Ground mileage at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$3.74
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.
$6.24
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.
$0.68 with Superior Health Plan vs $350.00 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 | $0.68 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $0.72 | ↓ -81% |
| Texas Workforce Commission | Workers Compensation | $1.57 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1.64 | ↓ -56% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1.93 | ↓ -48% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2.07 | ↓ -45% |
| Blue Cross Blue Shield | Blue Advantage | $2.07 | ↓ -45% |
| Employers Health Network | BSWQA Direct/EHN Rental | $2.12 | ↓ -43% |
| Cigna | Local Plus | $2.26 | ↓ -40% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2.38 | ↓ -36% |
| Employers Health Network | EHN Network | $2.48 | ↓ -34% |
| QuikTrip | Employee Benefit Plan | $2.48 | ↓ -34% |
| Aetna | Commercial | $2.48 | ↓ -34% |
| MidCoast | Commercial | $2.48 | ↓ -34% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2.52 | ↓ -33% |
| University of Mary Hardin-Baylor | Commercial | $2.61 | ↓ -30% |
| Imagine Health | Commercial | $2.61 | ↓ -30% |
| Cigna | HMO/PPO | $2.65 | ↓ -29% |
| Independent Medical System | Commercial PPO | $2.70 | ↓ -28% |
| Humana | Commercial HMO | $2.92 | ↓ -22% |
| Curative | Commercial | $2.92 | ↓ -22% |
| United Healthcare | Commercial | $3.08 | ↓ -18% |
| Humana | Commercial PPO | $3.15 | ↓ -16% |
| HealthSmart | Accel Network | $3.15 | ↓ -16% |
| First Health | PPO | $3.15 | ↓ -16% |
| Private Health Care System | PHCS Network | $3.38 | ↓ -10% |
| BlueBell Creameries | Self Insured | $3.38 | ↓ -10% |
| TriWest | Community Care Network | $3.38 | ↓ -10% |
| HealthSmart | Preferred Network | $3.38 | ↓ -10% |
| CORVEL | Worker's Compensation | $3.83 | ↑ +2% |
| Three Rivers | Three Rivers Provider Network | $4.05 | ↑ +8% |
| United Healthcare | Medicare Advantage | $350.00 | ↑ +9258% |
Visitor-reported prices
Comments
Ground mileage at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3.74 | $1.40 – $4.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3.74 | $0.56 – $4.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3.74 | $0.54 – $3.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3.74 | $0.87 – $4.05 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3.74 | $0.90 – $4.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3.74 | $0.54 – $3.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3.74 | $0.50 – $4.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $3.74 | $0.86 – $3.60 |