Njx px peyronie ds exps plaq at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
not published by hospital
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.
not published by hospital
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.
$1,689.43 with Superior Health Plan vs $12,818.21 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $1,689.43 | — |
| United Healthcare | Medicaid/CHIP | $1,807.69 | — |
| HealthSmart | Accel Network | $3,410.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,116.92 | — |
| Cigna | Local Plus | $5,132.00 | — |
| CORVEL | Worker's Compensation | $5,224.64 | — |
| Humana | Medicare | $5,386.23 | — |
| TriWest | Community Care Network | $5,386.23 | — |
| Superior Health Plan | Medicare HMO/Medicare PPO | $5,386.23 | — |
| ProCare Advantage | Medicare Advantage | $5,655.54 | — |
| Blue Cross Blue Shield | Medicare Advantage | $5,655.54 | — |
| American Health Plan | Medicare Advantage | $5,655.54 | — |
| United Healthcare | Medicare Advantage | $6,032.58 | — |
| Cigna | HMO/PPO | $6,038.00 | — |
| United Healthcare | Commercial | $6,309.00 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,463.48 | — |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $6,643.64 | — |
| Blue Cross Blue Shield | Blue Advantage | $6,728.28 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $6,759.72 | — |
| Prime Health Services | Worker's Compensation | $6,792.04 | — |
| Humana | Commercial HMO | $7,441.00 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $7,701.55 | — |
| Sedgwick | Preferred Network | $8,052.41 | — |
| Injury Management Organization | Med Select Network | $8,052.41 | — |
| CareWorks fka Rockport | Worker's Compensation | $8,052.41 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $8,124.71 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $8,887.28 | — |
| Mark Cuban | Commercial | $12,818.21 | — |
| Humana Military | TRICARE | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Njx px peyronie ds exps plaq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $5,289.53 – $8,715.36 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,655.64 – $6,770.59 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,812.83 – $8,674.82 |
| Covenant Children's Hospital | Lubbock | not published | $2,600.00 – $15,638.81 |
| HCA HOUSTON CONROE | CONROE | not published | $1,655.64 – $7,363.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $1,655.64 – $7,532.28 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $1,812.83 – $7,532.28 |
| Baylor St Luke's Medical Center | Houston | not published | $1,929.00 – $1,929.00 |