Acup 1/> wo estim 1st 15 min at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$76.87
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.
$128.11
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.
$14.09 with Superior Health Plan vs $115.68 with Blue Cross Blue Shield — 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 | $14.09 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $15.08 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $27.61 | ↓ -64% |
| CORVEL | Worker's Compensation | $28.19 | ↓ -63% |
| Humana | Medicare | $29.06 | ↓ -62% |
| TriWest | Community Care Network | $29.06 | ↓ -62% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $29.06 | ↓ -62% |
| American Health Plan | Medicare Advantage | $30.51 | ↓ -60% |
| ProCare Advantage | Medicare Advantage | $30.51 | ↓ -60% |
| HealthSpring | Medicare Advantage | $30.51 | ↓ -60% |
| United Healthcare | Medicare Advantage | $32.55 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $34.87 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $36.47 | ↓ -53% |
| Prime Health Services | Worker's Compensation | $36.64 | ↓ -52% |
| Sedgwick | Preferred Network | $43.44 | ↓ -43% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $46.61 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $47.95 | ↓ -38% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $54.83 | ↓ -29% |
| Cigna | Local Plus | $59.44 | ↓ -23% |
| Cigna | HMO/PPO | $69.44 | ↓ -10% |
| Aetna | Commercial | $70.46 | ↓ -8% |
| MidCoast | Commercial | $70.46 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $70.46 | ↓ -8% |
| Mark Cuban | Commercial | $73.76 | ↓ -4% |
| University of Mary Hardin-Baylor | Commercial | $74.30 | ↓ -3% |
| Independent Medical System | Commercial PPO | $76.87 | ↑ +0% |
| Humana | Commercial HMO | $83.27 | ↑ +8% |
| Curative | Commercial | $83.27 | ↑ +8% |
| United Healthcare | Commercial | $88.52 | ↑ +15% |
| Humana | Commercial PPO | $89.68 | ↑ +17% |
| First Health | PPO | $89.68 | ↑ +17% |
| HealthSmart | Accel Network | $89.68 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $94.68 | ↑ +23% |
| Blue Cross Blue Shield | Blue Advantage | $95.93 | ↑ +25% |
| Private Health Care System | PHCS Network | $96.08 | ↑ +25% |
| HealthSmart | Preferred Network | $96.08 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $109.72 | ↑ +43% |
| Three Rivers | Three Rivers Provider Network | $115.30 | ↑ +50% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $115.68 | ↑ +50% |
Visitor-reported prices
Comments
Acup 1/> wo estim 1st 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38.94 | $11.03 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $63.76 | $13.12 – $95.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.87 | $15.37 – $96.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38.94 | $10.38 – $73.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $63.76 | $20.47 – $95.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $63.76 | $32.94 – $95.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.87 | $25.62 – $115.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $38.94 | $10.38 – $73.76 |