Drain finger abscess;simple 26010 at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$258.15
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.
$430.25
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.
$74.34 with Blue Cross Blue Shield vs $1,568.00 with United Healthcare Options — 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 | $74.34 | ↓ -71% |
| Parkland | Managed Medicaid | $74.34 | ↓ -71% |
| United Healthcare | Managed Medicaid | $74.34 | ↓ -71% |
| Amerigroup | Managed Medicaid | $74.34 | ↓ -71% |
| Superior Wellcare | Managed Medicaid | $78.06 | ↓ -70% |
| Molina | Managed Medicaid | $80.29 | ↓ -69% |
| Blue Cross Blue Shield | Exchange | $101.53 | ↓ -61% |
| Aetna | Whole Health | $182.34 | ↓ -29% |
| American Health | Medicare Advantage | $201.55 | ↓ -22% |
| Blue Cross Blue Shield | Medicare Advantage | $201.55 | ↓ -22% |
| City of Fort Worth | Commercial | $202.22 | ↓ -22% |
| HealthSpring | Medicare Advantage | $205.58 | ↓ -20% |
| Blue Cross Blue Shield | HMO | $207.48 | ↓ -20% |
| Humana | Medicare Advantage | $209.61 | ↓ -19% |
| Molina | Medicare Advantage | $211.63 | ↓ -18% |
| Amerigroup | Medicare Advantage | $211.63 | ↓ -18% |
| Superior Wellcare | Medicare Advantage HMO | $211.63 | ↓ -18% |
| Superior Wellcare | Medicare Advantage MMP | $221.70 | ↓ -14% |
| United Healthcare | Medicare Advantage PPO | $223.72 | ↓ -13% |
| Fort Worth Firefighters | Commercial | $224.76 | ↓ -13% |
| United Healthcare | Medicare Advantage HMO | $227.75 | ↓ -12% |
| Blue Cross Blue Shield | PPO | $230.53 | ↓ -11% |
| Cigna | OAP/HMO | $237.84 | ↓ -8% |
| Aetna | Commercial | $243.09 | ↓ -6% |
| Quick Trip | Commercial | $258.15 | ↑ +0% |
| PHCS | PPO | $299.02 | ↑ +16% |
| Cigna | PPO | $299.88 | ↑ +16% |
| Aetna | Coventry | $301.61 | ↑ +17% |
| Aetna | ASA | $301.61 | ↑ +17% |
| Healthsmart | Commercial | $322.69 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $369.58 | ↑ +43% |
| Multiplan | Commercial | $374.32 | ↑ +45% |
| USA | MCO | $378.62 | ↑ +47% |
| Galaxy | Commercial | $378.62 | ↑ +47% |
| Cigna | Indemnity | $404.87 | ↑ +57% |
| United Healthcare | All Payer | $1,247.00 | ↑ +383% |
| United Healthcare Options | PPO | $1,568.00 | ↑ +507% |
Visitor-reported prices
Comments
Drain finger abscess;simple 26010 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,295.65 | $110.36 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $522.25 | $74.34 – $652.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.81 | $71.00 – $739.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $551.70 | $71.00 – $689.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $522.25 | $74.34 – $652.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.81 | $79.54 – $739.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.81 | $74.34 – $739.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $551.70 | $71.00 – $827.55 |