Insertion single tranvenous electrode/ppm/implantable defibrillator at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$9,465.05
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.
$15,775.08
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.
$4,538.30 with Superior Health Plan vs $21,045.99 with Mark Cuban — 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 | $4,538.30 | ↓ -52% |
| United Healthcare | Medicaid/CHIP | $4,855.98 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,738.97 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $6,751.73 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,256.54 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $7,256.54 | ↓ -23% |
| Cigna | Local Plus | $7,319.64 | ↓ -23% |
| Baylor Scott & White Health Plan | Medicare Advantage | $7,897.44 | ↓ -17% |
| CORVEL | Worker's Compensation | $8,063.71 | ↓ -15% |
| Humana | Medicare | $8,313.10 | ↓ -12% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $8,313.10 | ↓ -12% |
| TriWest | Community Care Network | $8,313.10 | ↓ -12% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,360.79 | ↓ -12% |
| Cigna | HMO/PPO | $8,550.09 | ↓ -10% |
| MidCoast | Commercial | $8,676.29 | ↓ -8% |
| Aetna | Commercial | $8,676.29 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $8,676.29 | ↓ -8% |
| American Health Plan | Medicare Advantage | $8,728.75 | ↓ -8% |
| HealthSpring | Medicare Advantage | $8,728.75 | ↓ -8% |
| ProCare Advantage | Medicare Advantage | $8,728.75 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $8,834.04 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $9,149.55 | ↓ -3% |
| United Healthcare | Medicare Advantage | $9,310.67 | ↓ -2% |
| Independent Medical System | Commercial PPO | $9,465.05 | ↑ +0% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $9,975.72 | ↑ +5% |
| Curative | Commercial | $10,253.80 | ↑ +8% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $10,432.94 | ↑ +10% |
| Prime Health Services | Worker's Compensation | $10,482.82 | ↑ +11% |
| United Healthcare | Commercial | $10,900.58 | ↑ +15% |
| HealthSmart | Accel Network | $11,042.56 | ↑ +17% |
| First Health | PPO | $11,042.56 | ↑ +17% |
| Humana | Commercial PPO | $11,042.56 | ↑ +17% |
| Private Health Care System | PHCS Network | $11,831.31 | ↑ +25% |
| HealthSmart | Preferred Network | $11,831.31 | ↑ +25% |
| Sedgwick | Preferred Network | $12,428.08 | ↑ +31% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $13,716.61 | ↑ +45% |
| Three Rivers | Three Rivers Provider Network | $14,197.57 | ↑ +50% |
| Humana | Commercial HMO | $15,811.00 | ↑ +67% |
| Mark Cuban | Commercial | $21,045.99 | ↑ +122% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,687.71 | $2,405.72 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,687.71 | $4,855.98 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,687.71 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,799.55 | $4,538.30 – $21,045.99 |