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Annual Physical, Established Patient (age 40-64) at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$212.88
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.
$354.80
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.
$53.22 with Superior Health Plan vs $364.39 with Blue Cross Blue Shield — 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 | $53.22 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $56.95 | ↓ -73% |
| Texas Workforce Commission | Workers Compensation | $124.18 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $129.08 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $151.85 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $166.76 | ↓ -22% |
| United Healthcare | Commercial | $174.92 | ↓ -18% |
| Cigna | Local Plus | $178.11 | ↓ -16% |
| Aetna | Commercial | $195.14 | ↓ -8% |
| Employers Health Network | EHN Network | $195.14 | ↓ -8% |
| MidCoast | Commercial | $195.14 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $195.14 | ↓ -8% |
| Imagine Health | Commercial | $205.78 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $205.78 | ↓ -3% |
| Cigna | HMO/PPO | $209.33 | ↓ -2% |
| Independent Medical System | Commercial PPO | $212.88 | ↑ +0% |
| Curative | Commercial | $230.62 | ↑ +8% |
| Humana | Commercial HMO | $230.62 | ↑ +8% |
| First Health | PPO | $248.36 | ↑ +17% |
| HealthSmart | Accel Network | $248.36 | ↑ +17% |
| Humana | Commercial PPO | $248.36 | ↑ +17% |
| BlueBell Creameries | Self Insured | $266.10 | ↑ +25% |
| HealthSmart | Preferred Network | $266.10 | ↑ +25% |
| Private Health Care System | PHCS Network | $266.10 | ↑ +25% |
| TriWest | Community Care Network | $266.10 | ↑ +25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $298.23 | ↑ +40% |
| CORVEL | Worker's Compensation | $301.58 | ↑ +42% |
| Blue Cross Blue Shield | Blue Advantage | $302.18 | ↑ +42% |
| Three Rivers | Three Rivers Provider Network | $319.32 | ↑ +50% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $345.62 | ↑ +62% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $364.39 | ↑ +71% |
Visitor-reported prices
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Annual Physical, Established Patient (age 40-64) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $212.88 | $109.99 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $212.88 | $43.82 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $212.88 | $42.58 – $298.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $212.88 | $68.33 – $364.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $212.88 | $42.58 – $301.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $212.88 | $39.03 – $319.32 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $212.88 | $70.96 – $319.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $212.88 | $67.41 – $283.84 |