The application of pretensioned spun high-strength concrete (PHC) piles in high intensity seismic areas has so far been limited by insufficient horizontal load resistance and poor deformation capacity. A new type of pretensioned spun concrete pile with high strength and high elongation steel strands instead of steel bars has been developed. This paper presents the flexural performance evaluation of the new centrifugal spun concrete pile with steel strands (hereafter referred to as PSC pile). An experimental study is presented first, including the bending tests on six full-scale pile test specimens with three different pile diameters. The flexural performances of PHC and PSC piles are comparatively assessed in terms of crack resistance, ultimate bearing capacity, deformation capacity and failure mode. The results show that the new PSC piles have similar crack resistance, but higher ultimate bearing capacity and better deformation capacity under a flexural condition. Comparing to PHC piles which exhibit a brittle bending failure due to the rupture of prestressing steel bars, PSC piles demonstrate a ductile bending failure with a more gradual crushing of concrete in the compression zone. Following the experimental study, a theoretical model is developed to evaluate the flexural strength of the piles, and a simplified calculation equation for ultimate bending moment is proposed. Finally, a finite element model is also established to simulate the flexural performance of the piles and the modelling results are found to be in good agreement with the experimental results.