CT heart w/evaluation of calcium without contrast at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$136.50
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.
$227.50
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.
$86.58 with Blue Cross Blue Shield vs $2,053.00 with Cigna — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $86.58 | ↓ -37% |
| Amerigroup | Managed Medicaid | $86.58 | ↓ -37% |
| Parkland | Managed Medicaid | $86.58 | ↓ -37% |
| United Healthcare | Managed Medicaid | $86.58 | ↓ -37% |
| Blue Cross Blue Shield | Medicare Advantage | $87.42 | ↓ -36% |
| American Health | Medicare Advantage | $87.42 | ↓ -36% |
| HealthSpring | Medicare Advantage | $89.17 | ↓ -35% |
| Superior Wellcare | Managed Medicaid | $90.91 | ↓ -33% |
| Humana | Medicare Advantage | $90.92 | ↓ -33% |
| Molina | Medicare Advantage | $91.79 | ↓ -33% |
| Amerigroup | Medicare Advantage | $91.79 | ↓ -33% |
| Superior Wellcare | Medicare Advantage HMO | $91.79 | ↓ -33% |
| Molina | Managed Medicaid | $93.51 | ↓ -31% |
| Superior Wellcare | Medicare Advantage MMP | $96.16 | ↓ -30% |
| United Healthcare | Medicare Advantage PPO | $97.04 | ↓ -29% |
| United Healthcare | Medicare Advantage HMO | $98.79 | ↓ -28% |
| City of Fort Worth | Commercial | $106.93 | ↓ -22% |
| Quick Trip | Commercial | $136.50 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $138.89 | ↑ +2% |
| PHCS | PPO | $158.11 | ↑ +16% |
| Aetna | Coventry | $159.48 | ↑ +17% |
| Aetna | ASA | $159.48 | ↑ +17% |
| Healthsmart | Commercial | $170.63 | ↑ +25% |
| Multiplan | Commercial | $197.93 | ↑ +45% |
| USA | MCO | $200.20 | ↑ +47% |
| Galaxy | Commercial | $200.20 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $209.66 | ↑ +54% |
| Cigna | Indemnity | $214.08 | ↑ +57% |
| Blue Cross Blue Shield | Exchange | $215.49 | ↑ +58% |
| Blue Cross Blue Shield | PPO | $232.97 | ↑ +71% |
| Blue Cross Blue Shield | Traditional | $629.86 | ↑ +361% |
| Aetna | Whole Health | $916.50 | ↑ +571% |
| United Healthcare | All Payer | $1,115.00 | ↑ +717% |
| Aetna | Commercial | $1,222.00 | ↑ +795% |
| United Healthcare Options | PPO | $1,458.00 | ↑ +968% |
| Cigna | OAP/HMO | $1,792.00 | ↑ +1213% |
| Cigna | PPO | $2,053.00 | ↑ +1404% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $79.00 | $47.40 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $217.63 | $44.79 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $79.00 | $61.88 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $217.63 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $217.63 | $86.58 – $2,181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $79.00 | $61.88 – $1,841.00 |