HealthSmart MRI Rates in Houston
Published HealthSmart negotiated rates for MRI at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,100
Baylor St Luke's Medical Center
all plan types
Highest Rate
$16,553.93
HCA Houston Healthcare Kingwood
all plan types
Rate Spread
15x
across all plan types
Hospitals
14
with HealthSmart data
HealthSmart MRI rates in Houston vary dramatically, with a 15x spread from $1,100 at Baylor St Luke's Medical Center to $16,554 at HCA Kingwood. The lowest rates shown reflect commercial plan negotiation. With a median rate of $7,057, significant savings are possible depending on facility choice.
HealthSmart MRI Rates by Hospital
| Hospital | Lowest HealthSmart Rate |
|---|---|
| Baylor St Luke's Medical Center | $1,100 |
| St Luke's Springwoods Village | $1,100 |
| St Luke's Sugar Land | $1,100 |
| St Luke's The Vintage | $1,100 |
| Texas Children's Hospital | $2,907.1 |
| St Luke's Lakeside | $3,295.6 |
| St Luke's The Woodlands | $3,295.6 |
| HCA Houston Healthcare Conroe | $3,516.87 |
| HCA Houston Healthcare Southeast | $4,673.33 |
| St Luke's Patients Medical Center | $5,774.9 |
| HCA Houston Healthcare Clear Lake | $6,361.44 |
| HCA Houston Healthcare Mainland | $6,361.44 |
| HCA Houston Healthcare West | $6,816.79 |
| HCA Houston Healthcare Kingwood | $8,015.33 |
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 MRI in Houston
Frequently Asked Questions
Where is the lowest-cost HealthSmart MRI in Houston?
The lowest HealthSmart negotiated rate for MRI in Houston is $1,100 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $16,553.93 at HCA Houston Healthcare Kingwood, a 15x 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 MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with HealthSmart directly.
Do I need a referral for an MRI with HealthSmart?
Most HealthSmart plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact HealthSmart before scheduling to confirm your plan's requirements.
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