TexHealth Cost Transparency & Resource Hub

We believe in empowering you with clear, localized cost information. Use these links to external resources to estimate medical procedures, compare plans, and access specific insurance member tools.

Texas Medical Cost Estimator

We recommend starting here. This tool uses real Texas insurance claims data to provide reliable average costs for various medical procedures, helping you compare in-network vs. out-of-network costs based on your ZIP code.

Launch Texas Healthcare Cost Estimator

Looking to Find Price transparency on your own?

Here are tips you can follow on your own to get the most accurate estimate for your out-of-pocket costs, including your deductible, co-pays, and co-insurance using your own insurance providers resources.

1.  Log In First: Estimates that include your deductible and co-pays require logging into your insurance Member Portal or mobile app.
2.  Look for Key Phrases: Once logged in, search or navigate using terms like: “Cost Estimator”, “Find Care & Costs”, or “Treatment Cost Estimator”.
3.  Check Your EOB: Your Explanation of Benefits (EOB) statement often links directly to the provider’s pricing or cost estimation resources.

💡Quick Cost Glossary

Understand these key terms to make sense of your personalized cost estimates.
Deductible:
The amount you pay out-of-pocket for covered services before your insurance plan starts to pay.
Co-pay (Co-payment):
A fixed amount ($) you pay for a covered health care service, like a doctor’s visit or prescription.
Out-of-Pocket Maximum:
The most you will have to pay for covered services in a policy year. After you reach this, your plan pays 100%.
Co-insurance:
Your share of the costs of a covered service, calculated as a percent (e.g., 20%) of the allowed amount.

Broad Market Comparison Tools: Plans and Procedures

Use these sites to research and compare general medical procedures and health insurance plans available in the marketplace.

Member & Provider-Specific Cost tools

Important: These tools typically require you to be an enrolled member and log into a secure portal or app to personalize your estimate.

Disclaimer: TexHealth provides these external links for informational purposes only. Costs are estimates and subject to change. Please contact the respective provider or insurer for final pricing.