ProCare Advantage ER Visit Rates in Dallas-Fort Worth

Published ProCare Advantage negotiated rates for ER Visit at 20 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

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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.

Lowest Rate

$58.62

Parkland Health & Hospital System

all plan types

Highest Rate

$629.19

Methodist Mansfield Medical Center

all plan types

Rate Spread

11x

across all plan types

Hospitals

with ProCare Advantage data

ProCare Advantage ER visit rates in Dallas-Fort Worth vary dramatically, from $58.62 at Parkland Health to $629.19 at Methodist Mansfield—an 11x spread across 20 hospitals. The lowest rates often reflect Medicaid or Medicare contracts rather than commercial pricing, with a median rate of $425.31.

Why the range is so wide: ProCare Advantage 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.

ProCare Advantage ER Visit Rates by Hospital

Hospital	Lowest ProCare Advantage Rate	Plan Type	Highest Rate	Plans
Parkland Health & Hospital System	$58.62	PROCARE ADVANTAGE [210400]	$705.75	30
BSW Medical Center Centennial	$273.99	Medicare Advantage	$616.79	6
BSW Medical Center Irving	$273.99	Medicare Advantage	$616.79	6
BSW Medical Center Lake Pointe	$273.99	Medicare Advantage	$616.79	6
BSW Medical Center McKinney	$273.99	Medicare Advantage	$616.79	7
BSW Medical Center Plano	$273.99	Medicare Advantage	$616.79	6
BSW Heart Hospital Dallas	$273.99	Medicare Advantage	$616.79	6
BSW Heart Hospital McKinney	$273.99	Medicare Advantage	$616.79	6
BSW Heart Hospital Plano	$273.99	Medicare Advantage	$616.79	6
BSW Heart Hospital Waxahachie	$273.99	Medicare Advantage	$616.79	6
Baylor University Medical Center	$273.99	Medicare Advantage	$616.79	6
BSW Medical Center Frisco PGA	$273.99	Medicare Advantage	$616.79	6
BSW All Saints Fort Worth	$274.86	Medicare Advantage	$618.76	6
BSW Medical Center Grapevine	$274.86	Medicare Advantage	$618.76	6
BSW Medical Center Waxahachie	$274.86	Medicare Advantage	$618.76	6
BSW Heart Hospital Denton	$274.86	Medicare Advantage	$618.76	6
Methodist Charlton Medical Center	$281.62	MHS HB SCOTT AND WHITE MEDICARE MCMC	$614.4	8
Methodist Dallas Medical Center	$287.93	MHS HB SCOTT AND WHITE MEDICARE MDMC	$628.16	8
Methodist Richardson Medical Center	$287.93	MHS HB SCOTT AND WHITE MEDICARE MRMC	$628.16	8
Methodist Mansfield Medical Center	$288.41	MHS HB SCOTT AND WHITE MEDICARE MMMC	$629.19	8

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

A negotiated rate is the price ProCare Advantage 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 ProCare Advantage 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

Blue Cross Blue Shield of Texas $65.77 - $7,720 37 hospitals Aetna $53.93 - $6,465 37 hospitals UnitedHealthcare $16.66 - $5,000 36 hospitals Humana $64.2 - $1,929 36 hospitals Superior Health Plan $53.93 - $1,215.96 35 hospitals Curative $772.41 - $5,622 31 hospitals

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

Frequently Asked Questions

Where is the lowest-cost ProCare Advantage ER Visit in Dallas-Fort Worth?

The lowest ProCare Advantage negotiated rate for ER Visit in Dallas-Fort Worth is $58.62 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $629.19 at Methodist Mansfield Medical Center, an 11x difference. Commercial plan rates typically fall between these extremes.

Is the ProCare Advantage negotiated rate what I'll pay?

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

How many Dallas-Fort Worth hospitals have published ProCare Advantage rates?

20 hospitals in the Dallas-Fort Worth area have published ProCare Advantage 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 ProCare Advantage directly.

Will ProCare Advantage cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage website: www.procareadv.com