Mopath procedure level 1 at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$315.95
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.
$526.58
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 $403.59 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 |
|---|---|---|---|
| United Healthcare | Commercial | $12.00 | ↓ -96% |
| Superior Health Plan | Medicaid | $53.73 | ↓ -83% |
| United Healthcare | Medicaid/CHIP | $57.49 | ↓ -82% |
| Baylor Scott & White Health Plan | Medicare Advantage | $60.76 | ↓ -81% |
| CORVEL | Worker's Compensation | $62.04 | ↓ -80% |
| Humana | Medicare | $63.96 | ↓ -80% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $63.96 | ↓ -80% |
| TriWest | Community Care Network | $63.96 | ↓ -80% |
| Blue Cross Blue Shield | Medicare Advantage | $67.16 | ↓ -79% |
| American Health Plan | Medicare Advantage | $67.16 | ↓ -79% |
| ProCare Advantage | Medicare Advantage | $67.16 | ↓ -79% |
| United Healthcare | Medicare Advantage | $71.64 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $76.75 | ↓ -76% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $80.27 | ↓ -75% |
| Prime Health Services | Worker's Compensation | $80.65 | ↓ -74% |
| Sedgwick | Preferred Network | $95.62 | ↓ -70% |
| CareWorks fka Rockport | Worker's Compensation | $95.62 | ↓ -70% |
| Injury Management Organization | Med Select Network | $95.62 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $105.53 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $116.42 | ↓ -63% |
| Texas Workforce Commission | Workers Compensation | $134.31 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $136.96 | ↓ -57% |
| Mark Cuban | Commercial | $153.50 | ↓ -51% |
| Employers Health Network | BSWQA Direct/EHN Rental | $180.36 | ↓ -43% |
| Cigna | Local Plus | $192.64 | ↓ -39% |
| QuikTrip | Employee Benefit Plan | $211.06 | ↓ -33% |
| Employers Health Network | EHN Network | $211.06 | ↓ -33% |
| MidCoast | Commercial | $211.06 | ↓ -33% |
| Aetna | Commercial | $211.06 | ↓ -33% |
| University of Mary Hardin-Baylor | Commercial | $222.57 | ↓ -30% |
| Imagine Health | Commercial | $222.57 | ↓ -30% |
| Cigna | HMO/PPO | $226.41 | ↓ -28% |
| Independent Medical System | Commercial PPO | $230.25 | ↓ -27% |
| Humana | Commercial HMO | $249.44 | ↓ -21% |
| Curative | Commercial | $249.44 | ↓ -21% |
| First Health | PPO | $268.62 | ↓ -15% |
| HealthSmart | Accel Network | $268.62 | ↓ -15% |
| Humana | Commercial PPO | $268.62 | ↓ -15% |
| Private Health Care System | PHCS Network | $287.81 | ↓ -9% |
| BlueBell Creameries | Self Insured | $287.81 | ↓ -9% |
| HealthSmart | Preferred Network | $287.81 | ↓ -9% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $330.67 | ↑ +5% |
| Blue Cross Blue Shield | Blue Advantage | $335.15 | ↑ +6% |
| Three Rivers | Three Rivers Provider Network | $345.38 | ↑ +9% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $383.12 | ↑ +21% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $403.59 | ↑ +28% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $315.95 | $8.00 – $345.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $371.95 | $10.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $315.95 | $12.00 – $345.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $332.57 | $12.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $371.95 | $10.00 – $287.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $315.95 | $12.00 – $345.38 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $332.57 | $12.00 – $345.38 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $371.95 | $10.00 – $287.81 |