Methodist Southlake Medical Center

Cash prices and insurer rates for 13 common procedures, from the hospital’s own price file.

Prices from each hospital’s official price file
Checked October 30, 2026
Outpatient facility prices

Address: 421 E State Highway 114, Southlake, TX 76092
Type: Acute care hospital · emergency department
Prices published: March 23, 2026 · checked October 29, 2026

Outpatient facility charge only. These are the hospital’s own published prices for the facility part of the visit. The doctor’s or radiologist’s fee is billed separately and isn’t included, and your final bill can differ (extra tests, contrast, supplies). Not medical or insurance advice.

Procedure	Cash price	List price	Insurers paylowest–highest	Area median cash
Brain MRICPT 70551	$1,394	$4,648	$240–2,603median $396	$1,931
Lower back MRICPT 72148	$1,473	$4,910	$240–2,750median $396	$1,900
Knee MRICPT 73721	$1,463	$4,878	$240–2,732median $396	$2,171
Shoulder MRICPT 73221	$1,435	$4,784	$240–2,679median $396	$1,985
Head CTCPT 70450	$1,073	$3,578	$105–2,004median $174	$1,416
Abdomen and pelvis CTCPT 74177	$2,601	$8,670	$351–4,855median $579	$2,715
Abdominal ultrasoundCPT 76700	$470	$1,566	$105–877median $174	$619
Screening mammogramCPT 77067	$201–229	$671–762	$126–525median $206	$226
Chest X-rayCPT 71046	$195	$649	$83–453median $114	$253
Metabolic panelCPT 80053	$243	$810	$6–454median $13	$266
CBC blood testCPT 85025	$94	$313	$5–175median $10	$96
Lipid panelCPT 80061	$148	$494	$8–277median $17	$140
A1c testCPT 83036	$31–47	$102–158	$6–88median $12	$82

Source: Methodist Hospitals of Dallas standard charges file, published March 23, 2026. “Area median” is the median cash price across the Dallas–Fort Worth hospitals’ price lists.

Cash or your insurance plan?Your plan pays a different rate at each hospital. See your plan’s own rate at every hospital nearby, next to the cash price, and what you would pay after your deductible. See an example report.

See what your plan pays

Insurer rates

Brain MRI

Superior HealthPlan $240 · Wellcare $240 · Cigna $252–444 · Humana $254 · MultiPlan / PHCS (rental network) $257 · Molina Healthcare $252–348 · Oscar Health $312 · Wellpoint (Amerigroup) $254–372

Lower back MRI

Knee MRI

Shoulder MRI

Head CT

Superior HealthPlan $105 · Wellcare $105 · Cigna $110–195 · Humana $112 · MultiPlan / PHCS (rental network) $113 · Molina Healthcare $110–153 · Oscar Health $137 · Wellpoint (Amerigroup) $112–163

Abdomen and pelvis CT

Superior HealthPlan $351 · Wellcare $351 · Cigna $369–649 · Humana $372 · MultiPlan / PHCS (rental network) $376 · Molina Healthcare $369–509 · Oscar Health $456 · Wellpoint (Amerigroup) $372–544

Each insurer has several plans, often at different rates. Your plan’s price shows the rate for your own plan.