Polysom <6 yrs cpap/bilvl at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$7,244.10
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.
$12,073.50
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.
$862.65 with American Health vs $11,361.16 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 |
|---|---|---|---|
| American Health | Medicare Advantage | $862.65 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $862.65 | ↓ -88% |
| HealthSpring | Medicare Advantage | $879.91 | ↓ -88% |
| Humana | Medicare Advantage | $897.16 | ↓ -88% |
| Molina | Medicare Advantage | $905.79 | ↓ -87% |
| Amerigroup | Medicare Advantage | $905.79 | ↓ -87% |
| Superior Wellcare | Medicare Advantage HMO | $905.79 | ↓ -87% |
| Superior Wellcare | Medicare Advantage MMP | $948.92 | ↓ -87% |
| United Healthcare | Medicare Advantage PPO | $957.55 | ↓ -87% |
| United Healthcare | Medicare Advantage HMO | $974.80 | ↓ -87% |
| Amerigroup | Managed Medicaid | $1,156.64 | ↓ -84% |
| Blue Cross Blue Shield | Managed Medicaid | $1,156.64 | ↓ -84% |
| United Healthcare | Managed Medicaid | $1,156.64 | ↓ -84% |
| Parkland | Managed Medicaid | $1,156.64 | ↓ -84% |
| Superior Wellcare | Managed Medicaid | $1,214.59 | ↓ -83% |
| Blue Cross Blue Shield | Exchange | $1,237.68 | ↓ -83% |
| Molina | Managed Medicaid | $1,249.61 | ↓ -83% |
| Blue Cross Blue Shield | HMO | $2,116.79 | ↓ -71% |
| Blue Cross Blue Shield | PPO | $2,352.18 | ↓ -68% |
| Aetna | Whole Health | $4,957.38 | ↓ -32% |
| United Healthcare | All Payer | $5,114.00 | ↓ -29% |
| Fort Worth Firefighters | Commercial | $5,303.89 | ↓ -27% |
| United Healthcare Options | PPO | $5,556.00 | ↓ -23% |
| City of Fort Worth | Commercial | $5,674.55 | ↓ -22% |
| Blue Cross Blue Shield | Traditional | $6,235.64 | ↓ -14% |
| Aetna | Commercial | $6,610.24 | ↓ -9% |
| Cigna | OAP/HMO | $6,674.23 | ↓ -8% |
| Quick Trip | Commercial | $7,244.10 | ↑ +0% |
| PHCS | PPO | $8,391.08 | ↑ +16% |
| Cigna | PPO | $8,415.23 | ↑ +16% |
| Aetna | Coventry | $8,463.52 | ↑ +17% |
| Aetna | ASA | $8,463.52 | ↑ +17% |
| Healthsmart | Commercial | $9,055.13 | ↑ +25% |
| Multiplan | Commercial | $10,503.95 | ↑ +45% |
| Galaxy | Commercial | $10,624.68 | ↑ +47% |
| USA | MCO | $10,624.68 | ↑ +47% |
| Cigna | Indemnity | $11,361.16 | ↑ +57% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,277.17 | $1,292.05 – $9,415.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,360.45 | $819.52 – $5,450.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,277.17 | $819.52 – $9,415.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,277.17 | $2,590.07 – $9,415.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,360.45 | $819.52 – $6,540.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,802.77 | $819.52 – $6,003.47 |