Tc-99m sestamibi p study dose at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$249.75
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.
$499.50
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.
$139.66 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $662.95 with BCBS [3001] — 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 | $139.66 | ↓ -44% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $254.75 | ↑ +2% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $254.75 | ↑ +2% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $269.73 | ↑ +8% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $269.73 | ↑ +8% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $269.73 | ↑ +8% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $269.73 | ↑ +8% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $279.72 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $279.72 | ↑ +12% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $304.70 | ↑ +22% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $304.70 | ↑ +22% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $304.70 | ↑ +22% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $325.35 | ↑ +30% |
| WEB TPA [3049] | MHS HB CUSTOM INK MSMC | $374.63 | ↑ +50% |
| CIGNA [3004] | MHS HB CUSTOM INK MSMC | $374.63 | ↑ +50% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $517.38 | ↑ +107% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $574.47 | ↑ +130% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $574.47 | ↑ +130% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $596.25 | ↑ +139% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $609.86 | ↑ +144% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $628.17 | ↑ +152% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $662.95 | ↑ +165% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $662.95 | ↑ +165% |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $109.62 | $31.06 – $155.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.62 | $22.56 – $164.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.62 | $21.92 – $137.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $109.62 | $29.23 – $155.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.62 | $35.19 – $164.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.62 | $56.64 – $164.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $109.62 | $36.54 – $164.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $109.62 | $29.23 – $155.29 |