Diagnostic Mammogram (one breast) at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$366.15
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.
$610.25
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.
$58.46 with Amerigroup vs $742.32 with Blue Cross Blue Shield — 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 | $58.46 | ↓ -84% |
| Parkland | Managed Medicaid | $58.46 | ↓ -84% |
| United Healthcare | Managed Medicaid | $58.46 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $58.46 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $61.39 | ↓ -83% |
| Molina | Managed Medicaid | $63.16 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $118.85 | ↓ -68% |
| American Health | Medicare Advantage | $118.85 | ↓ -68% |
| HealthSpring | Medicare Advantage | $121.23 | ↓ -67% |
| Humana | Medicare Advantage | $123.61 | ↓ -66% |
| Molina | Medicare Advantage | $124.79 | ↓ -66% |
| Amerigroup | Medicare Advantage | $124.79 | ↓ -66% |
| Superior Wellcare | Medicare Advantage HMO | $124.79 | ↓ -66% |
| Superior Wellcare | Medicare Advantage MMP | $130.74 | ↓ -64% |
| United Healthcare | Medicare Advantage PPO | $131.92 | ↓ -64% |
| United Healthcare | Medicare Advantage HMO | $134.30 | ↓ -63% |
| Fort Worth Firefighters | Commercial | $181.00 | ↓ -51% |
| Aetna | Whole Health | $207.36 | ↓ -43% |
| United Healthcare | All Payer | $210.00 | ↓ -43% |
| Cigna | OAP/HMO | $236.00 | ↓ -36% |
| Blue Cross Blue Shield | HMO | $247.10 | ↓ -33% |
| Blue Cross Blue Shield | Exchange | $253.96 | ↓ -31% |
| Cigna | PPO | $266.00 | ↓ -27% |
| Blue Cross Blue Shield | PPO | $274.56 | ↓ -25% |
| United Healthcare Options | PPO | $276.00 | ↓ -25% |
| Aetna | Commercial | $276.44 | ↓ -25% |
| City of Fort Worth | Commercial | $286.82 | ↓ -22% |
| Quick Trip | Commercial | $366.15 | ↑ +0% |
| PHCS | PPO | $424.12 | ↑ +16% |
| Aetna | ASA | $427.79 | ↑ +17% |
| Aetna | Coventry | $427.79 | ↑ +17% |
| Healthsmart | Commercial | $457.69 | ↑ +25% |
| Multiplan | Commercial | $530.92 | ↑ +45% |
| Galaxy | Commercial | $537.02 | ↑ +47% |
| USA | MCO | $537.02 | ↑ +47% |
| Cigna | Indemnity | $574.25 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $742.32 | ↑ +103% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $272.16 | $77.11 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $272.16 | $56.02 – $408.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $272.16 | $54.43 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $272.16 | $72.58 – $385.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $272.16 | $87.36 – $408.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $272.16 | $140.62 – $408.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $272.16 | $90.72 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $272.16 | $72.58 – $385.56 |