Acetazolamide 500 mg solution for injection at Methodist Mansfield Medical Center
2700 E Broad Street, Mansfield, TX · Methodisthealthsystem · · NPI 1689629941
$87.50
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.
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What you pay up front if you don't use insurance.
$175.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$12.51 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $131.25 with WEB TPA [3049] — 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 MMMC | $12.51 | ↓ -86% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MMMC | $46.38 | ↓ -47% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MMMC | $56.33 | ↓ -36% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MMMC | $60.16 | ↓ -31% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | $106.22 | ↑ +21% |
| BCBS [3001] | MHS HB BCBS PREMIER MMMC | $106.22 | ↑ +21% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MMMC | $110.24 | ↑ +26% |
| BCBS [3001] | MHS HB BCBS HMO MMMC | $112.76 | ↑ +29% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MMMC | $122.58 | ↑ +40% |
| BCBS [3001] | MHS HB BCBS PPO MMMC | $122.58 | ↑ +40% |
| CIGNA [3004] | MHS HB CUSTOM INK MMMC | $131.25 | ↑ +50% |
| WEB TPA [3049] | MHS HB CUSTOM INK MMMC | $131.25 | ↑ +50% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $195.89 | $50.92 – $50.92 |
| Adventhealth Rollins Brook | Lampasas | $246.40 | $96.90 – $96.90 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.40 | $26.80 – $160.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $113.40 | $23.34 – $170.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.40 | $22.68 – $141.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.40 | $26.80 – $160.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $113.40 | $26.80 – $170.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $113.40 | $26.80 – $170.10 |