Graft puraplyam antimicrob 1.6-q4196-cost per sq cm 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

$98.44

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.

$196.88

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.

$46.13 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $338.09 with HEALTHSCOPE BENEFITS [3063] — 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 MSMC $46.13 ↓ -53%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MSMC $79.30 ↓ -19%
AETNA COMMERCIAL [2042] MHS HB AETNA TX PREF PLUS II MSMC $89.10 ↓ -9%
AETNA MANAGED CARE [2068] MHS HB AETNA TX PREF PLUS II MSMC $89.10 ↓ -9%
AETNA [3000] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $92.40 ↓ -6%
SCOTT & WHITE HEALTH PLAN TRS [3062] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $92.40 ↓ -6%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
FREEDOM LIFE INSURANCE COMPANY [2029] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
DEFINITY HEALTH [3006] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
GEHA FEDERAL [3066] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
UNITED HEALTHCARE-COMMERCIAL [2026] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
UNITED HEALTHCARE GLOBAL [3075] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
UHC - MHS EMPLOYEE HEALTH PLAN [9000] MHS HB UHC EMPLOYEE HEALTH MSMC $93.84 ↓ -5%
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
UNITED HEALTHCARE-MANAGED CARE [2067] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
BIND BENEFITS INC [1004] MHS HB UNITED HEALTHCARE MSMC $93.84 ↓ -5%
AETNA MANAGED CARE [2068] MHS HB AETNA TEXAS ADVANTAGE MSMC $94.05 ↓ -4%
AETNA MANAGED CARE [2068] MHS HB AETNA WHOLE HEALTH MSMC $94.05 ↓ -4%
AETNA COMMERCIAL [2042] MHS HB AETNA TEXAS ADVANTAGE MSMC $94.05 ↓ -4%
WEB TPA [3049] MHS HB AETNA WHOLE HEALTH MSMC $94.05 ↓ -4%
AETNA [3000] MHS HB AETNA HMO PPO MSMC $107.25 ↑ +9%
WEB TPA [3049] MHS HB AETNA HMO PPO MSMC $107.25 ↑ +9%
HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] MHS HB AETNA HMO PPO MSMC $107.25 ↑ +9%
WEB TPA [3049] MHS HB CUSTOM INK MSMC $123.75 ↑ +26%
CIGNA [3004] MHS HB CUSTOM INK MSMC $123.75 ↑ +26%
TEXAN PLUS HMO MEDICARE MANAGED CARE [7009] MHS HB MANAGED MEDICARE PART A & B MSMC $125.22 ↑ +27%
SUPERIOR MEDICARE MANAGED CARE [7008] MHS HB MANAGED MEDICARE PART A & B MSMC $125.22 ↑ +27%
BCBS MEDICARE MANAGED CARE [7002] MHS HB BCBS MEDICARE ADVANTAGE MSMC $125.22 ↑ +27%
AETNA MEDICARE MANAGED CARE [7000] MHS HB AETNA GOLDEN MSMC $125.22 ↑ +27%
WELLCARE [7016] MHS HB MANAGED MEDICARE PART A & B MSMC $125.22 ↑ +27%
GENERIC MEDICARE MANAGED CARE [7004] MHS HB MANAGED MEDICARE PART A & B MSMC $125.22 ↑ +27%
UST HEALTH PROOF [1005] MHS HB UHC MEDICARE COMPLETE MSMC $125.22 ↑ +27%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC MEDICARE DIRECT MSMC $125.22 ↑ +27%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC MEDICARE COMPLETE MSMC $125.22 ↑ +27%
UNITED HEALTHCARE MEDICARE MANAGED CARE [3044] MHS HB UHC MEDICARE COMPLETE MSMC $125.22 ↑ +27%
UHC AARP SECURE HORIZONS [7023] MHS HB MANAGED MEDICARE PART A & B MSMC $125.22 ↑ +27%
MUTUAL OF OMAHA MEDICARE MANAGED CARE [7019] MHS HB MUTUAL OF OMAHA MSMC $127.72 ↑ +30%
CARE N CARE MEDICARE MANAGED CARE [7003] MHS HB SCOTT AND WHITE MEDICARE MSMC $131.48 ↑ +34%
AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] MHS HB 105% MEDICARE MSMC $131.48 ↑ +34%
CIGNA MEDICARE [7011] MHS HB 105% MEDICARE MSMC $131.48 ↑ +34%
PROCARE ADVANTAGE [7018] MHS HB SCOTT AND WHITE MEDICARE MSMC $131.48 ↑ +34%
GLOBALHEALTH [1003] MHS HB GLOBAL HEALTH MSMC $131.48 ↑ +34%
MOLINA MEDICARE MANAGED CARE [7007] MHS HB MOLINA MEDICARE MSMC $131.48 ↑ +34%
SCOTT AND WHITE MEDICARE [9911] MHS HB SCOTT AND WHITE MEDICARE MSMC $131.48 ↑ +34%
CIGNA MEDICARE [7011] MHS HB UHC WELLMED MSMC $132.73 ↑ +35%
BCBS MEDICARE MANAGED CARE [7002] MHS HB MANAGED MEDICARE 106% MSMC $132.73 ↑ +35%
HUMANA COMMERCIAL [2051] MHS HB HUMANA MEDICARE MSMC $132.73 ↑ +35%
HUMANA MEDICARE MANAGED CARE [7005] MHS HB HUMANA MEDICARE MSMC $132.73 ↑ +35%
HUMANA MEDICARE TRANSPLANT [7013] MHS HB HUMANA MEDICARE MSMC $132.73 ↑ +35%
OPTUM TRANSPLANT NETWORK MEDICARE [7012] MHS HB MANAGED MEDICARE 106% MSMC $132.73 ↑ +35%
SOUTHWESTERN HEALTH RESOURCES SWHR [7015] MHS HB MANAGED MEDICARE 106% MSMC $132.73 ↑ +35%
UNITED HEALTHCARE MEDICARE MANAGED CARE [7010] MHS HB UHC WELLMED MSMC $132.73 ↑ +35%
WELLPOINT MEDICARE MANAGED CARE [7001] MHS HB MANAGED MEDICARE 106% MSMC $132.73 ↑ +35%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UHC EXCHANGE MSMC $133.98 ↑ +36%
MULTIPLAN MEDICARE MANAGED CARE [7022] MHS HB MULTIPLAN ADVANTAGE MSMC $133.98 ↑ +36%
PROVIDER PARTNERS HEALTH PLAN [7025] MHS HB PROVIDERS PARTNER HEALTH MSMC $135.24 ↑ +37%
BCBS [3001] MHS HB BCBS PREMIER MSMC $141.12 ↑ +43%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC $141.12 ↑ +43%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MSMC $146.50 ↑ +49%
BCBS [3001] MHS HB BCBS HMO MSMC $149.18 ↑ +52%
ALTERNATIVE SERVICE CONCEPTS [8005] MHS HB CITY OF PLANO MSMC $156.52 ↑ +59%
BCBS [3001] MHS HB BCBS PPO MSMC $162.62 ↑ +65%
BCBS [3001] MHS HB BCBS TRADITIONAL MSMC $162.62 ↑ +65%
OSCAR INSURANCE COMPANY [2057] MHS HB OSCAR HMO MSMC $162.78 ↑ +65%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MSMC $170.91 ↑ +74%
BRIGHT HEALTHCARE [2222] MHS HB BRIGHT HEALTH MSMC $175.30 ↑ +78%
MOLINA [3017] MHS HB MOLINA MARKETPLACE MSMC $181.57 ↑ +84%
WELLPOINT MARKETPLACE EXCHANGE [3071] MHS HB WELLPOINT TEXAS ESSENTIALS MSMC $194.09 ↑ +97%
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] MHS HB TOWER EXTRUSIONS MSMC $200.35 ↑ +104%
AETNA [3000] MHS HB AETNA CVS MSMC $202.85 ↑ +106%
AETNA [3000] MHS HB AETNA EXCHANGE MSMC $202.85 ↑ +106%
ENTRUST/90 DEGREE [2058] MHS HB 90 DEGREE MSMC $206.61 ↑ +110%
ALLIED NATIONAL [2031] MHS HB 90 DEGREE MSMC $206.61 ↑ +110%
90 DEGREE BENEFIT [3057] MHS HB 90 DEGREE MSMC $206.61 ↑ +110%
WELLPOINT MEDICAID MANAGED CARE [5001] MHS HB WELLPOINT MEDICAID STAR MSMC $207.50 ↑ +111%
FRIDAY HEALTH PLAN [2061] MHS HB FRIDAY HEALTH MSMC $212.87 ↑ +116%
AMBETTER SUPERIOR [3051] MHS HB AMBETTER SUPERIOR MSMC $214.12 ↑ +118%
IMPERIAL INSURANCE COMPANIES [3073] MHS HB IMPERIAL MANAGED CARE MSMC $225.39 ↑ +129%
SANA BENEFITS [3069] MHS HB SANA MSMC $250.44 ↑ +154%
DEPARTMENT OF LABOR [8004] MHS HB WORKERS COMP MSMC $250.44 ↑ +154%
GENERIC WORKERS COMP TX NON PAR [9010] MHS HB WORKERS COMP MSMC $250.44 ↑ +154%
GENERIC WORKERS COMP TX PAR [8002] MHS HB WORKERS COMP MSMC $250.44 ↑ +154%
VELOCITY [3070] MHS HB VELOCITY MSMC $250.44 ↑ +154%
TRISTAR RISK MANAGEMENT [8006] MHS HB WORKERS COMP MSMC $250.44 ↑ +154%
GENERIC WORKERS COMP TX PAR [9011] MHS HB WORKERS COMP MSMC $250.44 ↑ +154%
EVRY HEALTH [1013] MHS HB EVRY MSMC $250.44 ↑ +154%
HEALTH PLANS INC [5017] MHS HB EMPLOYERS HEALTH NETWORK MSMC $313.04 ↑ +218%
MEDICAL COST CONTAINMENT PROFESSIONALS [3059] MHS HB MEDICAL COST CONTAINMENT MSMC $313.04 ↑ +218%
HEALTHSCOPE BENEFITS [2052] MHS HB DART MEMBER CARE MSMC $338.09 ↑ +243%
DART MEMBER CARE [3039] MHS HB DART MEMBER CARE MSMC $338.09 ↑ +243%
HEALTHSCOPE BENEFITS [3063] MHS HB DART MEMBER CARE MSMC $338.09 ↑ +243%

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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,315.71 $86.15 – $380.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,315.71 $62.59 – $456.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,315.71 $60.81 – $380.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,315.71 $81.09 – $380.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,315.71 $97.61 – $456.11
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,315.71 $157.10 – $456.11
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,315.71 $101.36 – $456.11
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,315.71 $81.09 – $380.09

All Texas hospitals for this procedure →