Diab manage trn ind/group at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$84.00
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.
$140.00
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.
$13.41 with Amerigroup vs $339.00 with United Healthcare Options — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $13.41 | ↓ -84% |
| Parkland | Managed Medicaid | $13.41 | ↓ -84% |
| United Healthcare | Managed Medicaid | $13.41 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $13.41 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $14.08 | ↓ -83% |
| Molina | Managed Medicaid | $14.49 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $15.63 | ↓ -81% |
| American Health | Medicare Advantage | $15.63 | ↓ -81% |
| HealthSpring | Medicare Advantage | $15.94 | ↓ -81% |
| Humana | Medicare Advantage | $16.25 | ↓ -81% |
| Molina | Medicare Advantage | $16.41 | ↓ -80% |
| Amerigroup | Medicare Advantage | $16.41 | ↓ -80% |
| Superior Wellcare | Medicare Advantage HMO | $16.41 | ↓ -80% |
| Superior Wellcare | Medicare Advantage MMP | $17.19 | ↓ -80% |
| United Healthcare | Medicare Advantage PPO | $17.34 | ↓ -79% |
| United Healthcare | Medicare Advantage HMO | $17.66 | ↓ -79% |
| Blue Cross Blue Shield | Exchange | $22.74 | ↓ -73% |
| Blue Cross Blue Shield | HMO | $43.23 | ↓ -49% |
| Blue Cross Blue Shield | PPO | $48.03 | ↓ -43% |
| Aetna | Whole Health | $57.48 | ↓ -32% |
| City of Fort Worth | Commercial | $65.80 | ↓ -22% |
| Aetna | Commercial | $76.65 | ↓ -9% |
| Cigna | OAP/HMO | $77.39 | ↓ -8% |
| Fort Worth Firefighters | Commercial | $81.00 | ↓ -4% |
| Quick Trip | Commercial | $84.00 | ↑ +0% |
| PHCS | PPO | $97.30 | ↑ +16% |
| Cigna | PPO | $97.58 | ↑ +16% |
| Aetna | ASA | $98.14 | ↑ +17% |
| Aetna | Coventry | $98.14 | ↑ +17% |
| Healthsmart | Commercial | $105.00 | ↑ +25% |
| Multiplan | Commercial | $121.80 | ↑ +45% |
| Galaxy | Commercial | $123.20 | ↑ +47% |
| USA | MCO | $123.20 | ↑ +47% |
| Blue Cross Blue Shield | Traditional | $127.29 | ↑ +52% |
| Cigna | Indemnity | $131.74 | ↑ +57% |
| United Healthcare | All Payer | $254.00 | ↑ +202% |
| United Healthcare Options | PPO | $339.00 | ↑ +304% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $59.36 | $16.82 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $63.45 | $13.06 – $95.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.32 | $13.86 – $86.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $59.36 | $15.83 – $84.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $63.45 | $20.37 – $95.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $63.45 | $32.78 – $95.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $69.32 | $23.11 – $103.98 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $59.36 | $15.83 – $84.10 |