HealthSmart Echocardiogram Rates in Houston
Published HealthSmart negotiated rates for Echocardiogram at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$2,865.1
Texas Children's Hospital
all plan types
Highest Rate
$16,970.05
HCA Houston Healthcare Kingwood
all plan types
Rate Spread
6x
across all plan types
Hospitals
14
with HealthSmart data
HealthSmart echocardiogram rates across 14 Houston hospitals range from $2,865 to $16,970, representing a 6x price spread. The lowest rate at Texas Children's applies to HealthSmart Other coverage, while commercial rates are typically higher. The median negotiated rate is $6,840.
HealthSmart Echocardiogram Rates by Hospital
| Hospital | Lowest HealthSmart Rate |
|---|---|
| Texas Children's Hospital | $2,865.1 |
| HCA Houston Healthcare Clear Lake | $4,660.55 |
| HCA Houston Healthcare West | $4,949.73 |
| Baylor St Luke's Medical Center | $5,302.5 |
| St Luke's Lakeside | $5,302.5 |
| St Luke's Springwoods Village | $5,302.5 |
| St Luke's Sugar Land | $5,302.5 |
| St Luke's The Vintage | $5,302.5 |
| St Luke's The Woodlands | $5,302.5 |
| HCA Houston Healthcare Southeast | $5,709.38 |
| St Luke's Patients Medical Center | $6,067.6 |
| HCA Houston Healthcare Mainland | $6,839.92 |
| HCA Houston Healthcare Conroe | $7,558.87 |
| HCA Houston Healthcare Kingwood | $8,584.85 |
Rates shown are HealthSmart's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all HealthSmart 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 HealthSmart Negotiated Rates
A negotiated rate is the price HealthSmart 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 HealthSmart 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 Echocardiogram in Houston
Frequently Asked Questions
Where is the lowest-cost HealthSmart Echocardiogram in Houston?
The lowest HealthSmart negotiated rate for Echocardiogram in Houston is $2,865.1 at Texas Children's Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $16,970.05 at HCA Houston Healthcare Kingwood, a 6x difference. Commercial plan rates typically fall between these extremes.
Is the HealthSmart negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what HealthSmart 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 HealthSmart for a pre-service cost estimate specific to your plan.
How many Houston hospitals have published HealthSmart rates?
14 hospitals in the Houston area have published HealthSmart negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with HealthSmart directly.
Does HealthSmart require prior authorization for an echocardiogram?
Many HealthSmart plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.
We are not affiliated with HealthSmart 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 HealthSmart 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 HealthSmart website: www.healthsmart.com