Exc les conjunctiva adj scl at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
not published by hospital
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.
not published by hospital
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.
$698.30 with Superior Health Plan vs $6,555.00 with United Healthcare — 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 | $698.30 | — |
| United Healthcare | Medicaid/CHIP | $747.18 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $2,268.90 | — |
| CORVEL | Worker's Compensation | $2,316.67 | — |
| Humana | Medicare | $2,388.32 | — |
| Superior Health Plan | Medicare HMO/Medicare PPO | $2,388.32 | — |
| TriWest | Community Care Network | $2,388.32 | — |
| HealthSmart | Accel Network | $2,416.00 | — |
| Blue Cross Blue Shield | Medicare Advantage | $2,507.74 | — |
| American Health Plan | Medicare Advantage | $2,507.74 | — |
| ProCare Advantage | Medicare Advantage | $2,507.74 | — |
| United Healthcare | Medicare Advantage | $2,674.92 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $2,865.98 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $2,997.34 | — |
| Prime Health Services | Worker's Compensation | $3,011.67 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,038.26 | — |
| Blue Cross Blue Shield | Blue Advantage | $3,076.97 | — |
| Cigna | Local Plus | $3,421.00 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,522.06 | — |
| Sedgwick | Preferred Network | $3,570.54 | — |
| Injury Management Organization | Med Select Network | $3,570.54 | — |
| CareWorks fka Rockport | Worker's Compensation | $3,570.54 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,715.58 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $3,940.73 | — |
| Cigna | HMO/PPO | $4,025.00 | — |
| Humana | Commercial HMO | $5,266.00 | — |
| Mark Cuban | Commercial | $5,788.85 | — |
| United Healthcare | Commercial | $6,555.00 | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Exc les conjunctiva adj scl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $2,419.00 – $4,827.98 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $684.33 – $3,096.32 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $749.30 – $3,967.16 |
| Covenant Children's Hospital | Lubbock | not published | $1,811.03 – $7,034.24 |
| HCA HOUSTON CONROE | CONROE | not published | $684.33 – $3,367.25 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $684.33 – $3,444.66 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $749.30 – $3,444.66 |
| Baylor St Luke's Medical Center | Houston | not published | $1,285.00 – $1,285.00 |