A1C Test Cost in Texas (2026): Average Prices & What You'll Pay
What does a a1c test cost in Texas?
You could pay $15 or $90 for the same a1c test in Texas - depending entirely on which facility you choose. The median cash price across 490 reporting hospitals is $49. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Texas, from hospital price files
- Valley Baptist Micro-Hospital Weslaco · Pharr, TX $13
- VHS Harlingen Hospital Company LLC · Harlingen, TX $13
- University Medical Center Surgical Hospital $13
All 490 facilities are listed below, free.
Where a1c test costs vary in Texas
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a a1c test depends on where you go and what is billed separately. Most patients find out after.
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Cheapest A1C Test Providers in Texas
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($49) |
|---|---|---|---|---|
| 1 | Valley Baptist Micro-Hospital Weslaco | Pharr, TX | $13 | $36 below |
| 2 | VHS Harlingen Hospital Company LLC | Harlingen, TX | $13 | $36 below |
| 3 | University Medical Center Surgical Hospital | TX | $13 | $36 below |
| 4 | University Medical Center El Paso | TX | $13 | $36 below |
| 5 | Lavaca Medical Center | Hallettsville, TX | $13 | $36 below |
| 6 | CHRISTUS Health - Palestine | Palestine, TX | $13 | $36 below |
| 7 | Faith Community Hospital | Tx 76458, TX | $14 | $35 below |
| 8 | MEDICAL ARTS HOSPITAL | Lamesa, TX | $15 | $34 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Valley Baptist Micro-Hospital Weslaco is the lowest-cost option at $13 - $36 below the median posted price ($49), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $50, and it's often lower than what insurance pays before your deductible is satisfied.
- Independent and doctor-office labs often charge much less than hospital labs for the same test and may not appear in this hospital-only dataset. Ask where your plan sends lab work.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| With insurance (commercial, average) | 355 | $12 to $80 | $32 |
| Without insurance (cash price) | 529 | $8 to $164 | $50 |
| Blue Cross and Blue Shield of Texas | 298 | $10 to $67 | $19 |
| Aetna | 289 | $9 to $103 | $32 |
| Cigna | 255 | $10 to $113 | $40 |
| UnitedHealthcare | 171 | $8 to $101 | $12 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an a1c test cost with insurance in Texas?
Across 355 Texas hospitals, the negotiated rates commercial insurers pay for a1c test average $12 to $80 per hospital, with a median near $32. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an a1c test cost without insurance in Texas?
Cash (self-pay) prices for a1c test at 529 Texas hospitals range from $8 to $164, with a median of $50. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an a1c test cost with Blue Cross and Blue Shield of Texas?
Blue Cross and Blue Shield of Texas negotiated rates for a1c test at 298 Texas hospitals range from $10 to $67, with a median near $19. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an a1c test cost with Aetna in Texas?
Aetna negotiated rates for a1c test at 289 Texas hospitals range from $9 to $103, with a median near $32. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does an a1c test cost with Cigna in Texas?
Cigna negotiated rates for a1c test at 255 Texas hospitals range from $10 to $113, with a median near $40. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does an a1c test cost with UnitedHealthcare in Texas?
UnitedHealthcare negotiated rates for a1c test at 171 Texas hospitals range from $8 to $101, with a median near $12. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for a1c test
The same a1c test bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $6–$481
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $5–$481
Estimated from CMS fee schedules + commercial rate multipliers
Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (30) report prices above $222, including Solara Specialty Hospital Mcallen at $481, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $47 versus $70 inpatient (about 1.5× more), so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$49 |
| Deductible met - 20% coinsurance | ~$10 |
| Out-of-network provider | $108+ |
Frequently asked questions: a1c test costs in Texas
How much does an a1c test cost in Texas?
The typical insurer-negotiated rate is $8, with most facilities between $8 and $9 (based on 431 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Texas hospitals run $8–$164; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an a1c test in Texas?
Based on declared prices, the lowest posted price in our Texas data is Valley Baptist Micro-Hospital Weslaco in Pharr at about $13. By metro, Houston has the lowest median ($9).
Why is an a1c test so much cheaper at some Texas hospitals?
Typical prices vary about 1.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $50 versus a median negotiated rate of $32 - about 1.6× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an a1c test in Texas?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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