Ot evaluation low complexity patient/family at Methodist Celina Medical Center
1500 South Dallas Pkwy, Celina, TX · Methodisthealthsystem · · NPI 1073294740
$445.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$891.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$101.26 with UHC AARP SECURE HORIZONS [7023] vs $670.74 with SUPERIOR MEDICAID MANAGED CARE [5007] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UHC AARP SECURE HORIZONS [7023] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| WELLCARE [7016] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| SUPERIOR MEDICARE MANAGED CARE [7008] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE DIRECT MCEL | $101.26 | ↓ -77% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE COMPLETE MCEL | $101.26 | ↓ -77% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] | MHS HB UHC MEDICARE COMPLETE MCEL | $101.26 | ↓ -77% |
| GENERIC MEDICARE MANAGED CARE [7004] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB BCBS MEDICARE ADVANTAGE MCEL | $101.26 | ↓ -77% |
| MCS ADVANTAGE, INC CLASSICARE [7021] | MHS HB MANAGED MEDICARE PART A & B MCEL | $101.26 | ↓ -77% |
| UST HEALTH PROOF [1005] | MHS HB UHC MEDICARE COMPLETE MCEL | $101.26 | ↓ -77% |
| AETNA MEDICARE MANAGED CARE [7000] | MHS HB AETNA GOLDEN MCEL | $101.26 | ↓ -77% |
| AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] | MHS HB 105% MEDICARE MCEL | $106.32 | ↓ -76% |
| MOLINA MEDICARE MANAGED CARE [7007] | MHS HB MOLINA MEDICARE MCEL | $106.32 | ↓ -76% |
| CIGNA MEDICARE [7011] | MHS HB 105% MEDICARE MCEL | $106.32 | ↓ -76% |
| HUMANA MEDICARE MANAGED CARE [7005] | MHS HB HUMANA MEDICARE MCEL | $107.34 | ↓ -76% |
| WELLPOINT MEDICARE MANAGED CARE [7001] | MHS HB MANAGED MEDICARE 106% MCEL | $107.34 | ↓ -76% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB MANAGED MEDICARE 106% MCEL | $107.34 | ↓ -76% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC WELLMED MCEL | $107.34 | ↓ -76% |
| CIGNA MEDICARE [7011] | MHS HB UHC WELLMED MCEL | $107.34 | ↓ -76% |
| SOUTHWESTERN HEALTH RESOURCES SWHR [7015] | MHS HB MANAGED MEDICARE 106% MCEL | $107.34 | ↓ -76% |
| OPTUM TRANSPLANT NETWORK MEDICARE [7012] | MHS HB MANAGED MEDICARE 106% MCEL | $107.34 | ↓ -76% |
| HUMANA COMMERCIAL [2051] | MHS HB HUMANA MEDICARE MCEL | $107.34 | ↓ -76% |
| HUMANA MEDICARE TRANSPLANT [7013] | MHS HB HUMANA MEDICARE MCEL | $107.34 | ↓ -76% |
| MULTIPLAN MEDICARE MANAGED CARE [7022] | MHS HB MULTIPLAN ADVANTAGE MCEL | $108.35 | ↓ -76% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCEL | $125.38 | ↓ -72% |
| OSCAR INSURANCE COMPANY [2057] | MHS HB OSCAR HMO MCEL | $131.64 | ↓ -70% |
| MOLINA [3017] | MHS HB MOLINA MARKETPLACE MCEL | $146.83 | ↓ -67% |
| WELLPOINT MARKETPLACE EXCHANGE [3071] | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | $156.95 | ↓ -65% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MCEL | $162.02 | ↓ -64% |
| AETNA [3000] | MHS HB AETNA CVS MCEL | $164.04 | ↓ -63% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MCEL | $164.04 | ↓ -63% |
| ENTRUST/90 DEGREE [2058] | MHS HB 90 DEGREE MCEL | $167.08 | ↓ -62% |
| 90 DEGREE BENEFIT [3057] | MHS HB 90 DEGREE MCEL | $167.08 | ↓ -62% |
| ALLIED NATIONAL [2031] | MHS HB 90 DEGREE MCEL | $167.08 | ↓ -62% |
| SANA BENEFITS [3069] | MHS HB SANA MCEL | $202.52 | ↓ -55% |
| EVRY HEALTH [1013] | MHS HB EVRY MCEL | $202.52 | ↓ -55% |
| DEPARTMENT OF LABOR [8004] | MHS HB WORKERS COMP MCEL | $202.52 | ↓ -55% |
| GENERIC WORKERS COMP TX PAR [9011] | MHS HB WORKERS COMP MCEL | $202.52 | ↓ -55% |
| GENERIC WORKERS COMP TX PAR [8002] | MHS HB WORKERS COMP MCEL | $202.52 | ↓ -55% |
| GENERIC WORKERS COMP TX NON PAR [9010] | MHS HB WORKERS COMP MCEL | $202.52 | ↓ -55% |
| VELOCITY [3070] | MHS HB VELOCITY MCEL | $202.52 | ↓ -55% |
| BCBS [3001] | MHS HB BCBS PREMIER MCEL | $206.55 | ↓ -54% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | $206.55 | ↓ -54% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MCEL | $213.78 | ↓ -52% |
| BCBS [3001] | MHS HB BCBS HMO MCEL | $218.61 | ↓ -51% |
| BCBS [3001] | MHS HB BCBS PPO MCEL | $237.90 | ↓ -47% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MCEL | $237.90 | ↓ -47% |
| HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $253.15 | ↓ -43% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MCEL | $253.15 | ↓ -43% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $670.74 | ↑ +51% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $268.24 | $76.00 – $380.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $318.13 | $65.48 – $477.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $272.39 | $54.48 – $340.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $268.24 | $71.53 – $380.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $318.13 | $102.12 – $477.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $318.13 | $155.00 – $477.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $272.39 | $90.80 – $408.58 |