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Egd w/transmural drain cyst at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$786.71
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.
$1,311.19
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.
$517.13 with Baylor Scott & White Health Plan vs $14,118.49 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 |
|---|---|---|---|
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $517.13 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $608.39 | ↓ -23% |
| Aetna | Commercial | $721.15 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $721.15 | ↓ -8% |
| MidCoast | Commercial | $721.15 | ↓ -8% |
| Independent Medical System | Commercial PPO | $786.71 | ↑ +0% |
| Curative | Commercial | $852.27 | ↑ +8% |
| First Health | PPO | $917.83 | ↑ +17% |
| Humana | Commercial PPO | $917.83 | ↑ +17% |
| HealthSmart | Preferred Network | $983.39 | ↑ +25% |
| Private Health Care System | PHCS Network | $983.39 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $1,180.07 | ↑ +50% |
| HealthSmart | Accel Network | $2,416.00 | ↑ +207% |
| Superior Health Plan | Medicaid | $2,814.82 | ↑ +258% |
| United Healthcare | Medicaid/CHIP | $3,011.86 | ↑ +283% |
| Cigna | Local Plus | $3,421.00 | ↑ +335% |
| Cigna | HMO/PPO | $4,025.00 | ↑ +412% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $4,708.56 | ↑ +499% |
| Blue Cross Blue Shield | Blue Advantage | $4,768.54 | ↑ +506% |
| Humana | Commercial HMO | $5,266.00 | ↑ +569% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $5,458.33 | ↑ +594% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $5,758.23 | ↑ +632% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,793.63 | ↑ +636% |
| CORVEL | Worker's Compensation | $5,915.60 | ↑ +652% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $6,098.56 | ↑ +675% |
| TriWest | Community Care Network | $6,098.56 | ↑ +675% |
| Humana | Medicare | $6,098.56 | ↑ +675% |
| HealthSpring | Medicare Advantage | $6,403.49 | ↑ +714% |
| American Health Plan | Medicare Advantage | $6,403.49 | ↑ +714% |
| ProCare Advantage | Medicare Advantage | $6,403.49 | ↑ +714% |
| United Healthcare | Commercial | $6,555.00 | ↑ +733% |
| United Healthcare | Medicare Advantage | $6,830.39 | ↑ +768% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $7,318.27 | ↑ +830% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,653.69 | ↑ +873% |
| Prime Health Services | Worker's Compensation | $7,690.28 | ↑ +878% |
| Sedgwick | Preferred Network | $9,117.35 | ↑ +1059% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $10,062.62 | ↑ +1179% |
| Mark Cuban | Commercial | $14,118.49 | ↑ +1695% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
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Egd w/transmural drain cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $700.80 | $420.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $700.80 | $144.25 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $700.80 | $548.96 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $700.80 | $460.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $700.80 | $642.40 – $14,118.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $700.80 | $548.96 – $14,118.49 |