Diazepam 5 mg/ml injection solution (wrapper) 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

$51.75

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.

Full explanation →

What you pay up front if you don't use insurance.

$103.50

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.

$9.20 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $77.63 with WEB TPA [3049] — 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 $9.20 ↓ -82%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MCMC $29.64 ↓ -43%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MCMC $39.66 ↓ -23%
SUPERIOR MEDICAID MANAGED CARE [5007] MHS HB MEDICAID 110% STAR PLUS MCMC $39.66 ↓ -23%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC $52.33 ↑ +1%
BCBS [3001] MHS HB BCBS PREMIER MCMC $52.33 ↑ +1%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MCMC $54.31 ↑ +5%
BCBS [3001] MHS HB BCBS HMO MCMC $55.55 ↑ +7%
BCBS [3001] MHS HB BCBS TRADITIONAL MCMC $60.39 ↑ +17%
BCBS [3001] MHS HB BCBS PPO MCMC $60.39 ↑ +17%
CIGNA [3004] MHS HB CUSTOM INK MCMC $77.63 ↑ +50%
WEB TPA [3049] MHS HB CUSTOM INK MCMC $77.63 ↑ +50%

Visitor-reported prices

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Diazepam 5 mg/ml injection solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $135.30 $9.36 – $125.53
Texas Health Presbyterian Hospital Dallas Dallas $84.83 $8.09 – $8.09
MEDICAL CITY DALLAS HOSPITAL Dallas $140.86 $5.62 – $37.33
Methodist Dallas Medical Center Dallas $51.75 $22.98 – $29.64
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $5.79 – $49.15
Adventhealth Rollins Brook Lampasas $70.99 $23.87 – $23.87
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $135.30 $2.67 – $19.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $135.30 $2.60 – $16.24

All Texas hospitals for this procedure →