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 |
|---|---|---|---|---|
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $357.05 | $595.08 | $37.96 – $310.55 | 19 |
| Dilate biliary duct/ampulla CPT 47542 | $1,729.70 | $2,882.83 | $71.00 – $2,594.55 | 18 |
| Dilate esophagus CPT 43453 | $1,106.68 | $1,844.46 | $564.97 – $4,713.77 | 23 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,168.01 | $1,946.68 | $334.95 – $2,975.00 | 23 |
| Dilate ic vasospasm init CPT 61640 | $4,627.52 | $7,712.54 | $792.71 – $6,941.29 | 17 |
| Dilate tear duct opening CPT 68801 | $360.51 | $600.85 | $66.09 – $987.04 | 24 |
| Dilate urethra stricture CPT 53600 | $716.91 | $1,194.85 | $34.88 – $1,075.37 | 24 |
| Dilate urethra stricture CPT 53601 | $185.58 | $309.30 | $39.07 – $2,975.00 | 24 |
| Dilate urethra stricture CPT 53605 | $3,424.84 | $5,708.06 | $71.00 – $8,636.11 | 24 |
| Dilate urethra stricture CPT 53621 | $379.00 | $631.66 | $71.00 – $2,975.00 | 24 |
| Dilation/female urethra/initial 53660 CPT 53660 | $235.61 | $392.69 | $39.59 – $386.96 | 24 |
| Dilation of anal sphincter CPT 45905 | $1,969.12 | $3,281.87 | $429.26 – $2,975.00 | 23 |
| Dilation of cervical canal 57800 CPT 57800 | $3,447.85 | $5,746.42 | $39.86 – $7,744.80 | 24 |
| Dilation of rectal stricture 45910 CPT 45910 | $2,219.41 | $3,699.02 | $429.26 – $3,329.12 | 23 |
| Dilation of salivary duct CPT 42660 | $551.84 | $919.74 | $57.03 – $1,363.00 | 24 |
| Dilation of urethra CPT 53661 | $225.54 | $375.90 | $29.60 – $338.31 | 24 |
| Dilation of urethra CPT 53665 | $3,207.20 | $5,345.34 | $71.00 – $5,045.72 | 24 |
| Dilation of vagina CPT 57400 | $2,643.08 | $4,405.13 | $71.00 – $7,744.80 | 24 |
| Dilation salivary duct 42650 CPT 42650 | $2,675.71 | $4,459.52 | $37.38 – $4,013.57 | 24 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,140.31 | $3,567.18 | $71.00 – $3,210.46 | 24 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,277.43 | $2,129.05 | $10.87 – $88.94 | 18 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,184.73 | $11,974.55 | $71.00 – $10,777.09 | 24 |
| Dilat xst trc new access rcs CPT 50437 | $7,184.73 | $11,974.55 | $71.00 – $10,777.09 | 24 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $138.24 | $230.40 | $0.04 – $207.36 | 19 |
| Dimecaprol injection HCPCS J0470 | $457.03 | $761.72 | $83.79 – $685.55 | 19 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,258.20 | $2,097.00 | $230.67 – $1,887.30 | 24 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.84 | $18.06 | $0.76 – $6.33 | 19 |
| Disability dlco CPT 94727 | $345.62 | $576.04 | $63.36 – $518.44 | 24 |
| Disaccharidases CPT 82657 | $338.63 | $564.38 | $12.00 – $114.62 | 24 |
| Disarticulation sho sec clsr CPT 23921 | $1,793.59 | $2,989.32 | $71.00 – $4,517.58 | 24 |
| Discography cerv/thor spine CPT 72285 | $5,618.23 | $9,363.71 | $132.31 – $8,427.34 | 24 |
| Dise eval slp do brth flx dx CPT 42975 | $196.32 | $327.20 | $68.14 – $4,204.56 | 23 |
| Dissolve clot heart vessel CPT 92975 | $922.72 | $1,537.87 | $169.17 – $1,384.08 | 18 |
| Dist revas ligation hemo CPT 36838 | $8,273.87 | $13,789.79 | $71.00 – $13,613.39 | 24 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $5,817.32 | $9,695.54 | $71.00 – $14,507.25 | 24 |
| #d/lmeth-l-methamphetamine CPT 80374 | $52.50 | $87.50 | $9.91 – $78.75 | 17 |
| Dmd dup/delet analysis CPT 81161 | $1,806.96 | $3,011.60 | $12.00 – $2,710.44 | 24 |
| Dmpk gene detc abnor allele CPT 81234 | $7,487.95 | $12,479.92 | $36.00 – $1,743.75 | 24 |
| Dna antibody native/double stranded CPT 86225 | $131.71 | $219.52 | $11.54 – $71.04 | 24 |
| Dna probe chlamydia CPT 87490 | $99.55 | $165.91 | $12.00 – $149.32 | 24 |
| Dna probe gc CPT 87590 | $88.67 | $147.78 | $12.00 – $138.97 | 24 |
| Dna trichomonas CPT 87660 | $85.78 | $142.96 | $12.00 – $128.66 | 24 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $146.40 | $244.00 | $5.02 – $41.08 | 19 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,290.00 | $2,150.00 | $0.61 – $327.61 | 19 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $76.20 | $127.00 | $0.88 – $21.04 | 19 |
| Doppler echo complete CPT 93320 | $823.00 | $1,371.66 | $107.75 – $1,234.49 | 18 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,725.18 | $6,208.63 | $682.95 – $5,587.77 | 17 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $738.05 | $1,230.09 | $129.98 – $1,117.00 | 24 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $547.85 | $913.08 | $100.44 – $1,117.00 | 24 |
| Dornase alfa non-comp unit HCPCS J7639 | $350.67 | $584.45 | $51.69 – $526.00 | 19 |
| Dornhoffer fixed part w/window HCPCS L8614 | $50,985.00 | $84,975.00 | $60.40 – $494.22 | 17 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $76.80 | $128.00 | $14.08 – $115.20 | 17 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $20,843.62 | $34,739.36 | $230.15 – $31,265.42 | 24 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $740.18 | $1,233.64 | $3.00 – $309.87 | 19 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,278.13 | $3,796.88 | $68.27 – $1,867.50 | 24 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $97.79 | $162.98 | $0.10 – $146.68 | 19 |
| Dpyd gene common variants CPT 81232 | $1,192.80 | $1,988.00 | $36.00 – $903.77 | 24 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $718.77 | $1,197.95 | $71.00 – $1,742.94 | 24 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $750.31 | $1,250.51 | $71.00 – $1,742.94 | 24 |
| Drainage external ear complex 69005 CPT 69005 | $2,996.52 | $4,994.20 | $71.00 – $4,494.78 | 24 |
| Drainage external ear simple 69000 CPT 69000 | $1,005.88 | $1,676.47 | $71.00 – $1,742.94 | 24 |
| Drainage lymph node lesion 38300 CPT 38300 | $1,687.94 | $2,813.23 | $71.00 – $7,039.11 | 24 |
| Drainage lymph node lesion 38305 CPT 38305 | $2,901.50 | $4,835.84 | $71.00 – $7,039.11 | 24 |
| Drainage mouth roof lesion CPT 42000 | $601.96 | $1,003.26 | $71.00 – $902.93 | 24 |
| Drainage of arm bursa 23931 CPT 23931 | $1,697.35 | $2,828.91 | $71.00 – $4,016.35 | 24 |
| Drainage of bladder abscess CPT 51080 | $2,902.06 | $4,836.76 | $71.00 – $7,039.11 | 24 |
| Drainage of eye CPT 65800 | $2,017.15 | $3,361.91 | $71.00 – $5,772.91 | 24 |
| Drainage of eye CPT 65810 | $2,785.66 | $4,642.76 | $71.00 – $5,772.91 | 24 |
| Drainage of eye CPT 65815 | $2,984.06 | $4,973.43 | $71.00 – $5,772.91 | 24 |
| Drainage of forearm bursa CPT 25031 | $2,509.30 | $4,182.17 | $71.00 – $3,981.46 | 24 |
| Drainage of kidney lesion CPT 50390 | $1,783.27 | $2,972.11 | $71.00 – $2,975.00 | 24 |
| Drainage of mouth lesion CPT 41005 | $455.56 | $759.27 | $71.00 – $683.34 | 24 |
| Drainage of mouth lesion CPT 41006 | $3,710.62 | $6,184.37 | $71.00 – $5,565.93 | 24 |
| Drainage of mouth lesion CPT 41007 | $2,209.55 | $3,682.59 | $71.00 – $3,777.93 | 24 |
| Drainage of mouth lesion CPT 41008 | $2,125.36 | $3,542.27 | $71.00 – $7,975.81 | 24 |
| Drainage of mouth lesion CPT 41009 | $601.34 | $1,002.23 | $71.00 – $1,363.00 | 24 |
| Drainage of mouth lesion CPT 41015 | $482.86 | $804.77 | $71.00 – $2,975.00 | 24 |
| Drainage of mouth lesion CPT 41016 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 24 |
| Drainage of mouth lesion CPT 41017 | $2,309.02 | $3,848.36 | $71.00 – $7,975.81 | 24 |
| Drainage of mouth lesion CPT 41018 | $1,195.09 | $1,991.82 | $71.00 – $3,777.93 | 24 |
| Drainage of nose lesion int 30000 CPT 30000 | $733.94 | $1,223.23 | $71.00 – $1,100.91 | 24 |
| Drainage of nose lesion sept 30020 CPT 30020 | $529.16 | $881.94 | $71.00 – $1,363.00 | 24 |
| Drainage of pelvis bursa CPT 26991 | $3,763.91 | $6,273.19 | $71.00 – $5,645.87 | 24 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,953.76 | $4,922.94 | $71.00 – $8,018.48 | 24 |
| Drainage of prostate abscess CPT 52700 | $3,891.34 | $6,485.56 | $71.00 – $8,636.11 | 24 |
| Drainage of rectal abscess CPT 45005 | $2,382.16 | $3,970.26 | $429.26 – $3,573.23 | 24 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,556.37 | $2,593.95 | $939.93 – $6,955.62 | 23 |
| Drainage of salivary gland CPT 42305 | $3,710.62 | $6,184.37 | $71.00 – $7,975.81 | 24 |
| Drainage of salivary gland CPT 42320 | $482.86 | $804.77 | $71.00 – $2,975.00 | 24 |
| Drainage of throat abscess CPT 42725 | $6,499.33 | $10,832.22 | $71.00 – $14,507.25 | 24 |
| Drainage of urethra abscess CPT 53040 | $3,891.34 | $6,485.56 | $71.00 – $8,636.11 | 24 |
| Drainage of urethra abscess 53060 CPT 53060 | $1,780.46 | $2,967.44 | $71.00 – $5,045.72 | 24 |
| Drainage of urinary leakage CPT 53080 | $2,308.48 | $3,847.47 | $71.00 – $4,463.00 | 24 |
| Drainage of urinary leakage CPT 53085 | $2,688.62 | $4,481.03 | $71.00 – $5,388.00 | 24 |
| Drain bladder by trocar/cath CPT 51101 | $948.13 | $1,580.22 | $71.00 – $2,590.07 | 24 |
| Drain blood from under nail 11740 CPT 11740 | $190.10 | $316.84 | $34.85 – $316.45 | 24 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,477.16 | $2,461.94 | $71.00 – $4,016.35 | 24 |
| Drain cath image guided visceral pq CPT 49405 | $2,550.61 | $4,251.01 | $71.00 – $4,016.35 | 24 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,312.35 | $2,187.25 | $71.00 – $1,968.53 | 24 |
| Drain chest lesion CPT 21502 | $2,997.08 | $4,995.13 | $71.00 – $8,018.48 | 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.