Diffusing capacity at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$159.45
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.
$265.75
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.
$25.46 with Amerigroup vs $1,042.00 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 | $25.46 | ↓ -84% |
| Parkland | Managed Medicaid | $25.46 | ↓ -84% |
| United Healthcare | Managed Medicaid | $25.46 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $25.46 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $26.73 | ↓ -83% |
| Molina | Managed Medicaid | $27.51 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $60.52 | ↓ -62% |
| American Health | Medicare Advantage | $60.52 | ↓ -62% |
| HealthSpring | Medicare Advantage | $61.73 | ↓ -61% |
| Humana | Medicare Advantage | $62.94 | ↓ -61% |
| Molina | Medicare Advantage | $63.54 | ↓ -60% |
| Amerigroup | Medicare Advantage | $63.54 | ↓ -60% |
| Superior Wellcare | Medicare Advantage HMO | $63.54 | ↓ -60% |
| Superior Wellcare | Medicare Advantage MMP | $66.57 | ↓ -58% |
| United Healthcare | Medicare Advantage PPO | $67.18 | ↓ -58% |
| United Healthcare | Medicare Advantage HMO | $68.39 | ↓ -57% |
| Blue Cross Blue Shield | Exchange | $68.73 | ↓ -57% |
| Aetna | Whole Health | $109.12 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $116.74 | ↓ -27% |
| City of Fort Worth | Commercial | $124.90 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $130.66 | ↓ -18% |
| Blue Cross Blue Shield | PPO | $145.19 | ↓ -9% |
| Aetna | Commercial | $145.50 | ↓ -9% |
| Cigna | OAP/HMO | $146.91 | ↓ -8% |
| Quick Trip | Commercial | $159.45 | ↑ +0% |
| PHCS | PPO | $184.70 | ↑ +16% |
| Cigna | PPO | $185.23 | ↑ +16% |
| Aetna | Coventry | $186.29 | ↑ +17% |
| Aetna | ASA | $186.29 | ↑ +17% |
| Healthsmart | Commercial | $199.31 | ↑ +25% |
| Multiplan | Commercial | $231.20 | ↑ +45% |
| USA | MCO | $233.86 | ↑ +47% |
| Galaxy | Commercial | $233.86 | ↑ +47% |
| Cigna | Indemnity | $250.07 | ↑ +57% |
| Blue Cross Blue Shield | Traditional | $384.73 | ↑ +141% |
| United Healthcare | All Payer | $782.00 | ↑ +390% |
| United Healthcare Options | PPO | $1,042.00 | ↑ +553% |
Visitor-reported prices
Comments
Diffusing capacity at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $395.37 | $112.02 – $560.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $434.72 | $89.48 – $652.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $478.63 | $95.73 – $598.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $395.37 | $105.43 – $560.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $434.72 | $139.55 – $652.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $434.72 | $224.61 – $652.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $478.63 | $141.49 – $717.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $395.37 | $105.43 – $560.11 |