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 |
|---|---|---|---|---|
| Foot arch support remov prem HCPCS L3030 | $407.22 | $678.70 | $74.66 – $610.83 | 17 |
| Foot insert plastazote or eq HCPCS L3002 | $365.48 | $609.13 | $27.94 – $228.60 | 17 |
| Foot longitudinal arch suppo HCPCS L3010 | $329.48 | $549.13 | $60.40 – $494.22 | 17 |
| Foot longitud/metatarsal sup HCPCS L3020 | $329.48 | $549.13 | $5.10 – $41.69 | 17 |
| Foot plas heel stabi pre ots HCPCS L3170 | $29.40 | $49.00 | $5.39 – $44.10 | 18 |
| Foot X-ray CPT 73630 | $406.02 | $676.70 | $34.41 – $609.03 | 24 |
| Foot X-ray (2 views, both feet) CPT 73620 | $338.66 | $564.44 | $28.74 – $508.00 | 24 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $42.66 | $71.10 | $7.32 – $59.86 | 17 |
| Forearm X-ray (both sides) CPT 73090 | $372.73 | $621.22 | $29.40 – $559.10 | 24 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $3,177.72 | $5,296.20 | $71.00 – $8,887.48 | 24 |
| Forensic cytopathology CPT 88125 | $117.17 | $195.28 | $21.48 – $255.76 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $775.98 | $1,293.30 | $71.00 – $1,163.97 | 24 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $221.89 | $369.81 | $0.12 – $162.00 | 19 |
| Foscarnet sodium injection HCPCS J1455 | $1,299.00 | $2,165.00 | $9.19 – $1,948.50 | 19 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $86.40 | $144.00 | $1.26 – $121.50 | 24 |
| Fractionation ketosteroids CPT 83593 | $131.99 | $219.99 | $12.00 – $197.99 | 24 |
| Fracture assessment via dxa CPT 77086 | $136.07 | $226.79 | $33.75 – $268.16 | 24 |
| _fragile x methylation-sendout CPT 81244 | $327.79 | $546.32 | $12.00 – $491.69 | 24 |
| Fragmenting of kidney stone CPT 50590 | $13,092.17 | $21,820.28 | $71.00 – $10,982.00 | 24 |
| Frenectomy 41115 CPT 41115 | $1,675.06 | $2,791.77 | $71.00 – $3,777.93 | 24 |
| Frenotomy 40806 CPT 40806 | $507.01 | $845.01 | $71.00 – $1,363.00 | 24 |
| Frenulotomy of penis CPT 54164 | $3,897.55 | $6,495.92 | $71.00 – $5,846.33 | 24 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $96.80 | $161.33 | $17.75 – $188.68 | 24 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $154.94 | $258.23 | $28.41 – $232.41 | 24 |
| Fresh frozen plasma thawing ea un CPT 86927 | $196.84 | $328.06 | $12.00 – $423.12 | 24 |
| Frozen cell preparation CPT 88241 | $95.18 | $158.64 | $10.16 – $142.78 | 24 |
| Fructosamine glycated protein CPT 82985 | $79.24 | $132.07 | $12.00 – $118.86 | 24 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $2,393.63 | $3,989.38 | $71.00 – $3,590.44 | 18 |
| Fth/gft fr trnk each addl CPT 15201 | $1,947.98 | $3,246.64 | $71.00 – $2,921.98 | 18 |
| Ft insert ucb berkeley shell HCPCS L3000 | $329.48 | $549.13 | $60.40 – $494.22 | 17 |
| Ftl cgen abnor four anal CPT 81511 | $317.70 | $529.50 | $36.00 – $476.55 | 24 |
| Full field erg w/i&r CPT 92273 | $574.20 | $957.00 | $105.27 – $861.30 | 24 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $453.73 | $756.22 | $70.50 – $680.60 | 24 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,806.38 | $6,343.97 | $71.00 – $5,709.57 | 24 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,499.37 | $4,165.62 | $71.00 – $4,517.58 | 24 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,056.41 | $1,760.69 | $71.00 – $1,584.62 | 18 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,152.60 | $5,254.33 | $71.00 – $4,728.90 | 24 |
| Functional brain mapping CPT 96020 | $725.86 | $1,209.77 | $133.07 – $1,088.79 | 18 |
| Fundus photography with i&r 92250 CPT 92250 | $255.85 | $426.41 | $46.91 – $383.77 | 24 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $43.20 | $72.00 | $0.02 – $16.20 | 19 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $3.17 | $5.28 | $0.58 – $4.75 | 18 |
| Fuse/graft added joint CPT 26863 | $2,650.04 | $4,416.74 | $71.00 – $3,975.07 | 18 |
| Fusion/graft of finger joint CPT 26862 | $5,255.82 | $8,759.70 | $71.00 – $8,018.48 | 24 |
| Fusion/graft of hand joint CPT 26844 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of ankle joint open CPT 27870 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Fusion of big toe joint CPT 28750 | $6,862.26 | $11,437.10 | $71.00 – $17,722.46 | 24 |
| Fusion of big toe joint CPT 28755 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of finger jnt add-on CPT 26861 | $2,451.31 | $4,085.51 | $71.00 – $3,676.96 | 18 |
| Fusion of finger joint CPT 26860 | $4,341.02 | $7,235.04 | $71.00 – $8,018.48 | 24 |
| Fusion of finger tendons CPT 26471 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Fusion of finger tendons CPT 26474 | $2,019.85 | $3,366.41 | $71.00 – $3,981.46 | 24 |
| Fusion of foot bones CPT 28730 | $8,260.30 | $13,767.16 | $71.00 – $32,603.53 | 24 |
| Fusion of foot bones CPT 28735 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Fusion of foot bones CPT 28740 | $6,288.57 | $10,480.95 | $71.00 – $17,722.46 | 24 |
| Fusion of hand joint CPT 26843 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of knuckle CPT 26850 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of knuckle joint CPT 26516 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Fusion of knuckle joints CPT 26517 | $4,259.84 | $7,099.74 | $71.00 – $8,018.48 | 24 |
| Fusion of knuckle with graft CPT 26852 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of spermatic ducts CPT 54900 | $3,498.74 | $5,831.23 | $71.00 – $5,248.11 | 24 |
| Fusion of spermatic ducts CPT 54901 | $3,673.67 | $6,122.79 | $71.00 – $8,636.11 | 24 |
| Fusion of tendons at wrist CPT 25300 | $4,443.10 | $7,405.16 | $71.00 – $8,018.48 | 24 |
| Fusion of tendons at wrist CPT 25301 | $3,273.55 | $5,455.91 | $71.00 – $8,018.48 | 24 |
| Fusion of thumb CPT 26841 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Fusion of tibiofibular joint CPT 27871 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Fusion of toes CPT 28280 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| G0180 home health certification HCPCS G0180 | $134.40 | $224.00 | $24.64 – $201.60 | 18 |
| G6pc gene CPT 81250 | $140.79 | $234.65 | $36.00 – $302.39 | 24 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $36.00 – $3,102.00 | 24 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $36.00 – $903.77 | 24 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $9,450.00 | 23 |
| Gabapentin non-blood CPT 80355 | $43.68 | $72.80 | $3.03 – $8.25 | 17 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $222.46 | 19 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $139.72 | $232.86 | $12.00 – $209.57 | 24 |
| Galactokinase - sendout CPT 82759 | $225.00 | $375.00 | $12.00 – $337.50 | 24 |
| Galactose transferase test CPT 82776 | $34.93 | $58.22 | $9.86 – $60.70 | 24 |
| Galectin-3 CPT 82777 | $132.21 | $220.35 | $12.00 – $228.77 | 24 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,754.98 | $2,924.97 | $290.70 – $2,632.47 | 24 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,968.31 | $3,280.52 | $390.26 – $2,952.47 | 24 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $14,293.73 | 14 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,243.58 | $2,072.63 | $46.50 – $1,865.37 | 24 |
| Gammaglobulin iga CPT 82784 | $97.36 | $162.27 | $6.38 – $48.08 | 24 |
| Gammaglobulin ige CPT 82785 | $116.66 | $194.43 | $5.93 – $85.10 | 24 |
| Gamma glutamyltransferase CPT 82977 | $82.61 | $137.69 | $6.05 – $56.25 | 24 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $197.40 | $329.00 | $36.19 – $296.10 | 19 |
| Gardner vag dna amp probe CPT 87511 | $57.36 | $95.60 | $12.00 – $181.42 | 24 |
| Gastric analy w/ph ea spec CPT 82930 | $25.61 | $42.69 | $5.64 – $38.42 | 24 |
| Gastric emptying imag study CPT 78265 | $1,389.15 | $2,315.25 | $353.51 – $2,083.72 | 24 |
| Gastric emptying imag study CPT 78266 | $1,770.81 | $2,951.35 | $397.61 – $2,656.22 | 24 |
| Gastric motility studies CPT 91020 | $1,606.88 | $2,678.14 | $294.60 – $2,410.33 | 24 |
| Gastrin test CPT 82938 | $119.11 | $198.52 | $12.00 – $178.67 | 24 |
| Gastroesophageal reflux study CPT 78262 | $1,110.50 | $1,850.84 | $223.20 – $1,665.76 | 24 |
| Gastroesophageal reflux test CPT 91034 | $1,092.39 | $1,820.65 | $200.27 – $1,638.59 | 23 |
| Gastrostomy open neonatal CPT 43831 | $1,154.78 | $1,924.64 | $211.71 – $5,388.00 | 23 |
| Gated heart multiple CPT 78473 | $1,370.99 | $2,284.98 | $262.96 – $2,056.48 | 24 |
| Gba gene CPT 81251 | $291.87 | $486.45 | $36.00 – $437.81 | 24 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $90.00 | $150.00 | $16.50 – $135.00 | 17 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $105.05 | 19 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,843.81 | $29,739.68 | $218.85 – $26,765.71 | 24 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $2,929.74 – $23,970.60 | 17 |
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.