Superior Health Plan ER Visit Rates in Dallas-Fort Worth

Published Superior Health Plan negotiated rates for ER Visit at 35 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$53.93

Parkland Health & Hospital System

all plan types

Highest Rate

$1,215.96

BSW Heart Hospital McKinney

all plan types

Rate Spread

23x

across all plan types

Hospitals

35

with Superior Health Plan data

Superior Health Plan ER visit rates across 35 Dallas-Fort Worth hospitals show a dramatic 23x spread, ranging from $53.93 at Parkland Health to $1,215.96 at BSW Heart Hospital McKinney. The lowest rate comes from a Foster Care plan which likely reflects Medicaid pricing rather than commercial rates. The median negotiated rate stands at $544.91.

Why the range is so wide: Superior Health Plan 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.

Superior Health Plan ER Visit Rates by Hospital

Hospital Lowest Superior Health Plan Rate
Parkland Health & Hospital System $53.93
Methodist Dallas Medical Center $56.5
Methodist Charlton Medical Center $56.5
Methodist Richardson Medical Center $56.5
BSW Heart Hospital Dallas $95.07
BSW Medical Center Irving $130.72
BSW Medical Center Lake Pointe $130.72
BSW Heart Hospital Denton $130.72
BSW Medical Center McKinney $166.37
BSW Medical Center Frisco PGA $166.37
BSW All Saints Fort Worth $190.13
BSW Medical Center Centennial $190.13
BSW Medical Center Grapevine $225.78
BSW Medical Center Waxahachie $225.78
Baylor University Medical Center $225.78
BSW Medical Center Plano $237.67
BSW Heart Hospital Plano $237.67
Methodist Mansfield Medical Center $274.67
Medical City Argyle $356.49
Medical City Dallas $356.49
Medical City Denton $356.49
Medical City Frisco $356.49
Medical City Heart Spine $356.49
Medical City Las Colinas $356.49
Medical City Lewisville $356.49
Medical City McKinney $356.49
Medical City Plano $356.49
Medical City Sachse $356.49
Medical City Spine Hospital $356.49
Medical City Weatherford $356.49
Medical City Alliance $357.08
Medical City Arlington $357.08
Medical City Fort Worth $357.08
Medical City North Hills $357.08
BSW Heart Hospital McKinney $540.15

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

A negotiated rate is the price Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan ER Visit in Dallas-Fort Worth?

The lowest Superior Health Plan negotiated rate for ER Visit in Dallas-Fort Worth is $53.93 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,215.96 at BSW Heart Hospital McKinney, a 23x difference. Commercial plan rates typically fall between these extremes.

Is the Superior Health Plan negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Superior Health Plan 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 Superior Health Plan for a pre-service cost estimate specific to your plan.

How many Dallas-Fort Worth hospitals have published Superior Health Plan rates?

35 hospitals in the Dallas-Fort Worth area have published Superior Health Plan 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 Superior Health Plan directly.

Will Superior Health Plan cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan 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 Superior Health Plan website: www.superiorhealthplan.com