENTER

Anesthesiology IN NETWORKAUSTIN ANESTHESIOLOGY GROUP PLLC

AUSTIN ANESTHESIOLOGY GRP PLLCEmergency Room IN NETWORK BRYAN EMERGENCY PHYSICIANS 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 17: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

NAVASOTA* GRIMES ST

JOSEPH HEALTH CENTER

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK AUSTIN PATHOLOGY ASSOCIATES

Radiology IN NETWORK BRYAN RADIOLOGY ASSOCIATES INC

PALACIOSPALACIOS

COMMUNITY MEDICAL CENTER

Anesthesiology INSUFFICIENT CLAIMS DATA

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology INSUFFICIENT CLAIMS DATA

Radiology IN NETWORK CONCORD RADIOLOGY PLLC

PASADENA

HCA HOUSTON HEALTHCARE SOUTHEAST

Anesthesiology IN NETWORK BELTWAY ANESTHIA GROUP PA

Emergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK ALLIANCE PATHOLOGY CONSULTANTS PA

Radiology IN NETWORKROSE 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 IN NETWORK SPACE CITY ANESTHESIA

Emergency RoomIN NETWORK BAY AREA EMERGENCY PARTNERS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

SURGERY SPECIALTY

HOSPITALS OF AMERICA SE

HOUSTON

Anesthesiology IN NETWORK ANES ASSOC OF HOUSTON METROPLEX

Emergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology INSUFFICIENT CLAIMS DATA

Radiology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 18: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

PEARLAND

HCA HOUSTON HEALTHCARE

PEARLAND

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK MANGINI LAKHIA & ASSOCIATES PA

Radiology IN NETWORKROSE 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

* MEMORIAL HERMANN PEARLAND HOSPITAL

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

PORT LAVACA MEMORIAL MEDICAL CENTER

Anesthesiology IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room IN NETWORK ESS OF PORT LAVACA LLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCLINICAL PATHOLOGY ASSOCIATES

COMMUNITY PATHOLOGY ASSOCIATESNORTHEAST PATHOLOGY GROUP PA

Radiology IN NETWORK SINGLETON ASSOCIATES PA

RICHMOND OAKBEND MEDICAL CENTER

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORK ROSE RICH EM PHYSICIANS PA

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 19: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

RICHMOND OAKBEND MEDICAL CENTER Radiology IN NETWORK SINGLETON ASSOCIATES PA

SHENANDOAH

HOUSTON METHODIST THE

WOODLANDS HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORK WOODLANDS EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology IN NETWORKHOUSTON RADIOLOGY ASSOCIATED

MASTOS IMAGING ASSOCIATES

SPRING

* UNITED MEMORIAL

MEDICAL CENTER SPRING

HOSPITAL

Anesthesiology IN NETWORKBEST CHOICE ANES & PAIN PLLC

COMPASS ANESTHESIA PROVIDERS LLCNORTH MEDICAL SERVICES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLC

Radiology IN NETWORKPINEY WOODS RADIOLOGY PLLC

SINGLETON ASSOCIATES PA

SUGAR LAND

HOUSTON METHODIST SUGAR LAND

HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKEMERGIGROUP PHYSICIAN ASSOC PAKIRBY EMERGENCY PHYSICIANS PLLC

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK METHODIST PATHOLOGY ASSOC PLLC

Radiology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 20: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

SUGAR LAND

MEMORIAL HERMANN SURGICAL

HOSPITAL FIRST COLONY

Anesthesiology IN NETWORKENDO SEDATION LLC

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room INSUFFICIENT CLAIMS DATA

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKMANGINI LAKHIA & ASSOCIATES PA

TX DIGESTIVE DISEASE CONSULTANTSRadiology IN NETWORK SINGLETON ASSOCIATES PA

MHHS SUGAR LAND HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORK BROWN & ASSOC MED LABORATORIES

Radiology IN NETWORKPHYSICIANS REFERRAL SERVICE

SINGLETON ASSOCIATES PA

ST LUKES SUGAR LAND HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency RoomIN NETWORK MEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

* UNITED MEMORIAL

MEDICAL CENTER SUGAR LAND

HOSPITAL

Anesthesiology IN NETWORKBEST CHOICE ANES & PAIN PLLC

COMPASS ANESTHESIA PROVIDERS LLCNORTH MEDICAL SERVICES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRPNeonatology INSUFFICIENT CLAIMS DATA

Pathology IN NETWORKCOASTAL PATHOLOGY PA

NORTHSIDE PATHOLOGY GROUP PLLC

Radiology IN NETWORKPINEY WOODS RADIOLOGY PLLC

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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 21: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

SWEENYSWEENY

COMMUNITY HOSPITAL

Anesthesiology IN NETWORK SWEENY COMMUNITY HOSPITAL

Emergency Room IN NETWORK BAY AREA EMERGENCY PARTNERS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

MEMORIAL PATHOLOGY CONSULTANTS PAPEDIATRIC PATHOLOGY CONSULTANTS

Radiology IN NETWORK SINGLETON ASSOCIATES PA

TEXAS CITY

* HCA HOUSTON HC MAINLAND A CAMPUS OF HCA

HOUSTON HC CLEAR LAKE

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCLEARLAKE PATHOLOGY PARTNERS LTD

S J ASSOCIATE PATHOLOGISTS LC

Radiology IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY ASSOCIATES PA

THE WOODLANDS

* MEMORIAL HERMANN THE WOODLANDS

MEDICAL CENTER

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

TEXANS ANESTHESIA ASSOCIATES PLLC

Emergency Room IN NETWORKACS PRIMARY CARE PHYSICIANS SW PA

MEMORIAL HERMANN HB PHYSICIAN GRP

Neonatology IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

UT PHYSICIANSPathology IN NETWORK MEMORIAL PATHOLOGY CONSULTANTS PA

Radiology IN NETWORK SYNERGY RADIOLOGY ASSOCIATES PA

ST LUKES LAKESIDE

HOSPITAL LLC

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

HEDE, VIDYADHAR S, MD

Emergency RoomIN NETWORK MEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 22: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

THE WOODLANDSST LUKES THE WOODLANDS

HOSPITAL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency RoomIN NETWORK MEDICAL CENTER EMERG PHYSICIANS

OUT OF NETWORK INTEGRATIVE EMERGENCY SERVICES

Neonatology IN NETWORK TEXAS CHILDRENS PHYSICIAN GROUP

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK SINGLETON ASSOCIATES PA

TOMBALLHCA HOUSTON HEALTHCARE

TOMBALL

Anesthesiology IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room OUT OF NETWORKCOMPASS POINT EMERG PHYSICIANS

HERALD EMERGENCY PHYSICIANS PLLCNeonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORKSIRUIUS PA

TOMBALL CLINICAL LAB PLLC

Radiology IN NETWORKHOUSTON NW RADIOLOGY ASSOCIATION

ROSE IMAGING SPECIALIST PA

VICTORIA

CITIZENS MEDICAL CENTER

Anesthesiology IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room IN NETWORK OLEANDER EMERGENCY MEDICINE ASSOC

Neonatology IN NETWORKCHILDRENS PHYSICIAN SVCS SOUTH TX

MAGELLA MEDICAL ASSOCIATESPathology IN NETWORK NORTHEAST PATHOLOGY GROUP PA

Radiology IN NETWORK SINGLETON ASSOCIATES PA

DETAR HOSPITAL NAVARRO

Anesthesiology IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology IN NETWORK ONSITE NEONATAL TEXAS PLLC

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK DIAGNOSTIC IMAGING ASSOCIATES PA

* DETAR HOSPITAL NORTH

Anesthesiology IN NETWORK VICTORIA ANESTHESIOLOGY ASSOCS

Emergency Room OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology IN NETWORK ONSITE NEONATAL TEXAS PLLC

Pathology IN NETWORK COMMUNITY PATHOLOGY ASSOCIATES

Radiology IN NETWORK DIAGNOSTIC IMAGING 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 23: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

WEBSTER

HCA HOUSTON HEALTHCARE CLEAR LAKE

Anesthesiology IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

GUARDIAN ANESTHESIA SERVICESEmergency Room OUT OF NETWORK COMPASS POINT EMERG PHYSICIANS

Neonatology IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology IN NETWORKCLEARLAKE PATHOLOGY PARTNERS LTD

S J ASSOCIATE PATHOLOGISTS LC

Radiology IN NETWORKROSE IMAGING SPECIALIST PA

SYNERGY RADIOLOGY 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

HOUSTON PHYSICIANS

HOSPITAL

Anesthesiology IN NETWORK

COMPASS ANESTHESIA PROVIDERS LLCSPACE CITY PAIN SPECIALISTS LLP

TX ANESTHESIA CONSULTANTS HOUSTONTX ANESTHESIOLOGY CNS HOUSTON

Emergency Room OUT OF NETWORK HPH EMERGENCY PHYSICIANS PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

UTMB FACULTY GROUP PRACTICERadiology IN NETWORK SINGLETON ASSOCIATES PA

* UTMB HEALTH GALVESTON

Anesthesiology IN NETWORKUTMB FACULTY GROUP PRACTICE

UTMB HOSPITAL

Emergency RoomIN NETWORK

BARRIER REEF EMERGENCY PHYSICIANSTEXAN STAR EMERGENCY PHYSICIANS

OUT OF NETWORK SCURRY EMERGENCY MEDICINE ASSOCIA

Neonatology IN NETWORK UTMB FACULTY GROUP PRACTICE

Pathology IN NETWORK UTMB FACULTY GROUP PRACTICE

Radiology IN NETWORK UTMB FACULTY GROUP PRACTICE

* 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

Page 24: %OXH (VVHQWLDOV +02 M Current as of May 2020 · pediatric pathology consultants radiology in network bryan radiology associates inc brenham baylor scott & white medical center brenham

City Hospital Facility Name Specialty Network Status Providers

YOAKUMYOAKUM

COMMUNITY HOSPTAL

Anesthesiology IN NETWORK YOAKUM FAMILY PRACTICE

Emergency Room OUT OF NETWORK LONE STAR EMERGENCY ASSOCIATES

Neonatology SERVICE NOT AVAILABLE

Pathology IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PARadiology 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

Blue Essentials HMO℠ Current as of January 2021

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 of the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups