BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION
700 Scott & White Dr., College Station, TX · Baylor Scott & White Health · · NPI 1265772362
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 |
|---|---|---|---|---|
| Adj gastric band via subq port CPT 43999 | $3,385.87 | $5,643.11 | $344.18 – $2,245.59 | 26 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $4,466.74 | $7,444.56 | $85.00 – $17,722.46 | 26 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $4,093.07 | $6,821.78 | $85.00 – $6,139.60 | 26 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,784.40 | $2,974.00 | $13.48 – $63.00 | 19 |
| Admin ecg contrast agent CPT 93352 | $338.18 | $563.64 | $108.56 – $917.00 | 19 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $239.02 | $398.36 | $68.71 – $801.00 | 26 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $383.99 | $639.99 | $68.71 – $801.00 | 26 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $761.68 | $1,269.46 | $244.50 – $1,142.51 | 26 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $534.39 | $890.65 | $171.54 – $838.97 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $193.30 | $322.17 | $62.05 – $801.00 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $238.05 | $396.75 | $68.71 – $801.00 | 26 |
| Administration immunization each additional component CPT 90461 | $22.38 | $37.30 | $7.18 – $47.86 | 19 |
| Administration immunization each additional vaccine CPT 90472 | $48.02 | $80.04 | $15.42 – $72.04 | 19 |
| Administration immunization first component each vaccine CPT 90460 | $46.00 | $76.67 | $14.77 – $69.00 | 19 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $41.11 | $68.52 | $4.82 – $174.51 | 26 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $33.60 | $56.00 | $4.82 – $47.86 | 19 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $29.65 | $49.42 | $9.52 – $147.60 | 19 |
| Administration vaccine hepatitis b HCPCS G0010 | $45.91 | $76.51 | $14.74 – $117.68 | 26 |
| Administration vaccine influenza virus HCPCS G0008 | $15.00 | $25.00 | $4.82 – $117.68 | 26 |
| Administration vaccine pneumococcal HCPCS G0009 | $45.91 | $76.51 | $14.74 – $117.68 | 26 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $26.66 | $44.43 | $8.56 – $147.60 | 19 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,350.31 | $18,917.18 | $38.91 – $10,657.81 | 26 |
| Adrenal cortex & medulla img CPT 78075 | $4,524.05 | $7,540.09 | $425.44 – $6,786.08 | 26 |
| Adrenalin epinephrine inject HCPCS J0171 | $6.14 | $10.24 | $1.97 – $9.22 | 19 |
| Aep hearing status deter i&r CPT 92651 | $435.27 | $725.45 | $139.72 – $777.56 | 26 |
| Aep neurodiagnostic i&r CPT 92653 | $839.46 | $1,399.10 | $206.06 – $1,259.19 | 26 |
| Aep thrshld est mlt freq i&r CPT 92652 | $938.63 | $1,564.39 | $206.06 – $1,407.95 | 26 |
| _afb id by dna probe rflx ast CPT 87149 | $292.41 | $487.35 | $12.00 – $166.44 | 26 |
| #afb mycobacteria suscep. #1 CPT 87190 | $38.75 | $64.58 | $6.57 – $58.12 | 26 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $473.33 | $788.88 | $12.00 – $709.99 | 26 |
| Afo molded to patient plasti HCPCS L1940 | $443.40 | $739.00 | $142.33 – $665.10 | 18 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,225.69 | $2,042.81 | $393.45 – $1,838.53 | 18 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $121.64 | $202.74 | $39.05 – $182.47 | 18 |
| After cataract laser surgery CPT 66821 | $1,324.46 | $2,207.43 | $85.00 – $3,421.00 | 26 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $13,418.51 | $22,364.19 | $215.98 – $20,127.77 | 26 |
| Air conduction bilat CPT 92552 | $153.11 | $255.18 | $49.15 – $316.45 | 26 |
| Air injection into abdomen 49400 CPT 49400 | $330.02 | $550.03 | $105.94 – $495.03 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $419.79 | $699.65 | $122.80 – $629.68 | 26 |
| Albumin body fluid quantitative each specimen CPT 82042 | $58.98 | $98.30 | $7.00 – $18.67 | 26 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $327.39 | $545.65 | $50.43 – $387.00 | 26 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $258.00 | $430.00 | $50.43 – $256.39 | 26 |
| Albumin ischemia modified CPT 82045 | $50.28 | $83.80 | $12.00 – $81.46 | 26 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $79.98 | $133.30 | $5.20 – $13.87 | 26 |
| Albumin serum plasma or whole blood CPT 82040 | $49.74 | $82.90 | $4.45 – $11.88 | 26 |
| Albuterol non-comp unit HCPCS J7613 | $0.96 | $1.60 | $0.08 – $1.19 | 20 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $66.86 | $111.44 | $12.00 – $100.30 | 26 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $150.07 | $250.12 | $35.76 – $225.11 | 26 |
| Alcohol/subs interv >30 min HCPCS G0397 | $128.30 | $213.83 | $41.18 – $394.97 | 26 |
| Aldesleukin injection HCPCS J9015 | $8,460.48 | $14,100.80 | $2,715.81 – $12,690.72 | 26 |
| Alkaline phosphatase CPT 84075 | $51.25 | $85.42 | $4.65 – $17.91 | 26 |
| Allergen alpha lactalbumin ige CPT 86008 | $446.78 | $744.63 | $10.97 – $43.03 | 26 |
| Allergen egg white ige CPT 86003 | $260.57 | $434.28 | $4.69 – $12.53 | 26 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $45.30 | $75.50 | $7.16 – $19.13 | 26 |
| Allergy injections; 2 or more 95117 CPT 95117 | $37.03 | $61.71 | $11.89 – $117.68 | 26 |
| Allergy injection; single 95115 CPT 95115 | $36.30 | $60.50 | $11.65 – $117.68 | 26 |
| Allergy Skin Testing CPT 95004 | $14.40 | $24.00 | $4.00 – $2,590.07 | 26 |
| Allg patch or app # of tests 95044 CPT 95044 | $72.75 | $121.25 | $4.00 – $2,590.07 | 26 |
| Allgrft implnt knee w/scope CPT 29867 | $6,007.75 | $10,012.91 | $85.00 – $32,603.53 | 26 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $617.65 | $1,029.42 | $47.05 – $219.87 | 25 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $0.01 | $0.01 | $0.00 – $186.89 | 25 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $1,002.56 | $1,670.93 | $66.15 – $309.10 | 25 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $17,608.49 | $29,347.48 | $11.38 – $186.89 | 25 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $13,249.84 | $22,083.06 | $50.85 – $237.63 | 25 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $5,705.88 | $9,509.80 | $53.79 – $251.35 | 25 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $646.80 | $1,078.00 | $118.76 – $636.29 | 25 |
| All tstg perq&iq drugs/biol CPT 95018 | $76.21 | $127.02 | $4.00 – $114.32 | 26 |
| All tstg perq&iq w/venoms CPT 95017 | $61.95 | $103.25 | $4.00 – $92.92 | 26 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $18.72 | $31.20 | $0.66 – $7.68 | 26 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $314.73 | $524.55 | $12.00 – $472.10 | 26 |
| Alpha-fetoprotein amniotic CPT 82106 | $102.49 | $170.81 | $12.00 – $153.73 | 26 |
| Alpha-fetoprotein tumor marker CPT 82105 | $252.87 | $421.45 | $12.00 – $196.45 | 26 |
| Alprostadil for injection HCPCS J0270 | $460.40 | $767.34 | $133.13 – $622.08 | 19 |
| Als 1 HCPCS A0426 | $285.77 | $476.28 | $91.73 – $428.65 | 19 |
| Als1-emergency HCPCS A0427 | $457.49 | $762.48 | $146.85 – $686.23 | 19 |
| Als 2 HCPCS A0433 | $764.16 | $1,273.60 | $245.30 – $1,146.24 | 19 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $15,857.45 | $26,429.08 | $90.34 – $739.39 | 26 |
| Alt/sgpt CPT 84460 | $55.91 | $93.19 | $4.76 – $56.25 | 26 |
| Aluminum - quest CPT 82108 | $121.48 | $202.46 | $12.00 – $182.21 | 26 |
| Alveoloplasty each quadrant CPT 41874 | $3,190.65 | $5,317.75 | $85.00 – $7,975.81 | 26 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $417.47 | $695.79 | $90.72 – $626.21 | 26 |
| Amantadine (symmetrel)-sendout CPT 80375 | $747.00 | $1,245.00 | $12.00 – $164.25 | 18 |
| Ambl bp mntr w/sw a/r CPT 93788 | $350.68 | $584.47 | $112.57 – $526.02 | 26 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $58.80 | $98.00 | $0.67 – $43.92 | 20 |
| Amines vaginal fluid qual CPT 82120 | $18.15 | $30.25 | $5.38 – $27.23 | 26 |
| Amino acid screen, urine CPT 82128 | $138.60 | $231.00 | $12.00 – $207.90 | 26 |
| Amino acid single qual CPT 82127 | $72.03 | $120.05 | $12.00 – $108.05 | 26 |
| Amino acids quant 2-5 CPT 82136 | $138.03 | $230.05 | $12.00 – $196.24 | 26 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $43.01 | $71.68 | $1.72 – $64.51 | 20 |
| Aminolevulinic acid delta CPT 82135 | $145.72 | $242.87 | $12.00 – $218.58 | 26 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $59.47 | $99.12 | $0.83 – $12.46 | 20 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $166.32 | $277.20 | $0.43 – $9.85 | 20 |
| Amitriptyline (elavil) -sendout CPT 80335 | $101.17 | $168.61 | $4.49 – $54.18 | 18 |
| Ammonia CPT 82140 | $142.06 | $236.76 | $12.00 – $213.08 | 26 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,152.86 | $1,921.44 | $53.03 – $1,991.50 | 26 |
| Amniocentesis therapeutic CPT 59001 | $1,170.42 | $1,950.70 | $85.00 – $1,755.63 | 26 |
| Amniotic fluid scan CPT 82143 | $49.01 | $81.69 | $8.40 – $73.52 | 26 |
| Amobarbital 125 mg inj HCPCS J0300 | $1,319.49 | $2,199.15 | $297.02 – $1,979.23 | 20 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,730.53 | $6,217.55 | $85.00 – $8,018.48 | 26 |
| Amphetamine confirm urine -sendout CPT 80324 | $343.50 | $572.50 | $12.00 – $180.58 | 18 |
| Amphetamines 5 or more CPT 80326 | $144.00 | $240.00 | $3.03 – $8.29 | 18 |
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.