Enzyme histochemistry at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$530.20
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.
$883.67
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.
$36.00 with United Healthcare vs $3,963.94 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 |
|---|---|---|---|
| United Healthcare | Commercial | $36.00 | ↓ -93% |
| Superior Health Plan | Medicaid | $53.82 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $57.58 | ↓ -89% |
| Texas Workforce Commission | Workers Compensation | $125.57 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $130.52 | ↓ -75% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $153.56 | ↓ -71% |
| Employers Health Network | BSWQA Direct/EHN Rental | $168.63 | ↓ -68% |
| Cigna | Local Plus | $180.11 | ↓ -66% |
| Aetna | Commercial | $197.33 | ↓ -63% |
| QuikTrip | Employee Benefit Plan | $197.33 | ↓ -63% |
| MidCoast | Commercial | $197.33 | ↓ -63% |
| Employers Health Network | EHN Network | $197.33 | ↓ -63% |
| University of Mary Hardin-Baylor | Commercial | $208.09 | ↓ -61% |
| Imagine Health | Commercial | $208.09 | ↓ -61% |
| Cigna | HMO/PPO | $211.68 | ↓ -60% |
| Independent Medical System | Commercial PPO | $215.27 | ↓ -59% |
| Curative | Commercial | $233.21 | ↓ -56% |
| Humana | Commercial HMO | $233.21 | ↓ -56% |
| Humana | Commercial PPO | $251.15 | ↓ -53% |
| First Health | PPO | $251.15 | ↓ -53% |
| HealthSmart | Accel Network | $251.15 | ↓ -53% |
| BlueBell Creameries | Self Insured | $269.08 | ↓ -49% |
| HealthSmart | Preferred Network | $269.08 | ↓ -49% |
| Private Health Care System | PHCS Network | $269.08 | ↓ -49% |
| Three Rivers | Three Rivers Provider Network | $322.90 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $768.88 | ↑ +45% |
| CORVEL | Worker's Compensation | $785.07 | ↑ +48% |
| Humana | Medicare | $809.35 | ↑ +53% |
| TriWest | Community Care Network | $809.35 | ↑ +53% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $809.35 | ↑ +53% |
| ProCare Advantage | Medicare Advantage | $849.82 | ↑ +60% |
| American Health Plan | Medicare Advantage | $849.82 | ↑ +60% |
| Blue Cross Blue Shield | Medicare Advantage | $849.82 | ↑ +60% |
| United Healthcare | Medicare Advantage | $906.47 | ↑ +71% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $971.22 | ↑ +83% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,015.73 | ↑ +92% |
| Prime Health Services | Worker's Compensation | $1,020.59 | ↑ +92% |
| Injury Management Organization | Med Select Network | $1,209.98 | ↑ +128% |
| CareWorks fka Rockport | Worker's Compensation | $1,209.98 | ↑ +128% |
| Sedgwick | Preferred Network | $1,209.98 | ↑ +128% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,335.43 | ↑ +152% |
| Mark Cuban | Commercial | $2,130.15 | ↑ +302% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,247.79 | ↑ +513% |
| Blue Cross Blue Shield | Blue Advantage | $3,291.77 | ↑ +521% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,762.92 | ↑ +610% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,963.94 | ↑ +648% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Enzyme histochemistry at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $530.20 | $26.00 – $2,130.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $514.38 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $530.20 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $460.32 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $514.38 | $35.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $530.20 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $460.32 | $36.00 – $2,130.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $514.38 | $35.00 – $2,130.15 |