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 |
|---|---|---|---|---|
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $127.50 | $212.50 | $12.00 – $181.42 | 23 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,100.20 | $1,833.66 | $12.00 – $2,154.75 | 24 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $2,085.79 | $3,476.31 | $12.00 – $2,526.37 | 24 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $199.73 | $332.88 | $12.00 – $134.78 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $147.65 | $246.08 | $10.06 – $221.47 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $91.90 | $153.17 | $11.27 – $137.85 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $83.28 | $138.80 | $11.61 – $124.92 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $81.71 | $136.19 | $10.06 – $61.94 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $128.15 | $213.59 | $12.00 – $90.00 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $113.81 | $189.69 | $2.90 – $53.41 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $94.22 | $157.03 | $8.68 – $141.33 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $140.83 | $234.71 | $12.00 – $211.24 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $309.00 | $515.00 | $10.06 – $64.75 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $127.10 | $211.83 | $10.06 – $190.65 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $55.31 | $92.18 | $10.06 – $82.96 | 24 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $849.00 | $1,415.00 | $2.90 – $181.42 | 24 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $125.96 | $209.93 | $12.00 – $188.94 | 24 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $209.30 | $348.83 | $12.00 – $313.95 | 24 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $926.47 | $1,544.12 | $12.00 – $2,154.75 | 24 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $235.64 | $392.74 | $12.00 – $185.62 | 24 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $185.20 | $308.66 | $12.00 – $277.79 | 24 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $328.73 | $547.89 | $12.00 – $358.81 | 24 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $170.75 | $284.58 | $12.00 – $256.12 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $103.50 | $172.50 | $12.00 – $265.27 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $61.45 | $102.41 | $12.00 – $737.40 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $104.93 | $174.88 | $12.00 – $737.40 | 24 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $127.01 | $211.68 | $12.00 – $190.51 | 24 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $154.42 | $257.36 | $12.00 – $222.36 | 24 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $296.71 | $494.51 | $12.00 – $445.06 | 23 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $273.58 | $455.96 | $12.00 – $410.36 | 23 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,091.46 | $1,819.10 | $12.00 – $1,637.19 | 23 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $727.50 | $1,212.50 | $12.00 – $2,154.75 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $375.00 | $625.00 | $12.00 – $663.26 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $556.63 | $927.72 | $12.00 – $1,359.66 | 24 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,105.50 | $1,842.50 | $12.00 – $221.48 | 24 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $266.96 | $444.94 | $12.00 – $221.62 | 24 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $325.45 | $542.41 | $12.00 – $221.48 | 24 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $426.38 | $710.63 | $12.00 – $639.57 | 24 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $363.10 | $605.16 | $12.00 – $737.40 | 24 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,102.08 | $3,503.46 | $29.49 – $3,153.11 | 24 |
| Influenza dna amp prob addl CPT 87503 | $32.29 | $53.82 | $12.00 – $151.07 | 24 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,321.38 | $2,202.30 | $71.00 – $1,982.07 | 18 |
| Ingest challenge ea addl 60 min CPT 95079 | $322.34 | $537.24 | $3.00 – $483.52 | 18 |
| Ingest challenge ini 120 min CPT 95076 | $709.16 | $1,181.93 | $3.00 – $1,327.77 | 24 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $357.05 | $595.08 | $65.46 – $555.56 | 24 |
| Initial foot exam pt lops HCPCS G0245 | $193.85 | $323.09 | $35.54 – $327.47 | 24 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $169.81 | $283.02 | $31.13 – $254.72 | 14 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $215.57 | $359.29 | $39.52 – $323.36 | 14 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $120.07 | $200.11 | $22.01 – $180.10 | 14 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $94.34 | $157.23 | $17.30 – $220.82 | 24 |
| Inj acetaminophen -fresenius HCPCS J0134 | $34.56 | $57.60 | $0.06 – $51.84 | 19 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $16.63 | $27.72 | $3.05 – $24.95 | 18 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,176.71 | $11,961.18 | $3.62 – $10,530.00 | 24 |
| Inj alymsys 10 mg HCPCS Q5126 | $676.74 | $1,127.90 | $49.01 – $1,015.11 | 24 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $20.40 | $34.00 | $0.17 – $30.60 | 19 |
| Inj, bupivacaine liposome HCPCS J0666 | $507.76 | $846.27 | $1.32 – $761.64 | 24 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $35.82 | $59.70 | $4.95 – $40.51 | 18 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $34.59 | $57.65 | $0.94 – $51.88 | 19 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $24.24 | $40.40 | $0.81 – $36.36 | 19 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $596.08 | $993.47 | $2.30 – $894.12 | 24 |
| Inj ceftolozane tazobactam HCPCS J0695 | $431.36 | $718.93 | $8.40 – $647.04 | 24 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $286.95 | $478.25 | $52.61 – $430.43 | 18 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,584.60 | $2,641.00 | $290.51 – $2,746.61 | 19 |
| Inj disk cerv-thor ea lev CPT 62291 | $511.09 | $851.81 | $93.70 – $766.63 | 16 |
| Inj dupuytren cord w/enzyme CPT 20527 | $353.64 | $589.40 | $38.48 – $733.72 | 24 |
| Inj dx for sinogram CPT 20501 | $204.50 | $340.84 | $37.49 – $306.76 | 18 |
| Inject for sacroiliac joint HCPCS G0259 | $932.51 | $1,554.19 | $170.96 – $1,841.00 | 17 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,030.57 | $1,717.62 | $71.00 – $2,975.00 | 24 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $388.32 | $647.20 | $71.00 – $582.48 | 18 |
| Injection, belinostat, 10mg HCPCS J9032 | $3,631.78 | $6,052.97 | $48.17 – $5,447.67 | 24 |
| Injection, cangrelor HCPCS C9460 | $1,734.77 | $2,891.29 | $19.02 – $2,602.16 | 24 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $518.54 | $864.24 | $36.54 – $777.82 | 24 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,324.34 | $8,873.90 | $67.23 – $2,030.39 | 24 |
| Injection during cath supravalvular aortography CPT 93567 | $432.00 | $720.00 | $79.20 – $17,181.00 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $1,942.35 | $3,237.25 | $71.00 – $2,913.53 | 24 |
| Injection eye drug CPT 67028 | $505.70 | $842.84 | $48.45 – $838.97 | 24 |
| Injection for arthrography wrist (both sides) CPT 25246 | $323.84 | $539.74 | $59.37 – $485.77 | 18 |
| Injection for bladder x-ray CPT 51600 | $313.22 | $522.03 | $57.42 – $469.83 | 18 |
| Injection for hip x-ray CPT 27095 | $1,189.34 | $1,982.23 | $71.00 – $1,784.01 | 18 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $307.18 | $511.97 | $56.32 – $460.77 | 18 |
| Injection for ureter x-ray CPT 50684 | $136.52 | $227.53 | $25.03 – $204.78 | 18 |
| Injection for ureter x-ray CPT 50690 | $103.69 | $172.81 | $19.01 – $155.53 | 18 |
| Injection, fulvestrant HCPCS J9395 | $3,520.29 | $5,867.15 | $5.43 – $2,677.50 | 19 |
| Injection, glucarpidase HCPCS C9293 | $74,113.20 | $123,522.00 | $426.64 – $111,169.80 | 23 |
| Injection into brain canal CPT 61055 | $980.28 | $1,633.80 | $71.00 – $2,975.00 | 24 |
| Injection into hemorrhoid(s) CPT 46500 | $1,133.20 | $1,888.66 | $210.13 – $2,264.11 | 24 |
| Injection, isavuconazonium HCPCS J1833 | $987.58 | $1,645.97 | $0.96 – $1,481.37 | 24 |
| Injection jaw joint x-ray CPT 21116 | $235.74 | $392.90 | $43.22 – $353.61 | 18 |
| Injection jugular CPT 36299 | $1,766.28 | $2,943.80 | $71.00 – $1,707.40 | 17 |
| Injection of sinus tract CPT 20500 | $1,036.42 | $1,727.37 | $60.63 – $3,777.93 | 24 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,162.80 | $1,938.00 | $6.10 – $1,744.20 | 24 |
| Injection, peramivir HCPCS J2547 | $857.98 | $1,429.97 | $1.48 – $1,286.97 | 24 |
| Injection px peyronie ds CPT 54200 | $374.54 | $624.24 | $60.08 – $2,975.00 | 24 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,481.87 | $2,469.78 | $71.00 – $2,222.80 | 24 |
| Injection, renflexis HCPCS Q5104 | $1,356.10 | $2,260.17 | $25.46 – $2,034.15 | 24 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,491.47 | $2,485.79 | $71.00 – $2,237.21 | 24 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,297.51 | $3,829.18 | $39.86 – $3,446.26 | 24 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,784.85 | $2,974.75 | $39.31 – $2,677.28 | 24 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,284.54 | $3,807.56 | $71.00 – $3,426.80 | 24 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $788.20 | $1,313.67 | $71.00 – $1,182.30 | 18 |
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.