Bundled special stain group 2 at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$306.90
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.
$511.50
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.
$31.54 with Superior Health Plan vs $258.08 with Three Rivers — 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 | $31.54 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $33.75 | ↓ -89% |
| United Healthcare | Commercial | $36.00 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $104.32 | ↓ -66% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $122.73 | ↓ -60% |
| Baylor Scott & White Health Plan | Medicare Advantage | $126.97 | ↓ -59% |
| CORVEL | Worker's Compensation | $129.64 | ↓ -58% |
| Cigna | Local Plus | $133.06 | ↓ -57% |
| Humana | Medicare | $133.65 | ↓ -56% |
| TriWest | Community Care Network | $133.65 | ↓ -56% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $133.65 | ↓ -56% |
| ProCare Advantage | Medicare Advantage | $140.33 | ↓ -54% |
| American Health Plan | Medicare Advantage | $140.33 | ↓ -54% |
| HealthSpring | Medicare Advantage | $140.33 | ↓ -54% |
| United Healthcare | Medicare Advantage | $149.69 | ↓ -51% |
| Mark Cuban | Commercial | $151.53 | ↓ -51% |
| Cigna | HMO/PPO | $155.42 | ↓ -49% |
| Aetna | Commercial | $157.72 | ↓ -49% |
| MidCoast | Commercial | $157.72 | ↓ -49% |
| QuikTrip | Employee Benefit Plan | $157.72 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $160.38 | ↓ -48% |
| University of Mary Hardin-Baylor | Commercial | $166.32 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $167.73 | ↓ -45% |
| Prime Health Services | Worker's Compensation | $168.53 | ↓ -45% |
| Independent Medical System | Commercial PPO | $172.06 | ↓ -44% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $172.83 | ↓ -44% |
| Blue Cross Blue Shield | Blue Advantage | $175.17 | ↓ -43% |
| Humana | Commercial HMO | $186.39 | ↓ -39% |
| Curative | Commercial | $186.39 | ↓ -39% |
| Sedgwick | Preferred Network | $199.81 | ↓ -35% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $200.25 | ↓ -35% |
| First Health | PPO | $200.73 | ↓ -35% |
| HealthSmart | Accel Network | $200.73 | ↓ -35% |
| Humana | Commercial PPO | $200.73 | ↓ -35% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $210.94 | ↓ -31% |
| Private Health Care System | PHCS Network | $215.07 | ↓ -30% |
| HealthSmart | Preferred Network | $215.07 | ↓ -30% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $220.52 | ↓ -28% |
| Three Rivers | Three Rivers Provider Network | $258.08 | ↓ -16% |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $238.37 | $128.71 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $306.90 | $35.00 – $287.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $306.90 | $36.00 – $265.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $306.90 | $34.41 – $215.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $306.90 | $35.00 – $287.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $306.90 | $36.00 – $265.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $306.90 | $26.00 – $265.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $306.90 | $36.00 – $258.08 |