Hcg qualitative at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$137.07
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.
$228.45
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.
$6.32 with Superior Health Plan vs $205.60 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $6.32 | ↓ -95% |
| United Healthcare | Medicaid/CHIP | $6.76 | ↓ -95% |
| Baylor Scott & White Health Plan | Medicare Advantage | $7.14 | ↓ -95% |
| CORVEL | Worker's Compensation | $7.29 | ↓ -95% |
| Humana | Medicare | $7.52 | ↓ -95% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $7.52 | ↓ -95% |
| TriWest | Community Care Network | $7.52 | ↓ -95% |
| Blue Cross Blue Shield | Medicare Advantage | $7.90 | ↓ -94% |
| American Health Plan | Medicare Advantage | $7.90 | ↓ -94% |
| ProCare Advantage | Medicare Advantage | $7.90 | ↓ -94% |
| United Healthcare | Medicare Advantage | $8.42 | ↓ -94% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $9.02 | ↓ -93% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $9.44 | ↓ -93% |
| Prime Health Services | Worker's Compensation | $9.48 | ↓ -93% |
| CareWorks fka Rockport | Worker's Compensation | $11.24 | ↓ -92% |
| Sedgwick | Preferred Network | $11.24 | ↓ -92% |
| Injury Management Organization | Med Select Network | $11.24 | ↓ -92% |
| United Healthcare | Commercial | $12.00 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $12.41 | ↓ -91% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $14.55 | ↓ -89% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $17.12 | ↓ -88% |
| Mark Cuban | Commercial | $18.05 | ↓ -87% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $38.88 | ↓ -72% |
| Blue Cross Blue Shield | Blue Advantage | $39.40 | ↓ -71% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $45.04 | ↓ -67% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $47.45 | ↓ -65% |
| Texas Workforce Commission | Workers Compensation | $79.96 | ↓ -42% |
| Employers Health Network | BSWQA Direct/EHN Rental | $107.37 | ↓ -22% |
| Cigna | Local Plus | $114.68 | ↓ -16% |
| Employers Health Network | EHN Network | $125.65 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $125.65 | ↓ -8% |
| MidCoast | Commercial | $125.65 | ↓ -8% |
| Aetna | Commercial | $125.65 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $132.50 | ↓ -3% |
| Imagine Health | Commercial | $132.50 | ↓ -3% |
| Cigna | HMO/PPO | $134.79 | ↓ -2% |
| Independent Medical System | Commercial PPO | $137.07 | ↑ +0% |
| Humana | Commercial HMO | $148.49 | ↑ +8% |
| Curative | Commercial | $148.49 | ↑ +8% |
| First Health | PPO | $159.91 | ↑ +17% |
| Humana | Commercial PPO | $159.91 | ↑ +17% |
| HealthSmart | Accel Network | $159.91 | ↑ +17% |
| Private Health Care System | PHCS Network | $171.34 | ↑ +25% |
| HealthSmart | Preferred Network | $171.34 | ↑ +25% |
| BlueBell Creameries | Self Insured | $171.34 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $205.60 | ↑ +50% |
Visitor-reported prices
Comments
Hcg qualitative at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $137.07 | $6.32 – $205.60 |
| Adventhealth Rollins Brook | Lampasas | $208.14 | $6.77 – $28.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $137.41 | $6.32 – $171.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $137.07 | $11.02 – $205.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $137.07 | $6.32 – $171.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $137.41 | $6.32 – $171.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $137.07 | $6.76 – $205.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $137.07 | $6.32 – $205.60 |