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Lumbar Spinal Fusion (single level) at BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL
546 N. Kegley Rd., Temple, TX · Baylor Scott & White Health · · NPI 1013085083
$5,428.66
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.
$9,047.76
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.
$4,523.88 with United Healthcare vs $46,166.33 with Mark Cuban — 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 | Commercial | $4,523.88 | ↓ -17% |
| MidCoast | Commercial | $4,976.27 | ↓ -8% |
| Blue Cross Blue Shield | Blue Advantage | $5,066.75 | ↓ -7% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $5,066.75 | ↓ -7% |
| Independent Medical System | Commercial PPO | $5,428.66 | ↑ +0% |
| Cigna | Local Plus/Market Solutions | $5,790.57 | ↑ +7% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $5,881.04 | ↑ +8% |
| Curative | Commercial | $5,881.04 | ↑ +8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $6,152.48 | ↑ +13% |
| First Health | PPO | $6,333.43 | ↑ +17% |
| HealthSmart | Accel Network | $6,333.43 | ↑ +17% |
| Humana | Commercial PPO | $6,333.43 | ↑ +17% |
| Imagine Health | Commercial | $6,514.39 | ↑ +20% |
| Aetna | Commercial | $6,785.82 | ↑ +25% |
| Cigna | HMO/PPO | $6,785.82 | ↑ +25% |
| HealthSmart | Preferred Network | $6,785.82 | ↑ +25% |
| University of Mary Hardin-Baylor | Commercial | $6,785.82 | ↑ +25% |
| Superior Health Plan | Medicaid | $7,051.26 | ↑ +30% |
| Three Rivers | Three Rivers Provider Network | $8,142.98 | ↑ +50% |
| Mark Cuban | Commercial | $46,166.33 | ↑ +750% |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $5,428.66 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,428.66 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,629.07 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,428.66 | $85.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $5,428.66 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $10,629.07 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,629.07 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $10,629.07 | $71.00 – $46,166.33 |