Revasc lithotrip tibi/perone at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$14,653.35
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.
$24,422.25
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.
$4,750.24 with Superior Health Plan vs $27,252.71 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 | $4,750.24 | ↓ -68% |
| United Healthcare | Medicaid/CHIP | $5,082.76 | ↓ -65% |
| Cigna | Local Plus | $5,388.00 | ↓ -63% |
| Cigna | HMO/PPO | $6,339.00 | ↓ -57% |
| Texas Workforce Commission | Workers Compensation | $8,547.79 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $8,884.81 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $10,452.72 | ↓ -29% |
| Baylor Scott & White Health Plan | Medicare Advantage | $11,016.95 | ↓ -25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $11,234.24 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $11,234.24 | ↓ -23% |
| CORVEL | Worker's Compensation | $11,248.89 | ↓ -23% |
| Employers Health Network | BSWQA Direct/EHN Rental | $11,478.46 | ↓ -22% |
| TriWest | Community Care Network | $11,596.79 | ↓ -21% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $11,596.79 | ↓ -21% |
| Humana | Medicare | $11,596.79 | ↓ -21% |
| American Health Plan | Medicare Advantage | $12,176.63 | ↓ -17% |
| Blue Cross Blue Shield | Medicare Advantage | $12,176.63 | ↓ -17% |
| ProCare Advantage | Medicare Advantage | $12,176.63 | ↓ -17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $12,943.79 | ↓ -12% |
| United Healthcare | Medicare Advantage | $12,988.40 | ↓ -11% |
| QuikTrip | Employee Benefit Plan | $13,432.24 | ↓ -8% |
| Aetna | Commercial | $13,432.24 | ↓ -8% |
| Employers Health Network | EHN Network | $13,432.24 | ↓ -8% |
| MidCoast | Commercial | $13,432.24 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $13,676.46 | ↓ -7% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $13,916.15 | ↓ -5% |
| Imagine Health | Commercial | $14,164.91 | ↓ -3% |
| University of Mary Hardin-Baylor | Commercial | $14,164.91 | ↓ -3% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $14,553.97 | ↓ -1% |
| Prime Health Services | Worker's Compensation | $14,623.55 | ↓ -0% |
| Independent Medical System | Commercial PPO | $14,653.35 | ↑ +0% |
| Humana | Commercial HMO | $15,811.00 | ↑ +8% |
| Curative | Commercial | $15,874.46 | ↑ +8% |
| United Healthcare | Commercial | $16,875.77 | ↑ +15% |
| HealthSmart | Accel Network | $17,095.58 | ↑ +17% |
| Humana | Commercial PPO | $17,095.58 | ↑ +17% |
| First Health | PPO | $17,095.58 | ↑ +17% |
| Injury Management Organization | Med Select Network | $17,337.20 | ↑ +18% |
| Sedgwick | Preferred Network | $17,337.20 | ↑ +18% |
| CareWorks fka Rockport | Worker's Compensation | $17,337.20 | ↑ +18% |
| BlueBell Creameries | Self Insured | $18,316.69 | ↑ +25% |
| HealthSmart | Preferred Network | $18,316.69 | ↑ +25% |
| Private Health Care System | PHCS Network | $18,316.69 | ↑ +25% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $19,134.70 | ↑ +31% |
| Three Rivers | Three Rivers Provider Network | $21,980.03 | ↑ +50% |
| Mark Cuban | Commercial | $27,252.71 | ↑ +86% |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,653.35 | $4,750.24 – $27,252.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,653.35 | $3,016.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,653.35 | $5,082.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $14,653.34 | $4,750.24 – $27,252.71 |