Community Health Choice Lab Work Rates in Houston

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

Lowest Rate

$10.06

Baylor St Luke's Medical Center

all plan types

Highest Rate

$690.56

Texas Children's Hospital

all plan types

Rate Spread

69x

across all plan types

Hospitals

with Community Health Choice data

Community Health Choice lab-work rates vary dramatically across Houston's 32 hospitals, with a 69x spread from $10.06 to $690.56. The lowest rate of $10.06 appears at Baylor St Luke's Medical under their Medicaid STAR plan, while Texas Children's commands the highest at $690.56. The median rate sits at $15.84 across all participating facilities.

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 Lab Work Rates by Hospital

Hospital	Lowest Community Health Choice Rate	Plan Type	Highest Rate	Plans
Baylor St Luke's Medical Center	$10.06	Medicaid\|STAR	$743.05	11
St Luke's Lakeside	$10.06	Medicaid\|STAR	$743.05	11
St Luke's Sugar Land	$10.06	Medicaid\|STAR	$743.05	11
St Luke's The Vintage	$10.06	Medicaid\|STAR	$743.05	11
St Luke's The Woodlands	$10.06	Medicaid\|STAR	$743.05	9
HCA Houston Healthcare Clear Lake	$10.56	Indigent	$15.31	3
HCA Houston Healthcare Kingwood	$10.56	Indigent	$30,000	13
HCA Houston Healthcare North Cypress	$10.56	Indigent	$21,955.2	13
HCA Houston Healthcare Southeast	$10.56	Indigent	$15.31	3
HCA Houston Healthcare Tomball	$10.56	Indigent	$870.9	8
HCA Houston Healthcare West	$10.56	Indigent	$15.31	3
St Luke's Brazosport	$11.09	Commercial\|Exchange	$12.51	3
HCA Houston Healthcare Conroe	$11.27	HIX	$15.31	2
HCA Houston Healthcare Mainland	$11.27	HIX	$15.31	2
HCA Houston Healthcare Medical Center	$11.27	HIX	$15.31	2
HCA Houston Healthcare Northwest	$11.27	HIX	$15.31	2
HCA Houston Healthcare Pearland	$11.27	HIX	$15.31	2
Houston Methodist Hospital	$11.3	D-Snp Medicare Managed Care - Hmo	$17.21	3
Memorial Hermann, Texas Medical Center	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Cypress Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Greater Heights Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Katy Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Memorial City Medical Center	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Northeast Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Pearland Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Southeast Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Southwest Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann Sugar Land Hospital	$11.62	Medicare Managed Care Plan	$16.9	5
Memorial Hermann The Woodlands Medical Center	$11.62	Medicare Managed Care Plan	$16.9	5
St Luke's Patients Medical Center	$11.65	Commercial\|Exchange	$15.84	4
St Luke's Springwoods Village	$11.65	Commercial\|Exchange	$743.05	7
Texas Children's Hospital	$13.6	Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP	$690.56	12

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 Lab Work in Houston

Aetna $10.17 - $690.56 32 hospitals ProCare Advantage $11.09 - $12.14 22 hospitals Blue Cross Blue Shield of Texas $10.56 - $679.77 21 hospitals Cigna $10.56 - $690.56 21 hospitals UnitedHealthcare $10.56 - $690.56 21 hospitals Superior Health Plan $10.56 - $15.84 20 hospitals

View all Lab Work prices in Houston (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Community Health Choice Lab Work in Houston?

The lowest Community Health Choice negotiated rate for Lab Work in Houston is $10.06 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $690.56 at Texas Children's Hospital, a 69x 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 Lab Work 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.

Can I get lab work done at a cheaper location with Community Health Choice?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Community Health Choice 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 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