Sirolimus, oral at Methodist Charlton Medical Center
3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131
$1,989.50
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.
?
What you pay up front if you don't use insurance.
$3,979.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$353.73 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $2,984.25 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 →
?
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 | $353.73 | ↓ -82% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $1,300.64 | ↓ -35% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $1,524.75 | ↓ -23% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $1,524.75 | ↓ -23% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC | $2,296.52 | ↑ +15% |
| BCBS [3001] | MHS HB BCBS PREMIER MCMC | $2,296.52 | ↑ +15% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MCMC | $2,383.60 | ↑ +20% |
| BCBS [3001] | MHS HB BCBS HMO MCMC | $2,438.02 | ↑ +23% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MCMC | $2,650.25 | ↑ +33% |
| BCBS [3001] | MHS HB BCBS PPO MCMC | $2,650.25 | ↑ +33% |
| CIGNA [3004] | MHS HB CUSTOM INK MCMC | $2,984.25 | ↑ +50% |
| WEB TPA [3049] | MHS HB CUSTOM INK MCMC | $2,984.25 | ↑ +50% |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $41.25 | $11.84 – $11.84 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $1.11 – $25.31 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1.14 – $55.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |