Hla class i semiquant panel at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$1,526.11
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.
$2,543.51
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.
$12.00 with United Healthcare vs $2,289.16 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 |
|---|---|---|---|
| United Healthcare | Commercial | $12.00 | ↓ -99% |
| Superior Health Plan | Medicaid | $300.35 | ↓ -80% |
| United Healthcare | Medicaid/CHIP | $321.37 | ↓ -79% |
| Baylor Scott & White Health Plan | Medicare Advantage | $339.68 | ↓ -78% |
| CORVEL | Worker's Compensation | $346.83 | ↓ -77% |
| Humana | Medicare | $357.56 | ↓ -77% |
| TriWest | Community Care Network | $357.56 | ↓ -77% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $357.56 | ↓ -77% |
| HealthSpring | Medicare Advantage | $375.44 | ↓ -75% |
| American Health Plan | Medicare Advantage | $375.44 | ↓ -75% |
| ProCare Advantage | Medicare Advantage | $375.44 | ↓ -75% |
| United Healthcare | Medicare Advantage | $400.47 | ↓ -74% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $429.07 | ↓ -72% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $448.74 | ↓ -71% |
| Prime Health Services | Worker's Compensation | $450.88 | ↓ -70% |
| Sedgwick | Preferred Network | $534.55 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $589.97 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $651.20 | ↓ -57% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $766.12 | ↓ -50% |
| Mark Cuban | Commercial | $858.14 | ↓ -44% |
| Cigna | Local Plus | $1,180.19 | ↓ -23% |
| Cigna | HMO/PPO | $1,378.58 | ↓ -10% |
| Aetna | Commercial | $1,398.93 | ↓ -8% |
| MidCoast | Commercial | $1,398.93 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,398.93 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,475.24 | ↓ -3% |
| Independent Medical System | Commercial PPO | $1,526.11 | ↑ +0% |
| Humana | Commercial HMO | $1,653.28 | ↑ +8% |
| Curative | Commercial | $1,653.28 | ↑ +8% |
| Humana | Commercial PPO | $1,780.46 | ↑ +17% |
| HealthSmart | Accel Network | $1,780.46 | ↑ +17% |
| First Health | PPO | $1,780.46 | ↑ +17% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,848.59 | ↑ +21% |
| Blue Cross Blue Shield | Blue Advantage | $1,873.61 | ↑ +23% |
| Private Health Care System | PHCS Network | $1,907.63 | ↑ +25% |
| HealthSmart | Preferred Network | $1,907.63 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,141.78 | ↑ +40% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,256.20 | ↑ +48% |
| Three Rivers | Three Rivers Provider Network | $2,289.16 | ↑ +50% |
Visitor-reported prices
Comments
Hla class i semiquant panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,526.11 | $12.00 – $2,289.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,526.11 | $12.00 – $1,907.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,526.11 | $12.00 – $2,289.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,526.11 | $8.00 – $2,289.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,526.11 | $12.00 – $2,289.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,526.11 | $300.35 – $1,907.63 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,526.11 | $12.00 – $2,289.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,526.11 | $12.00 – $2,034.81 |