CMS Price Transparency Data

X-ray, hip

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $264
Cash Discount Price: $288
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Baylor Scott & White Medical Center Pflugerville is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.97x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $288 (324%)

Insurance Median: $264 (297%)

Cash: $288 (324% of Medicare)

Ins. Median: $264 (297% 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 297% of the Medicare baseline (a markup of 197%). 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	$47 - $81	53%
Baylor Scott & White Health Plan	$77 - $205	87%
Humana	$81 - $336	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 - $331	105%
Sedgwick	$122	137%
Cigna	$228 - $266	256%
Blue Cross Blue Shield	$251 - $306	282%
Aetna	$264	297%
Midcoast	$264	297%
Quiktrip	$264	297%
University Of Mary Hardin-Baylor	$278	313%
Independent Medical System	$288	324%
Curative	$312	351%
First Health	$336	378%
Healthsmart	$336 - $359	378%
Private Health Care System	$359	404%
Three Rivers	$431	485%

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 $288.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.