HealthSmart Lab Work Rates in Austin
Published HealthSmart negotiated rates for Lab Work at 5 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$72.71
BSW Medical Center Lakeway
all plan types
Highest Rate
$185.75
BSW Medical Center Marble Falls
all plan types
Rate Spread
3x
across all plan types
Hospitals
5
with HealthSmart data
HealthSmart lab-work rates in Austin vary dramatically, with a 3x spread from $72.71 at BSW Medical Center Lakeway to $185.75 at BSW Medical Center Marble Falls. The lowest rates typically reflect Medicaid or Medicare contracts rather than commercial plans. The median rate across five hospitals is $231.53.
HealthSmart Lab Work Rates by Hospital
| Hospital | Lowest HealthSmart Rate |
|---|---|
| BSW Medical Center Lakeway | $72.71 |
| BSW Medical Center Pflugerville | $72.71 |
| BSW Medical Center Round Rock | $72.71 |
| BSW Medical Center Taylor | $72.71 |
| BSW Medical Center Marble Falls | $97.02 |
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 Lab Work in Austin
Frequently Asked Questions
Where is the lowest-cost HealthSmart Lab Work in Austin?
The lowest HealthSmart negotiated rate for Lab Work in Austin is $72.71 at BSW Medical Center Lakeway, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $185.75 at BSW Medical Center Marble Falls, a 3x 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 Austin hospitals have published HealthSmart rates?
5 hospitals in the Austin area have published HealthSmart 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 HealthSmart directly.
Can I get lab work done at a cheaper location with HealthSmart?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your HealthSmart 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 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