Superior Health Plan ER Visit Rates in Houston

Published Superior Health Plan negotiated rates for ER Visit at 8 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$53.93

St Luke's Brazosport

all plan types

Highest Rate

$921.13

St Luke's The Woodlands

all plan types

Rate Spread

17x

across all plan types

Hospitals

8

with Superior Health Plan data

Superior Health Plan ER visit rates in Houston vary dramatically by 17x, from $53.93 to $921.13 across 8 hospitals. The lowest rate appears at St Luke's Brazosport under Medicaid plans, while St Luke's The Woodlands commands the highest rate. The median rate sits at $639.76.

Why the range is so wide: Superior Health Plan 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.

Superior Health Plan ER Visit Rates by Hospital

Hospital Lowest Superior Health Plan Rate
St Luke's Brazosport $53.93
Baylor St Luke's Medical Center $416.01
St Luke's Patients Medical Center $416.01
St Luke's Lakeside $416.01
St Luke's Springwoods Village $416.01
St Luke's Sugar Land $416.01
St Luke's The Vintage $416.01
St Luke's The Woodlands $416.01

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

A negotiated rate is the price Superior Health Plan 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 Superior Health Plan 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 ER Visit in Houston

View all ER Visit prices in Houston (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Superior Health Plan ER Visit in Houston?

The lowest Superior Health Plan negotiated rate for ER Visit in Houston is $53.93 at St Luke's Brazosport, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $921.13 at St Luke's The Woodlands, a 17x difference. Commercial plan rates typically fall between these extremes.

Is the Superior Health Plan negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Superior Health Plan 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 Superior Health Plan for a pre-service cost estimate specific to your plan.

How many Houston hospitals have published Superior Health Plan rates?

8 hospitals in the Houston area have published Superior Health Plan negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Superior Health Plan directly.

Will Superior Health Plan cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Superior Health Plan cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan website: www.superiorhealthplan.com