Immune complex assay at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$174.76
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.
$291.26
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.
$12.00 with United Healthcare vs $186.06 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 | $12.00 | ↓ -93% |
| Superior Health Plan | Medicaid | $20.47 | ↓ -88% |
| United Healthcare | Medicaid/CHIP | $21.90 | ↓ -87% |
| Baylor Scott & White Health Plan | Medicare Advantage | $23.15 | ↓ -87% |
| CORVEL | Worker's Compensation | $23.64 | ↓ -86% |
| Humana | Medicare | $24.37 | ↓ -86% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $24.37 | ↓ -86% |
| TriWest | Community Care Network | $24.37 | ↓ -86% |
| ProCare Advantage | Medicare Advantage | $25.59 | ↓ -85% |
| American Health Plan | Medicare Advantage | $25.59 | ↓ -85% |
| Blue Cross Blue Shield | Medicare Advantage | $25.59 | ↓ -85% |
| United Healthcare | Medicare Advantage | $27.29 | ↓ -84% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $29.24 | ↓ -83% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $30.58 | ↓ -83% |
| Prime Health Services | Worker's Compensation | $30.73 | ↓ -82% |
| Injury Management Organization | Med Select Network | $36.43 | ↓ -79% |
| CareWorks fka Rockport | Worker's Compensation | $36.43 | ↓ -79% |
| Sedgwick | Preferred Network | $36.43 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $40.21 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $43.66 | ↓ -75% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $51.36 | ↓ -71% |
| Mark Cuban | Commercial | $58.49 | ↓ -67% |
| Texas Workforce Commission | Workers Compensation | $72.36 | ↓ -59% |
| Employers Health Network | BSWQA Direct/EHN Rental | $97.16 | ↓ -44% |
| Cigna | Local Plus | $103.78 | ↓ -41% |
| MidCoast | Commercial | $113.70 | ↓ -35% |
| Aetna | Commercial | $113.70 | ↓ -35% |
| Employers Health Network | EHN Network | $113.70 | ↓ -35% |
| QuikTrip | Employee Benefit Plan | $113.70 | ↓ -35% |
| University of Mary Hardin-Baylor | Commercial | $119.90 | ↓ -31% |
| Imagine Health | Commercial | $119.90 | ↓ -31% |
| Cigna | HMO/PPO | $121.97 | ↓ -30% |
| Independent Medical System | Commercial PPO | $124.04 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $125.99 | ↓ -28% |
| Blue Cross Blue Shield | Blue Advantage | $127.70 | ↓ -27% |
| Curative | Commercial | $134.37 | ↓ -23% |
| Humana | Commercial HMO | $134.37 | ↓ -23% |
| First Health | PPO | $144.71 | ↓ -17% |
| HealthSmart | Accel Network | $144.71 | ↓ -17% |
| Humana | Commercial PPO | $144.71 | ↓ -17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $145.98 | ↓ -16% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $153.77 | ↓ -12% |
| HealthSmart | Preferred Network | $155.05 | ↓ -11% |
| BlueBell Creameries | Self Insured | $155.05 | ↓ -11% |
| Private Health Care System | PHCS Network | $155.05 | ↓ -11% |
| Three Rivers | Three Rivers Provider Network | $186.06 | ↑ +6% |
Visitor-reported prices
Comments
Immune complex assay at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $174.76 | $8.00 – $186.06 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $163.65 | $12.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $141.71 | $10.00 – $155.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $174.76 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $163.65 | $12.00 – $186.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $141.71 | $10.00 – $155.05 |