Established Patient Office Visit (level 3) at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$211.00
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.
$422.00
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.
$0.01 with BCBS [3001] vs $530.71 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 →
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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 |
|---|---|---|---|
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $0.01 | ↓ -100% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $0.01 | ↓ -100% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $61.39 | ↓ -71% |
| MULTIPLAN MEDICARE MANAGED CARE [7022] | MHS HB MULTIPLAN ADVANTAGE MSMC | $61.39 | ↓ -71% |
| ALTERNATIVE SERVICE CONCEPTS [8005] | MHS HB CITY OF PLANO MSMC | $71.71 | ↓ -66% |
| OSCAR INSURANCE COMPANY [2057] | MHS HB OSCAR HMO MSMC | $74.58 | ↓ -65% |
| BRIGHT HEALTHCARE [2222] | MHS HB BRIGHT HEALTH MSMC | $80.32 | ↓ -62% |
| MOLINA [3017] | MHS HB MOLINA MARKETPLACE MSMC | $83.19 | ↓ -61% |
| WELLPOINT MARKETPLACE EXCHANGE [3071] | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | $88.92 | ↓ -58% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MSMC | $92.94 | ↓ -56% |
| AETNA [3000] | MHS HB AETNA CVS MSMC | $92.94 | ↓ -56% |
| ENTRUST/90 DEGREE [2058] | MHS HB 90 DEGREE MSMC | $94.66 | ↓ -55% |
| 90 DEGREE BENEFIT [3057] | MHS HB 90 DEGREE MSMC | $94.66 | ↓ -55% |
| ALLIED NATIONAL [2031] | MHS HB 90 DEGREE MSMC | $94.66 | ↓ -55% |
| FRIDAY HEALTH PLAN [2061] | MHS HB FRIDAY HEALTH MSMC | $97.53 | ↓ -54% |
| AMBETTER SUPERIOR [3051] | MHS HB AMBETTER SUPERIOR MSMC | $98.10 | ↓ -54% |
| IMPERIAL INSURANCE COMPANIES [3073] | MHS HB IMPERIAL MANAGED CARE MSMC | $103.27 | ↓ -51% |
| CIGNA [3004] | MHS HB CUSTOM INK MSMC | $106.13 | ↓ -50% |
| WEB TPA [3049] | MHS HB CUSTOM INK MSMC | $106.13 | ↓ -50% |
| DEPARTMENT OF LABOR [8004] | MHS HB WORKERS COMP MSMC | $114.74 | ↓ -46% |
| SANA BENEFITS [3069] | MHS HB SANA MSMC | $114.74 | ↓ -46% |
| EVRY HEALTH [1013] | MHS HB EVRY MSMC | $114.74 | ↓ -46% |
| TRISTAR RISK MANAGEMENT [8006] | MHS HB WORKERS COMP MSMC | $114.74 | ↓ -46% |
| GENERIC WORKERS COMP TX NON PAR [9010] | MHS HB WORKERS COMP MSMC | $114.74 | ↓ -46% |
| GENERIC WORKERS COMP TX PAR [8002] | MHS HB WORKERS COMP MSMC | $114.74 | ↓ -46% |
| GENERIC WORKERS COMP TX PAR [9011] | MHS HB WORKERS COMP MSMC | $114.74 | ↓ -46% |
| VELOCITY [3070] | MHS HB VELOCITY MSMC | $114.74 | ↓ -46% |
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $117.99 | ↓ -44% |
| TRICARE [1001] | MHS HB TRICARE MSMC | $123.12 | ↓ -42% |
| VETERANS ADMINISTRATION [9001] | MHS HB TRICARE MSMC | $123.12 | ↓ -42% |
| TRIWEST WPS [8010] | MHS HB TRICARE MSMC | $123.12 | ↓ -42% |
| CHAMPVA [1000] | MHS HB TRICARE MSMC | $123.12 | ↓ -42% |
| FREEDOM LIFE INSURANCE COMPANY [2029] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| UNITED HEALTHCARE-COMMERCIAL [2026] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| GEHA FEDERAL [3066] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| UNITED HEALTHCARE-MANAGED CARE [2067] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| UHC - MHS EMPLOYEE HEALTH PLAN [9000] | MHS HB UHC EMPLOYEE HEALTH MSMC | $133.00 | ↓ -37% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| BIND BENEFITS INC [1004] | MHS HB UNITED HEALTHCARE MSMC | $133.00 | ↓ -37% |
| TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] | MHS HB MANAGED MEDICARE PART A & B MSMC | $133.96 | ↓ -37% |
| UHC AARP SECURE HORIZONS [7023] | MHS HB MANAGED MEDICARE PART A & B MSMC | $133.96 | ↓ -37% |
| WELLCARE [7016] | MHS HB MANAGED MEDICARE PART A & B MSMC | $133.96 | ↓ -37% |
| GENERIC MEDICARE MANAGED CARE [7004] | MHS HB MANAGED MEDICARE PART A & B MSMC | $133.96 | ↓ -37% |
| UST HEALTH PROOF [1005] | MHS HB UHC MEDICARE COMPLETE MSMC | $133.96 | ↓ -37% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB BCBS MEDICARE ADVANTAGE MSMC | $133.96 | ↓ -37% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE DIRECT MSMC | $133.96 | ↓ -37% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC MEDICARE COMPLETE MSMC | $133.96 | ↓ -37% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] | MHS HB UHC MEDICARE COMPLETE MSMC | $133.96 | ↓ -37% |
| AETNA MEDICARE MANAGED CARE [7000] | MHS HB AETNA GOLDEN MSMC | $133.96 | ↓ -37% |
| SUPERIOR MEDICARE MANAGED CARE [7008] | MHS HB MANAGED MEDICARE PART A & B MSMC | $133.96 | ↓ -37% |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE [7019] | MHS HB MUTUAL OF OMAHA MSMC | $136.64 | ↓ -35% |
| AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] | MHS HB 105% MEDICARE MSMC | $140.66 | ↓ -33% |
| SCOTT AND WHITE MEDICARE [9911] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $140.66 | ↓ -33% |
| GLOBALHEALTH [1003] | MHS HB GLOBAL HEALTH MSMC | $140.66 | ↓ -33% |
| CIGNA MEDICARE [7011] | MHS HB 105% MEDICARE MSMC | $140.66 | ↓ -33% |
| MOLINA MEDICARE MANAGED CARE [7007] | MHS HB MOLINA MEDICARE MSMC | $140.66 | ↓ -33% |
| PROCARE ADVANTAGE [7018] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $140.66 | ↓ -33% |
| CARE N CARE MEDICARE MANAGED CARE [7003] | MHS HB SCOTT AND WHITE MEDICARE MSMC | $140.66 | ↓ -33% |
| WELLPOINT MEDICARE MANAGED CARE [7001] | MHS HB MANAGED MEDICARE 106% MSMC | $142.00 | ↓ -33% |
| CIGNA MEDICARE [7011] | MHS HB UHC WELLMED MSMC | $142.00 | ↓ -33% |
| OPTUM TRANSPLANT NETWORK MEDICARE [7012] | MHS HB MANAGED MEDICARE 106% MSMC | $142.00 | ↓ -33% |
| UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] | MHS HB UHC WELLMED MSMC | $142.00 | ↓ -33% |
| SOUTHWESTERN HEALTH RESOURCES SWHR [7015] | MHS HB MANAGED MEDICARE 106% MSMC | $142.00 | ↓ -33% |
| BCBS MEDICARE MANAGED CARE [7002] | MHS HB MANAGED MEDICARE 106% MSMC | $142.00 | ↓ -33% |
| HUMANA COMMERCIAL [2051] | MHS HB HUMANA MEDICARE MSMC | $142.00 | ↓ -33% |
| HUMANA MEDICARE TRANSPLANT [7013] | MHS HB HUMANA MEDICARE MSMC | $142.00 | ↓ -33% |
| HUMANA MEDICARE MANAGED CARE [7005] | MHS HB HUMANA MEDICARE MSMC | $142.00 | ↓ -33% |
| HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $143.43 | ↓ -32% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MSMC | $143.43 | ↓ -32% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MSMC | $144.68 | ↓ -31% |
| HEALTHSCOPE BENEFITS [3063] | MHS HB DART MEMBER CARE MSMC | $154.90 | ↓ -27% |
| DART MEMBER CARE [3039] | MHS HB DART MEMBER CARE MSMC | $154.90 | ↓ -27% |
| HEALTHSCOPE BENEFITS [2052] | MHS HB DART MEMBER CARE MSMC | $154.90 | ↓ -27% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MSMC | $214.34 | ↑ +2% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $227.88 | ↑ +8% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $227.88 | ↑ +8% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $236.32 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $236.32 | ↑ +12% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $240.54 | ↑ +14% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $240.54 | ↑ +14% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $240.54 | ↑ +14% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $240.54 | ↑ +14% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $274.30 | ↑ +30% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $274.30 | ↑ +30% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $274.30 | ↑ +30% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $437.11 | ↑ +107% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $530.71 | ↑ +152% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $361.22 | $199.82 – $199.82 |
| Baylor St Luke's Medical Center | Houston | $148.40 | $61.24 – $424.00 |
| St. Joseph Health Madison Hospital | Madisonville | $214.20 | $15.42 – $108.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $66.87 | $20.50 – $100.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $148.40 | $74.00 – $424.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $148.40 | $74.00 – $424.00 |
| St. Joseph Health College Station Hospital | College Station | $214.20 | $66.55 – $190.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $148.40 | $74.00 – $424.00 |