BCBS Texas C-Section Rates in Houston
Published Blue Cross Blue Shield of Texas negotiated rates for C-Section at 20 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$140.12
Baylor St Luke's Medical Center
all plan types
Highest Rate
$28,395.93
HCA Houston Healthcare West
all plan types
Rate Spread
203x
across all plan types
Hospitals
20
with Blue Cross Blue Shield of Texas data
Blue Cross Blue Shield of Texas c-section rates in Houston vary dramatically, with a 203x spread between the lowest at $140.12 and highest at $28,395.93. The lowest rate appears at Baylor St Luke's Medical for transplant services, though this may reflect non-commercial pricing. The median rate across 20 Houston hospitals is $27,623.25.
Blue Cross Blue Shield of Texas C-Section Rates by Hospital
| Hospital | Lowest Blue Cross Blue Shield of Texas Rate |
|---|---|
| Baylor St Luke's Medical Center | $140.12 |
| St Luke's Patients Medical Center | $1,810.97 |
| St Luke's Lakeside | $1,810.97 |
| St Luke's Springwoods Village | $1,810.97 |
| St Luke's Sugar Land | $1,810.97 |
| St Luke's The Vintage | $1,810.97 |
| St Luke's The Woodlands | $1,810.97 |
| St Luke's Brazosport | $2,559.5 |
| Houston Methodist Hospital | $5,770.94 |
| HCA Houston Healthcare Clear Lake | $22,142.07 |
| HCA Houston Healthcare Conroe | $22,142.07 |
| HCA Houston Healthcare Kingwood | $22,142.07 |
| HCA Houston Healthcare Mainland | $22,142.07 |
| HCA Houston Healthcare Medical Center | $22,142.07 |
| HCA Houston Healthcare North Cypress | $22,142.07 |
| HCA Houston Healthcare Northwest | $22,142.07 |
| HCA Houston Healthcare Pearland | $22,142.07 |
| HCA Houston Healthcare Southeast | $22,142.07 |
| HCA Houston Healthcare Tomball | $22,142.07 |
| HCA Houston Healthcare West | $22,142.07 |
Rates shown are Blue Cross Blue Shield of Texas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas Negotiated Rates
A negotiated rate is the price Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 C-Section in Houston
Frequently Asked Questions
Where is the lowest-cost Blue Cross Blue Shield of Texas C-Section in Houston?
The lowest Blue Cross Blue Shield of Texas negotiated rate for C-Section in Houston is $140.12 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $28,395.93 at HCA Houston Healthcare West, a 203x difference. Commercial plan rates typically fall between these extremes.
Is the Blue Cross Blue Shield of Texas negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published Blue Cross Blue Shield of Texas rates?
20 hospitals in the Houston area have published Blue Cross Blue Shield of Texas negotiated rates for C-Section in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Blue Cross Blue Shield of Texas directly.
Does the Blue Cross Blue Shield of Texas rate include all C-section costs?
The published rate typically covers the facility fee only. It usually does not include separately billed charges such as the surgeon's fee, anesthesia, lab work, or the newborn's hospital stay. Your total out-of-pocket cost with Blue Cross Blue Shield of Texas will depend on these additional charges plus your plan's deductible and coinsurance.
We are not affiliated with Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas 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 Blue Cross Blue Shield of Texas website: www.bcbstx.com