Vaccine rotavirus pentavalent (rv5) live 3 dose oral 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

$182.50

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.

Full explanation →

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

$365.00

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.

$102.05 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $481.64 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 →

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 $102.05 ↓ -44%
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS [3061] MHS HB TOWER EXTRUSIONS MSMC $182.50 ↑ +0%
AETNA MANAGED CARE [2068] MHS HB AETNA TX PREF PLUS II MSMC $197.10 ↑ +8%
AETNA COMMERCIAL [2042] MHS HB AETNA TX PREF PLUS II MSMC $197.10 ↑ +8%
AETNA [3000] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $204.40 ↑ +12%
SCOTT & WHITE HEALTH PLAN TRS [3062] MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC $204.40 ↑ +12%
UNITED HEALTHCARE-MANAGED CARE [2067] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
UNITED HEALTHCARE MANAGED CARE [3021] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
BIND BENEFITS INC [1004] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
DEFINITY HEALTH [3006] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
FREEDOM LIFE INSURANCE COMPANY [2029] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
GEHA FEDERAL [3066] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS [3050] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
UHC - MHS EMPLOYEE HEALTH PLAN [9000] MHS HB UHC EMPLOYEE HEALTH MSMC $207.58 ↑ +14%
UNITED HEALTHCARE GLOBAL [3075] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
UNITED HEALTHCARE-COMMERCIAL [2026] MHS HB UNITED HEALTHCARE MSMC $207.58 ↑ +14%
AETNA MANAGED CARE [2068] MHS HB AETNA WHOLE HEALTH MSMC $208.05 ↑ +14%
WEB TPA [3049] MHS HB AETNA WHOLE HEALTH MSMC $208.05 ↑ +14%
AETNA MANAGED CARE [2068] MHS HB AETNA TEXAS ADVANTAGE MSMC $208.05 ↑ +14%
AETNA COMMERCIAL [2042] MHS HB AETNA TEXAS ADVANTAGE MSMC $208.05 ↑ +14%
BCBS [3001] MHS HB BCBS MY BLUE HEALTH MSMC $236.37 ↑ +30%
WEB TPA [3049] MHS HB AETNA HMO PPO MSMC $237.25 ↑ +30%
AETNA [3000] MHS HB AETNA HMO PPO MSMC $237.25 ↑ +30%
HEALTHEZ AETNA SIGNATURE ADMINISTRATORS [3074] MHS HB AETNA HMO PPO MSMC $237.25 ↑ +30%
WEB TPA [3049] MHS HB CUSTOM INK MSMC $273.75 ↑ +50%
CIGNA [3004] MHS HB CUSTOM INK MSMC $273.75 ↑ +50%
MOLINA MEDICAID MANAGED CARE [5005] MHS HB MEDICAID 110% STAR PLUS MSMC $378.07 ↑ +107%
BCBS [3001] MHS HB BCBS PREMIER MSMC $417.36 ↑ +129%
BCBS [3001] MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC $417.36 ↑ +129%
BCBS [3001] MHS HB BCBS CITY OF DALLAS MSMC $433.18 ↑ +137%
BCBS [3001] MHS HB BCBS HMO MSMC $443.07 ↑ +143%
WELLPOINT MEDICAID MANAGED CARE [5001] MHS HB WELLPOINT MEDICAID STAR MSMC $459.02 ↑ +152%
BCBS [3001] MHS HB BCBS TRADITIONAL MSMC $481.64 ↑ +164%
BCBS [3001] MHS HB BCBS PPO MSMC $481.64 ↑ +164%

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Vaccine rotavirus pentavalent (rv5) live 3 dose oral at other Texas hospitals

Hospital City Cash price Negotiated range
Texas Health Presbyterian Hospital Allen Allen $102.83 $129.06 – $129.06
Texas Health Presbyterian Hospital Flower Mound Flower Mound $102.83 $202.55 – $202.55
Texas Health Harris Methodist Hospital Alliance Fort Worth $102.83 $129.06 – $129.06
Texas Health Arlington Memorial Hospital Arlington $102.83 $129.06 – $129.06
Texas Health Presbyterian Hospital Denton Denton $102.83 $129.06 – $129.06
Texas Health Presbyterian Hospital Plano Plano $102.83 $129.06 – $129.06
Texas Health Hospital Rockwall Rockwall $102.83 $202.55 – $202.55
Covenant Hospital Plainview Plainview $10.50 $366.92 – $366.92

All Texas hospitals for this procedure →