Trauma partial team response w/critical care services level 4 at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$8,026.96
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.
$13,378.27
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.
$108.43 with Superior Health Plan vs $7,149.88 with Baylor Scott & White Health Plan — 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 | $108.43 | ↓ -99% |
| United Healthcare | Medicaid/CHIP | $116.02 | ↓ -99% |
| Cigna | Local Plus | $457.37 | ↓ -94% |
| United Healthcare | Commercial | $485.96 | ↓ -94% |
| Cigna | HMO/PPO | $534.25 | ↓ -93% |
| QuikTrip | Employee Benefit Plan | $542.14 | ↓ -93% |
| MidCoast | Commercial | $542.14 | ↓ -93% |
| Aetna | Commercial | $542.14 | ↓ -93% |
| University of Mary Hardin-Baylor | Commercial | $571.71 | ↓ -93% |
| Independent Medical System | Commercial PPO | $591.43 | ↓ -93% |
| Curative | Commercial | $640.71 | ↓ -92% |
| Humana | Commercial PPO | $690.00 | ↓ -91% |
| HealthSmart | Accel Network | $690.00 | ↓ -91% |
| First Health | PPO | $690.00 | ↓ -91% |
| Private Health Care System | PHCS Network | $739.28 | ↓ -91% |
| HealthSmart | Preferred Network | $739.28 | ↓ -91% |
| Three Rivers | Three Rivers Provider Network | $887.14 | ↓ -89% |
| Baylor Scott & White Health Plan | Medicare Advantage | $1,272.03 | ↓ -84% |
| CORVEL | Worker's Compensation | $1,298.81 | ↓ -84% |
| Humana | Medicare | $1,338.98 | ↓ -83% |
| TriWest | Community Care Network | $1,338.98 | ↓ -83% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $1,338.98 | ↓ -83% |
| HealthSpring | Medicare Advantage | $1,405.93 | ↓ -82% |
| ProCare Advantage | Medicare Advantage | $1,405.93 | ↓ -82% |
| American Health Plan | Medicare Advantage | $1,405.93 | ↓ -82% |
| United Healthcare | Medicare Advantage | $1,499.66 | ↓ -81% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,606.78 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,680.42 | ↓ -79% |
| Prime Health Services | Worker's Compensation | $1,688.45 | ↓ -79% |
| Sedgwick | Preferred Network | $2,001.78 | ↓ -75% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,209.32 | ↓ -72% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $2,691.27 | ↓ -66% |
| Blue Cross Blue Shield | Blue Advantage | $2,726.92 | ↓ -66% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $3,119.03 | ↓ -61% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $3,288.34 | ↓ -59% |
| Mark Cuban | Commercial | $3,391.62 | ↓ -58% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $6,077.39 | ↓ -24% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $7,149.88 | ↓ -11% |
| Humana | Commercial HMO | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,026.96 | $167.57 – $6,858.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,026.96 | $121.74 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,026.96 | $118.29 – $3,391.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,026.96 | $157.71 – $6,292.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,026.96 | $189.85 – $6,292.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,026.96 | $305.57 – $3,391.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,026.96 | $197.14 – $3,391.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,026.96 | $157.71 – $6,292.00 |