Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$54.62

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.

Full explanation →

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

$109.25

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.

Full explanation →

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

$7.47 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $63.00 with WEB TPA [3049] — same scan, same building. Share

Negotiated rates by payer
?

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 $7.47 ↓ -86%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MCMC $12.28 ↓ -78%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC $21.69 ↓ -60%
BCBS [3001] MHS HB BCBS PREMIER MCMC $21.69 ↓ -60%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MCMC $22.51 ↓ -59%
BCBS [3001] MHS HB BCBS HMO MCMC $23.03 ↓ -58%
BCBS [3001] MHS HB BCBS TRADITIONAL MCMC $25.03 ↓ -54%
BCBS [3001] MHS HB BCBS PPO MCMC $25.03 ↓ -54%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MCMC $32.19 ↓ -41%
SUPERIOR MEDICAID MANAGED CARE [5007] MHS HB MEDICAID 110% STAR PLUS MCMC $32.19 ↓ -41%
CIGNA [3004] MHS HB CUSTOM INK MCMC $63.00 ↑ +15%
WEB TPA [3049] MHS HB CUSTOM INK MCMC $63.00 ↑ +15%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $229.50 $3.95 – $44.88
Texas Health Presbyterian Hospital Dallas Dallas $100.80 $3.35 – $3.35
MEDICAL CITY DALLAS HOSPITAL Dallas $911.95 $3.40 – $23.90
Methodist Dallas Medical Center Dallas $42.00 $6.14 – $7.84
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $3.51 – $24.39
Adventhealth Rollins Brook Lampasas $202.68 $9.89 – $9.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $229.50 $3.95 – $47.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $229.50 $3.95 – $39.60

All Texas hospitals for this procedure →