HealthSmart Lab Work Rates in San Antonio

Published HealthSmart negotiated rates for Lab Work at 13 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$194.6

CHRISTUS Children's

all plan types

Highest Rate

$1,569.81

Northeast Methodist Hospital

all plan types

Rate Spread

8x

across all plan types

Hospitals

13

with HealthSmart data

HealthSmart lab-work rates in San Antonio vary dramatically, with an 8x spread from $194.60 to $1,569.81 across 13 hospitals. The lowest rate appears at CHRISTUS Children's through their Accel PPO plan, while Northeast Methodist Hospital shows the highest pricing. The median rate sits at $358.15 across all facilities and plan types.

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
CHRISTUS Children's $194.6
CHRISTUS Santa Rosa Alamo Heights $198.9
CHRISTUS Santa Rosa New Braunfels $198.9
CHRISTUS Santa Rosa Westover Hills $198.9
Methodist Hospital $1,435.92
Methodist Hospital Atascosa $1,435.92
Methodist Stone Oak Hospital $1,435.92
Methodist Hospital Hill Country $1,569.81
Methodist Hospital Westover Hills $1,569.81
Methodist Specialty and Transplant $1,569.81
Methodist Texsan Hospital $1,569.81
Metropolitan Methodist Hospital $1,569.81
Northeast Methodist Hospital $1,569.81

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 San Antonio

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

Frequently Asked Questions

Where is the lowest-cost HealthSmart Lab Work in San Antonio?

The lowest HealthSmart negotiated rate for Lab Work in San Antonio is $194.6 at CHRISTUS Children's, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,569.81 at Northeast Methodist Hospital, an 8x 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 San Antonio hospitals have published HealthSmart rates?

13 hospitals in the San Antonio 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