Tc-99m tilmanocept diag 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

$1,257.12

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.

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What you pay up front if you don't use insurance.

$2,514.25

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.

$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 →

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 $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%

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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

All Texas hospitals for this procedure →