MultiPlan/PHCS Ultrasound Rates in Houston
Published MultiPlan/PHCS negotiated rates for Ultrasound at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,101.08
HCA Houston Healthcare Conroe
all plan types
Highest Rate
$8,235.49
HCA Houston Healthcare Mainland
all plan types
Rate Spread
7x
across all plan types
Hospitals
14
with MultiPlan/PHCS data
MultiPlan/PHCS ultrasound rates in Houston vary dramatically, with a 7x spread from $1,101 at HCA Conroe to $8,235 at HCA Mainland. The median rate across 14 hospitals is $3,771, though lowest rates often reflect Medicaid/Medicare rather than commercial pricing.
MultiPlan/PHCS Ultrasound Rates by Hospital
| Hospital | Lowest MultiPlan/PHCS Rate |
|---|---|
| HCA Houston Healthcare Conroe | $1,101.08 |
| Texas Children's Hospital | $1,271.7 |
| HCA Houston Healthcare Southeast | $1,596.11 |
| HCA Houston Healthcare West | $2,099 |
| Baylor St Luke's Medical Center | $2,121 |
| St Luke's Lakeside | $2,121 |
| St Luke's Springwoods Village | $2,121 |
| St Luke's Sugar Land | $2,121 |
| St Luke's The Vintage | $2,121 |
| St Luke's The Woodlands | $2,121 |
| St Luke's Patients Medical Center | $2,231.63 |
| HCA Houston Healthcare Kingwood | $2,756.24 |
| HCA Houston Healthcare Clear Lake | $3,175.43 |
| HCA Houston Healthcare Mainland | $3,175.43 |
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 Ultrasound in Houston
Frequently Asked Questions
Where is the lowest-cost MultiPlan/PHCS Ultrasound in Houston?
The lowest MultiPlan/PHCS negotiated rate for Ultrasound in Houston is $1,101.08 at HCA Houston Healthcare Conroe, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $8,235.49 at HCA Houston Healthcare Mainland, a 7x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with MultiPlan/PHCS directly.
Are prenatal ultrasounds covered differently by MultiPlan/PHCS?
MultiPlan/PHCS plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your MultiPlan/PHCS plan documents for specifics on ultrasound coverage.
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