CMS Price Transparency Data

X-ray, hand

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $291
Cash Discount Price: $355
vs. Medicare Baseline: 3.27x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Baylor Scott & White Medical Center Pflugerville is $291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.27x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$355

Average discount available for prompt cash payment at this facility.

Insurance Median

$291

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $355 (399%)

Insurance Median: $291 (327%)

Cash: $355 (399% of Medicare)

Ins. Median: $291 (327% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 327% of the Medicare baseline (a markup of 227%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Superior Health Plan	$37 - $81	42%
Baylor Scott & White Health Plan	$77 - $253	87%
Humana	$81 - $414	91%
Triwest	$81	91%
American Health Plan	$85	96%
Corvel	$85	96%
Healthspring	$85	96%
Prime Health Services	$85	96%
Procare Advantage	$85	96%
UnitedHealthcare	$93 - $408	105%
Sedgwick	$122	137%
Blue Cross Blue Shield	$251 - $306	282%
Cigna	$281 - $327	316%
Aetna	$325	366%
Midcoast	$325	366%
Quiktrip	$325	366%
University Of Mary Hardin-Baylor	$343	386%
Independent Medical System	$355	399%
Curative	$384	432%
First Health	$414	466%
Healthsmart	$414 - $443	466%
Private Health Care System	$443	498%
Three Rivers	$532	598%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $355.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Pflugerville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.