Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
$1,944.23
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.
$3,240.38
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.
$9.26 with Superior Health Plan vs $7,441.00 with Humana — 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 | $9.26 | ↓ -100% |
| United Healthcare | Medicaid/CHIP | $9.91 | ↓ -99% |
| United Healthcare | Commercial | $12.00 | ↓ -99% |
| Texas Workforce Commission | Workers Compensation | $21.61 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $22.46 | ↓ -99% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $26.42 | ↓ -99% |
| Employers Health Network | BSWQA Direct/EHN Rental | $29.02 | ↓ -99% |
| Cigna | Local Plus | $30.99 | ↓ -98% |
| Employers Health Network | EHN Network | $33.96 | ↓ -98% |
| MidCoast | Commercial | $33.96 | ↓ -98% |
| Aetna | Commercial | $33.96 | ↓ -98% |
| QuikTrip | Employee Benefit Plan | $33.96 | ↓ -98% |
| University of Mary Hardin-Baylor | Commercial | $35.81 | ↓ -98% |
| Imagine Health | Commercial | $35.81 | ↓ -98% |
| Cigna | HMO/PPO | $36.43 | ↓ -98% |
| Independent Medical System | Commercial PPO | $37.04 | ↓ -98% |
| Curative | Commercial | $40.13 | ↓ -98% |
| First Health | PPO | $43.22 | ↓ -98% |
| Humana | Commercial PPO | $43.22 | ↓ -98% |
| HealthSmart | Accel Network | $43.22 | ↓ -98% |
| Private Health Care System | PHCS Network | $46.30 | ↓ -98% |
| TriWest | Community Care Network | $46.30 | ↓ -98% |
| BlueBell Creameries | Self Insured | $46.30 | ↓ -98% |
| HealthSmart | Preferred Network | $46.30 | ↓ -98% |
| CORVEL | Worker's Compensation | $52.48 | ↓ -97% |
| Three Rivers | Three Rivers Provider Network | $55.57 | ↓ -97% |
| Blue Cross Blue Shield | Blue Advantage | $71.00 | ↓ -96% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -96% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -96% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -96% |
| Humana | Commercial HMO | $7,441.00 | ↑ +283% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,944.23 | $8.00 – $55.57 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,385.30 | $392.50 – $1,962.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,944.23 | $7.62 – $55.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,717.67 | $12.00 – $2,147.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,385.30 | $369.41 – $1,962.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,944.23 | $11.89 – $85.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,717.67 | $12.00 – $2,576.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,385.30 | $369.41 – $1,962.51 |