Reconstruction of hip socket 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.
$2,112.18 with Blue Cross Blue Shield vs $21,280.36 with Baylor Scott & White Health Plan — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,112.18 | — |
| Blue Cross Blue Shield | Blue Advantage | $2,139.09 | — |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,448.52 | — |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,583.05 | — |
| Cigna | Local Plus | $5,388.00 | — |
| Cigna | HMO/PPO | $6,339.00 | — |
| Humana | Commercial HMO | $7,441.00 | — |
| United Healthcare | Commercial | $9,751.00 | — |
| Baylor Scott & White Health Plan | Medicare Advantage | $12,252.33 | — |
| CORVEL | Worker's Compensation | $12,510.27 | — |
| Humana | Medicare | $12,897.19 | — |
| Superior Health Plan | Medicare HMO/Medicare PPO | $12,897.19 | — |
| TriWest | Community Care Network | $12,897.19 | — |
| American Health Plan | Medicare Advantage | $13,542.05 | — |
| ProCare Advantage | Medicare Advantage | $13,542.05 | — |
| Blue Cross Blue Shield | Medicare Advantage | $13,542.05 | — |
| United Healthcare | Medicare Advantage | $14,444.85 | — |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $15,476.63 | — |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $16,185.97 | — |
| Prime Health Services | Worker's Compensation | $16,263.36 | — |
| Injury Management Organization | Med Select Network | $19,281.30 | — |
| Sedgwick | Preferred Network | $19,281.30 | — |
| CareWorks fka Rockport | Worker's Compensation | $19,281.30 | — |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $21,280.36 | — |
| Imagine Health | Commercial | not published by hospital | — |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of hip socket at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $1,681.68 – $4,826.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | not published | $2,112.18 – $19,281.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $2,273.62 – $27,728.96 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $26,592.96 – $26,592.96 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $34,663.46 – $34,663.46 |
| Covenant Children's Hospital | Lubbock | not published | $1,589.50 – $28,180.60 |
| HCA HOUSTON CONROE | CONROE | not published | $31,355.88 – $31,355.88 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $31,355.88 – $31,355.88 |