Unlisted dx gi procedure at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$1,256.74
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.
$2,094.57
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.
$116.45 with Superior Health Plan vs $1,997.00 with United Healthcare — 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 | $116.45 | ↓ -91% |
| Baylor Scott & White Health Plan | Medicare Advantage | $122.80 | ↓ -90% |
| United Healthcare | Medicaid/CHIP | $124.60 | ↓ -90% |
| CORVEL | Worker's Compensation | $125.38 | ↓ -90% |
| Humana | Medicare | $129.26 | ↓ -90% |
| TriWest | Community Care Network | $129.26 | ↓ -90% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $129.26 | ↓ -90% |
| HealthSpring | Medicare Advantage | $135.72 | ↓ -89% |
| American Health Plan | Medicare Advantage | $135.72 | ↓ -89% |
| ProCare Advantage | Medicare Advantage | $135.72 | ↓ -89% |
| United Healthcare | Medicare Advantage | $144.77 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $155.11 | ↓ -88% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $162.22 | ↓ -87% |
| Prime Health Services | Worker's Compensation | $163.00 | ↓ -87% |
| Sedgwick | Preferred Network | $193.24 | ↓ -85% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $213.28 | ↓ -83% |
| Mark Cuban | Commercial | $386.96 | ↓ -69% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $417.54 | ↓ -67% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $417.82 | ↓ -67% |
| Blue Cross Blue Shield | Blue Advantage | $423.35 | ↓ -66% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $484.23 | ↓ -61% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $491.22 | ↓ -61% |
| Cigna | Local Plus | $491.22 | ↓ -61% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $510.51 | ↓ -59% |
| Cigna | HMO/PPO | $573.79 | ↓ -54% |
| QuikTrip | Employee Benefit Plan | $582.26 | ↓ -54% |
| Aetna | Commercial | $582.26 | ↓ -54% |
| MidCoast | Commercial | $582.26 | ↓ -54% |
| Independent Medical System | Commercial PPO | $635.20 | ↓ -49% |
| Humana | Commercial HMO | $688.13 | ↓ -45% |
| Curative | Commercial | $688.13 | ↓ -45% |
| Humana | Commercial PPO | $741.06 | ↓ -41% |
| First Health | PPO | $741.06 | ↓ -41% |
| HealthSmart | Accel Network | $741.06 | ↓ -41% |
| Private Health Care System | PHCS Network | $794.00 | ↓ -37% |
| HealthSmart | Preferred Network | $794.00 | ↓ -37% |
| Three Rivers | Three Rivers Provider Network | $952.79 | ↓ -24% |
| University of Mary Hardin-Baylor | Commercial | $1,841.00 | ↑ +46% |
| United Healthcare | Commercial | $1,997.00 | ↑ +59% |
Visitor-reported prices
Comments
Unlisted dx gi procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,256.74 | $223.96 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,256.74 | $386.96 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,256.74 | $122.80 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,256.74 | $201.15 – $1,841.00 |