Molina Healthcare ER Visit Rates in Dallas-Fort Worth

Published Molina Healthcare negotiated rates for ER Visit at 24 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$56.5

Parkland Health & Hospital System

all plan types

Highest Rate

$616.79

Baylor University Medical Center

all plan types

Rate Spread

11x

across all plan types

Hospitals

24

with Molina Healthcare data

Molina Healthcare ER visit rates across 24 Dallas-Fort Worth hospitals range dramatically from $56.50 to $616.79, an 11-fold difference. The lowest rate at Parkland Health applies to their CHIP Medicaid plan, while commercial rates typically run higher. The median negotiated rate sits at $320 across all plan types.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare ER Visit Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Parkland Health & Hospital System $56.5
Methodist Dallas Medical Center $56.5
Methodist Charlton Medical Center $56.5
Methodist Mansfield Medical Center $56.5
Methodist Richardson Medical Center $56.5
Medical City Alliance $200
Medical City Argyle $200
Medical City Arlington $200
Medical City Dallas $200
Medical City Decatur $200
Medical City Denton $200
Medical City Fort Worth $200
Medical City Frisco $200
Medical City Heart Spine $200
Medical City Las Colinas $200
Medical City Lewisville $200
Medical City McKinney $200
Medical City North Hills $200
Medical City Plano $200
Medical City Sachse $200
Medical City Spine Hospital $200
BSW Medical Center Centennial $273.99
BSW Medical Center Lake Pointe $273.99
Baylor University Medical Center $273.99

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare ER Visit in Dallas-Fort Worth?

The lowest Molina Healthcare negotiated rate for ER Visit in Dallas-Fort Worth is $56.5 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $616.79 at Baylor University Medical Center, an 11x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.

How many Dallas-Fort Worth hospitals have published Molina Healthcare rates?

24 hospitals in the Dallas-Fort Worth area have published Molina Healthcare 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 Molina Healthcare directly.

Will Molina Healthcare cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com