Drainage of rectal abscess 45020 at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$1,556.37
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.
$2,593.95
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.
$907.88 with Texas Workforce Commission vs $6,955.62 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 |
|---|---|---|---|
| Texas Workforce Commission | Workers Compensation | $907.88 | ↓ -42% |
| Superior Health Plan | Medicaid | $939.93 | ↓ -40% |
| United Healthcare | Medicaid/CHIP | $1,005.73 | ↓ -35% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,023.05 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,203.59 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,219.16 | ↓ -22% |
| Employers Health Network | EHN Network | $1,426.67 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,426.67 | ↓ -8% |
| MidCoast | Commercial | $1,426.67 | ↓ -8% |
| Aetna | Commercial | $1,426.67 | ↓ -8% |
| Independent Medical System | Commercial PPO | $1,556.37 | ↑ +0% |
| Curative | Commercial | $1,686.07 | ↑ +8% |
| Humana | Commercial PPO | $1,815.77 | ↑ +17% |
| First Health | PPO | $1,815.77 | ↑ +17% |
| HealthSmart | Preferred Network | $1,945.46 | ↑ +25% |
| BlueBell Creameries | Self Insured | $1,945.46 | ↑ +25% |
| Private Health Care System | PHCS Network | $1,945.46 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $2,334.55 | ↑ +50% |
| HealthSmart | Accel Network | $2,416.00 | ↑ +55% |
| Baylor Scott & White Health Plan | Medicare Advantage | $2,648.89 | ↑ +70% |
| CORVEL | Worker's Compensation | $2,704.66 | ↑ +74% |
| TriWest | Community Care Network | $2,788.31 | ↑ +79% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,788.31 | ↑ +79% |
| Humana | Medicare | $2,788.31 | ↑ +79% |
| ProCare Advantage | Medicare Advantage | $2,927.73 | ↑ +88% |
| Blue Cross Blue Shield | Medicare Advantage | $2,927.73 | ↑ +88% |
| American Health Plan | Medicare Advantage | $2,927.73 | ↑ +88% |
| United Healthcare | Medicare Advantage | $3,122.91 | ↑ +101% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,345.97 | ↑ +115% |
| Cigna | Local Plus | $3,421.00 | ↑ +120% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $3,499.33 | ↑ +125% |
| Prime Health Services | Worker's Compensation | $3,516.06 | ↑ +126% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,680.36 | ↑ +136% |
| Blue Cross Blue Shield | Blue Advantage | $3,727.25 | ↑ +139% |
| Cigna | HMO/PPO | $4,025.00 | ↑ +159% |
| CareWorks fka Rockport | Worker's Compensation | $4,168.52 | ↑ +168% |
| Injury Management Organization | Med Select Network | $4,168.52 | ↑ +168% |
| Sedgwick | Preferred Network | $4,168.52 | ↑ +168% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,266.41 | ↑ +174% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,500.83 | ↑ +189% |
| United Healthcare | Commercial | $4,563.00 | ↑ +193% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $4,600.71 | ↑ +196% |
| Humana | Commercial HMO | $5,266.00 | ↑ +238% |
| Mark Cuban | Commercial | $6,955.62 | ↑ +347% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of rectal abscess 45020 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,556.37 | $320.35 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,556.37 | $1,005.73 – $6,955.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,556.37 | $856.00 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,556.37 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,556.37 | $492.85 – $6,955.62 |