Antibody bacterium, not elsewhere specified at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$166.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$278.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$10.82 with Parkland vs $261.60 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Parkland | Managed Medicaid | $10.82 | ↓ -94% |
| United Healthcare | Managed Medicaid | $10.82 | ↓ -94% |
| Amerigroup | Managed Medicaid | $10.82 | ↓ -94% |
| Blue Cross Blue Shield | Managed Medicaid | $10.82 | ↓ -94% |
| Superior Wellcare | Managed Medicaid | $11.36 | ↓ -93% |
| Molina | Managed Medicaid | $11.69 | ↓ -93% |
| Blue Cross Blue Shield | Medicare Advantage | $12.88 | ↓ -92% |
| United Healthcare Options | PPO | $12.88 | ↓ -92% |
| United Healthcare | All Payer | $12.88 | ↓ -92% |
| American Health | Medicare Advantage | $12.88 | ↓ -92% |
| HealthSpring | Medicare Advantage | $13.14 | ↓ -92% |
| Humana | Medicare Advantage | $13.40 | ↓ -92% |
| Molina | Medicare Advantage | $13.52 | ↓ -92% |
| Superior Wellcare | Medicare Advantage HMO | $13.52 | ↓ -92% |
| Amerigroup | Medicare Advantage | $13.52 | ↓ -92% |
| Superior Wellcare | Medicare Advantage MMP | $14.17 | ↓ -92% |
| United Healthcare | Medicare Advantage PPO | $14.30 | ↓ -91% |
| United Healthcare | Medicare Advantage HMO | $14.55 | ↓ -91% |
| Blue Cross Blue Shield | Exchange | $17.90 | ↓ -89% |
| Fort Worth Firefighters | Commercial | $25.28 | ↓ -85% |
| Blue Cross Blue Shield | HMO | $25.50 | ↓ -85% |
| Aetna | Whole Health | $27.26 | ↓ -84% |
| Blue Cross Blue Shield | PPO | $28.34 | ↓ -83% |
| Aetna | Commercial | $36.34 | ↓ -78% |
| Cigna | OAP/HMO | $53.42 | ↓ -68% |
| Cigna | PPO | $53.42 | ↓ -68% |
| Blue Cross Blue Shield | Traditional | $75.49 | ↓ -55% |
| City of Fort Worth | Commercial | $130.66 | ↓ -22% |
| Quick Trip | Commercial | $166.80 | ↑ +0% |
| PHCS | PPO | $193.21 | ↑ +16% |
| Aetna | ASA | $194.88 | ↑ +17% |
| Aetna | Coventry | $194.88 | ↑ +17% |
| Healthsmart | Commercial | $208.50 | ↑ +25% |
| Multiplan | Commercial | $241.86 | ↑ +45% |
| Galaxy | Commercial | $244.64 | ↑ +47% |
| USA | MCO | $244.64 | ↑ +47% |
| Cigna | Indemnity | $261.60 | ↑ +57% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $110.72 | $10.00 – $81.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $105.45 | $12.00 – $96.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $105.45 | $10.82 – $76.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $110.72 | $10.00 – $81.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $105.45 | $11.58 – $96.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $105.45 | $8.00 – $96.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $105.45 | $10.82 – $92.07 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $110.72 | $10.00 – $81.75 |