Texas Children's MRI Rates in Houston
Published Texas Children's Health Plan negotiated rates for MRI at 17 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$187.28
St Luke's Patients Medical Center
all plan types
Highest Rate
$4,536.9
Baylor St Luke's Medical Center
all plan types
Rate Spread
24x
across all plan types
Hospitals
17
with Texas Children's Health Plan data
Texas Children's Health Plan MRI rates in Houston vary dramatically, with a 24x spread between the lowest rate of $187 at St Luke's Patients Medica and highest of $4,537 at Baylor St Luke's Medical. The lowest rates are typically Medicaid plans while commercial rates tend toward the higher end. The median rate across 17 hospitals is $608.
Texas Children's Health Plan MRI Rates by Hospital
| Hospital | Lowest Texas Children's Health Plan Rate |
|---|---|
| St Luke's Patients Medical Center | $187.28 |
| HCA Houston Healthcare Clear Lake | $197.14 |
| HCA Houston Healthcare Conroe | $197.14 |
| HCA Houston Healthcare Kingwood | $197.14 |
| HCA Houston Healthcare Mainland | $197.14 |
| HCA Houston Healthcare Northwest | $197.14 |
| HCA Houston Healthcare Pearland | $197.14 |
| HCA Houston Healthcare Southeast | $197.14 |
| HCA Houston Healthcare Tomball | $197.14 |
| HCA Houston Healthcare West | $197.14 |
| St Luke's Lakeside | $376.64 |
| St Luke's Sugar Land | $376.64 |
| St Luke's The Vintage | $376.64 |
| St Luke's Brazosport | $453.6 |
| St Luke's Springwoods Village | $470.8 |
| St Luke's The Woodlands | $470.8 |
| Baylor St Luke's Medical Center | $517.88 |
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 MRI in Houston
Frequently Asked Questions
Where is the lowest-cost Texas Children's Health Plan MRI in Houston?
The lowest Texas Children's Health Plan negotiated rate for MRI in Houston is $187.28 at St Luke's Patients Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,536.9 at Baylor St Luke's Medical Center, a 24x 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 MRI 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.
Do I need a referral for an MRI with Texas Children's Health Plan?
Most Texas Children's Health Plan plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Texas Children's Health Plan before scheduling to confirm your plan's requirements.
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