healthcosts.net
ER Visit (level 2) at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$561.69
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.
?
What you pay up front if you don't use insurance.
$936.15
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.
?
The hospital's undiscounted list price — almost no one pays this.
$102.98 with Superior Health Plan vs $1,718.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $102.98 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $110.18 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $146.53 | ↓ -74% |
| CORVEL | Worker's Compensation | $149.61 | ↓ -73% |
| Humana | Medicare | $154.24 | ↓ -73% |
| TriWest | Community Care Network | $154.24 | ↓ -73% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $154.24 | ↓ -73% |
| ProCare Advantage | Medicare Advantage | $161.95 | ↓ -71% |
| HealthSpring | Medicare Advantage | $161.95 | ↓ -71% |
| American Health Plan | Medicare Advantage | $161.95 | ↓ -71% |
| United Healthcare | Medicare Advantage | $172.75 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $185.09 | ↓ -67% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $193.57 | ↓ -66% |
| Prime Health Services | Worker's Compensation | $194.50 | ↓ -65% |
| Sedgwick | Preferred Network | $230.59 | ↓ -59% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $254.50 | ↓ -55% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $405.22 | ↓ -28% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $476.74 | ↓ -15% |
| University of Mary Hardin-Baylor | Commercial | $479.00 | ↓ -15% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $484.00 | ↓ -14% |
| QuikTrip | Employee Benefit Plan | $514.88 | ↓ -8% |
| MidCoast | Commercial | $514.88 | ↓ -8% |
| Independent Medical System | Commercial PPO | $561.69 | ↑ +0% |
| Blue Cross Blue Shield | Blue Advantage | $600.00 | ↑ +7% |
| Curative | Commercial | $608.50 | ↑ +8% |
| Humana | Commercial PPO | $655.30 | ↑ +17% |
| First Health | PPO | $655.30 | ↑ +17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $688.00 | ↑ +22% |
| HealthSmart | Preferred Network | $702.11 | ↑ +25% |
| Private Health Care System | PHCS Network | $702.11 | ↑ +25% |
| HealthSmart | Accel Network | $702.11 | ↑ +25% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $724.00 | ↑ +29% |
| Three Rivers | Three Rivers Provider Network | $842.53 | ↑ +50% |
| Mark Cuban | Commercial | $1,185.00 | ↑ +111% |
| Aetna | Commercial | $1,718.00 | ↑ +206% |
| Humana | Commercial HMO | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Cigna | HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $469.39 | $132.99 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $481.37 | $99.08 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $561.69 | $112.34 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $469.39 | $125.17 – $1,718.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $481.37 | $146.53 – $1,718.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $481.37 | $248.71 – $1,185.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $469.39 | $125.17 – $1,185.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $469.39 | $117.35 – $1,185.00 |