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Tonsillectomy (age 12+) at BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL
546 N. Kegley Rd., Temple, TX · Baylor Scott & White Health · · NPI 1013085083
$2,735.53
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.
$4,559.21
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.
$886.62 with Superior Health Plan vs $7,975.81 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $886.62 | ↓ -68% |
| United Healthcare | Commercial | $2,279.61 | ↓ -17% |
| MidCoast | Commercial | $2,507.57 | ↓ -8% |
| Blue Cross Blue Shield | Blue Advantage | $2,553.16 | ↓ -7% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,553.16 | ↓ -7% |
| Independent Medical System | Commercial PPO | $2,735.53 | ↑ +0% |
| Cigna | Local Plus/Market Solutions | $2,917.89 | ↑ +7% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,963.49 | ↑ +8% |
| Curative | Commercial | $2,963.49 | ↑ +8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,100.26 | ↑ +13% |
| First Health | PPO | $3,191.45 | ↑ +17% |
| Humana | Commercial PPO | $3,191.45 | ↑ +17% |
| Imagine Health | Commercial | $3,282.63 | ↑ +20% |
| Aetna | Commercial | $3,419.41 | ↑ +25% |
| Cigna | HMO/PPO | $3,419.41 | ↑ +25% |
| HealthSmart | Preferred Network | $3,419.41 | ↑ +25% |
| University of Mary Hardin-Baylor | Commercial | $3,419.41 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $4,103.29 | ↑ +50% |
| HealthSmart | Accel Network | $6,304.00 | ↑ +130% |
| Mark Cuban | Commercial | $7,975.81 | ↑ +192% |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,735.53 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,735.53 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,424.11 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,735.53 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,735.53 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $4,424.11 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,424.11 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $4,424.11 | $71.00 – $7,975.81 |