BCBS Texas Lab Work Rates in Houston
Published Blue Cross Blue Shield of Texas negotiated rates for Lab Work at 21 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$10.56
HCA Houston Healthcare Clear Lake
all plan types
Highest Rate
$679.77
Texas Children's Hospital
all plan types
Rate Spread
64x
across all plan types
Hospitals
21
with Blue Cross Blue Shield of Texas data
Blue Cross Blue Shield of Texas lab work rates in Houston vary dramatically, with a 64x spread between the lowest rate of $10.56 and highest of $679.77. The lowest rates are typically for Medicaid/Medicare plans rather than commercial coverage. Across 21 hospitals, the median rate is $29.35.
Blue Cross Blue Shield of Texas Lab Work Rates by Hospital
| Hospital | Lowest Blue Cross Blue Shield of Texas Rate |
|---|---|
| HCA Houston Healthcare Clear Lake | $10.56 |
| HCA Houston Healthcare Conroe | $10.56 |
| HCA Houston Healthcare Kingwood | $10.56 |
| HCA Houston Healthcare Mainland | $10.56 |
| HCA Houston Healthcare Medical Center | $10.56 |
| HCA Houston Healthcare North Cypress | $10.56 |
| HCA Houston Healthcare Northwest | $10.56 |
| HCA Houston Healthcare Pearland | $10.56 |
| HCA Houston Healthcare Southeast | $10.56 |
| HCA Houston Healthcare Tomball | $10.56 |
| HCA Houston Healthcare West | $10.56 |
| Baylor St Luke's Medical Center | $10.56 |
| St Luke's Brazosport | $10.56 |
| St Luke's Patients Medical Center | $10.56 |
| St Luke's Lakeside | $10.56 |
| St Luke's Springwoods Village | $10.56 |
| St Luke's Sugar Land | $10.56 |
| St Luke's The Vintage | $10.56 |
| St Luke's The Woodlands | $10.56 |
| Houston Methodist Hospital | $32.32 |
| Texas Children's Hospital | $62.65 |
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 Lab Work in Houston
Frequently Asked Questions
Where is the lowest-cost Blue Cross Blue Shield of Texas Lab Work in Houston?
The lowest Blue Cross Blue Shield of Texas negotiated rate for Lab Work in Houston is $10.56 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $679.77 at Texas Children's Hospital, a 64x 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?
21 hospitals in the Houston area have published Blue Cross Blue Shield of Texas negotiated rates for Lab Work 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.
Can I get lab work done at a cheaper location with Blue Cross Blue Shield of Texas?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Blue Cross Blue Shield of Texas plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.
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