Ko w adj flex/ext rotat mold at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$4,285.97
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.
$7,143.28
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.
$684.33 with Amerigroup vs $6,721.83 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 | $684.33 | ↓ -84% |
| Parkland | Managed Medicaid | $684.33 | ↓ -84% |
| United Healthcare | Managed Medicaid | $684.33 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $684.33 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $718.61 | ↓ -83% |
| Molina | Managed Medicaid | $739.33 | ↓ -83% |
| Blue Cross Blue Shield | Medicare Advantage | $1,348.79 | ↓ -69% |
| American Health | Medicare Advantage | $1,348.79 | ↓ -69% |
| HealthSpring | Medicare Advantage | $1,375.77 | ↓ -68% |
| Humana | Medicare Advantage | $1,402.74 | ↓ -67% |
| Molina | Medicare Advantage | $1,416.23 | ↓ -67% |
| Amerigroup | Medicare Advantage | $1,416.23 | ↓ -67% |
| Superior Wellcare | Medicare Advantage HMO | $1,416.23 | ↓ -67% |
| Superior Wellcare | Medicare Advantage MMP | $1,483.67 | ↓ -65% |
| United Healthcare | Medicare Advantage PPO | $1,497.16 | ↓ -65% |
| United Healthcare | Medicare Advantage HMO | $1,524.13 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $2,214.42 | ↓ -48% |
| Aetna | Whole Health | $2,933.03 | ↓ -32% |
| Fort Worth Firefighters | Commercial | $3,138.04 | ↓ -27% |
| City of Fort Worth | Commercial | $3,357.34 | ↓ -22% |
| Blue Cross Blue Shield | HMO | $3,571.64 | ↓ -17% |
| Aetna | Commercial | $3,910.95 | ↓ -9% |
| Cigna | OAP/HMO | $3,948.81 | ↓ -8% |
| Blue Cross Blue Shield | Traditional | $3,971.66 | ↓ -7% |
| Blue Cross Blue Shield | PPO | $3,971.66 | ↓ -7% |
| Quick Trip | Commercial | $4,285.97 | ↑ +0% |
| United Healthcare | All Payer | $4,502.41 | ↑ +5% |
| United Healthcare Options | PPO | $4,762.42 | ↑ +11% |
| PHCS | PPO | $4,964.58 | ↑ +16% |
| Cigna | PPO | $4,978.87 | ↑ +16% |
| Aetna | Coventry | $5,007.44 | ↑ +17% |
| Aetna | ASA | $5,007.44 | ↑ +17% |
| Healthsmart | Commercial | $5,357.46 | ↑ +25% |
| Multiplan | Commercial | $6,214.65 | ↑ +45% |
| USA | MCO | $6,286.09 | ↑ +47% |
| Galaxy | Commercial | $6,286.09 | ↑ +47% |
| Cigna | Indemnity | $6,721.83 | ↑ +57% |
Visitor-reported prices
Comments
Ko w adj flex/ext rotat mold at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Allen | Allen | $4,285.97 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $4,285.97 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $4,285.97 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $4,285.97 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $4,285.97 | not published |
| Texas Health Presbyterian Hospital Plano | Plano | $4,285.97 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $4,285.97 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle | $4,285.97 | not published |