Knee control full kneecap at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$224.86
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.
$374.76
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.
$19.29 with Superior Health Plan vs $157.79 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 | $19.29 | ↓ -91% |
| United Healthcare | Medicaid/CHIP | $20.64 | ↓ -91% |
| Blue Cross Blue Shield | Blue Advantage | $57.86 | ↓ -74% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $78.98 | ↓ -65% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $92.92 | ↓ -59% |
| Aetna | Commercial | $96.43 | ↓ -57% |
| MidCoast | Commercial | $96.43 | ↓ -57% |
| QuikTrip | Employee Benefit Plan | $96.43 | ↓ -57% |
| Cigna | Local Plus | $101.69 | ↓ -55% |
| Independent Medical System | Commercial PPO | $105.19 | ↓ -53% |
| Humana | Commercial HMO | $113.96 | ↓ -49% |
| Curative | Commercial | $113.96 | ↓ -49% |
| Cigna | HMO/PPO | $119.22 | ↓ -47% |
| United Healthcare | Commercial | $121.15 | ↓ -46% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $122.72 | ↓ -45% |
| First Health | PPO | $122.72 | ↓ -45% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $122.72 | ↓ -45% |
| HealthSmart | Accel Network | $122.72 | ↓ -45% |
| University of Mary Hardin-Baylor | Commercial | $122.72 | ↓ -45% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $122.72 | ↓ -45% |
| Humana | Commercial PPO | $131.49 | ↓ -42% |
| TriWest | Community Care Network | $131.49 | ↓ -42% |
| HealthSmart | Preferred Network | $140.26 | ↓ -38% |
| Private Health Care System | PHCS Network | $140.26 | ↓ -38% |
| Three Rivers | Three Rivers Provider Network | $157.79 | ↓ -30% |
| Prime Health Services | Worker's Compensation | not published by hospital | — |
| CORVEL | Worker's Compensation | not published by hospital | — |
| Sedgwick | Preferred Network | not published by hospital | — |
Visitor-reported prices
Comments
Knee control full kneecap at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $224.86 | $21.65 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.86 | $21.04 – $140.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $224.86 | $33.77 – $157.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $224.86 | $54.35 – $157.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $224.86 | $35.06 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $224.86 | $21.04 – $140.26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $224.86 | $26.30 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $224.86 | $33.31 – $140.26 |