Texas Children's Echocardiogram Rates in Houston

Published Texas Children's Health Plan negotiated rates for Echocardiogram at 14 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,522.73

HCA Houston Healthcare Northwest

all plan types

Highest Rate

$4,166.17

HCA Houston Healthcare Conroe

all plan types

Rate Spread

3x

across all plan types

Hospitals

14

with Texas Children's Health Plan data

Texas Children's Health Plan echocardiogram rates in Houston vary dramatically, with a 3x spread between the lowest rate of $1,523 at HCA Northwest (CHIP) and highest of $4,166 at HCA Conroe. Across 14 hospitals, the median negotiated rate is $2,728, though the lowest rates typically reflect Medicaid rather than commercial coverage.

Why the range is so wide: Texas Children's 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.

Texas Children's Health Plan Echocardiogram Rates by Hospital

Hospital Lowest Texas Children's Health Plan Rate
HCA Houston Healthcare Northwest $1,522.73
HCA Houston Healthcare Pearland $1,620.65
HCA Houston Healthcare Clear Lake $1,799.19
HCA Houston Healthcare West $1,910.83
HCA Houston Healthcare Southeast $2,336.86
HCA Houston Healthcare Mainland $2,640.53
St Luke's Lakeside $2,651.25
St Luke's Springwoods Village $2,651.25
St Luke's Sugar Land $2,651.25
St Luke's The Vintage $2,651.25
St Luke's The Woodlands $2,651.25
Baylor St Luke's Medical Center $3,105.75
HCA Houston Healthcare Kingwood $3,314.15
HCA Houston Healthcare Conroe $3,586.07

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

A negotiated rate is the price Texas Children's 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 Texas Children's 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 Echocardiogram in Houston

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

Frequently Asked Questions

Where is the lowest-cost Texas Children's Health Plan Echocardiogram in Houston?

The lowest Texas Children's Health Plan negotiated rate for Echocardiogram in Houston is $1,522.73 at HCA Houston Healthcare Northwest, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,166.17 at HCA Houston Healthcare Conroe, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the Texas Children's Health Plan negotiated rate what I'll pay?

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

How many Houston hospitals have published Texas Children's Health Plan rates?

14 hospitals in the Houston area have published Texas Children's Health Plan negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Texas Children's Health Plan directly.

Does Texas Children's Health Plan require prior authorization for an echocardiogram?

Many Texas Children's Health Plan plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

We are not affiliated with Texas Children's 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 Texas Children's 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 Texas Children's Health Plan website: www.texaschildrenshealthplan.org