Complx repair sal addl 5 cm/> 13122 at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$478.95
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.
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What you pay up front if you don't use insurance.
$798.25
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.
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The hospital's undiscounted list price — almost no one pays this.
$76.47 with Amerigroup vs $1,568.00 with United Healthcare Options — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $76.47 | ↓ -84% |
| Parkland | Managed Medicaid | $76.47 | ↓ -84% |
| United Healthcare | Managed Medicaid | $76.47 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $76.47 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $80.30 | ↓ -83% |
| Molina | Managed Medicaid | $82.62 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $123.78 | ↓ -74% |
| American Health | Medicare Advantage | $123.78 | ↓ -74% |
| HealthSpring | Medicare Advantage | $126.26 | ↓ -74% |
| Humana | Medicare Advantage | $128.73 | ↓ -73% |
| Molina | Medicare Advantage | $129.97 | ↓ -73% |
| Amerigroup | Medicare Advantage | $129.97 | ↓ -73% |
| Superior Wellcare | Medicare Advantage HMO | $129.97 | ↓ -73% |
| Superior Wellcare | Medicare Advantage MMP | $136.16 | ↓ -72% |
| United Healthcare | Medicare Advantage PPO | $137.40 | ↓ -71% |
| United Healthcare | Medicare Advantage HMO | $139.87 | ↓ -71% |
| Blue Cross Blue Shield | Exchange | $252.25 | ↓ -47% |
| Aetna | Whole Health | $338.30 | ↓ -29% |
| City of Fort Worth | Commercial | $375.18 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $417.01 | ↓ -13% |
| Cigna | OAP/HMO | $441.27 | ↓ -8% |
| Aetna | Commercial | $451.01 | ↓ -6% |
| Quick Trip | Commercial | $478.95 | ↑ +0% |
| Blue Cross Blue Shield | HMO | $506.89 | ↑ +6% |
| Blue Cross Blue Shield | PPO | $506.89 | ↑ +6% |
| PHCS | PPO | $554.78 | ↑ +16% |
| Cigna | PPO | $556.38 | ↑ +16% |
| Aetna | Coventry | $559.57 | ↑ +17% |
| Aetna | ASA | $559.57 | ↑ +17% |
| Healthsmart | Commercial | $598.69 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $685.70 | ↑ +43% |
| Multiplan | Commercial | $694.48 | ↑ +45% |
| USA | MCO | $702.46 | ↑ +47% |
| Galaxy | Commercial | $702.46 | ↑ +47% |
| Cigna | Indemnity | $751.15 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +160% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +227% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,125.35 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $592.69 | $167.93 – $839.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $538.64 | $71.00 – $807.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $546.29 | $71.00 – $682.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $592.69 | $158.05 – $839.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $538.64 | $85.00 – $807.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $538.64 | $278.30 – $807.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $546.29 | $71.00 – $819.44 |