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 |
|---|---|---|---|---|
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $837.41 | $1,395.68 | $21.67 – $1,036.24 | 24 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $54.59 | $90.98 | $0.71 – $14.27 | 19 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $30.76 | $51.26 | $1.49 – $19.21 | 19 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $3,615.94 | $6,026.56 | $71.00 – $8,018.48 | 24 |
| Amputate metacarpal bone 26910 CPT 26910 | $3,456.08 | $5,760.14 | $71.00 – $8,018.48 | 24 |
| Amputation follow-up surgery CPT 24925 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Amputation follow-up surgery CPT 25909 | $2,777.50 | $4,629.16 | $71.00 – $17,722.46 | 24 |
| Amputation follow-up surgery CPT 25931 | $3,136.63 | $5,227.71 | $71.00 – $8,018.48 | 24 |
| Amputation follow-up surgery CPT 27594 | $3,305.98 | $5,509.97 | $71.00 – $8,018.48 | 24 |
| Amputation follow-up surgery CPT 27884 | $4,175.98 | $6,959.97 | $71.00 – $8,018.48 | 24 |
| Amputation of foot at ankle CPT 27889 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Amputation thru metatarsal CPT 28805 | $4,147.31 | $6,912.18 | $71.00 – $8,018.48 | 24 |
| Amputation toe interphalangeal joint CPT 28825 | $3,901.72 | $6,502.86 | $71.00 – $8,018.48 | 24 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $4,375.84 | $7,293.07 | $71.00 – $8,018.48 | 24 |
| Amylase CPT 82150 | $355.35 | $592.25 | $5.44 – $33.50 | 24 |
| Anabolic steroid 1 or 2 CPT 80327 | $180.83 | $301.39 | $12.00 – $271.25 | 17 |
| Ana ds-dna CPT 86226 | $100.68 | $167.80 | $10.17 – $151.02 | 24 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $117.01 | $195.02 | $9.63 – $175.52 | 17 |
| Anal pressure record CPT 91122 | $1,045.39 | $1,742.32 | $191.66 – $1,568.09 | 18 |
| Anal/urinary muscle study CPT 51784 | $484.04 | $806.73 | $22.14 – $726.06 | 24 |
| Anal/urinary muscle study CPT 51785 | $484.78 | $807.97 | $110.15 – $727.17 | 24 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $400.51 | $667.52 | $73.43 – $600.77 | 24 |
| Analysis gene f2 20210g>a variant CPT 81240 | $439.79 | $732.98 | $12.00 – $339.62 | 24 |
| Analysis gene f5 leiden variant CPT 81241 | $315.30 | $525.50 | $12.00 – $472.95 | 24 |
| Analysis nerve CPT 88356 | $274.49 | $457.48 | $36.00 – $411.73 | 24 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $378.26 | $630.43 | $35.62 – $567.39 | 24 |
| Analysis tumor CPT 88358 | $237.89 | $396.48 | $36.00 – $741.89 | 24 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $579.17 | $965.29 | $90.72 – $868.76 | 24 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $240.00 | $400.00 | $12.00 – $181.42 | 24 |
| Anca screen with reflex to titer -quest CPT 86021 | $193.07 | $321.78 | $12.00 – $235.15 | 24 |
| An cholangiogram percutaneous compl CPT 47531 | $2,987.17 | $4,978.61 | $71.00 – $8,570.48 | 24 |
| Androstanediol CPT 82154 | $151.42 | $252.36 | $12.00 – $227.12 | 24 |
| An fluoro guide for cvp CPT 77001 | $754.13 | $1,256.89 | $138.26 – $1,131.20 | 18 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,640.12 | $19,400.20 | $71.00 – $17,460.18 | 18 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,419.17 | $22,365.29 | $71.00 – $20,128.76 | 19 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $14,552.44 | $24,254.06 | $71.00 – $21,828.65 | 19 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $10,506.83 | $17,511.38 | $71.00 – $15,760.24 | 18 |
| Angiotensin ii CPT 82163 | $104.41 | $174.02 | $12.00 – $156.62 | 24 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $13,724.39 | $22,873.98 | $0.00 – $0.02 | 18 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $14,806.05 | $24,676.75 | $71.00 – $27,252.71 | 19 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,542.77 | $10,904.62 | $71.00 – $9,814.16 | 18 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $16,894.29 | $28,157.15 | $71.00 – $25,341.44 | 24 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $8,051.75 | $13,419.59 | $71.00 – $12,077.63 | 18 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $12,528.82 | $20,881.37 | $71.00 – $18,793.23 | 24 |
| Anidulafungin injection HCPCS J0348 | $260.72 | $434.53 | $0.54 – $391.08 | 19 |
| Ankle arthroscopy/surgery CPT 29891 | $5,927.23 | $9,878.72 | $71.00 – $8,890.85 | 24 |
| Ankle arthroscopy/surgery CPT 29892 | $6,193.84 | $10,323.07 | $71.00 – $17,722.46 | 24 |
| Ankle arthroscopy/surgery CPT 29894 | $4,333.06 | $7,221.76 | $71.00 – $8,018.48 | 24 |
| Ankle arthroscopy/surgery CPT 29895 | $4,902.63 | $8,171.05 | $71.00 – $8,018.48 | 24 |
| Ankle arthroscopy/surgery CPT 29897 | $4,456.07 | $7,426.78 | $71.00 – $8,018.48 | 24 |
| Ankle arthroscopy/surgery CPT 29898 | $4,488.38 | $7,480.63 | $71.00 – $8,018.48 | 24 |
| Ankle arthroscopy/surgery CPT 29899 | $8,334.74 | $13,891.24 | $71.00 – $17,722.46 | 24 |
| Ankle X-ray CPT 73610 | $356.32 | $593.86 | $36.75 – $534.47 | 24 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $302.50 | $504.17 | $32.41 – $453.75 | 24 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $420.84 | $701.40 | $71.00 – $739.93 | 24 |
| Annual alcohol screen 15 min HCPCS G0442 | $36.22 | $60.37 | $6.64 – $71.08 | 24 |
| Annual nursing fac assessmnt CPT 99318 | $122.71 | $204.52 | $22.50 – $184.07 | 14 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $212.88 | $354.80 | $39.03 – $319.32 | 18 |
| Anodyne therapy charges pt CPT 97026 | $52.20 | $87.00 | $9.57 – $78.30 | 19 |
| Anogenital exam child w imag CPT 99170 | $168.73 | $281.22 | $16.50 – $493.64 | 24 |
| Anora (draw only) CPT 99001 | $33.00 | $55.00 | $6.05 – $49.50 | 18 |
| Anoscopy remove fb 46608 CPT 46608 | $2,022.14 | $3,370.23 | $328.50 – $3,033.21 | 24 |
| Ans parasymp & symp w/tilt CPT 95924 | $492.59 | $820.99 | $90.31 – $777.56 | 24 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $4,934.17 | $8,223.62 | $71.00 – $12,321.66 | 24 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $105.45 | $175.75 | $10.82 – $92.07 | 24 |
| Antibody elution rbc reference CPT 86860 | $146.25 | $243.75 | $12.00 – $741.89 | 24 |
| Antibody htlv/hiv confirm test CPT 86689 | $233.88 | $389.80 | $0.00 – $100.04 | 24 |
| Antibody htlv-i CPT 86687 | $64.13 | $106.89 | $2.90 – $47.00 | 24 |
| Antibody htlv-ii CPT 86688 | $56.35 | $93.92 | $2.90 – $72.38 | 24 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $522.90 | $871.50 | $12.00 – $105.00 | 24 |
| Antibody id rbc panel CPT 86870 | $265.05 | $441.75 | $12.00 – $1,465.23 | 24 |
| Antibody influenza virus CPT 86710 | $67.24 | $112.06 | $11.38 – $100.85 | 24 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $90.75 | $151.25 | $10.81 – $66.54 | 24 |
| Antibody screen rbc CPT 86850 | $158.04 | $263.40 | $0.69 – $255.76 | 24 |
| Antibody tetanus CPT 86774 | $114.67 | $191.11 | $12.00 – $76.52 | 24 |
| Antidepressant not specified CPT 80338 | $94.22 | $157.04 | $10.71 – $138.38 | 17 |
| Antigen therapy services CPT 95145 | $54.25 | $90.42 | $9.95 – $117.68 | 20 |
| Antigen therapy services CPT 95146 | $82.78 | $137.97 | $15.18 – $124.17 | 20 |
| Antigen therapy services CPT 95147 | $99.86 | $166.43 | $18.31 – $174.51 | 20 |
| Antigen therapy services CPT 95148 | $91.07 | $151.79 | $16.70 – $174.51 | 20 |
| Antigen therapy services CPT 95149 | $82.15 | $136.92 | $15.06 – $174.51 | 20 |
| Antigen therapy services CPT 95165 | $70.07 | $116.78 | $12.85 – $117.68 | 20 |
| Antigen therapy services CPT 95170 | $71.21 | $118.68 | $13.05 – $117.68 | 24 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $22.56 | $37.60 | $1.42 – $33.84 | 24 |
| Anti-inhibitor HCPCS J7198 | $26.23 | $43.72 | $2.30 – $39.35 | 24 |
| Anti mog serum - sendout CPT 86362 | $323.75 | $539.58 | $10.12 – $184.09 | 24 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $88.50 | $147.50 | $10.12 – $62.30 | 24 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $78.41 | $130.69 | $10.12 – $117.62 | 24 |
| Antinuclear antibodies CPT 86038 | $125.35 | $208.91 | $10.16 – $62.51 | 24 |
| Antinuclear antibodies titer CPT 86039 | $114.80 | $191.33 | $9.37 – $57.70 | 24 |
| Antiphosphatidylserine antibody CPT 86148 | $106.05 | $176.75 | $12.00 – $114.31 | 24 |
| Antipsychotics nos 1-3 CPT 80342 | $246.00 | $410.00 | $11.76 – $106.65 | 17 |
| Antistreptolysin o screen CPT 86063 | $72.31 | $120.52 | $4.85 – $108.47 | 24 |
| Antistreptolysin o titer CPT 86060 | $87.19 | $145.32 | $6.13 – $130.79 | 24 |
| Antithrombin iii activity CPT 85300 | $167.90 | $279.84 | $9.95 – $119.01 | 24 |
| Antithrombin iii injection HCPCS J7197 | $32.39 | $53.98 | $3.90 – $48.58 | 24 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $7,544.81 | $12,574.68 | $1,383.21 – $11,317.21 | 24 |
| Antithymocyte globuln rabbit HCPCS J7511 | $1,919.09 | $3,198.48 | $351.83 – $2,878.63 | 24 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $7,743.03 | $12,905.05 | $71.00 – $12,321.66 | 24 |
| Ant sgm img ir flrscn angrph CPT 92287 | $370.22 | $617.04 | $67.87 – $555.34 | 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.