Observation per hour at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$30.50
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.
$61.00
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.
$17.06 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $4,817.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $17.06 | ↓ -44% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $34.16 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $34.16 | ↑ +12% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $63.18 | ↑ +107% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $76.71 | ↑ +152% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $166.02 | ↑ +444% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $291.80 | ↑ +857% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $291.80 | ↑ +857% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $304.38 | ↑ +898% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $309.41 | ↑ +914% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $337.08 | ↑ +1005% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $337.08 | ↑ +1005% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $4,094.00 | ↑ +13323% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $4,094.00 | ↑ +13323% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $4,335.00 | ↑ +14113% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $4,335.00 | ↑ +14113% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $4,335.00 | ↑ +14113% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $4,335.00 | ↑ +14113% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $4,817.00 | ↑ +15693% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $4,817.00 | ↑ +15693% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $4,817.00 | ↑ +15693% |
Visitor-reported prices
Comments
Observation per hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $644.35 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.81 | $30.55 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $82.93 | $17.07 – $124.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $82.93 | $16.59 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.81 | $28.75 – $297.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $82.93 | $26.62 – $469.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $82.93 | $42.85 – $124.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $82.93 | $27.64 – $384.20 |