Tc-99m tilmanocept diag at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$1,257.12
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.
$2,514.25
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.
$702.98 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $3,161.92 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 |
|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $702.98 | ↓ -44% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $971.72 | ↓ -23% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $971.72 | ↓ -23% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $984.42 | ↓ -22% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $984.42 | ↓ -22% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $984.42 | ↓ -22% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $984.42 | ↓ -22% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $1,111.44 | ↓ -12% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $1,111.44 | ↓ -12% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $1,111.44 | ↓ -12% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $1,118.33 | ↓ -11% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $1,407.98 | ↑ +12% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $1,407.98 | ↑ +12% |
| WEB TPA [3049] | MHS HB CUSTOM INK MSMC | $1,885.69 | ↑ +50% |
| CIGNA [3004] | MHS HB CUSTOM INK MSMC | $1,885.69 | ↑ +50% |
| UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| FREEDOM LIFE INSURANCE COMPANY [2029] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| GEHA FEDERAL [3066] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| UHC - MHS EMPLOYEE HEALTH PLAN [9000] | MHS HB UHC EMPLOYEE HEALTH MSMC | $1,946.03 | ↑ +55% |
| UNITED HEALTHCARE-COMMERCIAL [2026] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| UNITED HEALTHCARE-MANAGED CARE [2067] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| BIND BENEFITS INC [1004] | MHS HB UNITED HEALTHCARE MSMC | $1,946.03 | ↑ +55% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $1,974.62 | ↑ +57% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $1,974.62 | ↑ +57% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $2,049.49 | ↑ +63% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $2,096.28 | ↑ +67% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $2,278.77 | ↑ +81% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $2,278.77 | ↑ +81% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $2,604.26 | ↑ +107% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $3,161.92 | ↑ +152% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $2,340.10 | $917.12 – $5,480.11 |
| HCA HOUSTON NORTHWEST | SPRING | $4,513.82 | $917.12 – $5,480.11 |
| St. Luke's Health - Patients Medical Center | Pasadena | $932.09 | $100.00 – $1,997.33 |
| Baylor St Luke's Medical Center | Houston | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,279.60 | $100.00 – $3,656.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,279.60 | $100.00 – $3,656.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $1,166.70 | $610.64 – $610.64 |