R & l heart cath congenital at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$9,805.80
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.
$16,343.00
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.
$2,451.45 with Superior Health Plan vs $16,680.00 with United Healthcare — 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 | $2,451.45 | ↓ -75% |
| United Healthcare | Medicaid/CHIP | $2,623.05 | ↓ -73% |
| Texas Workforce Commission | Workers Compensation | $5,720.05 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,945.58 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $6,994.80 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,517.78 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $7,517.78 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $7,681.21 | ↓ -22% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,661.79 | ↓ -12% |
| QuikTrip | Employee Benefit Plan | $8,988.65 | ↓ -8% |
| Aetna | Commercial | $8,988.65 | ↓ -8% |
| Employers Health Network | EHN Network | $8,988.65 | ↓ -8% |
| MidCoast | Commercial | $8,988.65 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $9,152.08 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $9,478.94 | ↓ -3% |
| Independent Medical System | Commercial PPO | $9,805.80 | ↑ +0% |
| Cigna | Local Plus | $10,604.00 | ↑ +8% |
| Curative | Commercial | $10,622.95 | ↑ +8% |
| HealthSmart | Accel Network | $11,440.10 | ↑ +17% |
| First Health | PPO | $11,440.10 | ↑ +17% |
| Humana | Commercial PPO | $11,440.10 | ↑ +17% |
| Private Health Care System | PHCS Network | $12,257.25 | ↑ +25% |
| BlueBell Creameries | Self Insured | $12,257.25 | ↑ +25% |
| TriWest | Community Care Network | $12,257.25 | ↑ +25% |
| HealthSmart | Preferred Network | $12,257.25 | ↑ +25% |
| Cigna | HMO/PPO | $12,475.00 | ↑ +27% |
| CORVEL | Worker's Compensation | $13,891.55 | ↑ +42% |
| Three Rivers | Three Rivers Provider Network | $14,708.70 | ↑ +50% |
| Humana | Commercial HMO | $14,797.00 | ↑ +51% |
| United Healthcare | Commercial | $16,680.00 | ↑ +70% |
| Imagine Health | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
R & l heart cath congenital at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,805.80 | $5,066.33 – $14,708.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $7,547.27 | $2,138.39 – $10,691.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,805.80 | $2,018.36 – $14,708.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,296.09 | $2,059.22 – $12,870.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $7,547.27 | $2,012.61 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,805.80 | $3,147.66 – $14,708.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,296.09 | $3,432.03 – $15,444.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $7,547.27 | $2,012.61 – $16,180.00 |