healthcosts.net
Lower Back (Lumbar Spine) X-ray at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$384.07
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.
?
What you pay up front if you don't use insurance.
$640.11
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.10 with Superior Health Plan vs $576.10 with Three Rivers — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $40.10 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $42.91 | ↓ -89% |
| Baylor Scott & White Health Plan | Medicare Advantage | $99.77 | ↓ -74% |
| CORVEL | Worker's Compensation | $101.87 | ↓ -73% |
| Humana | Medicare | $105.02 | ↓ -73% |
| TriWest | Community Care Network | $105.02 | ↓ -73% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $105.02 | ↓ -73% |
| Blue Cross Blue Shield | Medicare Advantage | $110.27 | ↓ -71% |
| ProCare Advantage | Medicare Advantage | $110.27 | ↓ -71% |
| American Health Plan | Medicare Advantage | $110.27 | ↓ -71% |
| United Healthcare | Medicare Advantage | $117.62 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $126.02 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $131.80 | ↓ -66% |
| Prime Health Services | Worker's Compensation | $132.43 | ↓ -66% |
| Sedgwick | Preferred Network | $157.00 | ↓ -59% |
| CareWorks fka Rockport | Worker's Compensation | $157.00 | ↓ -59% |
| Injury Management Organization | Med Select Network | $157.00 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $173.28 | ↓ -55% |
| Texas Workforce Commission | Workers Compensation | $224.04 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $232.87 | ↓ -39% |
| Mark Cuban | Commercial | $272.35 | ↓ -29% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $273.97 | ↓ -29% |
| Employers Health Network | BSWQA Direct/EHN Rental | $300.85 | ↓ -22% |
| Cigna | Local Plus | $321.34 | ↓ -16% |
| Employers Health Network | EHN Network | $352.06 | ↓ -8% |
| Imagine Health | Commercial | $352.06 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $352.06 | ↓ -8% |
| Aetna | Commercial | $352.06 | ↓ -8% |
| MidCoast | Commercial | $352.06 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $371.26 | ↓ -3% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $376.59 | ↓ -2% |
| Cigna | HMO/PPO | $377.66 | ↓ -2% |
| Blue Cross Blue Shield | Blue Advantage | $381.07 | ↓ -1% |
| Independent Medical System | Commercial PPO | $384.07 | ↑ +0% |
| Curative | Commercial | $416.07 | ↑ +8% |
| Humana | Commercial HMO | $416.07 | ↑ +8% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $435.99 | ↑ +14% |
| United Healthcare | Commercial | $442.32 | ↑ +15% |
| Humana | Commercial PPO | $448.08 | ↑ +17% |
| HealthSmart | Accel Network | $448.08 | ↑ +17% |
| First Health | PPO | $448.08 | ↑ +17% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $458.41 | ↑ +19% |
| BlueBell Creameries | Self Insured | $480.08 | ↑ +25% |
| HealthSmart | Preferred Network | $480.08 | ↑ +25% |
| Private Health Care System | PHCS Network | $480.08 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $576.10 | ↑ +50% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $384.07 | $40.10 – $576.10 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $337.54 | $40.10 – $421.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $384.07 | $79.05 – $576.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.69 | $40.10 – $593.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $337.54 | $40.10 – $421.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $384.07 | $42.91 – $576.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $337.54 | $40.10 – $421.92 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $337.54 | $40.10 – $421.92 |