Diagnostic digital breast tomosynthesis bil at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$135.00
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.
$270.00
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.
$40.37 with GENERIC MEDICARE MANAGED CARE [7004] vs $529.36 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 |
|---|---|---|---|
| GENERIC MEDICARE MANAGED CARE [7004] | MHS HB MANAGED MEDICARE PART A & B MSMC | $40.37 | ↓ -70% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB BCBS MEDICARE ADVANTAGE MSMC | $40.37 | ↓ -70% |
| WELLCARE [7016] | MHS HB MANAGED MEDICARE PART A & B MSMC | $40.37 | ↓ -70% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] | MHS HB UHC MEDICARE COMPLETE MSMC | $40.37 | ↓ -70% |
| UHC AARP SECURE HORIZONS [7023] | MHS HB MANAGED MEDICARE PART A & B MSMC | $40.37 | ↓ -70% |
| TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] | MHS HB MANAGED MEDICARE PART A & B MSMC | $40.37 | ↓ -70% |
| SUPERIOR MEDICARE MANAGED CARE [7008] | MHS HB MANAGED MEDICARE PART A & B MSMC | $40.37 | ↓ -70% |
| AETNA MEDICARE MANAGED CARE [7000] | MHS HB AETNA GOLDEN MSMC | $40.37 | ↓ -70% |
| UST HEALTH PROOF [1005] | MHS HB UHC MEDICARE COMPLETE MSMC | $40.37 | ↓ -70% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE DIRECT MSMC | $40.37 | ↓ -70% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE COMPLETE MSMC | $40.37 | ↓ -70% |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE [7019] | MHS HB MUTUAL OF OMAHA MSMC | $41.18 | ↓ -69% |
| PROCARE ADVANTAGE [7018] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $42.39 | ↓ -69% |
| CARE N CARE MEDICARE MANAGED CARE [7003] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $42.39 | ↓ -69% |
| AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] | MHS HB 105% MEDICARE MSMC | $42.39 | ↓ -69% |
| MOLINA MEDICARE MANAGED CARE [7007] | MHS HB MOLINA MEDICARE MSMC | $42.39 | ↓ -69% |
| CIGNA MEDICARE [7011] | MHS HB 105% MEDICARE MSMC | $42.39 | ↓ -69% |
| GLOBALHEALTH [1003] | MHS HB GLOBAL HEALTH MSMC | $42.39 | ↓ -69% |
| SCOTT AND WHITE MEDICARE [9911] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $42.39 | ↓ -69% |
| SOUTHWESTERN HEALTH RESOURCES SWHR [7015] | MHS HB MANAGED MEDICARE 106% MSMC | $42.79 | ↓ -68% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB MANAGED MEDICARE 106% MSMC | $42.79 | ↓ -68% |
| CIGNA MEDICARE [7011] | MHS HB UHC WELLMED MSMC | $42.79 | ↓ -68% |
| HUMANA COMMERCIAL [2051] | MHS HB HUMANA MEDICARE MSMC | $42.79 | ↓ -68% |
| HUMANA MEDICARE MANAGED CARE [7005] | MHS HB HUMANA MEDICARE MSMC | $42.79 | ↓ -68% |
| HUMANA MEDICARE TRANSPLANT [7013] | MHS HB HUMANA MEDICARE MSMC | $42.79 | ↓ -68% |
| OPTUM TRANSPLANT NETWORK MEDICARE [7012] | MHS HB MANAGED MEDICARE 106% MSMC | $42.79 | ↓ -68% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC WELLMED MSMC | $42.79 | ↓ -68% |
| WELLPOINT MEDICARE MANAGED CARE [7001] | MHS HB MANAGED MEDICARE 106% MSMC | $42.79 | ↓ -68% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MSMC | $43.60 | ↓ -68% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MSMC | $64.59 | ↓ -52% |
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $75.49 | ↓ -44% |
| AETNA [3000] | MHS HB AETNA CVS MSMC | $126.90 | ↓ -6% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MSMC | $126.90 | ↓ -6% |
| EVRY HEALTH [1013] | MHS HB EVRY MSMC | $135.00 | ↑ +0% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $151.20 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $151.20 | ↑ +12% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $158.96 | ↑ +18% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MSMC | $162.00 | ↑ +20% |
| VELOCITY [3070] | MHS HB VELOCITY MSMC | $175.50 | ↑ +30% |
| UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| UNITED HEALTHCARE-COMMERCIAL [2026] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| UNITED HEALTHCARE-MANAGED CARE [2067] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| BIND BENEFITS INC [1004] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| FREEDOM LIFE INSURANCE COMPANY [2029] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| GEHA FEDERAL [3066] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] | MHS HB UNITED HEALTHCARE MSMC | $206.00 | ↑ +53% |
| UHC - MHS EMPLOYEE HEALTH PLAN [9000] | MHS HB UHC EMPLOYEE HEALTH MSMC | $206.00 | ↑ +53% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $261.49 | ↑ +94% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $261.49 | ↑ +94% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $271.83 | ↑ +101% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $277.48 | ↑ +106% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $279.67 | ↑ +107% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $301.93 | ↑ +124% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $301.93 | ↑ +124% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $339.55 | ↑ +152% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $401.61 | ↑ +197% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $401.61 | ↑ +197% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $476.50 | ↑ +253% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $476.50 | ↑ +253% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $476.50 | ↑ +253% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $476.50 | ↑ +253% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $529.36 | ↑ +292% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $529.36 | ↑ +292% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $529.36 | ↑ +292% |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $298.70 | $362.13 – $362.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.94 | $33.42 – $188.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.94 | $24.28 – $176.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.94 | $23.59 – $316.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.94 | $31.45 – $215.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.94 | $37.86 – $384.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.94 | $60.93 – $185.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.94 | $39.31 – $316.04 |