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 |
|---|---|---|---|---|
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,380.88 | $20,634.80 | $3,974.26 – $18,571.32 | 18 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $660.00 | $1,100.00 | $36.00 – $901.30 | 26 |
| Liver elastography 91200 CPT 91200 | $291.74 | $486.24 | $34.17 – $437.62 | 26 |
| Liver Function Test CPT 80076 | $149.95 | $249.92 | $7.34 – $224.93 | 26 |
| Liver image (3d) with flow CPT 78206 | $1,505.81 | $2,509.69 | $453.95 – $2,121.26 | 19 |
| Liver imaging CPT 78201 | $827.28 | $1,378.80 | $187.71 – $1,338.97 | 26 |
| Liver imaging (3d) CPT 78205 | $1,198.66 | $1,997.76 | $384.77 – $1,797.98 | 19 |
| Liver imag w/vasclr flow CPT 78202 | $1,694.54 | $2,824.23 | $208.44 – $2,541.81 | 26 |
| Liver/spleen imag static only CPT 78215 | $1,166.72 | $1,944.53 | $192.71 – $1,750.08 | 26 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,194.01 | $1,990.01 | $145.51 – $1,791.01 | 26 |
| Lmtd oph exam general anes CPT 92019 | $2,590.36 | $4,317.27 | $113.00 – $5,788.85 | 23 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,137.33 | $6,895.55 | $85.00 – $8,018.48 | 26 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $161.06 | $268.44 | $1.27 – $103.04 | 20 |
| Loop ostmy bridg ster HCPCS A4421 | $46.32 | $77.20 | $14.87 – $69.48 | 19 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $12.92 | $21.53 | $0.22 – $1.83 | 20 |
| Loudness balance test CPT 92562 | $183.49 | $305.82 | $58.90 – $777.56 | 26 |
| Low back disk surgery CPT 63030 | $8,789.82 | $14,649.70 | $85.00 – $17,722.46 | 26 |
| Low cost skin substitute app HCPCS C5271 | $1,238.74 | $2,064.57 | $85.00 – $2,975.00 | 20 |
| Low cost skin substitute app HCPCS C5273 | $4,445.71 | $7,409.51 | $85.00 – $8,649.00 | 20 |
| Low cost skin substitute app HCPCS C5275 | $1,559.92 | $2,599.86 | $85.00 – $2,975.00 | 20 |
| Low cost skin substitute app HCPCS C5277 | $1,153.06 | $1,921.76 | $85.00 – $2,975.00 | 20 |
| Low cost skin substitute app HCPCS C5272 | $30.63 | $51.05 | $9.83 – $85.00 | 19 |
| Low cost skin substitute app HCPCS C5274 | $59.99 | $99.98 | $19.26 – $89.98 | 19 |
| Low cost skin substitute app HCPCS C5276 | $23.12 | $38.53 | $7.42 – $85.00 | 19 |
| Low cost skin substitute app HCPCS C5278 | $53.17 | $88.61 | $17.07 – $85.00 | 19 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $240.33 | $400.55 | $99.77 – $1,841.00 | 26 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,677.35 | $2,795.59 | $167.39 – $2,516.03 | 26 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,041.20 | $3,402.00 | $185.91 – $3,061.80 | 26 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,731.42 | $2,885.70 | $99.77 – $2,597.13 | 26 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,200.98 | $5,334.96 | $332.94 – $4,801.46 | 26 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,446.79 | $4,077.99 | $298.53 – $3,670.19 | 26 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,288.05 | $3,813.42 | $210.94 – $3,432.08 | 26 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $384.07 | $640.11 | $42.91 – $576.10 | 26 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $559.42 | $932.37 | $55.78 – $839.13 | 26 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $601.98 | $1,003.30 | $65.78 – $902.97 | 26 |
| Lower jaw bone graft CPT 21215 | $5,095.16 | $8,491.94 | $85.00 – $14,507.25 | 26 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $387.38 | $645.63 | $33.96 – $581.07 | 26 |
| Lsh uterus 250 g or less CPT 58541 | $11,149.21 | $18,582.02 | $85.00 – $25,500.18 | 26 |
| Lsh uterus above 250 g CPT 58543 | $11,886.69 | $19,811.15 | $85.00 – $25,500.18 | 26 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $7,961.97 | $13,269.95 | $85.00 – $25,500.18 | 26 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $12,000.38 | $20,000.63 | $85.00 – $25,500.18 | 26 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $152.40 | $254.00 | $48.92 – $228.60 | 18 |
| Lso sagit rigid panel prefab HCPCS L0635 | $1,513.13 | $2,521.88 | $485.71 – $2,269.69 | 18 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $785.09 | $1,308.48 | $59.69 – $278.95 | 18 |
| Lso s/c shell/panel custom HCPCS L0640 | $984.60 | $1,641.00 | $316.06 – $1,476.90 | 18 |
| Lso s/c shell/panel prefab HCPCS L0639 | $792.33 | $1,320.55 | $254.34 – $1,188.49 | 18 |
| L/s ratio fetal lung CPT 83661 | $220.97 | $368.29 | $12.00 – $331.46 | 26 |
| Lumbar diskogram s&i CPT 72295 | $5,350.69 | $8,917.82 | $119.41 – $8,026.04 | 26 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $5,428.66 | $9,047.76 | $85.00 – $46,166.33 | 26 |
| Lumizyme injection HCPCS J0221 | $1,735.97 | $2,893.29 | $190.05 – $2,269.73 | 26 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $669.63 | $1,116.05 | $174.20 – $1,004.45 | 26 |
| Lung function test (mbc/mvv) CPT 94200 | $229.93 | $383.22 | $56.30 – $344.90 | 26 |
| Lung Function Test (Spirometry) CPT 94010 | $539.93 | $899.88 | $173.32 – $809.89 | 26 |
| Lung perfusion imaging CPT 78580 | $1,082.75 | $1,804.59 | $228.46 – $1,624.13 | 26 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $21,365.20 | $35,608.66 | $39.34 – $10,699.43 | 26 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,455.60 | $2,426.00 | $233.58 – $1,091.47 | 18 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,417.80 – $12,274.89 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $1,653.32 | $2,755.54 | $340.00 – $2,479.99 | 26 |
| Lymphocyte culture mixed CPT 86821 | $625.67 | $1,042.78 | $12.00 – $938.50 | 26 |
| Lymphocyte transformation mitogen CPT 86353 | $463.13 | $771.88 | $12.00 – $497.70 | 26 |
| Lymphocytotoxicity assay CPT 86805 | $399.82 | $666.36 | $12.00 – $599.72 | 26 |
| Lymph vessel x-ray arm/leg CPT 75801 | $972.06 | $1,620.10 | $85.00 – $1,556.23 | 26 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,288.81 | $2,148.02 | $320.57 – $3,967.42 | 26 |
| Lymph vessel x-ray trunk CPT 75805 | $2,494.49 | $4,157.49 | $85.00 – $7,896.23 | 26 |
| Lymph vessel x-ray trunk CPT 75807 | $2,859.41 | $4,765.68 | $156.80 – $7,896.23 | 26 |
| Lysis intranasal synechia 30560 CPT 30560 | $833.97 | $1,389.95 | $85.00 – $3,421.00 | 26 |
| Lysis of labial adhesions CPT 56441 | $4,383.99 | $7,306.65 | $85.00 – $7,744.80 | 26 |
| Lysis penil circumic lesion CPT 54162 | $4,590.76 | $7,651.27 | $85.00 – $6,886.14 | 26 |
| Macro exam dissect molec study ea CPT 88387 | $41.98 | $69.97 | $13.48 – $62.97 | 19 |
| Macroscopic exam arthropod CPT 87168 | $48.44 | $80.73 | $3.84 – $72.66 | 26 |
| Macroscopic exam parasite CPT 87169 | $56.93 | $94.88 | $3.87 – $85.39 | 26 |
| Magnesium CPT 83735 | $94.90 | $158.17 | $6.02 – $23.29 | 26 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $58.32 | $97.20 | $0.47 – $6.42 | 20 |
| Magnetic image bone marrow CPT 77084 | $1,592.64 | $2,654.40 | $227.71 – $2,388.96 | 26 |
| Makena, 10 mg HCPCS J1726 | $1,445.40 | $2,409.00 | $18.96 – $2,168.10 | 20 |
| Malaria antibody CPT 86750 | $110.87 | $184.79 | $11.86 – $166.31 | 26 |
| Male sling procedure CPT 53440 | $9,674.50 | $16,124.16 | $85.00 – $31,800.16 | 26 |
| Mammosite ced HCPCS C1728 | $6,369.00 | $10,615.00 | $0.00 – $5,269.05 | 19 |
| Manipulate finger w/anesth CPT 26340 | $1,120.60 | $1,867.66 | $85.00 – $3,981.46 | 26 |
| Manipulate wrist w/anesthes CPT 25259 | $1,998.19 | $3,330.31 | $85.00 – $4,463.00 | 26 |
| Manipulation of hip joint CPT 27275 | $2,994.00 | $4,990.00 | $85.00 – $4,491.00 | 26 |
| Manipulation of spine CPT 22505 | $2,852.63 | $4,754.38 | $85.00 – $4,278.94 | 26 |
| Manipulat palm cord post inj CPT 26341 | $492.74 | $821.23 | $71.39 – $2,975.00 | 26 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $17.82 | $29.70 | $5.72 – $26.73 | 19 |
| Manual diff wbc count b-coat CPT 85009 | $44.14 | $73.56 | $4.56 – $66.20 | 26 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $705.82 | $1,176.37 | $226.57 – $1,058.73 | 19 |
| Mapping io sentinel lymph node CPT 38900 | $459.03 | $765.05 | $85.00 – $688.54 | 19 |
| Map tachycard site(s) CPT 93609 | $2,126.98 | $3,544.96 | $682.76 – $3,190.46 | 19 |
| Marker biop eviva buckle ss HCPCS A4648 | $6,369.00 | $10,615.00 | $12.79 – $59.75 | 18 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,753.29 | $2,922.15 | $562.81 – $2,629.93 | 21 |
| Mask full face lg af531 HCPCS A7030 | $88.85 | $148.09 | $28.52 – $133.28 | 19 |
| Mastectomy form HCPCS L8020 | $224.40 | $374.00 | $7.79 – $36.39 | 18 |
| Mastectomy partial CPT 19301 | $4,306.52 | $7,177.53 | $85.00 – $9,442.65 | 26 |
| Mast mod rad CPT 19307 | $7,638.37 | $12,730.62 | $85.00 – $16,154.42 | 26 |
| Mastoidectomy CPT 69501 | $6,260.10 | $10,433.50 | $85.00 – $14,507.25 | 26 |
| Mastoidectomy complete 69502 CPT 69502 | $6,969.40 | $11,615.67 | $85.00 – $14,507.25 | 26 |
| Mastoids complete CPT 70130 | $245.27 | $408.78 | $66.50 – $367.90 | 26 |
| Mastoid surgery revision CPT 69603 | $7,337.51 | $12,229.18 | $85.00 – $14,507.25 | 26 |
| Mastopexy CPT 19316 | $5,494.31 | $9,157.19 | $85.00 – $16,154.42 | 26 |
| Mast simple complete CPT 19303 | $5,872.32 | $9,787.20 | $85.00 – $16,154.42 | 26 |
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.