Ot evaluation moderate complexity patient/family at Methodist Midlothian Medical Center
1201 E US-287, Midlothian, TX · Methodisthealthsystem · · NPI 1487271375
$463.50
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.
$927.00
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.
$101.26 with WELLCARE [7016] vs $674.86 with MOLINA MEDICAID MANAGED CARE [5005] — 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 |
|---|---|---|---|
| WELLCARE [7016] | MHS HB MANAGED MEDICARE PART A & B MLMC | $101.26 | ↓ -78% |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [6005] | MHS HB UNINSURED COVID-19 MLMC | $101.26 | ↓ -78% |
| GENERIC MEDICARE MANAGED CARE [7004] | MHS HB MANAGED MEDICARE PART A & B MLMC | $101.26 | ↓ -78% |
| UST HEALTH PROOF [1005] | MHS HB UHC MEDICARE COMPLETE MLMC | $101.26 | ↓ -78% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE DIRECT MLMC | $101.26 | ↓ -78% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE COMPLETE MLMC | $101.26 | ↓ -78% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] | MHS HB UHC MEDICARE COMPLETE MLMC | $101.26 | ↓ -78% |
| UHC AARP SECURE HORIZONS [7023] | MHS HB MANAGED MEDICARE PART A & B MLMC | $101.26 | ↓ -78% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB BCBS MEDICARE ADVANTAGE MLMC | $101.26 | ↓ -78% |
| TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] | MHS HB MANAGED MEDICARE PART A & B MLMC | $101.26 | ↓ -78% |
| SUPERIOR MEDICARE MANAGED CARE [7008] | MHS HB MANAGED MEDICARE PART A & B MLMC | $101.26 | ↓ -78% |
| AETNA MEDICARE MANAGED CARE [7000] | MHS HB AETNA GOLDEN MLMC | $101.26 | ↓ -78% |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE [7019] | MHS HB MUTUAL OF OMAHA MLMC | $103.29 | ↓ -78% |
| AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] | MHS HB 105% MEDICARE MLMC | $106.32 | ↓ -77% |
| CARE N CARE MEDICARE MANAGED CARE [7003] | MHS HB SCOTT AND WHITE MEDICARE MLMC | $106.32 | ↓ -77% |
| CIGNA MEDICARE [7011] | MHS HB 105% MEDICARE MLMC | $106.32 | ↓ -77% |
| GLOBALHEALTH [1003] | MHS HB GLOBAL HEALTH MLMC | $106.32 | ↓ -77% |
| MOLINA MEDICARE MANAGED CARE [7007] | MHS HB MOLINA MEDICARE MLMC | $106.32 | ↓ -77% |
| PROCARE ADVANTAGE [7018] | MHS HB SCOTT AND WHITE MEDICARE MLMC | $106.32 | ↓ -77% |
| SCOTT AND WHITE MEDICARE [9911] | MHS HB SCOTT AND WHITE MEDICARE MLMC | $106.32 | ↓ -77% |
| HUMANA COMMERCIAL [2051] | MHS HB HUMANA MEDICARE MLMC | $107.34 | ↓ -77% |
| SOUTHWESTERN HEALTH RESOURCES SWHR [7015] | MHS HB MANAGED MEDICARE 106% MLMC | $107.34 | ↓ -77% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB MANAGED MEDICARE 106% MLMC | $107.34 | ↓ -77% |
| WELLPOINT MEDICARE MANAGED CARE [7001] | MHS HB MANAGED MEDICARE 106% MLMC | $107.34 | ↓ -77% |
| HUMANA MEDICARE TRANSPLANT [7013] | MHS HB HUMANA MEDICARE MLMC | $107.34 | ↓ -77% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC WELLMED MLMC | $107.34 | ↓ -77% |
| OPTUM TRANSPLANT NETWORK MEDICARE [7012] | MHS HB MANAGED MEDICARE 106% MLMC | $107.34 | ↓ -77% |
| HUMANA MEDICARE MANAGED CARE [7005] | MHS HB HUMANA MEDICARE MLMC | $107.34 | ↓ -77% |
| MULTIPLAN MEDICARE MANAGED CARE [7022] | MHS HB MULTIPLAN ADVANTAGE MLMC | $108.35 | ↓ -77% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $108.35 | ↓ -77% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MLMC | $111.39 | ↓ -76% |
| ALTERNATIVE SERVICE CONCEPTS [8005] | MHS HB CITY OF PLANO MLMC | $126.58 | ↓ -73% |
| OSCAR INSURANCE COMPANY [2057] | MHS HB OSCAR HMO MLMC | $131.64 | ↓ -72% |
| BRIGHT HEALTHCARE [2222] | MHS HB BRIGHT HEALTH MLMC | $141.76 | ↓ -69% |
| MOLINA [3017] | MHS HB MOLINA MARKETPLACE MLMC | $146.83 | ↓ -68% |
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $156.66 | ↓ -66% |
| WELLPOINT MARKETPLACE EXCHANGE [3071] | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | $156.95 | ↓ -66% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MLMC | $162.02 | ↓ -65% |
| AETNA [3000] | MHS HB AETNA CVS MLMC | $164.04 | ↓ -65% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MLMC | $164.04 | ↓ -65% |
| 90 DEGREE BENEFIT [3057] | MHS HB 90 DEGREE MLMC | $167.08 | ↓ -64% |
| ALLIED NATIONAL [2031] | MHS HB 90 DEGREE MLMC | $167.08 | ↓ -64% |
| ENTRUST/90 DEGREE [2058] | MHS HB 90 DEGREE MLMC | $167.08 | ↓ -64% |
| FRIDAY HEALTH PLAN [2061] | MHS HB FRIDAY HEALTH MLMC | $172.14 | ↓ -63% |
| AMBETTER SUPERIOR [3051] | MHS HB AMBETTER SUPERIOR MLMC | $173.15 | ↓ -63% |
| IMPERIAL INSURANCE COMPANIES [3073] | MHS HB IMPERIAL MANAGED CARE MLMC | $182.27 | ↓ -61% |
| CIGNA [3004] | MHS HB CUSTOM INK MLMC | $187.33 | ↓ -60% |
| WEB TPA [3049] | MHS HB CUSTOM INK MLMC | $187.33 | ↓ -60% |
| TRISTAR RISK MANAGEMENT [8006] | MHS HB WORKERS COMP MLMC | $202.52 | ↓ -56% |
| SANA BENEFITS [3069] | MHS HB SANA MLMC | $202.52 | ↓ -56% |
| GENERIC WORKERS COMP TX PAR [9011] | MHS HB WORKERS COMP MLMC | $202.52 | ↓ -56% |
| VELOCITY [3070] | MHS HB VELOCITY MLMC | $202.52 | ↓ -56% |
| DEPARTMENT OF LABOR [8004] | MHS HB WORKERS COMP MLMC | $202.52 | ↓ -56% |
| GENERIC WORKERS COMP TX PAR [8002] | MHS HB WORKERS COMP MLMC | $202.52 | ↓ -56% |
| EVRY HEALTH [1013] | MHS HB EVRY MLMC | $202.52 | ↓ -56% |
| GENERIC WORKERS COMP TX NON PAR [9010] | MHS HB WORKERS COMP MLMC | $202.52 | ↓ -56% |
| HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $253.15 | ↓ -45% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MLMC | $253.15 | ↓ -45% |
| DART MEMBER CARE [3039] | MHS HB DART MEMBER CARE MLMC | $273.40 | ↓ -41% |
| HEALTHSCOPE BENEFITS [3063] | MHS HB DART MEMBER CARE MLMC | $273.40 | ↓ -41% |
| HEALTHSCOPE BENEFITS [2052] | MHS HB DART MEMBER CARE MLMC | $273.40 | ↓ -41% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MLMC | $674.86 | ↑ +46% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MLMC | $674.86 | ↑ +46% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $357.97 – $357.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $352.05 | $99.75 – $498.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $378.80 | $77.97 – $568.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $359.41 | $71.88 – $449.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $352.05 | $93.88 – $498.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $378.80 | $108.00 – $568.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $378.80 | $155.00 – $568.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $359.41 | $108.00 – $539.12 |