Sipuleucel-t - su at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$112,684.50
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.
$187,807.50
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.
$20,658.83 with Superior Health Plan vs $169,026.75 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 | $20,658.83 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $22,104.94 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $53,455.73 | ↓ -53% |
| CORVEL | Worker's Compensation | $54,581.11 | ↓ -52% |
| TriWest | Community Care Network | $56,269.19 | ↓ -50% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $56,269.19 | ↓ -50% |
| Humana | Medicare | $56,269.19 | ↓ -50% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $58,708.64 | ↓ -48% |
| ProCare Advantage | Medicare Advantage | $59,082.65 | ↓ -48% |
| HealthSpring | Medicare Advantage | $59,082.65 | ↓ -48% |
| American Health Plan | Medicare Advantage | $59,082.65 | ↓ -48% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $60,849.65 | ↓ -46% |
| Mark Cuban | Commercial | $61,896.11 | ↓ -45% |
| United Healthcare | Medicare Advantage | $63,021.49 | ↓ -44% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $67,523.03 | ↓ -40% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $70,617.83 | ↓ -37% |
| Prime Health Services | Worker's Compensation | $70,955.45 | ↓ -37% |
| Sedgwick | Preferred Network | $84,122.44 | ↓ -25% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $86,391.45 | ↓ -23% |
| Blue Cross Blue Shield | Blue Advantage | $86,391.45 | ↓ -23% |
| Cigna | Local Plus | $87,142.68 | ↓ -23% |
| United Healthcare | Commercial | $92,589.10 | ↓ -18% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $92,844.16 | ↓ -18% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $99,537.98 | ↓ -12% |
| Cigna | HMO/PPO | $101,791.66 | ↓ -10% |
| QuikTrip | Employee Benefit Plan | $103,294.12 | ↓ -8% |
| MidCoast | Commercial | $103,294.12 | ↓ -8% |
| Aetna | Commercial | $103,294.12 | ↓ -8% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $105,172.20 | ↓ -7% |
| University of Mary Hardin-Baylor | Commercial | $108,928.35 | ↓ -3% |
| Independent Medical System | Commercial PPO | $112,684.50 | ↑ +0% |
| Humana | Commercial HMO | $122,074.88 | ↑ +8% |
| Curative | Commercial | $122,074.88 | ↑ +8% |
| First Health | PPO | $131,465.25 | ↑ +17% |
| HealthSmart | Accel Network | $131,465.25 | ↑ +17% |
| Humana | Commercial PPO | $131,465.25 | ↑ +17% |
| Private Health Care System | PHCS Network | $140,855.62 | ↑ +25% |
| HealthSmart | Preferred Network | $140,855.62 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $169,026.75 | ↑ +50% |
Visitor-reported prices
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Sipuleucel-t - su at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $112,684.50 | $6,299.00 – $140,855.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $112,684.50 | $23,194.23 – $169,026.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $112,684.50 | $22,536.90 – $140,855.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $112,684.50 | $30,049.20 – $140,855.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $112,684.50 | $36,171.72 – $169,026.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $112,684.50 | $58,220.32 – $169,026.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $112,684.50 | $37,561.50 – $169,026.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $112,684.50 | $30,049.20 – $140,855.62 |