CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,645

about 1.2× the $12,807 Medicare rate · typically $11,151–$19,082

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,932

Above the fair price

about $3,287 over the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $15,645 This hospital $18,932

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $9,063 Priciest $18,932

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $15,645 (about 1.2× the $12,807 Medicare rate). Baylor Scott & White Medical Center Pflugerville charges insurers about $18,932 — above the fair price. Located in Pflugerville, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $15,645. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$14,463 - $33,738	113%
Blue Cross Blue Shieldmajor	$18,932 - $24,667	148%
Aetnamajor	$33,685	263%
Cignamajor	$17,944 - $21,110	140%
Humanamajor	$12,576 - $30,805	98%
Baylor Scott & White	$11,947 - $22,637	93%
Cigna HealthSpring	$13,205	103%
+ 4 smaller / regional plans	$13,205 - $26,466

Government programs also on file: Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott & White Medical Center Pflugerville is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott & White Medical Center Pflugerville

Compare: Heart stent placement (inpatient stay) at other TX hospitals

Dell Seton Med Center at the University of Tx · Austin $9,063
Northwest Hills Surgical Hospital · Austin $9,063
Ascension Seton Highland Lakes · Burnet $9,063
Ascension Seton Edgar B Davis · Luling $9,063
Dell Children's Medical Center · Austin $9,063
Ascension Seton Cedar Park · Cedar Park $9,063
Childrens Medical Ctr of Dallas · Dallas $9,631
Childrens Medical Center Plano · Plano $9,631

Insurance negotiated median for the same procedure, sorted lowest first.