Assay of sialic acid at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$113.47
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.
$189.11
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.
$11.29 with Superior Health Plan vs $170.20 with Three Rivers — 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 | $11.29 | ↓ -90% |
| United Healthcare | Commercial | $12.00 | ↓ -89% |
| United Healthcare | Medicaid/CHIP | $12.08 | ↓ -89% |
| Baylor Scott & White Health Plan | Medicare Advantage | $12.77 | ↓ -89% |
| CORVEL | Worker's Compensation | $13.04 | ↓ -89% |
| Humana | Medicare | $13.44 | ↓ -88% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $13.44 | ↓ -88% |
| TriWest | Community Care Network | $13.44 | ↓ -88% |
| ProCare Advantage | Medicare Advantage | $14.11 | ↓ -88% |
| American Health Plan | Medicare Advantage | $14.11 | ↓ -88% |
| Blue Cross Blue Shield | Medicare Advantage | $14.11 | ↓ -88% |
| United Healthcare | Medicare Advantage | $15.05 | ↓ -87% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $16.13 | ↓ -86% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $16.87 | ↓ -85% |
| Prime Health Services | Worker's Compensation | $16.95 | ↓ -85% |
| CareWorks fka Rockport | Worker's Compensation | $20.09 | ↓ -82% |
| Sedgwick | Preferred Network | $20.09 | ↓ -82% |
| Injury Management Organization | Med Select Network | $20.09 | ↓ -82% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $22.18 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $23.65 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $27.82 | ↓ -75% |
| Mark Cuban | Commercial | $32.26 | ↓ -72% |
| Texas Workforce Commission | Workers Compensation | $66.19 | ↓ -42% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $69.48 | ↓ -39% |
| Blue Cross Blue Shield | Blue Advantage | $70.43 | ↓ -38% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $80.51 | ↓ -29% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $84.81 | ↓ -25% |
| Employers Health Network | BSWQA Direct/EHN Rental | $88.88 | ↓ -22% |
| Cigna | Local Plus | $94.93 | ↓ -16% |
| Employers Health Network | EHN Network | $104.01 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $104.01 | ↓ -8% |
| MidCoast | Commercial | $104.01 | ↓ -8% |
| Aetna | Commercial | $104.01 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $109.68 | ↓ -3% |
| Imagine Health | Commercial | $109.68 | ↓ -3% |
| Cigna | HMO/PPO | $111.57 | ↓ -2% |
| Independent Medical System | Commercial PPO | $113.47 | ↑ +0% |
| Humana | Commercial HMO | $122.92 | ↑ +8% |
| Curative | Commercial | $122.92 | ↑ +8% |
| First Health | PPO | $132.38 | ↑ +17% |
| Humana | Commercial PPO | $132.38 | ↑ +17% |
| HealthSmart | Accel Network | $132.38 | ↑ +17% |
| Private Health Care System | PHCS Network | $141.83 | ↑ +25% |
| HealthSmart | Preferred Network | $141.83 | ↑ +25% |
| BlueBell Creameries | Self Insured | $141.83 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $170.20 | ↑ +50% |
Visitor-reported prices
Comments
Assay of sialic acid at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $113.47 | $8.00 – $170.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $113.47 | $12.00 – $170.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $102.00 | $11.29 – $127.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $113.47 | $12.00 – $170.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $102.00 | $11.29 – $153.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $113.47 | $11.29 – $141.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $102.00 | $11.29 – $153.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $102.00 | $12.00 – $136.00 |