Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im 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

$78.25

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.

$156.50

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.

$43.76 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $196.81 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 $43.76 ↓ -44%
AETNA MANAGED CARE [2068] MHS HB AETNA TX PREF PLUS II MSMC $84.51 ↑ +8%
AETNA COMMERCIAL [2042] MHS HB AETNA TX PREF PLUS II MSMC $84.51 ↑ +8%
AETNA [3000] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $87.64 ↑ +12%
SCOTT & WHITE HEALTH PLAN TRS [3062] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $87.64 ↑ +12%
UNITED HEALTHCARE-MANAGED CARE [2067] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
BIND BENEFITS INC [1004] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
DEFINITY HEALTH [3006] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
FREEDOM LIFE INSURANCE COMPANY [2029] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
GEHA FEDERAL [3066] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
UHC - MHS EMPLOYEE HEALTH PLAN [9000] MHS HB UHC EMPLOYEE HEALTH MSMC $89.00 ↑ +14%
UNITED HEALTHCARE GLOBAL [3075] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
UNITED HEALTHCARE-COMMERCIAL [2026] MHS HB UNITED HEALTHCARE MSMC $89.00 ↑ +14%
AETNA MANAGED CARE [2068] MHS HB AETNA WHOLE HEALTH MSMC $89.21 ↑ +14%
WEB TPA [3049] MHS HB AETNA WHOLE HEALTH MSMC $89.21 ↑ +14%
AETNA MANAGED CARE [2068] MHS HB AETNA TEXAS ADVANTAGE MSMC $89.21 ↑ +14%
AETNA COMMERCIAL [2042] MHS HB AETNA TEXAS ADVANTAGE MSMC $89.21 ↑ +14%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MSMC $91.32 ↑ +17%
WEB TPA [3049] MHS HB AETNA HMO PPO MSMC $101.73 ↑ +30%
AETNA [3000] MHS HB AETNA HMO PPO MSMC $101.73 ↑ +30%
HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] MHS HB AETNA HMO PPO MSMC $101.73 ↑ +30%
WEB TPA [3049] MHS HB CUSTOM INK MSMC $117.38 ↑ +50%
CIGNA [3004] MHS HB CUSTOM INK MSMC $117.38 ↑ +50%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC $161.25 ↑ +106%
BCBS [3001] MHS HB BCBS PREMIER MSMC $161.25 ↑ +106%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MSMC $162.10 ↑ +107%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MSMC $167.36 ↑ +114%
BCBS [3001] MHS HB BCBS HMO MSMC $171.18 ↑ +119%
BCBS [3001] MHS HB BCBS PPO MSMC $186.08 ↑ +138%
BCBS [3001] MHS HB BCBS TRADITIONAL MSMC $186.08 ↑ +138%
WELLPOINT MEDICAID MANAGED CARE [5001] MHS HB WELLPOINT MEDICAID STAR MSMC $196.81 ↑ +152%

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Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $300.51 $41.33 – $353.37
Covenant Children's Hospital Lubbock $219.01 $142.91 – $158.27
HCA HOUSTON CONROE CONROE $98.35 $41.93 – $353.37
St. Joseph Health Madison Hospital Madisonville $10.85 $7.90 – $55.80
St. Joseph Health College Station Hospital College Station $10.85 $10.54 – $52.73
Texas Health Presbyterian Hospital Allen Allen $93.90 $49.86 – $49.86
Texas Health Presbyterian Hospital Flower Mound Flower Mound $93.90 $78.25 – $78.25
St. Joseph Health Grimes Hospital Navasota $10.85 $10.54 – $68.82

All Texas hospitals for this procedure →