HealthSmart Lab Work Rates in Houston

Published HealthSmart negotiated rates for Lab Work at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$125.3

Texas Children's Hospital

all plan types

Highest Rate

$85,000

HCA Houston Healthcare Kingwood

all plan types

Rate Spread

678x

across all plan types

Hospitals

with HealthSmart data

HealthSmart lab-work rates in Houston vary dramatically, with a 678x spread between the lowest rate of $125 at Texas Children's and highest of $85,000 at HCA Kingwood. The median rate across 14 hospitals is $1,120, though lowest rates often reflect government payer plans rather than commercial insurance.

Why the range is so wide: HealthSmart 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.

HealthSmart Lab Work Rates by Hospital

Hospital	Lowest HealthSmart Rate	Plan Type	Highest Rate	Plans
Texas Children's Hospital	$125.3	HealthSmart Other	$755.3	8
St Luke's Patients Medical Center	$152.6	Commercial\|PPO	$939.4	4
Baylor St Luke's Medical Center	$187.6	Commercial\|PPO	$945.7	2
St Luke's Lakeside	$187.6	Commercial\|PPO	$945.7	2
St Luke's Springwoods Village	$187.6	Commercial\|PPO	$945.7	2
St Luke's Sugar Land	$187.6	Commercial\|PPO	$945.7	2
St Luke's The Vintage	$187.6	Commercial\|PPO	$945.7	2
St Luke's The Woodlands	$187.6	Commercial\|PPO	$945.7	2
HCA Houston Healthcare West	$783.03	ACCEL	$1,547.85	12
HCA Houston Healthcare Clear Lake	$795.37	ACCEL	$2,214.11	6
HCA Houston Healthcare Mainland	$1,120.08	ACCEL	$2,214.11	3
HCA Houston Healthcare Southeast	$1,232.27	ACCEL	$2,435.88	3
HCA Houston Healthcare Conroe	$1,336.07	ACCEL	$2,641.07	3
HCA Houston Healthcare Kingwood	$1,352.74	ACCEL	$85,000	9

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 Houston

Community Health Choice $10.06 - $690.56 32 hospitals Aetna $10.17 - $690.56 32 hospitals ProCare Advantage $11.09 - $12.14 22 hospitals Blue Cross Blue Shield of Texas $10.56 - $679.77 21 hospitals Cigna $10.56 - $690.56 21 hospitals UnitedHealthcare $10.56 - $690.56 21 hospitals

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

Frequently Asked Questions

Where is the lowest-cost HealthSmart Lab Work in Houston?

The lowest HealthSmart negotiated rate for Lab Work in Houston is $125.3 at Texas Children's Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $85,000 at HCA Houston Healthcare Kingwood, a 678x 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 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