Kyleena, 19.5 mg 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

$1,603.37

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.

$3,206.75

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.

$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 →

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 $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

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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

All Texas hospitals for this procedure →