CMS Price Transparency Data

Hospital observation (per hour)

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $51
Cash Discount Price: $55
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Texas Health Presbyterian Hospital Rockwall is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3150 Horizon Road, Rockwall, TX.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup	$6 - $12	N/A
Blue Cross Blue Shield	$6 - $1,045	N/A
Molina	$6 - $13	N/A
Parkland	$6 - $12	N/A
Superior Wellcare	$6 - $13	N/A
UnitedHealthcare	$6 - $70	N/A
Aetna	$24 - $88	N/A
Fort Worth Firefighters	$25 - $76	N/A
City of Fort Worth	$27 - $59	N/A
Cigna	$32 - $118	N/A
Quick Trip	$34 - $79	N/A
PHCS	$40 - $93	N/A
Healthsmart	$43 - $105	N/A
Multiplan	$50 - $109	N/A
Galaxy	$51 - $110	N/A
USA	$51 - $110	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $55.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Presbyterian Hospital Rockwall is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.