Ins icd gen exist mlt leads at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$48,453.26
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.
$80,755.43
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.
$15,811.00 with Humana vs $81,499.55 with Mark Cuban — 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 |
|---|---|---|---|
| Humana | Commercial HMO | $15,811.00 | ↓ -67% |
| United Healthcare | Commercial | $16,680.00 | ↓ -66% |
| Superior Health Plan | Medicaid | $21,864.90 | ↓ -55% |
| United Healthcare | Medicaid/CHIP | $23,395.44 | ↓ -52% |
| Texas Workforce Commission | Workers Compensation | $28,264.40 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $29,378.83 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $29,955.31 | ↓ -38% |
| CORVEL | Worker's Compensation | $30,585.94 | ↓ -37% |
| Humana | Medicare | $31,531.90 | ↓ -35% |
| TriWest | Community Care Network | $31,531.90 | ↓ -35% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $31,531.90 | ↓ -35% |
| Blue Cross Blue Shield | Medicare Advantage | $33,108.50 | ↓ -32% |
| American Health Plan | Medicare Advantage | $33,108.50 | ↓ -32% |
| ProCare Advantage | Medicare Advantage | $33,108.50 | ↓ -32% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $34,563.32 | ↓ -29% |
| United Healthcare | Medicare Advantage | $35,315.73 | ↓ -27% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $37,147.50 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $37,147.50 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $37,838.28 | ↓ -22% |
| Employers Health Network | BSWQA Direct/EHN Rental | $37,955.05 | ↓ -22% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $39,572.53 | ↓ -18% |
| Prime Health Services | Worker's Compensation | $39,761.73 | ↓ -18% |
| Cigna | Local Plus | $40,539.23 | ↓ -16% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $42,800.38 | ↓ -12% |
| MidCoast | Commercial | $44,415.49 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $44,415.49 | ↓ -8% |
| Aetna | Commercial | $44,415.49 | ↓ -8% |
| Employers Health Network | EHN Network | $44,415.49 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $45,223.04 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $46,838.15 | ↓ -3% |
| Injury Management Organization | Med Select Network | $47,140.19 | ↓ -3% |
| CareWorks fka Rockport | Worker's Compensation | $47,140.19 | ↓ -3% |
| Sedgwick | Preferred Network | $47,140.19 | ↓ -3% |
| Cigna | HMO/PPO | $47,645.70 | ↓ -2% |
| Independent Medical System | Commercial PPO | $48,453.26 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $52,027.64 | ↑ +7% |
| Curative | Commercial | $52,491.03 | ↑ +8% |
| First Health | PPO | $56,528.80 | ↑ +17% |
| HealthSmart | Accel Network | $56,528.80 | ↑ +17% |
| Humana | Commercial PPO | $56,528.80 | ↑ +17% |
| HealthSmart | Preferred Network | $60,566.57 | ↑ +25% |
| Private Health Care System | PHCS Network | $60,566.57 | ↑ +25% |
| BlueBell Creameries | Self Insured | $60,566.57 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $72,679.89 | ↑ +50% |
| Mark Cuban | Commercial | $81,499.55 | ↑ +68% |
| Humana Military | TRICARE | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
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Ins icd gen exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $48,453.26 | $13,462.00 – $81,499.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,286.77 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $48,453.26 | $9,973.30 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $37,154.56 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,286.77 | $18,250.61 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $48,453.26 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $37,154.56 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $31,286.77 | $18,250.61 – $81,499.55 |