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

421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417

Source: hospital's published price file ↗ · Published Mar 23, 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.

$20.69 with AETNA MANAGED CARE [2068] vs $211.28 with WELLPOINT MEDICAID MANAGED CARE [5001] — 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
AETNA MANAGED CARE [2068] MHS HB AETNA TEXAS ADVANTAGE MSMC $20.69 ↓ -75%
AETNA COMMERCIAL [2042] MHS HB AETNA TEXAS ADVANTAGE MSMC $20.69 ↓ -75%
AETNA COMMERCIAL [2042] MHS HB AETNA TX PREF PLUS II MSMC $20.96 ↓ -75%
AETNA MANAGED CARE [2068] MHS HB AETNA WHOLE HEALTH MSMC $20.96 ↓ -75%
AETNA MANAGED CARE [2068] MHS HB AETNA TX PREF PLUS II MSMC $20.96 ↓ -75%
WEB TPA [3049] MHS HB AETNA WHOLE HEALTH MSMC $20.96 ↓ -75%
HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] MHS HB AETNA HMO PPO MSMC $23.66 ↓ -72%
WEB TPA [3049] MHS HB AETNA HMO PPO MSMC $23.66 ↓ -72%
AETNA [3000] MHS HB AETNA HMO PPO MSMC $23.66 ↓ -72%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MSMC $29.64 ↓ -65%
UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] MHS HB UNITED MEDICAID STAR PLUS MSMC $46.97 ↓ -44%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC $52.33 ↓ -38%
BCBS [3001] MHS HB BCBS PREMIER MSMC $52.33 ↓ -38%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MSMC $54.31 ↓ -35%
BCBS [3001] MHS HB BCBS HMO MSMC $55.55 ↓ -34%
BCBS [3001] MHS HB BCBS PPO MSMC $60.39 ↓ -28%
BCBS [3001] MHS HB BCBS TRADITIONAL MSMC $60.39 ↓ -28%
AETNA [3000] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $94.08 ↑ +12%
SCOTT & WHITE HEALTH PLAN TRS [3062] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $94.08 ↑ +12%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
UHC - MHS EMPLOYEE HEALTH PLAN [9000] MHS HB UHC EMPLOYEE HEALTH MSMC $95.54 ↑ +14%
UNITED HEALTHCARE GLOBAL [3075] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
UNITED HEALTHCARE-COMMERCIAL [2026] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
UNITED HEALTHCARE-MANAGED CARE [2067] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
BIND BENEFITS INC [1004] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
DEFINITY HEALTH [3006] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
FREEDOM LIFE INSURANCE COMPANY [2029] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
GEHA FEDERAL [3066] MHS HB UNITED HEALTHCARE MSMC $95.54 ↑ +14%
CIGNA [3004] MHS HB CUSTOM INK MSMC $126.00 ↑ +50%
WEB TPA [3049] MHS HB CUSTOM INK MSMC $126.00 ↑ +50%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MSMC $174.01 ↑ +107%
WELLPOINT MEDICAID MANAGED CARE [5001] MHS HB WELLPOINT MEDICAID STAR MSMC $211.28 ↑ +152%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
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
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $135.30 $4.33 – $19.48

All Texas hospitals for this procedure →