Kyleena, 19.5 mg at Methodist Charlton Medical Center
3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131
$1,603.37
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.
$3,206.75
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.
$285.08 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $4,569.28 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 →
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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 |
|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $285.08 | ↓ -82% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $1,228.83 | ↓ -23% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $1,228.83 | ↓ -23% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MCMC | $1,507.17 | ↓ -6% |
| AETNA [3000] | MHS HB AETNA CVS MCMC | $1,507.17 | ↓ -6% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MCMC | $1,603.38 | ↑ +0% |
| EVRY HEALTH [1013] | MHS HB EVRY MCMC | $1,603.38 | ↑ +0% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MCMC | $1,924.05 | ↑ +20% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MCMC | $1,924.05 | ↑ +20% |
| VELOCITY [3070] | MHS HB VELOCITY MCMC | $2,084.39 | ↑ +30% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $2,242.42 | ↑ +40% |
| WEB TPA [3049] | MHS HB CUSTOM INK MCMC | $2,405.06 | ↑ +50% |
| CIGNA [3004] | MHS HB CUSTOM INK MCMC | $2,405.06 | ↑ +50% |
| BCBS [3001] | MHS HB BCBS PREMIER MCMC | $3,959.42 | ↑ +147% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC | $3,959.42 | ↑ +147% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MCMC | $4,109.54 | ↑ +156% |
| BCBS [3001] | MHS HB BCBS HMO MCMC | $4,203.36 | ↑ +162% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MCMC | $4,569.28 | ↑ +185% |
| BCBS [3001] | MHS HB BCBS PPO MCMC | $4,569.28 | ↑ +185% |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $2,345.64 | not published |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $21,151.00 | $2,519.43 – $7,496.77 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $7,368.31 – $7,368.31 |
| Texas Health Presbyterian Hospital Allen | Allen | $2,345.64 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,345.64 | $1,970.33 – $1,970.33 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,345.64 | not published |
| Texas Health Arlington Memorial Hospital | Arlington | $2,345.64 | not published |
| Texas Health Presbyterian Hospital Denton | Denton | $2,345.64 | not published |