Treatment of ankle fracture at Texas Health Hospital Rockwall
3150 Horizon Road, Rockwall, TX · Texashealth · · NPI 1629138029
$10,497.45
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.
$17,495.75
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.
$3,203.82 with Blue Cross Blue Shield vs $21,607.00 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 | $3,203.82 | ↓ -69% |
| Parkland | Managed Medicaid | $3,203.82 | ↓ -69% |
| United Healthcare | Managed Medicaid | $3,203.82 | ↓ -69% |
| Amerigroup | Managed Medicaid | $3,203.82 | ↓ -69% |
| Superior Wellcare | Managed Medicaid | $3,364.01 | ↓ -68% |
| Molina | Managed Medicaid | $3,460.13 | ↓ -67% |
| Blue Cross Blue Shield | Exchange | $5,528.66 | ↓ -47% |
| Blue Cross Blue Shield | Medicare Advantage | $7,289.28 | ↓ -31% |
| American Health | Medicare Advantage | $7,289.28 | ↓ -31% |
| Aetna | Whole Health | $7,414.70 | ↓ -29% |
| HealthSpring | Medicare Advantage | $7,435.07 | ↓ -29% |
| Humana | Medicare Advantage | $7,580.85 | ↓ -28% |
| Molina | Medicare Advantage | $7,653.74 | ↓ -27% |
| Amerigroup | Medicare Advantage | $7,653.74 | ↓ -27% |
| Superior Wellcare | Medicare Advantage HMO | $7,653.74 | ↓ -27% |
| Superior Wellcare | Medicare Advantage MMP | $8,018.21 | ↓ -24% |
| United Healthcare | Medicare Advantage PPO | $8,091.10 | ↓ -23% |
| City of Fort Worth | Commercial | $8,223.00 | ↓ -22% |
| United Healthcare | Medicare Advantage HMO | $8,236.89 | ↓ -22% |
| Fort Worth Firefighters | Commercial | $9,139.78 | ↓ -13% |
| Cigna | OAP/HMO | $9,671.65 | ↓ -8% |
| Aetna | Commercial | $9,885.10 | ↓ -6% |
| Quick Trip | Commercial | $10,497.45 | ↑ +0% |
| Blue Cross Blue Shield | PPO | $11,109.80 | ↑ +6% |
| Blue Cross Blue Shield | HMO | $11,109.80 | ↑ +6% |
| PHCS | PPO | $12,159.55 | ↑ +16% |
| Cigna | PPO | $12,194.54 | ↑ +16% |
| Aetna | Coventry | $12,264.52 | ↑ +17% |
| Aetna | ASA | $12,264.52 | ↑ +17% |
| Healthsmart | Commercial | $13,121.81 | ↑ +25% |
| Blue Cross Blue Shield | Traditional | $15,028.85 | ↑ +43% |
| Multiplan | Commercial | $15,221.30 | ↑ +45% |
| Galaxy | Commercial | $15,396.26 | ↑ +47% |
| USA | MCO | $15,396.26 | ↑ +47% |
| Cigna | Indemnity | $16,463.50 | ↑ +57% |
| United Healthcare | All Payer | $16,982.00 | ↑ +62% |
| United Healthcare Options | PPO | $21,607.00 | ↑ +106% |
Visitor-reported prices
Comments
Treatment of ankle fracture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,836.22 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,141.80 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,836.22 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,836.22 | $2,763.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,141.80 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,836.22 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,836.22 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $7,141.80 | $71.00 – $17,722.46 |