Encephalitis, western equine igg/igm at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$63.45
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.
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What you pay up front if you don't use insurance.
$105.75
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.
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The hospital's undiscounted list price — almost no one pays this.
$11.08 with Blue Cross Blue Shield vs $99.51 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $11.08 | ↓ -83% |
| Parkland | Managed Medicaid | $11.08 | ↓ -83% |
| Amerigroup | Managed Medicaid | $11.08 | ↓ -83% |
| United Healthcare | Managed Medicaid | $11.08 | ↓ -83% |
| Superior Wellcare | Managed Medicaid | $11.63 | ↓ -82% |
| Molina | Managed Medicaid | $11.97 | ↓ -81% |
| United Healthcare Options | PPO | $13.19 | ↓ -79% |
| United Healthcare | All Payer | $13.19 | ↓ -79% |
| Blue Cross Blue Shield | Medicare Advantage | $13.19 | ↓ -79% |
| American Health | Medicare Advantage | $13.19 | ↓ -79% |
| HealthSpring | Medicare Advantage | $13.45 | ↓ -79% |
| Humana | Medicare Advantage | $13.72 | ↓ -78% |
| Molina | Medicare Advantage | $13.85 | ↓ -78% |
| Amerigroup | Medicare Advantage | $13.85 | ↓ -78% |
| Superior Wellcare | Medicare Advantage HMO | $13.85 | ↓ -78% |
| Superior Wellcare | Medicare Advantage MMP | $14.51 | ↓ -77% |
| United Healthcare | Medicare Advantage PPO | $14.64 | ↓ -77% |
| United Healthcare | Medicare Advantage HMO | $14.90 | ↓ -77% |
| Blue Cross Blue Shield | Exchange | $18.33 | ↓ -71% |
| Fort Worth Firefighters | Commercial | $25.90 | ↓ -59% |
| Blue Cross Blue Shield | HMO | $26.12 | ↓ -59% |
| Aetna | Whole Health | $27.26 | ↓ -57% |
| Blue Cross Blue Shield | PPO | $29.02 | ↓ -54% |
| Aetna | Commercial | $36.34 | ↓ -43% |
| City of Fort Worth | Commercial | $49.70 | ↓ -22% |
| Cigna | PPO | $54.47 | ↓ -14% |
| Cigna | OAP/HMO | $54.47 | ↓ -14% |
| Quick Trip | Commercial | $63.45 | ↑ +0% |
| PHCS | PPO | $73.50 | ↑ +16% |
| Aetna | ASA | $74.13 | ↑ +17% |
| Aetna | Coventry | $74.13 | ↑ +17% |
| Blue Cross Blue Shield | Traditional | $77.31 | ↑ +22% |
| Healthsmart | Commercial | $79.31 | ↑ +25% |
| Multiplan | Commercial | $92.00 | ↑ +45% |
| USA | MCO | $93.06 | ↑ +47% |
| Galaxy | Commercial | $93.06 | ↑ +47% |
| Cigna | Indemnity | $99.51 | ↑ +57% |
Visitor-reported prices
Comments
Encephalitis, western equine igg/igm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $94.46 | $10.00 – $35.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $86.46 | $5.80 – $42.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $72.03 | $11.08 – $35.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $94.46 | $10.00 – $35.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $86.46 | $11.86 – $42.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $86.46 | $8.00 – $42.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $72.03 | $11.08 – $42.26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $94.46 | $10.00 – $35.22 |