Electrophysiology evaluation at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$14,581.73
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.
$24,302.88
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.
$3,645.43 with Superior Health Plan vs $24,657.00 with Humana — 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 | $3,645.43 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $3,900.61 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $7,443.45 | ↓ -49% |
| CORVEL | Worker's Compensation | $7,600.15 | ↓ -48% |
| Humana | Medicare | $7,835.21 | ↓ -46% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $7,835.21 | ↓ -46% |
| TriWest | Community Care Network | $7,835.21 | ↓ -46% |
| Blue Cross Blue Shield | Medicare Advantage | $8,226.97 | ↓ -44% |
| American Health Plan | Medicare Advantage | $8,226.97 | ↓ -44% |
| ProCare Advantage | Medicare Advantage | $8,226.97 | ↓ -44% |
| Texas Workforce Commission | Workers Compensation | $8,506.01 | ↓ -42% |
| United Healthcare | Medicare Advantage | $8,775.44 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $8,841.39 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $9,402.25 | ↓ -36% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $9,833.19 | ↓ -33% |
| Prime Health Services | Worker's Compensation | $9,880.20 | ↓ -32% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10,401.63 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $11,422.35 | ↓ -22% |
| Sedgwick | Preferred Network | $11,713.64 | ↓ -20% |
| Injury Management Organization | Med Select Network | $11,713.64 | ↓ -20% |
| CareWorks fka Rockport | Worker's Compensation | $11,713.64 | ↓ -20% |
| Cigna | Local Plus | $12,200.05 | ↓ -16% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $12,928.10 | ↓ -11% |
| QuikTrip | Employee Benefit Plan | $13,366.58 | ↓ -8% |
| Employers Health Network | EHN Network | $13,366.58 | ↓ -8% |
| MidCoast | Commercial | $13,366.58 | ↓ -8% |
| Aetna | Commercial | $13,366.58 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $14,095.67 | ↓ -3% |
| Imagine Health | Commercial | $14,095.67 | ↓ -3% |
| Cigna | HMO/PPO | $14,338.70 | ↓ -2% |
| Independent Medical System | Commercial PPO | $14,581.73 | ↑ +0% |
| Curative | Commercial | $15,796.87 | ↑ +8% |
| United Healthcare | Commercial | $16,793.29 | ↑ +15% |
| Humana | Commercial PPO | $17,012.02 | ↑ +17% |
| HealthSmart | Accel Network | $17,012.02 | ↑ +17% |
| First Health | PPO | $17,012.02 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $17,774.84 | ↑ +22% |
| Blue Cross Blue Shield | Blue Advantage | $18,010.27 | ↑ +24% |
| BlueBell Creameries | Self Insured | $18,227.16 | ↑ +25% |
| Private Health Care System | PHCS Network | $18,227.16 | ↑ +25% |
| HealthSmart | Preferred Network | $18,227.16 | ↑ +25% |
| Mark Cuban | Commercial | $18,500.61 | ↑ +27% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $20,599.99 | ↑ +41% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $21,718.27 | ↑ +49% |
| Three Rivers | Three Rivers Provider Network | $21,872.59 | ↑ +50% |
| Humana | Commercial HMO | $24,657.00 | ↑ +69% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,581.73 | $7,533.89 – $21,872.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,879.96 | $3,932.65 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,581.73 | $3,001.41 – $21,872.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,029.39 | $2,805.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,879.96 | $3,701.32 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,581.73 | $4,680.73 – $21,872.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,029.39 | $4,676.46 – $21,044.08 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $13,879.96 | $3,701.32 – $18,500.61 |