Dorsi & plantar flex ass/res at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$163.50
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.
$272.49
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.
$26.10 with Amerigroup vs $256.41 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $26.10 | ↓ -84% |
| Parkland | Managed Medicaid | $26.10 | ↓ -84% |
| United Healthcare | Managed Medicaid | $26.10 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $26.10 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $27.41 | ↓ -83% |
| Molina | Managed Medicaid | $28.20 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $84.47 | ↓ -48% |
| Blue Cross Blue Shield | Medicare Advantage | $100.40 | ↓ -39% |
| American Health | Medicare Advantage | $100.40 | ↓ -39% |
| HealthSpring | Medicare Advantage | $102.41 | ↓ -37% |
| Humana | Medicare Advantage | $104.42 | ↓ -36% |
| Molina | Medicare Advantage | $105.42 | ↓ -36% |
| Amerigroup | Medicare Advantage | $105.42 | ↓ -36% |
| Superior Wellcare | Medicare Advantage HMO | $105.42 | ↓ -36% |
| Superior Wellcare | Medicare Advantage MMP | $110.44 | ↓ -32% |
| United Healthcare | Medicare Advantage PPO | $111.44 | ↓ -32% |
| Aetna | Whole Health | $111.88 | ↓ -32% |
| United Healthcare | Medicare Advantage HMO | $113.45 | ↓ -31% |
| Fort Worth Firefighters | Commercial | $119.70 | ↓ -27% |
| City of Fort Worth | Commercial | $128.07 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $136.25 | ↓ -17% |
| Aetna | Commercial | $149.19 | ↓ -9% |
| Cigna | OAP/HMO | $150.63 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $151.50 | ↓ -7% |
| Blue Cross Blue Shield | PPO | $151.50 | ↓ -7% |
| Quick Trip | Commercial | $163.49 | ↓ -0% |
| United Healthcare | All Payer | $171.75 | ↑ +5% |
| United Healthcare Options | PPO | $181.67 | ↑ +11% |
| PHCS | PPO | $189.38 | ↑ +16% |
| Cigna | PPO | $189.93 | ↑ +16% |
| Aetna | ASA | $191.02 | ↑ +17% |
| Aetna | Coventry | $191.02 | ↑ +17% |
| Healthsmart | Commercial | $204.37 | ↑ +25% |
| Multiplan | Commercial | $237.07 | ↑ +45% |
| USA | MCO | $239.79 | ↑ +47% |
| Galaxy | Commercial | $239.79 | ↑ +47% |
| Cigna | Indemnity | $256.41 | ↑ +57% |
Visitor-reported prices
Comments
Dorsi & plantar flex ass/res at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.80 | $15.81 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.80 | $24.65 – $115.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.80 | $39.68 – $115.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.80 | $25.60 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $76.80 | $19.20 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $76.80 | $14.08 – $115.20 |