Pr management transitional care high w/in 7 days of discharge at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$255.50
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.
$425.84
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.
$63.88 with Superior Health Plan vs $383.26 with Three Rivers — 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 | $63.88 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $68.35 | ↓ -73% |
| Humana | Commercial HMO | $113.00 | ↓ -56% |
| CORVEL | Worker's Compensation | $129.73 | ↓ -49% |
| TriWest | Community Care Network | $133.74 | ↓ -48% |
| Humana | Medicare | $133.74 | ↓ -48% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $133.74 | ↓ -48% |
| Blue Cross Blue Shield | Medicare Advantage | $140.43 | ↓ -45% |
| American Health Plan | Medicare Advantage | $140.43 | ↓ -45% |
| ProCare Advantage | Medicare Advantage | $140.43 | ↓ -45% |
| Texas Workforce Commission | Workers Compensation | $149.04 | ↓ -42% |
| United Healthcare | Medicare Advantage | $149.79 | ↓ -41% |
| Prime Health Services | Worker's Compensation | $168.65 | ↓ -34% |
| Injury Management Organization | Med Select Network | $199.94 | ↓ -22% |
| Sedgwick | Preferred Network | $199.94 | ↓ -22% |
| CareWorks fka Rockport | Worker's Compensation | $199.94 | ↓ -22% |
| Employers Health Network | BSWQA Direct/EHN Rental | $200.14 | ↓ -22% |
| Aetna | Commercial | $234.21 | ↓ -8% |
| MidCoast | Commercial | $234.21 | ↓ -8% |
| Employers Health Network | EHN Network | $234.21 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $234.21 | ↓ -8% |
| Imagine Health | Commercial | $246.99 | ↓ -3% |
| Independent Medical System | Commercial PPO | $255.50 | ↑ +0% |
| Curative | Commercial | $276.80 | ↑ +8% |
| First Health | PPO | $298.09 | ↑ +17% |
| HealthSmart | Accel Network | $298.09 | ↑ +17% |
| Humana | Commercial PPO | $298.09 | ↑ +17% |
| BlueBell Creameries | Self Insured | $319.38 | ↑ +25% |
| Private Health Care System | PHCS Network | $319.38 | ↑ +25% |
| HealthSmart | Preferred Network | $319.38 | ↑ +25% |
| Mark Cuban | Commercial | $327.47 | ↑ +28% |
| Three Rivers | Three Rivers Provider Network | $383.26 | ↑ +50% |
| Humana Military | TRICARE | not published by hospital | — |
Visitor-reported prices
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Pr management transitional care high w/in 7 days of discharge at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $255.50 | $132.01 – $383.26 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $84.79 | $24.02 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $255.50 | $52.59 – $383.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $251.56 | $50.31 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $84.79 | $22.61 – $327.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $255.50 | $82.02 – $383.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $251.56 | $83.85 – $377.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $84.79 | $22.61 – $327.47 |