Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$255.96
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.
$426.60
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.
$44.69 with Baylor Scott & White Health Plan vs $383.94 with Three Rivers — 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 | Medicare Advantage | $44.69 | ↓ -83% |
| CORVEL | Worker's Compensation | $45.63 | ↓ -82% |
| Superior Health Plan | Medicaid | $46.93 | ↓ -82% |
| TriWest | Community Care Network | $47.04 | ↓ -82% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $47.04 | ↓ -82% |
| Humana | Medicare | $47.04 | ↓ -82% |
| HealthSpring | Medicare Advantage | $49.39 | ↓ -81% |
| ProCare Advantage | Medicare Advantage | $49.39 | ↓ -81% |
| American Health Plan | Medicare Advantage | $49.39 | ↓ -81% |
| United Healthcare | Medicaid/CHIP | $50.21 | ↓ -80% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $51.16 | ↓ -80% |
| Blue Cross Blue Shield | Blue Advantage | $51.84 | ↓ -80% |
| United Healthcare | Medicare Advantage | $52.68 | ↓ -79% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $56.45 | ↓ -78% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $59.04 | ↓ -77% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $59.29 | ↓ -77% |
| Prime Health Services | Worker's Compensation | $59.32 | ↓ -77% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $62.51 | ↓ -76% |
| Sedgwick | Preferred Network | $70.32 | ↓ -73% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $77.62 | ↓ -70% |
| Mark Cuban | Commercial | $117.68 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $155.20 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $182.58 | ↓ -29% |
| Cigna | Local Plus | $197.94 | ↓ -23% |
| United Healthcare | Commercial | $210.31 | ↓ -18% |
| Cigna | HMO/PPO | $231.22 | ↓ -10% |
| Aetna | Commercial | $234.63 | ↓ -8% |
| MidCoast | Commercial | $234.63 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $234.63 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $247.43 | ↓ -3% |
| Independent Medical System | Commercial PPO | $255.96 | ↑ +0% |
| Humana | Commercial HMO | $277.29 | ↑ +8% |
| Curative | Commercial | $277.29 | ↑ +8% |
| First Health | PPO | $298.62 | ↑ +17% |
| Humana | Commercial PPO | $298.62 | ↑ +17% |
| HealthSmart | Accel Network | $298.62 | ↑ +17% |
| Private Health Care System | PHCS Network | $319.95 | ↑ +25% |
| HealthSmart | Preferred Network | $319.95 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $383.94 | ↑ +50% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $429.30 | $65.22 – $65.22 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $235.24 | $44.69 – $294.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.88 | $49.58 – $361.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $255.96 | $44.69 – $319.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $235.24 | $39.64 – $294.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.88 | $44.69 – $361.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.88 | $117.68 – $361.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $255.96 | $44.69 – $383.94 |