Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Methodist Charlton Medical Center
3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131
$217.87
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.
$435.75
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.
$38.74 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $570.86 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 | $38.74 | ↓ -82% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $166.98 | ↓ -23% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $166.98 | ↓ -23% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MCMC | $204.80 | ↓ -6% |
| AETNA [3000] | MHS HB AETNA CVS MCMC | $204.80 | ↓ -6% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MCMC | $217.88 | ↑ +0% |
| EVRY HEALTH [1013] | MHS HB EVRY MCMC | $217.88 | ↑ +0% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MCMC | $261.45 | ↑ +20% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MCMC | $261.45 | ↑ +20% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $280.16 | ↑ +29% |
| VELOCITY [3070] | MHS HB VELOCITY MCMC | $283.24 | ↑ +30% |
| WEB TPA [3049] | MHS HB CUSTOM INK MCMC | $326.81 | ↑ +50% |
| CIGNA [3004] | MHS HB CUSTOM INK MCMC | $326.81 | ↑ +50% |
| BCBS [3001] | MHS HB BCBS PREMIER MCMC | $494.67 | ↑ +127% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC | $494.67 | ↑ +127% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MCMC | $513.42 | ↑ +136% |
| BCBS [3001] | MHS HB BCBS HMO MCMC | $525.15 | ↑ +141% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MCMC | $570.86 | ↑ +162% |
| BCBS [3001] | MHS HB BCBS PPO MCMC | $570.86 | ↑ +162% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | $252.90 | $152.97 – $515.88 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | $710.35 | $129.47 – $793.47 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | $695.70 | $133.47 – $770.81 |
| Methodist Dallas Medical Center | Dallas | $217.87 | $125.92 – $280.16 |
| Adventhealth Rollins Brook | Lampasas | $620.18 | $451.30 – $451.30 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $804.01 | $133.47 – $1,049.49 |
| Covenant Children's Hospital | Lubbock | $858.60 | $438.40 – $507.19 |
| HCA HOUSTON CONROE | CONROE | $443.52 | $133.47 – $1,049.49 |