Unlisted oph svc/procedure at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$213.51
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.
?
What you pay up front if you don't use insurance.
$355.85
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.19 with CORVEL vs $320.26 with Three Rivers — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CORVEL | Worker's Compensation | $28.19 | ↓ -87% |
| TriWest | Community Care Network | $29.06 | ↓ -86% |
| Humana | Medicare | $29.06 | ↓ -86% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $29.06 | ↓ -86% |
| HealthSpring | Medicare Advantage | $30.51 | ↓ -86% |
| American Health Plan | Medicare Advantage | $30.51 | ↓ -86% |
| ProCare Advantage | Medicare Advantage | $30.51 | ↓ -86% |
| United Healthcare | Medicare Advantage | $32.55 | ↓ -85% |
| Prime Health Services | Worker's Compensation | $36.64 | ↓ -83% |
| Superior Health Plan | Medicaid | $39.14 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $41.88 | ↓ -80% |
| Sedgwick | Preferred Network | $43.44 | ↓ -80% |
| Mark Cuban | Commercial | $73.76 | ↓ -65% |
| Humana | Commercial HMO | $113.00 | ↓ -47% |
| Aetna | Commercial | $195.72 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $195.72 | ↓ -8% |
| MidCoast | Commercial | $195.72 | ↓ -8% |
| Independent Medical System | Commercial PPO | $213.51 | ↑ +0% |
| Curative | Commercial | $231.30 | ↑ +8% |
| HealthSmart | Accel Network | $249.09 | ↑ +17% |
| First Health | PPO | $249.09 | ↑ +17% |
| Humana | Commercial PPO | $249.09 | ↑ +17% |
| HealthSmart | Preferred Network | $266.89 | ↑ +25% |
| Private Health Care System | PHCS Network | $266.89 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $320.26 | ↑ +50% |
Visitor-reported prices
Comments
Unlisted oph svc/procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $213.51 | $43.95 – $320.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $213.51 | $29.06 – $266.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $213.51 | $28.19 – $320.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $213.51 | $73.76 – $320.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $213.51 | $28.19 – $320.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $213.51 | $28.19 – $266.89 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $213.51 | $28.19 – $320.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $213.51 | $67.61 – $284.68 |