BCBS Texas ER Visit Rates in Dallas-Fort Worth

Published Blue Cross Blue Shield of Texas negotiated rates for ER Visit at 37 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$65.77

Parkland Health & Hospital System

all plan types

Highest Rate

$7,720

Medical City Denton

all plan types

Rate Spread

117x

across all plan types

Hospitals

37

with Blue Cross Blue Shield of Texas data

Blue Cross Blue Shield of Texas emergency room rates across 37 Dallas-Fort Worth hospitals show a dramatic 117x spread, from $65.77 to $7,720. The lowest rate at Parkland Health applies to a Medicaid plan, while commercial rates typically run higher. The median negotiated rate sits at $2,640 across all plan types.

Why the range is so wide: Blue Cross Blue Shield of Texas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Blue Cross Blue Shield of Texas ER Visit Rates by Hospital

Hospital Lowest Blue Cross Blue Shield of Texas Rate
Parkland Health & Hospital System $65.77
Methodist Charlton Medical Center $268.21
BSW Medical Center Centennial $273.99
BSW Medical Center Irving $273.99
BSW Medical Center Lake Pointe $273.99
BSW Medical Center McKinney $273.99
BSW Medical Center Plano $273.99
BSW Heart Hospital Dallas $273.99
BSW Heart Hospital McKinney $273.99
BSW Heart Hospital Plano $273.99
BSW Heart Hospital Waxahachie $273.99
Baylor University Medical Center $273.99
BSW Medical Center Frisco PGA $273.99
Methodist Dallas Medical Center $274.22
Methodist Richardson Medical Center $274.22
Methodist Mansfield Medical Center $274.67
BSW All Saints Fort Worth $274.86
BSW Medical Center Grapevine $274.86
BSW Medical Center Waxahachie $274.86
BSW Heart Hospital Denton $274.86
Medical City Las Colinas $693
Medical City Frisco $833
Medical City Plano $833
Medical City Sachse $833
Medical City Dallas $861
Medical City Heart Spine $861
Medical City Spine Hospital $861
Medical City Alliance $875
Medical City Lewisville $875
Medical City North Hills $875
Medical City McKinney $931
Medical City Arlington $945
Medical City Fort Worth $980
Medical City Weatherford $980
Medical City Argyle $1,057
Medical City Decatur $1,057
Medical City Denton $1,057

Rates shown are Blue Cross Blue Shield of Texas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Blue Cross Blue Shield of Texas plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Blue Cross Blue Shield of Texas Negotiated Rates

A negotiated rate is the price Blue Cross Blue Shield of Texas has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Blue Cross Blue Shield of Texas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for ER Visit in Dallas-Fort Worth

View all ER Visit prices in Dallas-Fort Worth (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Blue Cross Blue Shield of Texas ER Visit in Dallas-Fort Worth?

The lowest Blue Cross Blue Shield of Texas negotiated rate for ER Visit in Dallas-Fort Worth is $65.77 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $7,720 at Medical City Denton, an 117x difference. Commercial plan rates typically fall between these extremes.

Is the Blue Cross Blue Shield of Texas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Blue Cross Blue Shield of Texas has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Blue Cross Blue Shield of Texas for a pre-service cost estimate specific to your plan.

How many Dallas-Fort Worth hospitals have published Blue Cross Blue Shield of Texas rates?

37 hospitals in the Dallas-Fort Worth area have published Blue Cross Blue Shield of Texas negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Blue Cross Blue Shield of Texas directly.

Will Blue Cross Blue Shield of Texas cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Blue Cross Blue Shield of Texas cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with Blue Cross Blue Shield of Texas or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Blue Cross Blue Shield of Texas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Blue Cross Blue Shield of Texas website: www.bcbstx.com