Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$359.64
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.
$599.40
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.
$89.91 with Superior Health Plan vs $678.81 with Blue Cross Blue Shield — 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 | $89.91 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $96.20 | ↓ -73% |
| Baylor Scott & White Health Plan | Medicare Advantage | $208.97 | ↓ -42% |
| Texas Workforce Commission | Workers Compensation | $209.79 | ↓ -42% |
| CORVEL | Worker's Compensation | $213.37 | ↓ -41% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $218.06 | ↓ -39% |
| Humana | Medicare | $219.97 | ↓ -39% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $219.97 | ↓ -39% |
| TriWest | Community Care Network | $219.97 | ↓ -39% |
| Blue Cross Blue Shield | Medicare Advantage | $230.97 | ↓ -36% |
| ProCare Advantage | Medicare Advantage | $230.97 | ↓ -36% |
| American Health Plan | Medicare Advantage | $230.97 | ↓ -36% |
| United Healthcare | Medicare Advantage | $246.37 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $256.54 | ↓ -29% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $263.96 | ↓ -27% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $276.06 | ↓ -23% |
| Prime Health Services | Worker's Compensation | $277.38 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $281.72 | ↓ -22% |
| Cigna | Local Plus | $300.90 | ↓ -16% |
| Injury Management Organization | Med Select Network | $328.86 | ↓ -9% |
| Sedgwick | Preferred Network | $328.86 | ↓ -9% |
| CareWorks fka Rockport | Worker's Compensation | $328.86 | ↓ -9% |
| Employers Health Network | EHN Network | $329.67 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $329.67 | ↓ -8% |
| Aetna | Commercial | $329.67 | ↓ -8% |
| MidCoast | Commercial | $329.67 | ↓ -8% |
| Imagine Health | Commercial | $347.65 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $347.65 | ↓ -3% |
| Cigna | HMO/PPO | $353.65 | ↓ -2% |
| Independent Medical System | Commercial PPO | $359.64 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $362.95 | ↑ +1% |
| Humana | Commercial HMO | $389.61 | ↑ +8% |
| Curative | Commercial | $389.61 | ↑ +8% |
| United Healthcare | Commercial | $414.19 | ↑ +15% |
| First Health | PPO | $419.58 | ↑ +17% |
| HealthSmart | Accel Network | $419.58 | ↑ +17% |
| Humana | Commercial PPO | $419.58 | ↑ +17% |
| BlueBell Creameries | Self Insured | $449.55 | ↑ +25% |
| HealthSmart | Preferred Network | $449.55 | ↑ +25% |
| Private Health Care System | PHCS Network | $449.55 | ↑ +25% |
| Mark Cuban | Commercial | $528.37 | ↑ +47% |
| Three Rivers | Three Rivers Provider Network | $539.46 | ↑ +50% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $555.56 | ↑ +54% |
| Blue Cross Blue Shield | Blue Advantage | $562.92 | ↑ +57% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $643.86 | ↑ +79% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $678.81 | ↑ +89% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $359.64 | $185.81 – $3,235.82 |
| Adventhealth Rollins Brook | Lampasas | $1,359.99 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $394.10 | $111.66 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $359.64 | $74.03 – $539.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $357.05 | $71.41 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $394.10 | $105.09 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $359.64 | $115.44 – $539.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $357.05 | $119.02 – $535.57 |