Ot evaluation low complexity patient/family at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$407.55
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.
$679.25
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.
$30.15 with Amerigroup vs $763.55 with Blue Cross Blue Shield — 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 | $30.15 | ↓ -93% |
| Parkland | Managed Medicaid | $30.15 | ↓ -93% |
| United Healthcare | Managed Medicaid | $30.15 | ↓ -93% |
| Blue Cross Blue Shield | Managed Medicaid | $30.15 | ↓ -93% |
| Superior Wellcare | Managed Medicaid | $31.66 | ↓ -92% |
| Molina | Managed Medicaid | $32.58 | ↓ -92% |
| Blue Cross Blue Shield | Medicare Advantage | $98.02 | ↓ -76% |
| American Health | Medicare Advantage | $98.02 | ↓ -76% |
| HealthSpring | Medicare Advantage | $99.98 | ↓ -75% |
| Humana | Medicare Advantage | $101.94 | ↓ -75% |
| Molina | Medicare Advantage | $102.92 | ↓ -75% |
| Amerigroup | Medicare Advantage | $102.92 | ↓ -75% |
| Superior Wellcare | Medicare Advantage HMO | $102.92 | ↓ -75% |
| Superior Wellcare | Medicare Advantage MMP | $107.82 | ↓ -74% |
| United Healthcare | Medicare Advantage PPO | $108.80 | ↓ -73% |
| United Healthcare | Medicare Advantage HMO | $110.76 | ↓ -73% |
| Aetna | Whole Health | $129.24 | ↓ -68% |
| Blue Cross Blue Shield | Exchange | $136.40 | ↓ -67% |
| City of Fort Worth | Commercial | $147.93 | ↓ -64% |
| Aetna | Commercial | $172.33 | ↓ -58% |
| Quick Trip | Commercial | $188.85 | ↓ -54% |
| Fort Worth Firefighters | Commercial | $192.15 | ↓ -53% |
| PHCS | PPO | $218.75 | ↓ -46% |
| Aetna | Coventry | $220.64 | ↓ -46% |
| Aetna | ASA | $220.64 | ↓ -46% |
| Healthsmart | Commercial | $236.06 | ↓ -42% |
| Blue Cross Blue Shield | HMO | $259.32 | ↓ -36% |
| Multiplan | Commercial | $273.83 | ↓ -33% |
| Galaxy | Commercial | $276.98 | ↓ -32% |
| USA | MCO | $276.98 | ↓ -32% |
| Blue Cross Blue Shield | PPO | $288.15 | ↓ -29% |
| Cigna | Indemnity | $296.18 | ↓ -27% |
| United Healthcare | All Payer | $308.00 | ↓ -24% |
| Cigna | OAP/HMO | $328.00 | ↓ -20% |
| Cigna | PPO | $396.00 | ↓ -3% |
| United Healthcare Options | PPO | $401.00 | ↓ -2% |
| Blue Cross Blue Shield | Traditional | $763.55 | ↑ +87% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $268.24 | $76.00 – $380.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $318.13 | $65.48 – $477.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $272.39 | $54.48 – $340.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $268.24 | $71.53 – $380.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $318.13 | $102.12 – $477.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $318.13 | $155.00 – $477.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $272.39 | $90.80 – $408.58 |