Ventilator initial day at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$1,879.12
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.
$3,131.86
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.
$344.50 with Superior Health Plan vs $2,818.67 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 |
|---|---|---|---|
| Superior Health Plan | Medicaid | $344.50 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $368.62 | ↓ -80% |
| Baylor Scott & White Health Plan | Medicare Advantage | $589.57 | ↓ -69% |
| CORVEL | Worker's Compensation | $601.98 | ↓ -68% |
| TriWest | Community Care Network | $620.60 | ↓ -67% |
| Humana | Medicare | $620.60 | ↓ -67% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $620.60 | ↓ -67% |
| ProCare Advantage | Medicare Advantage | $651.63 | ↓ -65% |
| HealthSpring | Medicare Advantage | $651.63 | ↓ -65% |
| American Health Plan | Medicare Advantage | $651.63 | ↓ -65% |
| United Healthcare | Medicare Advantage | $695.07 | ↓ -63% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $744.72 | ↓ -60% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $778.85 | ↓ -59% |
| Prime Health Services | Worker's Compensation | $782.58 | ↓ -58% |
| Sedgwick | Preferred Network | $927.80 | ↓ -51% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,023.99 | ↓ -46% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,139.37 | ↓ -39% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,340.44 | ↓ -29% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,402.88 | ↓ -25% |
| Blue Cross Blue Shield | Blue Advantage | $1,421.46 | ↓ -24% |
| Cigna | Local Plus | $1,453.18 | ↓ -23% |
| United Healthcare | Commercial | $1,544.01 | ↓ -18% |
| Mark Cuban | Commercial | $1,552.41 | ↓ -17% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,625.86 | ↓ -13% |
| Cigna | HMO/PPO | $1,697.47 | ↓ -10% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,714.12 | ↓ -9% |
| Aetna | Commercial | $1,722.52 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $1,722.52 | ↓ -8% |
| MidCoast | Commercial | $1,722.52 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $1,816.48 | ↓ -3% |
| Independent Medical System | Commercial PPO | $1,879.12 | ↑ +0% |
| Humana | Commercial HMO | $2,035.71 | ↑ +8% |
| Curative | Commercial | $2,035.71 | ↑ +8% |
| First Health | PPO | $2,192.30 | ↑ +17% |
| Humana | Commercial PPO | $2,192.30 | ↑ +17% |
| HealthSmart | Accel Network | $2,192.30 | ↑ +17% |
| HealthSmart | Preferred Network | $2,348.89 | ↑ +25% |
| Private Health Care System | PHCS Network | $2,348.89 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $2,818.67 | ↑ +50% |
Visitor-reported prices
Comments
Ventilator initial day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $4,594.20 | $1,788.44 – $1,788.44 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,002.58 | $567.40 – $2,503.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,501.44 | $309.05 – $2,252.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,879.12 | $375.82 – $2,348.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,002.58 | $534.02 – $2,503.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,501.44 | $481.96 – $2,252.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,501.44 | $775.74 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,879.12 | $589.57 – $2,818.67 |