ER Visit Cost in Dallas-Fort Worth, TX
An emergency room (ER) visit involves evaluation and treatment by emergency medicine physicians and nursing staff in a hospital's emergency department. The visit includes triage assessment, medical examination, diagnostic workup as needed, and treatment planning. Facility fees cover the use of emergency department space, equipment, nursing care, medical supplies, and hospital overhead during the visit. ER visits are categorized into five complexity levels, with Level 3 (moderate complexity, code 99283), Level 4 (high complexity/urgent, code 99284), and Level 5 (critical complexity, code 99285) representing the most common billing codes. These prices come from CMS-mandated hospital transparency files that hospitals must publish annually to provide patients with pricing information before receiving care.
Data last updated: 2026-02-18
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
ER Visit Level 3 (Moderate) (HCPCS 99283)
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ER Visit Level 4 (High/Urgent) (HCPCS 99284)
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ER Visit Level 5 (Critical) (HCPCS 99285)
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What These Prices Mean
Why ER Visit Prices Vary
Paying cash? Health insurance could lower your ER Visit cost.
Published cash prices on this page range from $116.5 to $2,235.55. Insurers on this page have negotiated rates starting from $99.74, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.
Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.
Compare Insurer Rates for ER Visit in Dallas-Fort Worth
How much does each insurance company pay for er visit at Dallas-Fort Worth hospitals?
| Insurer | Lowest Rate | Hospitals |
|---|---|---|
| UnitedHealthcare | $16.66 | 36 |
| Amerigroup | $51.36 | 24 |
| Cook Children's Health Plan | $51.36 | 14 |
| Parkland Community Health Plan | $51.36 | 18 |
| Aetna | $53.93 | 37 |
| Superior Health Plan | $53.93 | 35 |
| Molina Healthcare | $56.5 | 24 |
| ProCare Advantage | $58.62 | 20 |
Rates shown are the lowest and highest negotiated rates each insurer has published across Dallas-Fort Worth hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.
What Insurers Actually Pay
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Published negotiated rates for ER Visit Level 4 (High/Urgent) (HCPCS 99284) at Parkland Health, outpatient facility fee:
ER Visit Level 4 (High/Urgent) (99284), Parkland Health Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $99.74 |
| DELTA DENTAL INSURANCE COMPANY [1151] | DELTA DENTAL MEDICARE ADVANTAGE PLAN [115101] | $99.74 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE DUAL COMPLETE [131503] | $99.74 |
| WELLCARE OF TEXAS [1330] | WELLCARE DUAL - UXR [133003] | $99.74 |
| TRIWEST HEALTHCARE ALLIANCE [1409] | COMMUNITY CARE NETWORK [140900] | $99.74 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $99.74 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $99.74 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $99.74 |
| DELTA DENTAL INSURANCE COMPANY [1151] | DELTA DENTAL MEDICARE ADVANTAGE PLAN [115101] | $99.74 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE DUAL COMPLETE [131503] | $99.74 |
| WELLCARE OF TEXAS [1330] | WELLCARE DUAL - UXR [133003] | $99.74 |
| TRIWEST HEALTHCARE ALLIANCE [1409] | COMMUNITY CARE NETWORK [140900] | $99.74 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $99.74 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $99.74 |
| TRIWEST HEALTHCARE ALLIANCE [1409] | COMMUNITY CARE NETWORK [140900] | $99.74 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $99.74 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $99.74 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE DUAL COMPLETE [131503] | $99.74 |
| WELLCARE OF TEXAS [1330] | WELLCARE DUAL - UXR [133003] | $99.74 |
| DELTA DENTAL INSURANCE COMPANY [1151] | DELTA DENTAL MEDICARE ADVANTAGE PLAN [115101] | $99.74 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $99.74 |
| WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $102.73 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $102.73 |
| WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $102.73 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $102.73 |
| WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $102.73 |
| WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $102.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $104.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $104.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $104.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $104.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $104.73 |
| MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $104.73 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $109.72 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $109.72 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $109.72 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $109.72 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $109.72 |
| SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $109.72 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $110.55 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $110.55 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $110.55 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $127.77 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $129.13 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $129.13 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $129.13 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $134.42 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $134.42 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $134.42 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $134.42 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $134.42 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $134.42 |
| MOLINA ACA [1337] | MOLINA ACA [133700] | $139.64 |
| MOLINA ACA [1337] | MOLINA ACA [133700] | $139.64 |
| MOLINA ACA [1337] | MOLINA ACA [133700] | $139.64 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $145.91 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $145.91 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $145.91 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $145.91 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $145.91 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $145.91 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $145.91 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $145.91 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $145.91 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $145.91 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $153.24 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $153.24 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $153.24 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $154.59 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $154.59 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $154.59 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $158.48 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $160.48 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $160.48 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $160.48 |
| MOLINA [1382] | MOLINA CHIP [138201] | $160.5 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $160.5 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $160.5 |
| MOLINA [1382] | MOLINA CHIP [138201] | $160.5 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $160.5 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $160.5 |
| MOLINA [1382] | MOLINA CHIP [138201] | $160.5 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $160.5 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $160.5 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $181.88 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $181.88 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $181.88 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $202.65 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $202.65 |
| UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $202.65 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $310.92 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $310.92 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $310.92 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $310.92 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $310.92 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $310.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $323.68 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $323.68 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $323.68 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $323.68 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $323.68 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $323.68 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $339.87 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $339.87 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $339.87 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $348.97 |
| WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $348.97 |
| WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $348.97 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $356.05 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $356.05 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $356.05 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $356.05 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $356.05 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $356.05 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $366.42 |
| COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $366.42 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $366.51 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $366.51 |
| AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $366.51 |
| AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $366.51 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $366.51 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $383.82 |
| MOLINA [1382] | MOLINA CHIP [138201] | $383.82 |
| MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $383.82 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $383.87 |
| MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $383.87 |
| MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $383.87 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $453.55 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $453.55 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $453.55 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $482.37 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $488.99 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $489.3 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| CIGNA PARKLAND HEALTH EMPLOYEES [1094] | CIGNA PARKLAND HEALTH EMPLOYEES [109400] | $1,084.76 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR PLUS [100701] | $1,298.17 |
| SUPERIOR HEALTHPLAN [1383] | SUPERIOR STAR PLUS [138305] | $1,298.17 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| WELLPOINT [1007] | WELLPOINT STAR KIDS [100706] | $1,329.57 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| AETNA HEALTHCARE [1004] | AETNA [100400] | $1,384.8 |
| GREAT WEST HEALTHCARE [1037] | GREAT WEST HEALTHCARE [103700] | $1,384.8 |
| CIGNA [1021] | CIGNA [102100] | $1,384.8 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR PLUS [138200] | $1,427.98 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $1,481.72 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UNITED HEALTHCARE OF TX [107900] | $1,539.44 |
| UNITED HEALTHCARE OF TX [1079] | UHC - UMR [107903] | $1,539.44 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS TRADITIONAL [101200] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS OUT OF STATE [101202] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BCBS FEDERAL EMPLOYEE [101203] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD PPO [101207] | $1,661.76 |
| BLUE CROSS BLUE SHIELD [1012] | BLUE CROSS BLUE SHIELD HMO [101208] | $1,661.76 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| WELLPOINT [1007] | WELLPOINT STAR [100700] | $1,695.92 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $1,780.79 |
| PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $1,780.79 |
Key finding: Insurance rates vary 138-fold for critical visits, with Aetna Better Health paying $77.04 while Aetna out-of-network rates reach $10,622 at some Medical City locations.
How to Use This Information
- ✓ These are facility fees only. The physician's fee is billed separately.
- ✓ Contact your insurer or the hospital billing department for your specific out-of-pocket cost.
- ✓ Many hospitals offer financial assistance programs for patients who qualify.
What Patients Ask About ER Visit Costs
How much does a er visit cost without insurance in Dallas-Fort Worth?
Cash prices for ER visits without insurance in Dallas-Fort Worth range from $713 to $8,209.23 depending on the hospital and visit complexity. For Level 3 (moderate) visits, BSW hospitals charge $713 while Medical City hospitals range from $2,137.61 to $3,303.01. Level 4 (high/urgent) visits cost $1,179.34 at BSW hospitals and $3,227.29 to $5,278.22 at Medical City hospitals. Level 5 (critical) visits cost $2,235.55 at BSW hospitals and $4,194.81 to $8,209.23 at Medical City hospitals. The visit level depends on the complexity of complexity and resources required. These facility fees are separate from emergency physician professional fees, which are billed separately by the physician group.
Why is the gross charge so much higher than the cash price?
The gross charge represents the hospital's chargemaster price, which is essentially a list price that almost no one actually pays. BSW hospitals reduce their gross charges by 40% for cash-paying patients, so a $3,725.91 gross charge becomes $2,235.55 cash. Medical City hospitals set cash prices equal to gross charges with no discount. Insurance companies negotiate rates that are typically much lower than gross charges. Even when hospitals offer large percentage discounts, a higher starting gross charge can still result in higher final prices. For example, Medical City's $2,137.61 cash price (no discount) is still three times higher than BSW's $713 cash price (40% discount) for the same Level 3 visit.
Does insurance cover a er visit?
Insurance coverage for ER visits depends on your specific plan and whether the visit meets your plan's coverage criteria. Based on negotiated rates in this data, insured patients may pay anywhere from $50.59 to $10,622 depending on their insurance plan and network status. Most insurance plans cover emergency care even at out-of-network hospitals, though patient cost-sharing may be higher. For non-emergency situations, some plans require prior authorization for ER visits or impose higher copays to encourage urgent care use instead. Patients with high-deductible health plans who have not met their annual deductible will owe the negotiated insurance rate until the deductible is satisfied.
Are there additional fees beyond the er visit facility charge?
Yes, the facility charges shown here are separate from emergency physician professional fees, which are billed separately by the physician group that staffs the emergency department. These professional fees cover the emergency medicine doctor's evaluation, diagnosis, and treatment decisions. If procedures like imaging studies are performed during the ER visit, radiologist reading fees are billed separately. Laboratory work may involve separate pathologist fees. Patients may expect multiple bills: one from the hospital for facility fees and others from various physician groups. The total cost of an ER visit typically includes both facility and professional components, though the professional fees are not included in hospital transparency pricing data.
Compare Other Procedures in Dallas-Fort Worth
Data Sources
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Baylor University Medical Center
File updated: 2026-02-18 · Accessed by us: 2026-04-13
We are not affiliated with Baylor University Medical Center. Published prices may not reflect your actual cost. Disclaimer
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BSW All Saints Fort Worth
File updated: 2026-02-21 · Accessed by us: 2026-04-13
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BSW Heart Hospital Dallas
File updated: 2026-02-21 · Accessed by us: 2026-04-13
We are not affiliated with BSW Heart Hospital Dallas. Published prices may not reflect your actual cost. Disclaimer
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BSW Heart Hospital Denton
File updated: 2026-02-20 · Accessed by us: 2026-04-13
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BSW Heart Hospital McKinney
File updated: 2026-02-20 · Accessed by us: 2026-04-13
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BSW Heart Hospital Plano
File updated: 2026-02-19 · Accessed by us: 2026-04-13
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BSW Heart Hospital Waxahachie
File updated: 2026-02-21 · Accessed by us: 2026-04-13
We are not affiliated with BSW Heart Hospital Waxahachie. Published prices may not reflect your actual cost. Disclaimer
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BSW Medical Center Centennial
File updated: 2026-02-20 · Accessed by us: 2026-04-13
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BSW Medical Center Frisco PGA
File updated: 2026-02-23 · Accessed by us: 2026-04-13
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BSW Medical Center Grapevine
File updated: 2026-02-21 · Accessed by us: 2026-04-13
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BSW Medical Center Irving
File updated: 2026-02-21 · Accessed by us: 2026-04-13
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BSW Medical Center Lake Pointe
File updated: 2026-02-21 · Accessed by us: 2026-04-13
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BSW Medical Center McKinney
File updated: 2026-02-19 · Accessed by us: 2026-04-13
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BSW Medical Center Plano
File updated: 2026-02-19 · Accessed by us: 2026-04-13
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BSW Medical Center Waxahachie
File updated: 2026-02-21 · Accessed by us: 2026-04-13
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Medical City Alliance
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Argyle
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Arlington
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Dallas
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Decatur
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Denton
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Fort Worth
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Frisco
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Heart Spine
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Las Colinas
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Lewisville
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City McKinney
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City North Hills
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Plano
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Sachse
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Spine Hospital
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Medical City Weatherford
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Methodist Charlton Medical Center
File updated: 2026-03-21 · Accessed by us: 2026-04-13
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Methodist Dallas Medical Center
File updated: 2026-03-20 · Accessed by us: 2026-04-13
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Methodist Mansfield Medical Center
File updated: 2026-03-21 · Accessed by us: 2026-04-13
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Methodist Richardson Medical Center
File updated: 2026-03-21 · Accessed by us: 2026-04-13
Attested by: Leslie Pierce
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Parkland Health & Hospital System
File updated: 3/31/2026 · Accessed by us: 2026-04-13
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