Esrd svc pr day pt 12-19 at BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL
546 N. Kegley Rd., Temple, TX · Baylor Scott & White Health · · NPI 1013085083
$448.10
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.
?
What you pay up front if you don't use insurance.
$746.83
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.
?
The hospital's undiscounted list price — almost no one pays this.
$231.52 with Superior Health Plan vs $4,408.94 with Baylor Scott & White Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $231.52 | ↓ -48% |
| MidCoast | Commercial | $410.76 | ↓ -8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $418.22 | ↓ -7% |
| Blue Cross Blue Shield | Blue Advantage | $418.22 | ↓ -7% |
| Independent Medical System | Commercial PPO | $448.10 | ↑ +0% |
| Cigna | Local Plus/Market Solutions | $477.97 | ↑ +7% |
| Curative | Commercial | $485.44 | ↑ +8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $485.44 | ↑ +8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $507.84 | ↑ +13% |
| First Health | PPO | $522.78 | ↑ +17% |
| United Healthcare | Commercial | $522.78 | ↑ +17% |
| HealthSmart | Accel Network | $522.78 | ↑ +17% |
| Humana | Commercial PPO | $522.78 | ↑ +17% |
| Imagine Health | Commercial | $537.72 | ↑ +20% |
| Cigna | HMO/PPO | $560.12 | ↑ +25% |
| University of Mary Hardin-Baylor | Commercial | $560.12 | ↑ +25% |
| HealthSmart | Preferred Network | $560.12 | ↑ +25% |
| Aetna | Commercial | $560.12 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $672.15 | ↑ +50% |
| Humana | Commercial HMO | $949.00 | ↑ +112% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,086.26 | ↑ +366% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $3,747.60 | ↑ +736% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Plus - Small Group/BSW Premier Direct to Employer (Rate 2) | $4,408.94 | ↑ +884% |
Visitor-reported prices
Comments
Esrd svc pr day pt 12-19 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $14.11 – $146.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $14.11 – $146.78 |
| HCA HOUSTON CONROE | CONROE | not published | $14.46 – $146.78 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $15.02 – $146.78 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $14.11 – $146.78 |
| HCA HOUSTON PEARLAND | Pearland | not published | $13.78 – $146.78 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $14.11 – $146.78 |
| HCA HOUSTON WEST | HOUSTON | not published | $15.02 – $146.78 |