Amikacin 4 mg/ml intravitreal injection - cnr at Methodist Charlton Medical Center

3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131

Source: hospital's published price file ↗ · Published Mar 21, 2026 · Ingested Sep 17, 2026

$30.12

Cash price

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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.

$60.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.58 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $26.54 with BCBS [3001] — 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 →

Payer
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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
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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
UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] MHS HB UNITED MEDICAID STAR PLUS MCMC $2.58 ↓ -91%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MCMC $11.11 ↓ -63%
SUPERIOR MEDICAID MANAGED CARE [5007] MHS HB MEDICAID 110% STAR PLUS MCMC $11.11 ↓ -63%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MCMC $13.03 ↓ -57%
CIGNA [3004] MHS HB CUSTOM INK MCMC $21.75 ↓ -28%
WEB TPA [3049] MHS HB CUSTOM INK MCMC $21.75 ↓ -28%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC $23.00 ↓ -24%
BCBS [3001] MHS HB BCBS PREMIER MCMC $23.00 ↓ -24%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MCMC $23.87 ↓ -21%
BCBS [3001] MHS HB BCBS HMO MCMC $24.42 ↓ -19%
BCBS [3001] MHS HB BCBS TRADITIONAL MCMC $26.54 ↓ -12%
BCBS [3001] MHS HB BCBS PPO MCMC $26.54 ↓ -12%

Visitor-reported prices

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Amikacin 4 mg/ml intravitreal injection - cnr at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $58.80 $0.67 – $41.48
Texas Health Presbyterian Hospital Dallas Dallas $33.53 $1.42 – $1.42
Methodist Dallas Medical Center Dallas $14.00 $5.36 – $13.03
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $0.60 – $8.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $58.80 $0.67 – $43.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $58.80 $0.67 – $36.60
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $58.80 $0.67 – $41.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $58.80 $0.67 – $43.92

All Texas hospitals for this procedure →