Fem/popl revasc w/stent at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$21,308.99
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.
$35,514.98
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.
$71.00 with Blue Cross Blue Shield vs $31,963.48 with Three Rivers — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | $71.00 | ↓ -100% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | ↓ -100% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | ↓ -100% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | ↓ -100% |
| Superior Health Plan | Medicaid | $3,906.65 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $4,180.11 | ↓ -80% |
| Cigna | Local Plus | $5,388.00 | ↓ -75% |
| Cigna | HMO/PPO | $6,339.00 | ↓ -70% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $12,920.35 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $15,200.41 | ↓ -29% |
| Humana | Commercial HMO | $15,811.00 | ↓ -26% |
| United Healthcare | Commercial | $17,508.89 | ↓ -18% |
| Aetna | Commercial | $19,533.24 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $19,533.24 | ↓ -8% |
| MidCoast | Commercial | $19,533.24 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $20,598.69 | ↓ -3% |
| Independent Medical System | Commercial PPO | $21,308.99 | ↑ +0% |
| Curative | Commercial | $23,084.74 | ↑ +8% |
| HealthSmart | Accel Network | $24,860.49 | ↑ +17% |
| Humana | Commercial PPO | $24,860.49 | ↑ +17% |
| First Health | PPO | $24,860.49 | ↑ +17% |
| Private Health Care System | PHCS Network | $26,636.24 | ↑ +25% |
| TriWest | Community Care Network | $26,636.24 | ↑ +25% |
| HealthSmart | Preferred Network | $26,636.24 | ↑ +25% |
| Mark Cuban | Commercial | $27,252.71 | ↑ +28% |
| CORVEL | Worker's Compensation | $30,187.73 | ↑ +42% |
| Three Rivers | Three Rivers Provider Network | $31,963.48 | ↑ +50% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,228.15 | $6,299.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,553.12 | $71.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,308.99 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,228.15 | $6,727.51 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,553.12 | $85.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,553.12 | $11,135.78 – $32,329.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,308.99 | $71.00 – $31,963.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $25,228.15 | $6,727.51 – $35,739.87 |