Healthsmart
What does Healthsmart actually pay hospitals? We analyzed 276 negotiated rates from 2 hospitals across 1 states.
Is Healthsmart Expensive or Cheap?
Based on our analysis of 276 negotiated rates, Healthsmart is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Healthsmart has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 70450 | HC CT BRAIN | 6 | $4,757 | $900 | $7,305 |
| 70460 | HC CT BRAIN CONTRAST | 6 | $5,788 | $900 | $8,253 |
| 71250 | HC CT CHEST WO CONTRAST | 6 | $5,326 | $900 | $8,042 |
| 71260 | HC CT CHEST W CONTRAST | 6 | $7,084 | $900 | $11,108 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 6 | $6,041 | $900 | $9,691 |
| 72126 | HC CT SPINE CERVICAL W CONTR | 6 | $7,127 | $900 | $10,943 |
| 74176 | HC CT ABD&PEL WO CONTRAST | 6 | $10,473 | $900 | $15,909 |
| 74177 | HC CT ABD&PEL W CONTRAST | 6 | $12,823 | $900 | $19,871 |
| 74178 | HC CT ABD&PEL WOW CONTRAST | 6 | $15,002 | $900 | $24,180 |
| 97110 | THER EXERCISES 15 MIN PT | 5 | $258 | $163 | $323 |
| 99281 | LVL 1 FREE STD EMER DEPT | 5 | $509 | $315 | $622 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 5 | $1,138 | $722 | $1,718 |
| 71045 | CHEST XRAY 1 V | 5 | $1,126 | $795 | $1,572 |
| 80053 | COMP METABOLIC PANEL | 5 | $1,155 | $795 | $1,572 |
| 99282 | LVL 2 EMER DEPT | 5 | $1,219 | $835 | $1,650 |
| 71046 | CHEST XRAY 2 V | 5 | $1,307 | $869 | $1,718 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 5 | $1,537 | $970 | $2,327 |
| 73562 | HC XR KNEE 3 VIEWS | 5 | $1,598 | $1,009 | $2,418 |
| 72100 | XR L-SPINE 2/3 VIEWS | 5 | $1,559 | $1,011 | $1,999 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 5 | $1,596 | $1,117 | $2,327 |
| 99283 | LVL 3 EMER DEPT | 5 | $1,934 | $1,192 | $2,356 |
| 99284 | LVL 4 FREE STD EMER DEPT | 5 | $2,739 | $1,681 | $3,322 |
| 99291 | CRIT CARE 1ST 30-74M ER | 5 | $4,776 | $2,977 | $5,885 |
| 97163 | EVAL PT HIGH COMPLEX | 3 | $791 | $486 | $961 |
| 64484 | HC INJ(S) FORAMEN LUMB/SAC ADL | 3 | $892 | $860 | $958 |
Hospitals with Healthsmart Rates
Hospitals where we have negotiated rate data for Healthsmart
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| St. Luke's Sugar Land Hospital | TX | 204 | 106 | $7,177 | $39 - $228,163 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 72 | 24 | $5,012 | $163 - $24,180 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.