Ionm in operatng room 15 min at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$231.00
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.
$462.00
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.
$129.18 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $700.00 with DEFINITY HEALTH [3006] — 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 |
|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $129.18 | ↓ -44% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $234.53 | ↑ +2% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $249.48 | ↑ +8% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $249.48 | ↑ +8% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $258.72 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $258.72 | ↑ +12% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $263.34 | ↑ +14% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $263.34 | ↑ +14% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $263.34 | ↑ +14% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $263.34 | ↑ +14% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $300.30 | ↑ +30% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $300.30 | ↑ +30% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $300.30 | ↑ +30% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $412.21 | ↑ +78% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $412.21 | ↑ +78% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $429.97 | ↑ +86% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $437.08 | ↑ +89% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $476.17 | ↑ +106% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $476.17 | ↑ +106% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $478.54 | ↑ +107% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $581.01 | ↑ +152% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| GEHA FEDERAL [3066] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| UHC - MHS EMPLOYEE HEALTH PLAN [9000] | MHS HB UHC EMPLOYEE HEALTH MSMC | $700.00 | ↑ +203% |
| UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| UNITED HEALTHCARE-COMMERCIAL [2026] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| FREEDOM LIFE INSURANCE COMPANY [2029] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| UNITED HEALTHCARE-MANAGED CARE [2067] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| BIND BENEFITS INC [1004] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
| DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $700.00 | ↑ +203% |
Visitor-reported prices
Comments
Ionm in operatng room 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $264.65 | $74.99 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $264.65 | $66.16 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $264.65 | $74.99 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $264.65 | $102.91 – $374.93 |