Ot re-evaluation patient/family at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$245.25
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.
$408.75
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.
$44.96 with Superior Health Plan vs $367.88 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 | $44.96 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $48.11 | ↓ -80% |
| Aetna | Commercial | $108.00 | ↓ -56% |
| United Healthcare | Commercial | $112.00 | ↓ -54% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $148.70 | ↓ -39% |
| Cigna | Local Plus | $157.00 | ↓ -36% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $174.94 | ↓ -29% |
| Cigna | HMO/PPO | $185.00 | ↓ -25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $192.65 | ↓ -21% |
| Blue Cross Blue Shield | Blue Advantage | $195.20 | ↓ -20% |
| Mark Cuban | Commercial | $210.09 | ↓ -14% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $223.26 | ↓ -9% |
| QuikTrip | Employee Benefit Plan | $224.81 | ↓ -8% |
| MidCoast | Commercial | $224.81 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $235.39 | ↓ -4% |
| University of Mary Hardin-Baylor | Commercial | $237.07 | ↓ -3% |
| Independent Medical System | Commercial PPO | $245.25 | ↑ +0% |
| Curative | Commercial | $265.69 | ↑ +8% |
| Humana | Commercial HMO | $265.69 | ↑ +8% |
| HealthSmart | Accel Network | $286.12 | ↑ +17% |
| First Health | PPO | $286.12 | ↑ +17% |
| Humana | Commercial PPO | $286.12 | ↑ +17% |
| Private Health Care System | PHCS Network | $306.56 | ↑ +25% |
| TriWest | Community Care Network | $306.56 | ↑ +25% |
| HealthSmart | Preferred Network | $306.56 | ↑ +25% |
| CORVEL | Worker's Compensation | $347.44 | ↑ +42% |
| Three Rivers | Three Rivers Provider Network | $367.88 | ↑ +50% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $245.59 – $245.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.06 | $64.33 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.21 | $47.18 – $343.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $245.25 | $49.05 – $306.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.06 | $60.55 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.21 | $73.58 – $343.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.21 | $118.43 – $343.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $245.25 | $81.75 – $367.88 |