Amerigroup ER Visit Rates in Houston
Published Amerigroup negotiated rates for ER Visit at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$51.36
HCA Houston Healthcare Clear Lake
all plan types
Highest Rate
$3,738.6
St Luke's Brazosport
all plan types
Rate Spread
73x
across all plan types
Hospitals
14
with Amerigroup data
Amerigroup ER visit rates in Houston span from $51 at HCA Clear Lake to $3,738 at St Luke's Brazosport, creating a 73x price difference across 14 hospitals. The lowest rates typically apply to Medicaid/Medicare plans rather than commercial coverage. The median rate sits at $363 per emergency room visit.
Amerigroup ER Visit Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| HCA Houston Healthcare Clear Lake | $51.36 |
| HCA Houston Healthcare Conroe | $51.36 |
| HCA Houston Healthcare Kingwood | $51.36 |
| HCA Houston Healthcare Mainland | $51.36 |
| HCA Houston Healthcare Southeast | $51.36 |
| HCA Houston Healthcare West | $51.36 |
| Baylor St Luke's Medical Center | $51.36 |
| St Luke's Patients Medical Center | $51.36 |
| St Luke's Lakeside | $51.36 |
| St Luke's Springwoods Village | $51.36 |
| St Luke's Sugar Land | $51.36 |
| St Luke's The Vintage | $51.36 |
| St Luke's The Woodlands | $51.36 |
| St Luke's Brazosport | $115 |
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Understanding Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Amerigroup plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for ER Visit in Houston
Frequently Asked Questions
Where is the lowest-cost Amerigroup ER Visit in Houston?
The lowest Amerigroup negotiated rate for ER Visit in Houston is $51.36 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,738.6 at St Luke's Brazosport, a 73x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Amerigroup for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Amerigroup rates?
14 hospitals in the Houston area have published Amerigroup negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Amerigroup directly.
Will Amerigroup cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Amerigroup cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
We are not affiliated with Amerigroup or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Amerigroup or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Amerigroup website: www.amerigroup.com