First Health/Coventry ER Visit Rates in Austin

Published First Health/Coventry negotiated rates for ER Visit at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

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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

$957.91

BSW Medical Center Marble Falls

all plan types

Highest Rate

$2,568.34

BSW Medical Center Taylor

all plan types

Rate Spread

across all plan types

Hospitals

with First Health/Coventry data

First Health/Coventry emergency room rates in Austin vary dramatically, with a 3x spread from $958 at BSW Medical Center Marble Falls to $2,568 at BSW Taylor. The lowest rates shown are often PPO plans rather than standard commercial rates. The median negotiated rate across 7 hospitals is $1,811.

Why the range is so wide: First Health/Coventry 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.

First Health/Coventry ER Visit Rates by Hospital

Hospital	Lowest First Health/Coventry Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Marble Falls	$957.91	PPO	$2,568.34	12
BSW Medical Center Austin	$1,120.32	PPO	$2,568.34	12
BSW Medical Center Buda	$1,120.32	PPO	$2,568.34	12
BSW Medical Center Lakeway	$1,120.32	PPO	$2,568.34	12
BSW Medical Center Pflugerville	$1,120.32	PPO	$2,568.34	12
BSW Medical Center Round Rock	$1,120.32	PPO	$2,568.34	12
BSW Medical Center Taylor	$1,120.32	PPO	$2,568.34	12

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

A negotiated rate is the price First Health/Coventry 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 First Health/Coventry 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 Austin

Curative $889.49 - $2,384.89 8 hospitals Aetna $267.97 - $6,465 7 hospitals Blue Cross Blue Shield of Texas $264.17 - $10,200 7 hospitals Baylor Scott & White Health Plan $239.01 - $1,611.89 7 hospitals Humana $251.59 - $2,568.34 7 hospitals ProCare Advantage $264.17 - $809.03 7 hospitals

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

Frequently Asked Questions

Where is the lowest-cost First Health/Coventry ER Visit in Austin?

The lowest First Health/Coventry negotiated rate for ER Visit in Austin is $957.91 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $2,568.34 at BSW Medical Center Taylor, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the First Health/Coventry negotiated rate what I'll pay?

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

How many Austin hospitals have published First Health/Coventry rates?

7 hospitals in the Austin area have published First Health/Coventry 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 First Health/Coventry directly.

Will First Health/Coventry cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry website: www.firsthealth.com