Ghs moderate sedation < 5 yr, 30 min, other at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$240.93
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.
?
What you pay up front if you don't use insurance.
$401.55
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.
?
The hospital's undiscounted list price — almost no one pays this.
$60.23 with Superior Health Plan vs $7,441.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $60.23 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $64.45 | ↓ -73% |
| Texas Workforce Commission | Workers Compensation | $140.54 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $146.08 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $171.86 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $188.73 | ↓ -22% |
| United Healthcare | Commercial | $197.96 | ↓ -18% |
| Cigna | Local Plus | $201.58 | ↓ -16% |
| Aetna | Commercial | $220.85 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $220.85 | ↓ -8% |
| MidCoast | Commercial | $220.85 | ↓ -8% |
| Employers Health Network | EHN Network | $220.85 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $232.90 | ↓ -3% |
| Imagine Health | Commercial | $232.90 | ↓ -3% |
| Cigna | HMO/PPO | $236.91 | ↓ -2% |
| Independent Medical System | Commercial PPO | $240.93 | ↑ +0% |
| Curative | Commercial | $261.01 | ↑ +8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $276.45 | ↑ +15% |
| Blue Cross Blue Shield | Blue Advantage | $280.11 | ↑ +16% |
| First Health | PPO | $281.08 | ↑ +17% |
| HealthSmart | Accel Network | $281.08 | ↑ +17% |
| Humana | Commercial PPO | $281.08 | ↑ +17% |
| Private Health Care System | PHCS Network | $301.16 | ↑ +25% |
| BlueBell Creameries | Self Insured | $301.16 | ↑ +25% |
| TriWest | Community Care Network | $301.16 | ↑ +25% |
| HealthSmart | Preferred Network | $301.16 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $320.39 | ↑ +33% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $337.78 | ↑ +40% |
| CORVEL | Worker's Compensation | $341.32 | ↑ +42% |
| Three Rivers | Three Rivers Provider Network | $361.39 | ↑ +50% |
| Humana | Commercial HMO | $7,441.00 | ↑ +2988% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.93 | $124.48 – $361.39 |
| Adventhealth Rollins Brook | Lampasas | $1,721.18 | $352.43 – $352.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.86 | $43.88 – $281.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.93 | $49.59 – $361.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $172.11 | $34.42 – $276.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.86 | $41.30 – $219.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.93 | $77.34 – $361.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $172.11 | $57.37 – $276.45 |