Vaccine pneumonococcal conjugate 20 valent (pcv20) im at Methodist Southlake Medical Center
421 E State Hwy 114, Souhtlake, TX · Methodisthealthsystem · · NPI 1568818417
$572.75
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.
$1,145.50
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.
$271.28 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $1,220.19 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 | $271.28 | ↓ -53% |
| AETNA [3000] | MHS HB AETNA EXCHANGE MSMC | $456.02 | ↓ -20% |
| AETNA [3000] | MHS HB AETNA CVS MSMC | $456.02 | ↓ -20% |
| EVRY HEALTH [1013] | MHS HB EVRY MSMC | $485.13 | ↓ -15% |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] | MHS HB TOWER EXTRUSIONS MSMC | $485.13 | ↓ -15% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TX PREF PLUS II MSMC | $523.94 | ↓ -9% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TX PREF PLUS II MSMC | $523.94 | ↓ -9% |
| AETNA [3000] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $543.34 | ↓ -5% |
| SCOTT & WHITE HEALTH PLAN TRS [3062] | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | $543.34 | ↓ -5% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $553.04 | ↓ -3% |
| AETNA MANAGED CARE [2068] | MHS HB AETNA WHOLE HEALTH MSMC | $553.04 | ↓ -3% |
| AETNA COMMERCIAL [2042] | MHS HB AETNA TEXAS ADVANTAGE MSMC | $553.04 | ↓ -3% |
| WEB TPA [3049] | MHS HB AETNA WHOLE HEALTH MSMC | $553.04 | ↓ -3% |
| PROVIDER PARTNERS HEALTH PLAN [7025] | MHS HB PROVIDERS PARTNER HEALTH MSMC | $582.15 | ↑ +2% |
| MEDICAL COST CONTAINMENT PROFESSIONALS [3059] | MHS HB MEDICAL COST CONTAINMENT MSMC | $582.15 | ↑ +2% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $592.43 | ↑ +3% |
| WEB TPA [3049] | MHS HB AETNA HMO PPO MSMC | $630.66 | ↑ +10% |
| AETNA [3000] | MHS HB AETNA HMO PPO MSMC | $630.66 | ↑ +10% |
| VELOCITY [3070] | MHS HB VELOCITY MSMC | $630.66 | ↑ +10% |
| HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] | MHS HB AETNA HMO PPO MSMC | $630.66 | ↑ +10% |
| WEB TPA [3049] | MHS HB CUSTOM INK MSMC | $727.69 | ↑ +27% |
| CIGNA [3004] | MHS HB CUSTOM INK MSMC | $727.69 | ↑ +27% |
| UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| UNITED HEALTHCARE GLOBAL [3075] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| UHC - MHS EMPLOYEE HEALTH PLAN [9000] | MHS HB UHC EMPLOYEE HEALTH MSMC | $750.97 | ↑ +31% |
| TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| UNITED HEALTHCARE-MANAGED CARE [2067] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| GEHA FEDERAL [3066] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| FREEDOM LIFE INSURANCE COMPANY [2029] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| DEFINITY HEALTH [3006] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| BIND BENEFITS INC [1004] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| UNITED HEALTHCARE-COMMERCIAL [2026] | MHS HB UNITED HEALTHCARE MSMC | $750.97 | ↑ +31% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $1,004.98 | ↑ +75% |
| BCBS [3001] | MHS HB BCBS PREMIER MSMC | $1,046.05 | ↑ +83% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | $1,046.05 | ↑ +83% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MSMC | $1,085.71 | ↑ +90% |
| BCBS [3001] | MHS HB BCBS HMO MSMC | $1,110.50 | ↑ +94% |
| BCBS [3001] | MHS HB BCBS PPO MSMC | $1,207.18 | ↑ +111% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MSMC | $1,207.18 | ↑ +111% |
| WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $1,220.19 | ↑ +113% |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,281.69 | $954.34 – $954.34 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $729.93 | $206.81 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $729.93 | $150.24 – $1,094.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $729.93 | $145.99 – $912.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $729.93 | $194.65 – $1,034.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $729.93 | $234.31 – $1,094.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $729.93 | $344.19 – $1,094.89 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $729.93 | $243.31 – $1,094.89 |