Gi wireless capsule measure at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$710.42
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.
$1,184.03
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.
$466.98 with Baylor Scott & White Health Plan vs $4,563.00 with United Healthcare — 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 | $466.98 | ↓ -34% |
| Cigna | Local Plus | $549.39 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $549.39 | ↓ -23% |
| Cigna | HMO/PPO | $641.74 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $651.22 | ↓ -8% |
| MidCoast | Commercial | $651.22 | ↓ -8% |
| Aetna | Commercial | $651.22 | ↓ -8% |
| Independent Medical System | Commercial PPO | $710.42 | ↑ +0% |
| Humana | Commercial HMO | $769.62 | ↑ +8% |
| Curative | Commercial | $769.62 | ↑ +8% |
| First Health | PPO | $828.82 | ↑ +17% |
| HealthSmart | Accel Network | $828.82 | ↑ +17% |
| Humana | Commercial PPO | $828.82 | ↑ +17% |
| Baylor Scott & White Health Plan | Medicare Advantage | $865.56 | ↑ +22% |
| CORVEL | Worker's Compensation | $883.79 | ↑ +24% |
| Private Health Care System | PHCS Network | $888.02 | ↑ +25% |
| HealthSmart | Preferred Network | $888.02 | ↑ +25% |
| Humana | Medicare | $911.12 | ↑ +28% |
| TriWest | Community Care Network | $911.12 | ↑ +28% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $911.12 | ↑ +28% |
| Superior Health Plan | Medicaid | $937.56 | ↑ +32% |
| HealthSpring | Medicare Advantage | $956.68 | ↑ +35% |
| ProCare Advantage | Medicare Advantage | $956.68 | ↑ +35% |
| American Health Plan | Medicare Advantage | $956.68 | ↑ +35% |
| United Healthcare | Medicaid/CHIP | $1,003.19 | ↑ +41% |
| United Healthcare | Medicare Advantage | $1,020.45 | ↑ +44% |
| Three Rivers | Three Rivers Provider Network | $1,065.63 | ↑ +50% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,093.34 | ↑ +54% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,143.46 | ↑ +61% |
| Prime Health Services | Worker's Compensation | $1,148.92 | ↑ +62% |
| Sedgwick | Preferred Network | $1,362.12 | ↑ +92% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,503.35 | ↑ +112% |
| Mark Cuban | Commercial | $2,245.59 | ↑ +216% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $3,560.10 | ↑ +401% |
| Blue Cross Blue Shield | Blue Advantage | $3,607.25 | ↑ +408% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $4,125.94 | ↑ +481% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $4,349.92 | ↑ +512% |
| United Healthcare | Commercial | $4,563.00 | ↑ +542% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Gi wireless capsule measure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,201.70 | $247.35 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $710.42 | $466.98 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,201.70 | $789.92 – $2,245.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,201.70 | $937.56 – $2,501.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $710.42 | $466.98 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,201.70 | $660.93 – $2,245.59 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,201.70 | $700.99 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $710.42 | $224.97 – $2,245.59 |