BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
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 |
|---|---|---|---|---|
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,691.17 | $2,818.61 | $71.00 – $3,981.46 | 24 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $456.21 | $760.35 | $71.00 – $684.32 | 24 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,354.43 | $2,257.39 | $71.00 – $3,981.46 | 24 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $541.26 | $902.10 | $70.60 – $811.89 | 24 |
| Closed tx nose/jaw fx CPT 21345 | $2,903.97 | $4,839.95 | $71.00 – $6,837.00 | 24 |
| Closed tx orbit without manipulj CPT 21400 | $889.81 | $1,483.02 | $71.00 – $3,421.00 | 24 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,766.95 | $4,611.58 | $71.00 – $4,150.42 | 24 |
| Closed tx septal&nose fx CPT 21337 | $2,713.85 | $4,523.09 | $71.00 – $7,975.81 | 24 |
| Closed tx sesamoid fx 28530 CPT 28530 | $345.38 | $575.63 | $63.32 – $584.19 | 24 |
| Closed tx vert fx w/manj CPT 22315 | $1,417.44 | $2,362.40 | $71.00 – $8,018.48 | 24 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $487.69 | $812.81 | $71.00 – $731.53 | 24 |
| Close mastoid fistula CPT 69700 | $3,709.74 | $6,182.90 | $71.00 – $5,564.61 | 24 |
| Close tear duct opening CPT 68760 | $540.38 | $900.63 | $71.00 – $810.57 | 24 |
| Close tear duct opening CPT 68761 | $608.62 | $1,014.37 | $71.00 – $912.93 | 24 |
| Close tear system fistula CPT 68770 | $3,586.17 | $5,976.95 | $71.00 – $5,788.85 | 24 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,403.33 | $4,005.55 | $71.00 – $3,777.93 | 24 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,181.99 | $1,969.98 | $71.00 – $1,772.98 | 24 |
| Closure of eyelid by suture CPT 67875 | $1,342.22 | $2,237.04 | $71.00 – $2,975.00 | 24 |
| Closure of salivary fistula CPT 42600 | $3,149.40 | $5,249.00 | $71.00 – $7,975.81 | 24 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,866.23 | $6,443.71 | $71.00 – $7,975.81 | 24 |
| Closure paravalvlr leak pq CPT 33999 | $45,364.64 | $75,607.74 | $71.00 – $1,556.23 | 24 |
| Clot factor fletcher fact CPT 85292 | $224.97 | $374.95 | $12.00 – $259.05 | 24 |
| Clot factor viii reltd antgn CPT 85244 | $140.42 | $234.03 | $12.00 – $210.63 | 24 |
| Clot factor wght kininogen CPT 85293 | $224.97 | $374.95 | $12.00 – $282.94 | 24 |
| Clot factor xii hageman CPT 85280 | $218.86 | $364.76 | $12.00 – $328.28 | 24 |
| Clot factor xiii fibrin scrn CPT 85291 | $122.73 | $204.55 | $7.65 – $184.09 | 24 |
| Clot factor xiii fibrin stab CPT 85290 | $193.75 | $322.92 | $12.00 – $290.63 | 24 |
| Clotting assay whole blood CPT 85396 | $101.52 | $169.20 | $12.00 – $152.28 | 18 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $973.84 | $1,623.06 | $71.00 – $1,460.75 | 24 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $525.26 | $875.44 | $71.00 – $787.90 | 24 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $388.01 | $646.69 | $71.00 – $584.19 | 24 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,839.79 | $3,066.32 | $71.00 – $3,981.46 | 24 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $385.03 | $641.72 | $71.00 – $584.19 | 24 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,771.56 | $2,952.60 | $71.00 – $3,981.46 | 24 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $440.64 | $734.40 | $71.00 – $2,975.00 | 24 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $292.64 | $487.73 | $71.00 – $584.19 | 24 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $470.08 | $783.46 | $71.00 – $705.11 | 24 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $574.95 | $958.25 | $71.00 – $862.42 | 24 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $380.62 | $634.37 | $71.00 – $2,975.00 | 24 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $550.58 | $917.63 | $49.00 – $825.87 | 24 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,184.08 | $3,640.13 | $71.00 – $3,981.46 | 24 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,889.72 | $4,816.20 | $71.00 – $4,463.00 | 24 |
| Clsd tx fracture of radius 25500 CPT 25500 | $412.37 | $687.28 | $71.00 – $618.55 | 24 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $373.11 | $621.85 | $71.00 – $584.19 | 24 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $715.76 | $1,192.94 | $71.00 – $1,073.65 | 24 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $512.21 | $853.68 | $71.00 – $768.31 | 24 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,080.42 | $3,467.37 | $71.00 – $3,981.46 | 24 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $456.55 | $760.91 | $71.00 – $684.82 | 24 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,986.71 | $3,311.19 | $71.00 – $3,981.46 | 24 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $387.39 | $645.65 | $71.00 – $2,975.00 | 24 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $666.88 | $1,111.46 | $71.00 – $1,000.31 | 24 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $438.97 | $731.61 | $71.00 – $658.45 | 24 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $431.74 | $719.57 | $71.00 – $2,975.00 | 24 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,248.75 | $3,747.92 | $71.00 – $3,373.13 | 24 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $720.25 | $1,200.41 | $71.00 – $4,463.00 | 24 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $533.24 | $888.74 | $71.00 – $799.87 | 24 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $485.66 | $809.44 | $71.00 – $728.50 | 24 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $548.92 | $914.86 | $71.00 – $823.37 | 24 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $2,248.36 | $3,747.27 | $71.00 – $8,018.48 | 24 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $484.06 | $806.76 | $71.00 – $726.08 | 24 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $339.05 | $565.08 | $71.00 – $584.19 | 24 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,808.01 | $4,680.02 | $71.00 – $7,975.81 | 24 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $323.95 | $539.92 | $59.39 – $485.93 | 18 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,607.38 | $2,678.96 | $71.00 – $3,981.46 | 24 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $479.12 | $798.54 | $71.00 – $718.69 | 24 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $421.24 | $702.06 | $71.00 – $631.85 | 24 |
| Clsd tx pelvic ring fx CPT 27197 | $348.90 | $581.50 | $71.00 – $584.19 | 24 |
| Clsd tx pelvic ring fx CPT 27198 | $2,015.44 | $3,359.07 | $71.00 – $3,023.16 | 24 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,898.72 | $3,164.53 | $71.00 – $3,981.46 | 24 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $529.34 | $882.24 | $71.00 – $794.02 | 24 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $470.08 | $783.46 | $71.00 – $705.11 | 24 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,806.10 | $3,010.17 | $71.00 – $3,981.46 | 24 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $416.50 | $694.16 | $71.00 – $624.74 | 24 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,839.54 | $3,065.90 | $71.00 – $3,981.46 | 24 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,607.38 | $2,678.96 | $71.00 – $3,981.46 | 24 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,000.75 | $3,334.58 | $71.00 – $3,981.46 | 24 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $347.15 | $578.59 | $71.00 – $584.19 | 24 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $564.50 | $940.83 | $59.25 – $846.75 | 24 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $510.67 | $851.12 | $71.00 – $2,975.00 | 24 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,806.10 | $3,010.17 | $71.00 – $3,981.46 | 24 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $385.03 | $641.72 | $71.00 – $584.19 | 24 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $519.75 | $866.25 | $71.00 – $2,975.00 | 24 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $418.49 | $697.48 | $71.00 – $627.73 | 24 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $445.60 | $742.67 | $71.00 – $668.40 | 24 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $459.82 | $766.37 | $71.00 – $3,421.00 | 24 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $525.26 | $875.44 | $71.00 – $787.90 | 24 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $376.30 | $627.17 | $71.00 – $2,975.00 | 24 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,917.67 | $3,196.12 | $71.00 – $2,876.51 | 24 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,530.83 | $2,551.39 | $71.00 – $3,981.46 | 24 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,072.29 | $3,453.82 | $71.00 – $3,981.46 | 24 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $486.35 | $810.59 | $71.00 – $2,975.00 | 24 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,530.83 | $2,551.39 | $71.00 – $3,981.46 | 24 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $415.84 | $693.06 | $71.00 – $2,975.00 | 24 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,450.72 | $4,084.54 | $71.00 – $3,981.46 | 24 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $4,738.30 | $7,897.16 | $71.00 – $14,507.25 | 24 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,694.45 | $4,490.75 | $71.00 – $4,041.68 | 24 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,473.43 | $5,789.05 | $71.00 – $7,975.81 | 24 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,817.72 | $6,362.86 | $71.00 – $7,975.81 | 24 |
| Cltx post ankle fx CPT 27767 | $332.53 | $554.21 | $71.00 – $2,975.00 | 24 |
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.