Ins/rpl pm gen exist dual lead at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$14,063.40
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.
$23,439.00
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.
$6,437.50 with Blue Cross Blue Shield vs $24,806.00 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 | $6,437.50 | ↓ -54% |
| Parkland | Managed Medicaid | $6,437.50 | ↓ -54% |
| United Healthcare | Managed Medicaid | $6,437.50 | ↓ -54% |
| Amerigroup | Managed Medicaid | $6,437.50 | ↓ -54% |
| Superior Wellcare | Managed Medicaid | $6,759.38 | ↓ -52% |
| Blue Cross Blue Shield | Exchange | $6,797.31 | ↓ -52% |
| Molina | Managed Medicaid | $6,952.50 | ↓ -51% |
| Aetna | Whole Health | $9,764.69 | ↓ -31% |
| American Health | Medicare Advantage | $10,499.62 | ↓ -25% |
| Blue Cross Blue Shield | Medicare Advantage | $10,499.62 | ↓ -25% |
| HealthSpring | Medicare Advantage | $10,709.62 | ↓ -24% |
| Blue Cross Blue Shield | HMO | $10,828.82 | ↓ -23% |
| Humana | Medicare Advantage | $10,919.61 | ↓ -22% |
| City of Fort Worth | Commercial | $11,016.33 | ↓ -22% |
| Molina | Medicare Advantage | $11,024.61 | ↓ -22% |
| Amerigroup | Medicare Advantage | $11,024.61 | ↓ -22% |
| Superior Wellcare | Medicare Advantage HMO | $11,024.61 | ↓ -22% |
| Superior Wellcare | Medicare Advantage MMP | $11,549.59 | ↓ -18% |
| United Healthcare | Medicare Advantage PPO | $11,654.58 | ↓ -17% |
| United Healthcare | Medicare Advantage HMO | $11,864.58 | ↓ -16% |
| Blue Cross Blue Shield | PPO | $12,047.65 | ↓ -14% |
| Cigna | OAP/HMO | $12,957.08 | ↓ -8% |
| Aetna | Commercial | $13,020.36 | ↓ -7% |
| Quick Trip | Commercial | $14,063.40 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $14,309.51 | ↑ +2% |
| PHCS | PPO | $16,290.11 | ↑ +16% |
| Cigna | PPO | $16,336.98 | ↑ +16% |
| Aetna | Coventry | $16,430.74 | ↑ +17% |
| Aetna | ASA | $16,430.74 | ↑ +17% |
| Healthsmart | Commercial | $17,579.25 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $19,337.18 | ↑ +38% |
| United Healthcare | All Payer | $19,497.00 | ↑ +39% |
| Multiplan | Commercial | $20,391.93 | ↑ +45% |
| USA | MCO | $20,626.32 | ↑ +47% |
| Galaxy | Commercial | $20,626.32 | ↑ +47% |
| Cigna | Indemnity | $22,056.10 | ↑ +57% |
| United Healthcare Options | PPO | $24,806.00 | ↑ +76% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,936.76 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,089.75 | $1,870.97 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,930.91 | $6,022.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,936.76 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,089.75 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,089.75 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,930.91 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,936.76 | $2,763.00 – $26,452.82 |