Texas Children's ER Visit Rates in Houston
Published Texas Children's Health Plan negotiated rates for ER Visit at 17 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$30.82
Baylor St Luke's Medical Center
all plan types
Highest Rate
$373.86
St Luke's Brazosport
all plan types
Rate Spread
12x
across all plan types
Hospitals
17
with Texas Children's Health Plan data
Texas Children's Health Plan ER visit rates in Houston vary dramatically, with a 12x spread from $30.82 to $373.86 across 17 hospitals. The lowest rate occurs at Baylor St Luke's Medical under Medicaid/HMO coverage, while the median rate sits at $926.36.
Texas Children's Health Plan ER Visit Rates by Hospital
| Hospital | Lowest Texas Children's Health Plan Rate |
|---|---|
| Baylor St Luke's Medical Center | $30.82 |
| St Luke's Lakeside | $30.82 |
| St Luke's Springwoods Village | $30.82 |
| St Luke's Sugar Land | $30.82 |
| St Luke's The Vintage | $30.82 |
| St Luke's The Woodlands | $30.82 |
| St Luke's Patients Medical Center | $48.79 |
| HCA Houston Healthcare Clear Lake | $51.36 |
| HCA Houston Healthcare Conroe | $51.36 |
| HCA Houston Healthcare Kingwood | $51.36 |
| HCA Houston Healthcare Mainland | $51.36 |
| HCA Houston Healthcare Northwest | $51.36 |
| HCA Houston Healthcare Pearland | $51.36 |
| HCA Houston Healthcare Southeast | $51.36 |
| HCA Houston Healthcare Tomball | $51.36 |
| HCA Houston Healthcare West | $51.36 |
| St Luke's Brazosport | $145.08 |
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 ER Visit in Houston
Frequently Asked Questions
Where is the lowest-cost Texas Children's Health Plan ER Visit in Houston?
The lowest Texas Children's Health Plan negotiated rate for ER Visit in Houston is $30.82 at Baylor St Luke's Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $373.86 at St Luke's Brazosport, a 12x 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?
17 hospitals in the Houston area have published Texas Children's 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 Texas Children's Health Plan directly.
Will Texas Children's Health Plan cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Texas Children's 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 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