MultiPlan/PHCS Lab Work Rates in Houston

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

Lowest Rate

$161.1

Texas Children's Hospital

all plan types

Highest Rate

$90,000

HCA Houston Healthcare Kingwood

all plan types

Rate Spread

559x

across all plan types

Hospitals

with MultiPlan/PHCS data

MultiPlan/PHCS lab-work rates in Houston vary dramatically, with a 559x spread between the lowest rate of $161 and highest of $90,000 across 14 hospitals. The median rate sits at $1,302, though the lowest rates often reflect Medicaid/Medicare rather than commercial negotiations.

Why the range is so wide: MultiPlan/PHCS 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.

MultiPlan/PHCS Lab Work Rates by Hospital

Hospital	Lowest MultiPlan/PHCS Rate	Plan Type	Highest Rate	Plans
Texas Children's Hospital	$161.1	Multiplan Other	$971.1	8
St Luke's Patients Medical Center	$163.5	Commercial\|All Plans	$1,006.5	4
Baylor St Luke's Medical Center	$201	Commercial\|All Plans	$1,013.25	2
St Luke's Lakeside	$201	Commercial\|All Plans	$1,013.25	2
St Luke's Springwoods Village	$201	Commercial\|All Plans	$1,013.25	2
St Luke's Sugar Land	$201	Commercial\|All Plans	$1,013.25	2
St Luke's The Vintage	$201	Commercial\|All Plans	$1,013.25	2
St Luke's The Woodlands	$201	Commercial\|All Plans	$1,013.25	2
HCA Houston Healthcare West	$910.5	SAVILITYNETWORK	$1,638.9	16
HCA Houston Healthcare Clear Lake	$924.85	SAVILITYNETWORK	$2,344.35	8
HCA Houston Healthcare Mainland	$1,302.41	SAVILITYNETWORK	$2,344.35	4
HCA Houston Healthcare Southeast	$1,432.87	SAVILITYNETWORK	$2,579.17	4
HCA Houston Healthcare Conroe	$1,553.57	SAVILITYNETWORK	$2,858.57	4
HCA Houston Healthcare Kingwood	$1,572.95	SAVILITYNETWORK	$90,000	11

Rates shown are MultiPlan/PHCS's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all MultiPlan/PHCS 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 MultiPlan/PHCS Negotiated Rates

A negotiated rate is the price MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS Lab Work in Houston?

The lowest MultiPlan/PHCS negotiated rate for Lab Work in Houston is $161.1 at Texas Children's Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $90,000 at HCA Houston Healthcare Kingwood, a 559x difference. Commercial plan rates typically fall between these extremes.

Is the MultiPlan/PHCS negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what MultiPlan/PHCS 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 MultiPlan/PHCS for a pre-service cost estimate specific to your plan.

How many Houston hospitals have published MultiPlan/PHCS rates?

14 hospitals in the Houston area have published MultiPlan/PHCS 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 MultiPlan/PHCS directly.

Can I get lab work done at a cheaper location with MultiPlan/PHCS?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS 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 MultiPlan/PHCS website: www.multiplan.com