Diazepam 5 mg/ml injection solution (wrapper) at Methodist Mansfield Medical Center

2700 E Broad Street, Mansfield, TX · Methodisthealthsystem · · NPI 1689629941

Source: hospital's published price file ↗ · Published Mar 21, 2026 · Ingested Sep 17, 2026

$84.00

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.

$168.00

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.

$12.01 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $126.00 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 →

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 MMMC $12.01 ↓ -86%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MMMC $29.64 ↓ -65%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MMMC $44.52 ↓ -47%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC $52.33 ↓ -38%
BCBS [3001] MHS HB BCBS PREMIER MMMC $52.33 ↓ -38%
WELLPOINT MEDICAID MANAGED CARE [5001] MHS HB WELLPOINT MEDICAID STAR MMMC $54.08 ↓ -36%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MMMC $54.31 ↓ -35%
BCBS [3001] MHS HB BCBS HMO MMMC $55.55 ↓ -34%
BCBS [3001] MHS HB BCBS TRADITIONAL MMMC $60.39 ↓ -28%
BCBS [3001] MHS HB BCBS PPO MMMC $60.39 ↓ -28%
CIGNA [3004] MHS HB CUSTOM INK MMMC $126.00 ↑ +50%
WEB TPA [3049] MHS HB CUSTOM INK MMMC $126.00 ↑ +50%

Visitor-reported prices

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Diazepam 5 mg/ml injection solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Texas Health Hospital Mansfield Mansfield $64.23 $12.54 – $12.54
Adventhealth Rollins Brook Lampasas $70.99 $23.87 – $23.87
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $135.30 $9.36 – $125.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $135.30 $2.67 – $19.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $135.30 $2.60 – $16.24
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $135.30 $9.36 – $125.53
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $135.30 $4.17 – $19.48
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $135.30 $6.71 – $19.48

All Texas hospitals for this procedure →