Community Health Choice ER Visit Rates in Houston

Published Community Health Choice negotiated rates for ER Visit at 32 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$48.79

St Luke's Patients Medical Center

all plan types

Highest Rate

$957.19

Memorial Hermann The Woodlands Medical Center

all plan types

Rate Spread

20x

across all plan types

Hospitals

32

with Community Health Choice data

Community Health Choice emergency room rates in Houston span a dramatic 20x range, from $48.79 to $957.19 across 32 hospitals. The lowest rate at St Luke's Patients Medica applies to Medicaid plans, while commercial rates typically run higher. The median negotiated rate sits at $416.01.

Why the range is so wide: Community Health Choice negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Community Health Choice ER Visit Rates by Hospital

Hospital Lowest Community Health Choice Rate
St Luke's Patients Medical Center $48.79
Baylor St Luke's 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
Texas Children's Hospital $51.36
St Luke's Brazosport $291.21
Houston Methodist Hospital $293.42
HCA Houston Healthcare Clear Lake $300
HCA Houston Healthcare Conroe $300
HCA Houston Healthcare Kingwood $300
HCA Houston Healthcare Mainland $300
HCA Houston Healthcare Medical Center $300
HCA Houston Healthcare North Cypress $300
HCA Houston Healthcare Northwest $300
HCA Houston Healthcare Pearland $300
HCA Houston Healthcare Southeast $300
HCA Houston Healthcare Tomball $300
HCA Houston Healthcare West $300
Memorial Hermann, Texas Medical Center $301.64
Memorial Hermann Cypress Hospital $301.64
Memorial Hermann Greater Heights Hospital $301.64
Memorial Hermann Katy Hospital $301.64
Memorial Hermann Memorial City Medical Center $301.64
Memorial Hermann Northeast Hospital $301.64
Memorial Hermann Pearland Hospital $301.64
Memorial Hermann Southeast Hospital $301.64
Memorial Hermann Southwest Hospital $301.64
Memorial Hermann Sugar Land Hospital $301.64
Memorial Hermann The Woodlands Medical Center $301.64

Rates shown are Community Health Choice's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Community Health Choice 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 Community Health Choice Negotiated Rates

A negotiated rate is the price Community Health Choice 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 Community Health Choice 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

View all ER Visit prices in Houston (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Community Health Choice ER Visit in Houston?

The lowest Community Health Choice negotiated rate for ER Visit in Houston is $48.79 at St Luke's Patients Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $957.19 at Memorial Hermann The Woodlands Medical Center, a 20x difference. Commercial plan rates typically fall between these extremes.

Is the Community Health Choice negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Community Health Choice 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 Community Health Choice for a pre-service cost estimate specific to your plan.

How many Houston hospitals have published Community Health Choice rates?

32 hospitals in the Houston area have published Community Health Choice 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 Community Health Choice directly.

Will Community Health Choice cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Community Health Choice 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 Community Health Choice 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 Community Health Choice 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 Community Health Choice website: www.communityhealthchoice.org