Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm 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

$174.00

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.

$348.00

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.

$6.16 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $330.14 with HEALTHSCOPE BENEFITS [3063] — 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 $6.16 ↓ -96%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MCMC $26.54 ↓ -85%
SUPERIOR MEDICAID MANAGED CARE [5007] MHS HB MEDICAID 110% STAR PLUS MCMC $26.54 ↓ -85%
CIGNA [3004] MHS HB CUSTOM INK MCMC $51.95 ↓ -70%
WEB TPA [3049] MHS HB CUSTOM INK MCMC $51.95 ↓ -70%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MCMC $96.13 ↓ -45%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC MEDICARE COMPLETE MCMC $122.27 ↓ -30%
UHC AARP SECURE HORIZONS [7023] MHS HB MANAGED MEDICARE PART A & B MCMC $122.27 ↓ -30%
TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] MHS HB MANAGED MEDICARE PART A & B MCMC $122.27 ↓ -30%
SUPERIOR MEDICARE MANAGED CARE [7008] MHS HB MANAGED MEDICARE PART A & B MCMC $122.27 ↓ -30%
UST HEALTH PROOF [1005] MHS HB UHC MEDICARE COMPLETE MCMC $122.27 ↓ -30%
AETNA MEDICARE MANAGED CARE [7000] MHS HB AETNA GOLDEN MCMC $122.27 ↓ -30%
WELLCARE [7016] MHS HB MANAGED MEDICARE PART A & B MCMC $122.27 ↓ -30%
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [6005] MHS HB UNINSURED COVID-19 MCMC $122.27 ↓ -30%
GENERIC MEDICARE MANAGED CARE [7004] MHS HB MANAGED MEDICARE PART A & B MCMC $122.27 ↓ -30%
BCBS MEDICARE MANAGED CARE [7002] MHS HB BCBS MEDICARE ADVANTAGE MCMC $122.27 ↓ -30%
UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] MHS HB UHC MEDICARE COMPLETE MCMC $122.27 ↓ -30%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC MEDICARE DIRECT MCMC $122.27 ↓ -30%
MUTUAL OF OMAHA MEDICARE MANAGED CARE [7019] MHS HB MUTUAL OF OMAHA MCMC $124.72 ↓ -28%
MOLINA MEDICARE MANAGED CARE [7007] MHS HB MOLINA MEDICARE MCMC $128.39 ↓ -26%
SCOTT AND WHITE MEDICARE [9911] MHS HB SCOTT AND WHITE MEDICARE MCMC $128.39 ↓ -26%
PROCARE ADVANTAGE [7018] MHS HB SCOTT AND WHITE MEDICARE MCMC $128.39 ↓ -26%
AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] MHS HB 105% MEDICARE MCMC $128.39 ↓ -26%
CIGNA MEDICARE [7011] MHS HB 105% MEDICARE MCMC $128.39 ↓ -26%
GLOBALHEALTH [1003] MHS HB GLOBAL HEALTH MCMC $128.39 ↓ -26%
CARE N CARE MEDICARE MANAGED CARE [7003] MHS HB SCOTT AND WHITE MEDICARE MCMC $128.39 ↓ -26%
BCBS MEDICARE MANAGED CARE [7002] MHS HB MANAGED MEDICARE 106% MCMC $129.61 ↓ -26%
CIGNA MEDICARE [7011] MHS HB UHC WELLMED MCMC $129.61 ↓ -26%
HUMANA COMMERCIAL [2051] MHS HB HUMANA MEDICARE MCMC $129.61 ↓ -26%
HUMANA MEDICARE MANAGED CARE [7005] MHS HB HUMANA MEDICARE MCMC $129.61 ↓ -26%
HUMANA MEDICARE MANAGED CARE [7005] MHS HB UHC WELLMED MCMC $129.61 ↓ -26%
HUMANA MEDICARE TRANSPLANT [7013] MHS HB HUMANA MEDICARE MCMC $129.61 ↓ -26%
OPTUM TRANSPLANT NETWORK MEDICARE [7012] MHS HB MANAGED MEDICARE 106% MCMC $129.61 ↓ -26%
SOUTHWESTERN HEALTH RESOURCES SWHR [7015] MHS HB MANAGED MEDICARE 106% MCMC $129.61 ↓ -26%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC WELLMED MCMC $129.61 ↓ -26%
WELLPOINT MEDICARE MANAGED CARE [7001] MHS HB MANAGED MEDICARE 106% MCMC $129.61 ↓ -26%
MULTIPLAN MEDICARE MANAGED CARE [7022] MHS HB MULTIPLAN ADVANTAGE MCMC $130.83 ↓ -25%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UHC EXCHANGE MCMC $130.83 ↓ -25%
PROVIDER PARTNERS HEALTH PLAN [7025] MHS HB PROVIDERS PARTNER HEALTH MCMC $132.05 ↓ -24%
CORALVITA [9216] MHS HB VIBRA MRMC MCMC MDMC $146.73 ↓ -16%
ALTERNATIVE SERVICE CONCEPTS [8005] MHS HB CITY OF PLANO MCMC $152.84 ↓ -12%
OSCAR INSURANCE COMPANY [2057] MHS HB OSCAR HMO MCMC $158.96 ↓ -9%
BCBS [3001] MHS HB BCBS PREMIER MCMC $169.73 ↓ -2%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC $169.73 ↓ -2%
BRIGHT HEALTHCARE [2222] MHS HB BRIGHT HEALTH MCMC $171.18 ↓ -2%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MCMC $176.16 ↑ +1%
MOLINA [3017] MHS HB MOLINA MARKETPLACE MCMC $177.30 ↑ +2%
BCBS [3001] MHS HB BCBS HMO MCMC $180.19 ↑ +4%
WELLPOINT MARKETPLACE EXCHANGE [3071] MHS HB WELLPOINT TEXAS ESSENTIALS MCMC $189.52 ↑ +9%
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] MHS HB TOWER EXTRUSIONS MCMC $195.64 ↑ +12%
BCBS [3001] MHS HB BCBS PPO MCMC $195.87 ↑ +13%
BCBS [3001] MHS HB BCBS TRADITIONAL MCMC $195.87 ↑ +13%
AETNA [3000] MHS HB AETNA CVS MCMC $198.08 ↑ +14%
AETNA [3000] MHS HB AETNA EXCHANGE MCMC $198.08 ↑ +14%
ENTRUST/90 DEGREE [2058] MHS HB 90 DEGREE MCMC $201.75 ↑ +16%
ALLIED NATIONAL [2031] MHS HB 90 DEGREE MCMC $201.75 ↑ +16%
90 DEGREE BENEFIT [3057] MHS HB 90 DEGREE MCMC $201.75 ↑ +16%
FRIDAY HEALTH PLAN [2061] MHS HB FRIDAY HEALTH MCMC $207.86 ↑ +19%
AMBETTER SUPERIOR [3051] MHS HB AMBETTER SUPERIOR MCMC $209.09 ↑ +20%
IMPERIAL INSURANCE COMPANIES [3073] MHS HB IMPERIAL MANAGED CARE MCMC $220.09 ↑ +26%
SANA BENEFITS [3069] MHS HB SANA MCMC $244.55 ↑ +41%
VELOCITY [3070] MHS HB VELOCITY MCMC $244.55 ↑ +41%
GENERIC WORKERS COMP TX PAR [9011] MHS HB WORKERS COMP MCMC $244.55 ↑ +41%
GENERIC WORKERS COMP TX PAR [8002] MHS HB WORKERS COMP MCMC $244.55 ↑ +41%
DEPARTMENT OF LABOR [8004] MHS HB WORKERS COMP MCMC $244.55 ↑ +41%
EVRY HEALTH [1013] MHS HB EVRY MCMC $244.55 ↑ +41%
GENERIC WORKERS COMP TX NON PAR [9010] MHS HB WORKERS COMP MCMC $244.55 ↑ +41%
HEALTH PLANS INC [5017] MHS HB EMPLOYERS HEALTH NETWORK MCMC $305.68 ↑ +76%
MEDICAL COST CONTAINMENT PROFESSIONALS [3059] MHS HB MEDICAL COST CONTAINMENT MCMC $305.68 ↑ +76%
HEALTHSCOPE BENEFITS [2052] MHS HB DART MEMBER CARE MCMC $330.14 ↑ +90%
DART MEMBER CARE [3039] MHS HB DART MEMBER CARE MCMC $330.14 ↑ +90%
HEALTHSCOPE BENEFITS [3063] MHS HB DART MEMBER CARE MCMC $330.14 ↑ +90%

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $321.43 $10.68 – $268.77
Texas Health Presbyterian Hospital Dallas Dallas $409.86 $52.49 – $52.49
MEDICAL CITY DALLAS HOSPITAL Dallas not published $48.30 – $325.30
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $49.79 – $256.03
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $321.43 $7.76 – $56.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $321.43 $7.54 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $321.43 $10.05 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $321.43 $12.10 – $186.89

All Texas hospitals for this procedure →