Prq trluml c angiop 1art&/br at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$12,333.02
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.
$20,555.03
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.
$2,261.05 with Superior Health Plan vs $24,657.00 with Humana — 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 | $2,261.05 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $2,419.33 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $5,431.62 | ↓ -56% |
| CORVEL | Worker's Compensation | $5,545.98 | ↓ -55% |
| TriWest | Community Care Network | $5,717.50 | ↓ -54% |
| Humana | Medicare | $5,717.50 | ↓ -54% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $5,717.50 | ↓ -54% |
| ProCare Advantage | Medicare Advantage | $6,003.38 | ↓ -51% |
| American Health Plan | Medicare Advantage | $6,003.38 | ↓ -51% |
| HealthSpring | Medicare Advantage | $6,003.38 | ↓ -51% |
| United Healthcare | Medicare Advantage | $6,403.60 | ↓ -48% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $6,861.00 | ↓ -44% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $7,175.46 | ↓ -42% |
| Prime Health Services | Worker's Compensation | $7,209.77 | ↓ -42% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $7,477.92 | ↓ -39% |
| Sedgwick | Preferred Network | $8,547.66 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $8,797.55 | ↓ -29% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $9,433.88 | ↓ -24% |
| Cigna | Local Plus | $10,604.00 | ↓ -14% |
| QuikTrip | Employee Benefit Plan | $11,305.27 | ↓ -8% |
| MidCoast | Commercial | $11,305.27 | ↓ -8% |
| Aetna | Commercial | $11,305.27 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $11,921.92 | ↓ -3% |
| Independent Medical System | Commercial PPO | $12,333.02 | ↑ +0% |
| Cigna | HMO/PPO | $12,475.00 | ↑ +1% |
| Curative | Commercial | $13,360.77 | ↑ +8% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $13,623.25 | ↑ +10% |
| Blue Cross Blue Shield | Blue Advantage | $13,821.41 | ↑ +12% |
| Mark Cuban | Commercial | $14,159.18 | ↑ +15% |
| Humana | Commercial PPO | $14,388.52 | ↑ +17% |
| HealthSmart | Accel Network | $14,388.52 | ↑ +17% |
| First Health | PPO | $14,388.52 | ↑ +17% |
| Private Health Care System | PHCS Network | $15,416.27 | ↑ +25% |
| HealthSmart | Preferred Network | $15,416.27 | ↑ +25% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $15,802.97 | ↑ +28% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $16,645.14 | ↑ +35% |
| United Healthcare | Commercial | $16,680.00 | ↑ +35% |
| Three Rivers | Three Rivers Provider Network | $18,499.53 | ↑ +50% |
| Humana | Commercial HMO | $24,657.00 | ↑ +100% |
Visitor-reported prices
Comments
Prq trluml c angiop 1art&/br at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,569.50 | $3,561.36 – $15,711.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,597.94 | $2,593.08 – $18,896.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,333.02 | $2,466.60 – $15,416.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,569.50 | $3,351.87 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,597.94 | $4,043.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,597.94 | $6,508.94 – $18,896.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,333.02 | $4,111.01 – $18,499.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $12,569.50 | $3,351.87 – $16,180.00 |