Gba gene at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$291.87
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.
$486.45
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 $437.81 with Three Rivers — 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 | ↓ -88% |
| Superior Health Plan | Medicaid | $39.69 | ↓ -86% |
| United Healthcare | Medicaid/CHIP | $42.47 | ↓ -85% |
| Baylor Scott & White Health Plan | Medicare Advantage | $44.89 | ↓ -85% |
| CORVEL | Worker's Compensation | $45.83 | ↓ -84% |
| Humana | Medicare | $47.25 | ↓ -84% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $47.25 | ↓ -84% |
| TriWest | Community Care Network | $47.25 | ↓ -84% |
| Blue Cross Blue Shield | Medicare Advantage | $49.61 | ↓ -83% |
| American Health Plan | Medicare Advantage | $49.61 | ↓ -83% |
| ProCare Advantage | Medicare Advantage | $49.61 | ↓ -83% |
| United Healthcare | Medicare Advantage | $52.92 | ↓ -82% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $56.70 | ↓ -81% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $59.30 | ↓ -80% |
| Prime Health Services | Worker's Compensation | $59.58 | ↓ -80% |
| Sedgwick | Preferred Network | $70.64 | ↓ -76% |
| CareWorks fka Rockport | Worker's Compensation | $70.64 | ↓ -76% |
| Injury Management Organization | Med Select Network | $70.64 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $77.96 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $85.49 | ↓ -71% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $100.58 | ↓ -66% |
| Mark Cuban | Commercial | $113.40 | ↓ -61% |
| Texas Workforce Commission | Workers Compensation | $170.26 | ↓ -42% |
| Employers Health Network | BSWQA Direct/EHN Rental | $228.63 | ↓ -22% |
| Cigna | Local Plus | $244.20 | ↓ -16% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $244.28 | ↓ -16% |
| Blue Cross Blue Shield | Blue Advantage | $247.59 | ↓ -15% |
| MidCoast | Commercial | $267.55 | ↓ -8% |
| Employers Health Network | EHN Network | $267.55 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $267.55 | ↓ -8% |
| Aetna | Commercial | $267.55 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $282.14 | ↓ -3% |
| Imagine Health | Commercial | $282.14 | ↓ -3% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $283.03 | ↓ -3% |
| Cigna | HMO/PPO | $287.01 | ↓ -2% |
| Independent Medical System | Commercial PPO | $291.87 | ↑ +0% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $298.15 | ↑ +2% |
| Humana | Commercial HMO | $316.19 | ↑ +8% |
| Curative | Commercial | $316.19 | ↑ +8% |
| First Health | PPO | $340.51 | ↑ +17% |
| HealthSmart | Accel Network | $340.51 | ↑ +17% |
| Humana | Commercial PPO | $340.51 | ↑ +17% |
| BlueBell Creameries | Self Insured | $364.84 | ↑ +25% |
| HealthSmart | Preferred Network | $364.84 | ↑ +25% |
| Private Health Care System | PHCS Network | $364.84 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $437.81 | ↑ +50% |
Visitor-reported prices
Comments
Gba gene at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $291.87 | $26.00 – $437.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $291.87 | $36.00 – $437.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $291.87 | $36.00 – $364.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $291.87 | $36.00 – $437.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $291.87 | $36.00 – $437.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $291.87 | $39.69 – $364.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $291.87 | $36.00 – $437.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $291.87 | $36.00 – $389.16 |