ProCare Advantage Ultrasound Rates in Houston

Published ProCare Advantage negotiated rates for Ultrasound at 11 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$115.52

Houston Methodist Hospital

all plan types

Highest Rate

$120.78

Memorial Hermann The Woodlands Medical Center

all plan types

Rate Spread

across all plan types

Hospitals

with ProCare Advantage data

ProCare Advantage ultrasound rates across 11 Houston hospitals range from $115.52 to $120.78, showing minimal price variation with just a 1x spread. The lowest rate of $115.52 appears at Houston Methodist under Medicare Managed Care HMO, while most facilities cluster around the $120.78 median.

Why the range is so wide: ProCare Advantage 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.

ProCare Advantage Ultrasound Rates by Hospital

Hospital	Lowest ProCare Advantage Rate	Plan Type	Highest Rate	Plans
Houston Methodist Hospital	$115.52	Medicare Managed Care - Hmo	$115.52	2
Memorial Hermann, Texas Medical Center	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Cypress Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Greater Heights Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Katy Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Memorial City Medical Center	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Pearland Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Southeast Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Southwest Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann Sugar Land Hospital	$120.78	Medicare Managed Care Plan	$120.78	2
Memorial Hermann The Woodlands Medical Center	$120.78	Medicare Managed Care Plan	$120.78	2

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

A negotiated rate is the price ProCare Advantage 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 ProCare Advantage 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

Aetna $103.98 - $969.6 32 hospitals Community Health Choice $91.47 - $969.6 32 hospitals Blue Cross Blue Shield of Texas $101.09 - $954.45 21 hospitals UnitedHealthcare $96.28 - $409.05 21 hospitals Superior Health Plan $96.28 - $549.03 20 hospitals Humana $106.51 - $1,460.84 19 hospitals

View all Ultrasound prices in Houston (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost ProCare Advantage Ultrasound in Houston?

The lowest ProCare Advantage negotiated rate for Ultrasound in Houston is $115.52 at Houston Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $120.78 at Memorial Hermann The Woodlands Medical Center. Commercial plan rates typically fall between these extremes.

Is the ProCare Advantage negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what ProCare Advantage 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 ProCare Advantage for a pre-service cost estimate specific to your plan.

How many Houston hospitals have published ProCare Advantage rates?

11 hospitals in the Houston area have published ProCare Advantage 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 ProCare Advantage directly.

Are prenatal ultrasounds covered differently by ProCare Advantage?

ProCare Advantage 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 ProCare Advantage plan documents for specifics on ultrasound coverage.

We are not affiliated with ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage website: www.procareadv.com