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 |
|---|---|---|---|---|
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $152.96 | $254.94 | $12.00 – $229.45 | 24 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $102.11 | $170.19 | $12.00 – $153.17 | 24 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $949.32 | $1,582.20 | $9.96 – $1,423.98 | 19 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $9,377.40 | $15,629.00 | $36.00 – $12,659.06 | 24 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $987.93 | $1,646.55 | $147.66 – $1,208.12 | 24 |
| Icatibant injection HCPCS J1744 | $20,065.49 | $33,442.49 | $331.04 – $30,098.22 | 19 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $64,074.00 | $106,790.00 | $32.25 – $263.83 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $54,763.80 | $91,273.00 | $2,931.67 – $23,986.40 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $50,985.00 | $84,975.00 | $47.92 – $21,668.62 | 18 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,300.60 | $25,501.00 | $11.77 – $96.30 | 17 |
| Icg angiography i&r uni/bi CPT 92240 | $610.80 | $1,018.00 | $111.98 – $916.20 | 24 |
| Icut allergy test-delayed CPT 95028 | $60.06 | $100.10 | $3.00 – $99.35 | 24 |
| Icut allergy test drug/bug CPT 95024 | $58.63 | $97.71 | $3.00 – $151.53 | 24 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,309.02 | $3,848.36 | $71.00 – $7,975.81 | 24 |
| Idarubicin hcl injection HCPCS J9211 | $474.69 | $791.15 | $43.73 – $378.52 | 19 |
| I&d/bursa/foot 28001 CPT 28001 | $1,905.20 | $3,175.33 | $71.00 – $4,016.35 | 24 |
| Identify sperm tissue CPT 89264 | $326.15 | $543.59 | $12.00 – $489.23 | 24 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $3,148.15 | $5,246.91 | $71.00 – $8,018.48 | 24 |
| Idh1 common variants CPT 81120 | $641.36 | $1,068.93 | $36.00 – $999.10 | 24 |
| Idh2 common variants CPT 81121 | $981.65 | $1,636.08 | $36.00 – $1,529.23 | 24 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,147.18 | $3,578.63 | $939.93 – $6,955.62 | 23 |
| I&d lacrimal gland CPT 68400 | $848.78 | $1,414.64 | $155.61 – $2,508.06 | 24 |
| I&d lacrimal sac CPT 68420 | $3,205.90 | $5,343.16 | $71.00 – $5,788.85 | 24 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,004.47 | $5,007.45 | $71.00 – $7,039.11 | 24 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,325.14 | $5,541.90 | $71.00 – $7,039.11 | 24 |
| I&d vag hemtma obst/postpart CPT 57022 | $1,734.56 | $2,890.94 | $71.00 – $7,039.11 | 24 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $320.36 | $533.93 | $27.15 – $243.40 | 19 |
| Igh gene rearrang dir probe CPT 81262 | $82.26 | $137.10 | $36.00 – $354.40 | 24 |
| Igh gene rearrange amp meth CPT 81261 | $566.34 | $943.90 | $12.00 – $1,023.61 | 24 |
| Igh@ var region somatic mutation analy CPT 81263 | $766.50 | $1,277.50 | $36.00 – $1,522.67 | 24 |
| Igk rearrangeabn clonal pop CPT 81264 | $358.83 | $598.05 | $12.00 – $893.01 | 24 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $117.90 | $196.50 | $18.12 – $333.52 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $237.00 | $395.00 | $36.00 – $1,465.23 | 24 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $351.07 | $585.11 | $20.62 – $741.89 | 24 |
| Ikbkap gene CPT 81260 | $476.25 | $793.75 | $33.02 – $262.76 | 24 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,751.42 | $2,919.04 | $321.09 – $2,627.14 | 17 |
| Iliac revasc add-on 37222 CPT 37222 | $9,024.23 | $15,040.38 | $71.00 – $13,536.34 | 18 |
| Img rta detcj/mntr ds staff CPT 92227 | $181.35 | $302.25 | $33.25 – $272.02 | 20 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $38.90 | $64.84 | $7.13 – $99.35 | 20 |
| Img rta detc/mntr ds poc aly CPT 92229 | $66.79 | $111.32 | $12.25 – $151.53 | 20 |
| Immob elbow child sm HCPCS L3762 | $168.02 | $280.03 | $30.80 – $252.03 | 17 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $54.00 | $90.00 | $9.90 – $81.00 | 17 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $382.08 | $636.80 | $4.72 – $38.63 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $299.33 | $498.89 | $6.34 – $51.89 | 17 |
| Immobilizer shldr sling med HCPCS L3660 | $19.27 | $32.12 | $3.53 – $28.91 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | $4,782.11 | $7,970.19 | $71.00 – $16,154.42 | 24 |
| Immune complex assay CPT 86332 | $163.65 | $272.75 | $12.00 – $186.06 | 24 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,106.32 | $10,177.20 | $46.63 – $691.96 | 24 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,040.28 | $6,733.80 | $76.38 – $3,032.91 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $169.05 | $281.75 | $12.00 – $112.50 | 24 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $166.57 | $277.62 | $12.00 – $249.86 | 24 |
| Immunoassay tumor qual CPT 86294 | $86.69 | $144.48 | $12.00 – $132.20 | 24 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $124.50 | $207.50 | $4.36 – $61.94 | 24 |
| Immunodiffusion nes CPT 86329 | $109.79 | $182.99 | $11.80 – $125.61 | 24 |
| Immunofixation electrophoresis serum CPT 86334 | $346.24 | $577.07 | $12.00 – $201.69 | 24 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $1,007.00 | $1,678.33 | $8.93 – $251.52 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $1,007.00 | $1,678.33 | $8.93 – $1,465.23 | 24 |
| Immunoglobulin assay CPT 86023 | $68.89 | $114.82 | $10.47 – $64.75 | 24 |
| Immunology procedure CPT 86849 | $312.60 | $521.00 | $12.00 – $114.31 | 18 |
| Impedence cardiogram CPT 93701 | $110.29 | $183.82 | $20.22 – $329.27 | 24 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $5,000.40 | $8,334.00 | $268.01 – $2,192.85 | 17 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,811.60 | $19,686.00 | $49.99 – $408.97 | 17 |
| Implant cochlear device CPT 69930 | $34,229.98 | $57,049.97 | $71.00 – $83,073.64 | 24 |
| Implant cochlear osia osi300 HCPCS L8690 | $21,892.96 | $36,488.27 | $496.68 – $4,063.71 | 17 |
| Implant eye drug system CPT 67027 | $10,009.03 | $16,681.72 | $71.00 – $39,099.89 | 24 |
| Implant hormone pellet(s) 11980 CPT 11980 | $393.91 | $656.52 | $71.00 – $987.04 | 24 |
| Implant nerve end CPT 64787 | $2,152.40 | $3,587.33 | $71.00 – $3,228.60 | 18 |
| Implant neuroelectrodes CPT 63655 | $19,287.34 | $32,145.56 | $71.00 – $54,191.38 | 24 |
| Implant neuroelectrodes CPT 64555 | $4,844.48 | $8,074.14 | $71.00 – $16,942.33 | 24 |
| Implant neuroelectrodes CPT 64561 | $7,266.73 | $12,111.22 | $71.00 – $16,942.33 | 24 |
| Implant neurostim arrays CPT 61886 | $22,759.70 | $37,932.84 | $71.00 – $76,924.35 | 24 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $4,099.01 | $6,831.68 | $71.00 – $6,148.51 | 18 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $10,095.03 | $16,825.05 | $1,850.76 – $15,142.55 | 17 |
| Implant pulse generator remede el HCPCS C1823 | $50,985.00 | $84,975.00 | $9,347.25 – $76,477.50 | 17 |
| Implant single ventricular device 33975 CPT 33975 | $2,684.54 | $4,474.24 | $492.17 – $4,026.82 | 18 |
| Implant spinal canal cath CPT 62351 | $6,060.97 | $10,101.61 | $71.00 – $17,722.46 | 24 |
| Implant spine infusion pump CPT 62361 | $17,262.84 | $28,771.40 | $71.00 – $44,180.19 | 24 |
| Implant spine infusion pump CPT 62362 | $17,262.84 | $28,771.40 | $71.00 – $44,180.19 | 24 |
| Implant tcat pulm vlv perq CPT 33477 | $3,255.77 | $5,426.28 | $596.89 – $17,181.00 | 17 |
| Implant ureth bulk agent HCPCS L8606 | $4,507.67 | $7,512.78 | $95.52 – $781.53 | 17 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,632.51 | $6,054.19 | $665.96 – $5,448.77 | 17 |
| Impl neurostim electr perc CPT 63650 | $10,489.79 | $17,482.99 | $71.00 – $16,942.33 | 24 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $3,895.13 | $6,491.89 | $71.00 – $5,842.70 | 18 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,702.07 | $6,170.12 | $71.00 – $16,502.12 | 24 |
| Impl oi implt skull perq esp CPT 69714 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Implt neurostim elctr each HCPCS L8680 | $7,137.90 | $11,896.50 | $305.58 – $2,500.20 | 17 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $34.14 | $56.90 | $6.26 – $51.21 | 18 |
| Impres&prep auricular prosth CPT 21086 | $6,557.24 | $10,928.74 | $71.00 – $9,835.87 | 24 |
| Impres&prep def obt prosth CPT 21080 | $6,960.85 | $11,601.41 | $71.00 – $10,441.27 | 24 |
| Impres&prep intrm obt prosth CPT 21079 | $6,174.37 | $10,290.62 | $71.00 – $9,261.56 | 24 |
| Impres&prep mndbl res prosth CPT 21081 | $6,174.37 | $10,290.62 | $71.00 – $14,507.25 | 24 |
| Impres&prep nasal prosth CPT 21087 | $6,401.96 | $10,669.93 | $71.00 – $14,507.25 | 24 |
| Impres&prep oral surg splint CPT 21085 | $1,432.65 | $2,387.75 | $71.00 – $5,388.00 | 24 |
| Impres&prep orbital prosth CPT 21077 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Impres&prep sp aid prosth CPT 21084 | $6,759.31 | $11,265.51 | $71.00 – $10,138.96 | 24 |
| Impres&prep surg obt prosth CPT 21076 | $2,945.12 | $4,908.54 | $71.00 – $5,388.00 | 24 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $3,206.33 | $5,343.89 | $71.00 – $8,018.48 | 24 |
| Incise/drain eyelid lining CPT 68020 | $848.78 | $1,414.64 | $55.92 – $5,388.00 | 24 |
| Incise flexor carpi radialis CPT 25001 | $3,041.84 | $5,069.73 | $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.