Laparo cholecystectomy/explr at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$8,770.20
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.
$14,617.00
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.
$1,888.85 with Superior Health Plan vs $25,500.18 with Mark Cuban — 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 | $1,888.85 | ↓ -78% |
| United Healthcare | Medicaid/CHIP | $2,021.07 | ↓ -77% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $5,764.94 | ↓ -34% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $6,782.29 | ↓ -23% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $7,588.92 | ↓ -13% |
| Blue Cross Blue Shield | Blue Advantage | $7,685.60 | ↓ -12% |
| MidCoast | Commercial | $8,039.35 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $8,039.35 | ↓ -8% |
| Aetna | Commercial | $8,039.35 | ↓ -8% |
| Cigna | Local Plus | $8,649.00 | ↓ -1% |
| Independent Medical System | Commercial PPO | $8,770.20 | ↑ +0% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $8,797.35 | ↑ +0% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $9,280.72 | ↑ +6% |
| Curative | Commercial | $9,501.05 | ↑ +8% |
| United Healthcare | Commercial | $9,751.00 | ↑ +11% |
| Baylor Scott & White Health Plan | Medicare Advantage | $10,144.36 | ↑ +16% |
| Cigna | HMO/PPO | $10,175.00 | ↑ +16% |
| Humana | Commercial PPO | $10,231.90 | ↑ +17% |
| HealthSmart | Accel Network | $10,231.90 | ↑ +17% |
| First Health | PPO | $10,231.90 | ↑ +17% |
| CORVEL | Worker's Compensation | $10,357.92 | ↑ +18% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $10,678.27 | ↑ +22% |
| Humana | Medicare | $10,678.27 | ↑ +22% |
| TriWest | Community Care Network | $10,678.27 | ↑ +22% |
| Private Health Care System | PHCS Network | $10,962.75 | ↑ +25% |
| HealthSmart | Preferred Network | $10,962.75 | ↑ +25% |
| HealthSpring | Medicare Advantage | $11,212.18 | ↑ +28% |
| American Health Plan | Medicare Advantage | $11,212.18 | ↑ +28% |
| ProCare Advantage | Medicare Advantage | $11,212.18 | ↑ +28% |
| United Healthcare | Medicare Advantage | $11,959.66 | ↑ +36% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $12,813.92 | ↑ +46% |
| Three Rivers | Three Rivers Provider Network | $13,155.30 | ↑ +50% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $13,401.23 | ↑ +53% |
| Prime Health Services | Worker's Compensation | $13,465.30 | ↑ +54% |
| Humana | Commercial HMO | $15,811.00 | ↑ +80% |
| Sedgwick | Preferred Network | $15,964.01 | ↑ +82% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $17,619.15 | ↑ +101% |
| Mark Cuban | Commercial | $25,500.18 | ↑ +191% |
| University of Mary Hardin-Baylor | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Laparo cholecystectomy/explr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,637.99 | $1,888.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,770.20 | $1,805.20 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,770.20 | $1,888.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,637.99 | $1,888.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,770.20 | $2,021.07 – $25,500.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,770.20 | $1,888.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,770.20 | $1,888.85 – $25,500.18 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,637.99 | $1,888.85 – $25,500.18 |