First Health/Coventry Lab Work Rates in Houston

Published First Health/Coventry negotiated rates for Lab Work at 19 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$23.9

HCA Houston Healthcare Medical Center

all plan types

Highest Rate

$53,300

HCA Houston Healthcare Kingwood

all plan types

Rate Spread

2230x

across all plan types

Hospitals

19

with First Health/Coventry data

First Health/Coventry lab rates in Houston span an extraordinary 2,230x range, from $23.90 to $53,300 across 19 hospitals. The lowest rates often reflect government plans rather than commercial coverage, with a median rate of $878.15. This massive variation highlights significant pricing differences even within the same insurance network.

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 Lab Work Rates by Hospital

Hospital Lowest First Health/Coventry Rate
HCA Houston Healthcare Medical Center $23.9
St Luke's Patients Medical Center $141.7
Texas Children's Hospital $157.52
Baylor St Luke's Medical Center $174.2
St Luke's Lakeside $174.2
St Luke's Springwoods Village $174.2
St Luke's Sugar Land $174.2
St Luke's The Vintage $174.2
St Luke's The Woodlands $174.2
HCA Houston Healthcare Tomball $417.85
HCA Houston Healthcare Northwest $715.61
HCA Houston Healthcare Pearland $857.22
HCA Houston Healthcare West $970.59
HCA Houston Healthcare Clear Lake $985.89
HCA Houston Healthcare Mainland $1,388.37
HCA Houston Healthcare Southeast $1,527.44
HCA Houston Healthcare Conroe $1,656.11
HCA Houston Healthcare North Cypress $1,673.35
HCA Houston Healthcare Kingwood $1,676.77

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 Lab Work in Houston

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

Frequently Asked Questions

Where is the lowest-cost First Health/Coventry Lab Work in Houston?

The lowest First Health/Coventry negotiated rate for Lab Work in Houston is $23.9 at HCA Houston Healthcare Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $53,300 at HCA Houston Healthcare Kingwood, a 2230x 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 Houston hospitals have published First Health/Coventry rates?

19 hospitals in the Houston area have published First Health/Coventry 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 First Health/Coventry directly.

Can I get lab work done at a cheaper location with First Health/Coventry?

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