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 |
|---|---|---|---|---|
| Ghs st - re-eval for alt comm CPT 92597 | $424.38 | $707.30 | $77.80 – $636.57 | 19 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $145.94 | $243.24 | $26.76 – $218.92 | 24 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $407.78 | $679.64 | $74.76 – $611.68 | 24 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,240.18 | $2,066.97 | $71.00 – $1,860.27 | 24 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $581.78 | $969.63 | $71.00 – $987.79 | 24 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,388.32 | $2,313.87 | $71.00 – $3,777.93 | 24 |
| Ghs trypsin (fecal) CPT 84488 | $79.83 | $133.05 | $6.13 – $119.75 | 24 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $548.92 | $914.86 | $71.00 – $823.37 | 24 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $486.35 | $810.59 | $71.00 – $729.53 | 24 |
| Ghs urine, hydroxproline total CPT 83505 | $186.16 | $310.27 | $12.00 – $279.24 | 24 |
| Ghs urine, porphyrins quant CPT 84120 | $129.66 | $216.10 | $12.00 – $76.05 | 24 |
| Ghs vaginal delivery only CPT 59409 | $3,433.76 | $5,722.94 | $71.00 – $7,744.80 | 24 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $4,052.97 | $6,754.95 | $356.12 – $6,079.45 | 24 |
| Ghs windowing of cast CPT 29730 | $216.80 | $361.34 | $27.69 – $390.34 | 24 |
| Giardia ag if CPT 87269 | $78.00 | $130.00 | $11.43 – $117.00 | 24 |
| Giardia lamblia antibody CPT 86674 | $94.15 | $156.92 | $12.00 – $141.23 | 24 |
| Gi endoscopic ultrasound CPT 76975 | $611.42 | $1,019.04 | $110.35 – $917.14 | 24 |
| Gi inhouse confirmation CPT 87045 | $111.95 | $186.58 | $7.93 – $167.92 | 24 |
| Gingivoplasty each quadrant CPT 41872 | $2,730.39 | $4,550.65 | $71.00 – $7,975.81 | 24 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,539.87 | $4,233.11 | $732.90 – $3,809.80 | 23 |
| Gi trc img intral esophagus CPT 91111 | $1,897.82 | $3,163.03 | $865.56 – $2,846.73 | 23 |
| Gi wireless capsule measure CPT 91112 | $710.42 | $1,184.03 | $466.98 – $3,560.10 | 23 |
| Gjb2 gene full sequence CPT 81252 | $628.20 | $1,047.00 | $12.00 – $942.30 | 24 |
| Gjb2 gene known fam variants CPT 81253 | $73.82 | $123.04 | $36.00 – $318.06 | 24 |
| Gjb6 gene com variants CPT 81254 | $343.03 | $571.72 | $29.40 – $514.55 | 24 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $116.17 | $193.61 | $21.30 – $174.25 | 24 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $76.08 | $126.80 | $13.95 – $114.12 | 24 |
| Glaucoma surgery CPT 66160 | $3,895.82 | $6,493.03 | $71.00 – $5,843.73 | 24 |
| Glaucoma surgery CPT 66170 | $4,188.22 | $6,980.36 | $71.00 – $6,282.32 | 24 |
| Glove finger flexion right lg xl HCPCS L3912 | $114.00 | $190.00 | $3.52 – $28.80 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $682.24 | $1,137.06 | $40.18 – $328.72 | 24 |
| Glucagon plasma - sendout CPT 82943 | $111.07 | $185.12 | $12.00 – $166.61 | 24 |
| Glucagon tolerance test CPT 82946 | $111.95 | $186.58 | $12.00 – $167.92 | 24 |
| Glucose 1 hr post dose CPT 82950 | $53.00 | $88.33 | $3.99 – $79.50 | 24 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $72.12 | $120.20 | $5.08 – $108.18 | 24 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $34.80 | $58.00 | $3.12 – $52.20 | 24 |
| Glucose blood quantitative CPT 82947 | $55.91 | $93.19 | $3.30 – $73.85 | 24 |
| Glucose body fluid CPT 82945 | $79.18 | $131.97 | $3.30 – $80.53 | 24 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $316.45 | $527.42 | $56.30 – $474.68 | 24 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $140.92 | $234.87 | $10.81 – $211.38 | 24 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $36.00 | $60.00 | $3.29 – $54.00 | 24 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $49.20 | $82.00 | $0.40 – $17.64 | 19 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,598.55 | $5,997.58 | $10.73 – $5,397.82 | 24 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $149.06 | $248.44 | $11.23 – $96.06 | 24 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $316.50 | $527.50 | $10.86 – $95.75 | 24 |
| Gonioscopy CPT 92020 | $152.50 | $254.17 | $27.96 – $316.45 | 24 |
| Goniotomy CPT 65820 | $4,769.10 | $7,948.50 | $71.00 – $10,072.14 | 24 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,010.53 | $8,350.89 | $327.63 – $2,680.61 | 19 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,733.71 | $7,889.52 | $18.69 – $186.89 | 23 |
| Graft axiofill 1000mg HCPCS J3590 | $3,591.00 | $5,985.00 | $0.01 – $0.06 | 18 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $388.13 | $646.89 | $27.49 – $224.89 | 23 |
| Graft hand or finger tendon CPT 26416 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,603.28 | $46,005.47 | $7.96 – $186.89 | 23 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $1,585.80 | $2,643.00 | $290.73 – $2,378.70 | 18 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $20,782.10 | $34,636.83 | $73.97 – $605.22 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $50,985.00 | $84,975.00 | $7.75 – $63.42 | 17 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $141.58 | $235.96 | $25.96 – $212.36 | 23 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,315.71 | $2,192.85 | $55.75 – $456.11 | 23 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $765.06 | $1,275.10 | $34.43 – $281.70 | 23 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,021.66 | $11,702.76 | $7.87 – $186.89 | 23 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $4,742.40 | $7,904.00 | $3.34 – $186.89 | 23 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $800.41 | $1,334.02 | $43.07 – $352.40 | 23 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $50,985.00 | $84,975.00 | $17.74 – $145.11 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,670.92 | $6,118.20 | $2.85 – $23.30 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $4,554.48 | $7,590.80 | $834.99 – $6,831.72 | 18 |
| Great toe with reduction 28495 CPT 28495 | $560.99 | $934.99 | $71.00 – $841.49 | 24 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $7,757.11 | $12,928.52 | $71.00 – $11,635.67 | 24 |
| Ground mileage HCPCS A0425 | $3.74 | $6.24 | $0.50 – $4.05 | 18 |
| Group behave couns 2-10 HCPCS G0473 | $91.82 | $153.04 | $16.83 – $137.74 | 24 |
| Group health education CPT 99078 | $67.60 | $112.67 | $12.39 – $101.40 | 18 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $53.02 | $88.36 | $9.72 – $79.52 | 18 |
| Growth hormone antibody CPT 86277 | $72.60 | $121.00 | $12.00 – $108.90 | 24 |
| Growth stimulation gene 2 CPT 83006 | $225.00 | $375.00 | $12.00 – $390.85 | 24 |
| Gstrst open wo constj tube CPT 43830 | $2,749.01 | $4,581.68 | $503.98 – $5,388.00 | 23 |
| G-tube reposition CPT 43761 | $1,036.13 | $1,726.88 | $110.15 – $1,554.19 | 24 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,129.23 | $5,215.38 | $119.63 – $5,952.41 | 24 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,026.01 | $1,710.02 | $71.00 – $1,742.94 | 24 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,922.00 | $14,870.00 | $318.96 – $2,609.71 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $23,453.10 | $39,088.50 | $0.00 – $0.01 | 18 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $5,049.60 | $8,416.00 | $0.00 – $0.01 | 18 |
| Guid loc target vol rad tx CPT 77387 | $290.03 | $483.39 | $53.17 – $459.62 | 18 |
| Gum graft CPT 41870 | $5,713.09 | $9,521.81 | $71.00 – $8,569.63 | 24 |
| Gw stiffened micro access kit HCPCS C1894 | $9,177.30 | $15,295.50 | $0.00 – $0.01 | 18 |
| Gynecomastia (males) 19300 CPT 19300 | $3,514.50 | $5,857.50 | $71.00 – $9,442.65 | 24 |
| Hair removal by electrolysis 17380 CPT 17380 | $572.83 | $954.71 | $71.00 – $1,555.84 | 24 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $326.34 | $543.90 | $59.83 – $4,463.00 | 24 |
| Hair trnspl >15 punch grafts CPT 15776 | $326.34 | $543.90 | $59.83 – $4,463.00 | 24 |
| Halo cervical into jckt vest HCPCS L0810 | $2,395.80 | $3,993.00 | $439.23 – $3,593.70 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $139.00 | $231.66 | $2.64 – $21.60 | 19 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $74.29 | $123.81 | $0.58 – $4.75 | 19 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $30.36 | $50.60 | $4.64 – $63.33 | 18 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,628.05 | $11,046.75 | $1,215.14 – $9,942.08 | 18 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $140.92 | $234.86 | $25.83 – $211.37 | 19 |
| Hand tendon reconstruction CPT 26500 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Hand tendon reconstruction CPT 26502 | $4,498.52 | $7,497.54 | $71.00 – $8,018.48 | 24 |
| Hand X-ray CPT 73130 | $382.93 | $638.22 | $37.43 – $574.40 | 24 |
| Hand X-ray (2 views, both hands) CPT 73120 | $342.93 | $571.55 | $31.74 – $514.39 | 24 |
| Haptoglobin quantitative CPT 83010 | $121.73 | $202.89 | $10.57 – $65.04 | 24 |
| Harvest allogeneic stem cell CPT 38205 | $4,143.58 | $6,905.96 | $71.00 – $6,215.36 | 18 |
| Harvest auto stem cells CPT 38206 | $4,464.59 | $7,440.99 | $71.00 – $6,696.89 | 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.