BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM
700 Medical Parkway, Brenham, TX · Baylor Scott & White Health · · NPI 1154315307
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Skeletal muscle relaxant 1/2 CPT 80369 | $252.00 | $420.00 | $12.00 – $298.51 | 26 |
| Skin Biopsy CPT 11102 | $360.34 | $600.56 | $68.73 – $540.50 | 27 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $3,157.10 | $5,261.83 | $71.00 – $4,735.65 | 27 |
| Skin full graft add-on 15241 CPT 15241 | $729.62 | $1,216.04 | $71.00 – $1,094.44 | 26 |
| Skin pedicle flap arms/legs CPT 15572 | $3,040.42 | $5,067.37 | $71.00 – $8,887.48 | 27 |
| Skin pedicle flap trunk CPT 15570 | $2,501.86 | $4,169.77 | $71.00 – $4,517.58 | 27 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $2,711.32 | $4,518.86 | $71.00 – $4,066.97 | 26 |
| Skull X-ray (1 to 3 views) CPT 70250 | $309.63 | $516.05 | $63.73 – $464.44 | 27 |
| Skull X-ray (complete) CPT 70260 | $440.90 | $734.83 | $90.75 – $661.35 | 27 |
| Sleep study attended CPT 95807 | $1,625.75 | $2,709.58 | $334.63 – $2,438.62 | 27 |
| Sleep Study (Polysomnography) CPT 95810 | $4,658.81 | $7,764.68 | $958.94 – $6,988.21 | 27 |
| Sleep study unattended CPT 95806 | $990.34 | $1,650.57 | $203.85 – $2,062.00 | 27 |
| Sleeve fing rolyan med HCPCS L3933 | $197.40 | $329.00 | $40.63 – $296.10 | 22 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $41.10 | $68.50 | $1.64 – $11.98 | 26 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,564.21 | $27,607.02 | $158.88 – $1,157.82 | 21 |
| Slitting of prepuce CPT 54000 | $2,733.23 | $4,555.39 | $71.00 – $8,636.11 | 27 |
| Slitting of prepuce CPT 54001 | $3,659.06 | $6,098.44 | $71.00 – $5,488.60 | 27 |
| Slp pure tone screening CPT 92551 | $95.55 | $159.25 | $19.67 – $143.32 | 26 |
| Slp stdy unatnd w/anal CPT 95801 | $526.81 | $878.02 | $108.44 – $2,062.00 | 27 |
| Small animal inoculation CPT 87003 | $119.41 | $199.01 | $12.00 – $179.11 | 27 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $520.69 | $867.82 | $107.18 – $781.04 | 27 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $85.55 | $142.58 | $6.50 – $47.37 | 27 |
| Smear gram stain CPT 87205 | $76.01 | $126.68 | $6.26 – $114.01 | 27 |
| Smear nasal eosinophil CPT 89190 | $72.60 | $121.00 | $8.49 – $108.90 | 27 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $94.10 | $156.84 | $8.78 – $141.16 | 27 |
| Smear wet mount CPT 87210 | $68.63 | $114.38 | $8.53 – $102.94 | 27 |
| Smn1 gene full gene sequence CPT 81336 | $1,200.00 | $2,000.00 | $36.00 – $1,800.00 | 27 |
| Smpd1 gene common variants CPT 81330 | $240.00 | $400.00 | $36.00 – $360.00 | 27 |
| Snrpn/ube3a gene CPT 81331 | $206.19 | $343.65 | $12.00 – $309.29 | 27 |
| Sodium 24 hour urine CPT 84300 | $54.37 | $90.62 | $7.42 – $81.56 | 27 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $69.85 | $116.42 | $2.40 – $45.00 | 27 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $30.00 | $50.00 | $1.49 – $45.00 | 27 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $30.00 | $50.00 | $0.77 – $22.95 | 27 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $31.39 | $52.32 | $2.22 – $16.20 | 26 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $131.28 | $218.80 | $2.63 – $196.92 | 27 |
| Sodium serum/plasma/whole blood CPT 84295 | $58.28 | $97.14 | $7.05 – $87.43 | 27 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $156.60 | $261.00 | $32.23 – $234.90 | 26 |
| Soft interface below knee se HCPCS L2820 | $76.20 | $127.00 | $15.68 – $114.30 | 22 |
| Somatosensory testing CPT 95927 | $1,124.38 | $1,873.96 | $231.43 – $1,686.56 | 27 |
| So neo gsap dna/dna&rna CPT 81459 | $2,714.80 | $4,524.66 | $36.00 – $4,072.19 | 26 |
| So neo gsap dna mcrstl ins CPT 81457 | $3,975.00 | $6,625.00 | $36.00 – $2,448.49 | 26 |
| So vest canvas/web pre ots HCPCS L3675 | $347.06 | $578.44 | $31.00 – $225.90 | 22 |
| Special physics consult CPT 77370 | $799.57 | $1,332.61 | $164.58 – $1,199.35 | 27 |
| Special radiation dosimetry CPT 77331 | $463.21 | $772.01 | $75.89 – $694.81 | 27 |
| Special radiation treatment CPT 77470 | $1,978.89 | $3,298.15 | $101.20 – $2,968.34 | 27 |
| Special supplies phys/qhp CPT 99070 | $60.00 | $100.00 | $6.17 – $45.00 | 26 |
| Special teletx port plan CPT 77321 | $1,346.27 | $2,243.79 | $174.29 – $2,019.41 | 27 |
| Specific gravity body fluid CPT 84315 | $28.32 | $47.20 | $4.80 – $42.48 | 27 |
| Specimen fat stain CPT 89125 | $28.52 | $47.54 | $5.87 – $42.79 | 27 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $505.93 | $843.22 | $104.14 – $758.90 | 27 |
| Speech audiometry complete CPT 92556 | $137.93 | $229.88 | $28.39 – $206.89 | 27 |
| Speech evaluation complex CPT 70371 | $409.97 | $683.28 | $84.39 – $614.95 | 27 |
| Speech recep thresh CPT 92555 | $106.68 | $177.80 | $21.96 – $160.02 | 27 |
| Speech Therapy Session (one-on-one) CPT 92507 | $301.84 | $503.07 | $62.13 – $452.76 | 27 |
| Sperm antibody test CPT 89325 | $74.27 | $123.78 | $12.00 – $111.40 | 27 |
| Sperm isolation complex CPT 89261 | $272.32 | $453.87 | $12.00 – $408.48 | 27 |
| Sperm isolation simple CPT 89260 | $239.21 | $398.68 | $12.00 – $358.81 | 27 |
| Sperm washing 58323 CPT 58323 | $174.22 | $290.37 | $35.86 – $2,975.00 | 27 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $4,349.40 | $7,249.00 | $895.25 – $6,955.62 | 25 |
| Spinal bone allograftstructural 20931 CPT 20931 | $4,239.44 | $7,065.73 | $71.00 – $6,359.16 | 26 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,010.48 | $1,684.13 | $207.99 – $2,975.00 | 25 |
| Spine X-ray (single view, one level) CPT 72020 | $272.99 | $454.98 | $56.19 – $409.48 | 27 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $117.09 | $195.15 | $24.10 – $777.56 | 27 |
| Spirometry up to 2 yrs old CPT 94011 | $117.09 | $195.15 | $24.10 – $386.96 | 27 |
| Spleen imaging CPT 78185 | $961.98 | $1,603.30 | $198.01 – $1,442.97 | 27 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $392.09 | $653.49 | $80.71 – $588.14 | 22 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $83.19 | $138.65 | $14.33 – $104.40 | 22 |
| Splint finger 4 prong foam sm HCPCS A4570 | $41.90 | $69.83 | $8.62 – $62.85 | 26 |
| Splint finger fold over sm HCPCS L3924 | $157.15 | $261.92 | $9.67 – $70.45 | 22 |
| Splint finger frog med HCPCS L3927 | $51.30 | $85.50 | $10.56 – $76.95 | 22 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.00 | $55.00 | $6.79 – $49.50 | 22 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $107.85 | $179.75 | $18.15 – $132.29 | 22 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,033.28 | $10,055.46 | $71.00 – $9,049.91 | 27 |
| Split blood or products CPT 86985 | $217.64 | $362.73 | $12.00 – $423.12 | 27 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $2,050.28 | $3,417.14 | $71.00 – $3,075.43 | 26 |
| Sprchoroidal spc njx rx agt CPT 67516 | $4,624.43 | $7,707.39 | $71.00 – $6,936.65 | 27 |
| Sputum specimen collection CPT 89220 | $120.46 | $200.77 | $12.00 – $423.12 | 27 |
| Srs linear based CPT 77372 | $16,549.13 | $27,581.89 | $3,406.36 – $24,823.70 | 27 |
| Staggered spondaic word test CPT 92572 | $263.71 | $439.51 | $54.28 – $395.56 | 27 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $376.38 | $627.30 | $77.47 – $564.57 | 27 |
| Staph a dna amp probe CPT 87640 | $118.81 | $198.02 | $12.00 – $178.22 | 27 |
| Static or dynami afo pre ots HCPCS L4397 | $217.65 | $362.75 | $20.90 – $152.33 | 22 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $338.36 | $563.94 | $69.65 – $507.55 | 27 |
| Stem cells total count CPT 86367 | $179.64 | $299.40 | $12.00 – $269.46 | 27 |
| Stenger test pure tone CPT 92565 | $135.22 | $225.37 | $27.83 – $202.83 | 27 |
| Stenger test speech CPT 92577 | $338.57 | $564.28 | $69.69 – $1,327.77 | 27 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $45,173.71 | $75,289.52 | $71.00 – $67,760.57 | 27 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $50,985.00 | $84,975.00 | $0.75 – $5.45 | 21 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,120.24 | $10,200.40 | $8.97 – $65.40 | 26 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $35,204.12 | $58,673.54 | $0.00 – $0.01 | 26 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $8,229.86 | $13,716.43 | $59.42 – $433.03 | 21 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $20,498.09 | $34,163.48 | $71.00 – $30,747.13 | 27 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $11,075.78 | $18,459.63 | $71.00 – $16,613.67 | 26 |
| Stent placemt retro carotid CPT 37217 | $1,972.11 | $3,286.85 | $71.00 – $5,388.00 | 26 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $29,957.43 | $49,929.05 | $71.00 – $44,936.14 | 27 |
| St evaluate speech sound production CPT 92522 | $406.75 | $677.91 | $83.72 – $610.12 | 27 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $519.26 | $865.44 | $106.88 – $778.90 | 27 |
| Stimulants synthetic CPT 80371 | $95.66 | $159.43 | $12.00 – $143.49 | 26 |
| Stoma absorptive cover HCPCS A5083 | $85.51 | $142.51 | $2.48 – $128.26 | 22 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,719.11 | $2,865.19 | $353.85 – $2,578.67 | 27 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.