HealthSmart ER Visit Rates in Houston
Published HealthSmart negotiated rates for ER Visit at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
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
$851.2
HCA Houston Healthcare Kingwood
all plan types
Highest Rate
$3,520.3
St Luke's The Woodlands
all plan types
Rate Spread
4x
across all plan types
Hospitals
14
with HealthSmart data
HealthSmart er-visit rates in Houston vary dramatically, with a 4x spread from $851 at HCA Kingwood to $3,520 at St Luke's The Woodlands. The median rate across 14 hospitals is $2,821, though lowest rates often reflect Medicaid or Medicare contracts rather than commercial plans.
HealthSmart ER Visit Rates by Hospital
| Hospital | Lowest HealthSmart Rate |
|---|---|
| HCA Houston Healthcare Kingwood | $851.2 |
| HCA Houston Healthcare Conroe | $938 |
| HCA Houston Healthcare Southeast | $1,163.49 |
| HCA Houston Healthcare Clear Lake | $1,191.94 |
| HCA Houston Healthcare Mainland | $1,191.94 |
| HCA Houston Healthcare West | $1,296.45 |
| Texas Children's Hospital | $1,422.4 |
| St Luke's Patients Medical Center | $1,783.6 |
| Baylor St Luke's Medical Center | $1,924.3 |
| St Luke's Lakeside | $1,924.3 |
| St Luke's Springwoods Village | $1,924.3 |
| St Luke's Sugar Land | $1,924.3 |
| St Luke's The Vintage | $1,924.3 |
| St Luke's The Woodlands | $1,924.3 |
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 ER Visit in Houston
Frequently Asked Questions
Where is the lowest-cost HealthSmart ER Visit in Houston?
The lowest HealthSmart negotiated rate for ER Visit in Houston is $851.2 at HCA Houston Healthcare Kingwood, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,520.3 at St Luke's The Woodlands, a 4x 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 ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with HealthSmart directly.
Will HealthSmart cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. HealthSmart 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 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