IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$230.40
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.
$384.00
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.
$42.24 with Superior Health Plan vs $345.60 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $42.24 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $45.20 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $68.71 | ↓ -70% |
| CORVEL | Worker's Compensation | $70.16 | ↓ -70% |
| TriWest | Community Care Network | $72.33 | ↓ -69% |
| Humana | Medicare | $72.33 | ↓ -69% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $72.33 | ↓ -69% |
| ProCare Advantage | Medicare Advantage | $75.95 | ↓ -67% |
| HealthSpring | Medicare Advantage | $75.95 | ↓ -67% |
| American Health Plan | Medicare Advantage | $75.95 | ↓ -67% |
| United Healthcare | Medicare Advantage | $81.01 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $86.80 | ↓ -62% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $90.77 | ↓ -61% |
| Prime Health Services | Worker's Compensation | $91.21 | ↓ -60% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $95.76 | ↓ -58% |
| Blue Cross Blue Shield | Blue Advantage | $97.03 | ↓ -58% |
| Sedgwick | Preferred Network | $108.13 | ↓ -53% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $110.98 | ↓ -52% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $117.01 | ↓ -49% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $119.34 | ↓ -48% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $139.70 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $164.35 | ↓ -29% |
| Mark Cuban | Commercial | $174.51 | ↓ -24% |
| Cigna | Local Plus | $178.18 | ↓ -23% |
| United Healthcare | Commercial | $189.31 | ↓ -18% |
| Cigna | HMO/PPO | $208.13 | ↓ -10% |
| Aetna | Commercial | $211.20 | ↓ -8% |
| MidCoast | Commercial | $211.20 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $211.20 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $222.72 | ↓ -3% |
| Independent Medical System | Commercial PPO | $230.40 | ↑ +0% |
| Humana | Commercial HMO | $249.60 | ↑ +8% |
| Curative | Commercial | $249.60 | ↑ +8% |
| First Health | PPO | $268.80 | ↑ +17% |
| Humana | Commercial PPO | $268.80 | ↑ +17% |
| HealthSmart | Accel Network | $268.80 | ↑ +17% |
| Private Health Care System | PHCS Network | $288.00 | ↑ +25% |
| HealthSmart | Preferred Network | $288.00 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $345.60 | ↑ +50% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,833.06 | $122.08 – $122.08 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $280.91 | $68.71 – $351.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $243.30 | $50.08 – $364.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $230.40 | $46.08 – $288.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $280.91 | $68.71 – $351.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $243.30 | $68.71 – $364.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $243.30 | $125.70 – $364.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $230.40 | $68.71 – $345.60 |