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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,595.15 | $2,658.59 | $71.00 – $2,975.00 | 24 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $680.40 | $1,134.00 | $71.00 – $1,020.60 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,690.45 | $2,817.41 | $71.00 – $2,975.00 | 24 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,817.24 | $3,028.73 | $71.00 – $2,725.86 | 24 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,824.76 | $3,041.26 | $71.00 – $2,737.13 | 24 |
| Injection, siltuximab HCPCS J2860 | $8,477.45 | $14,129.09 | $154.01 – $3,212.80 | 24 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $508.01 | $846.69 | $23.54 – $762.02 | 24 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $624.56 | $1,040.94 | $23.26 – $936.85 | 24 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $684.48 | $1,140.80 | $27.13 – $1,026.72 | 24 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $325.54 | $542.57 | $59.68 – $488.31 | 18 |
| Injection treatment of eye CPT 66020 | $2,449.41 | $4,082.35 | $71.00 – $5,772.91 | 24 |
| Injection treatment of eye CPT 66030 | $2,017.15 | $3,361.91 | $71.00 – $5,772.91 | 24 |
| Injection treatment of nerve CPT 64605 | $2,792.73 | $4,654.55 | $71.00 – $4,783.04 | 24 |
| Injection treatment of nerve CPT 64610 | $4,613.80 | $7,689.66 | $71.00 – $6,920.69 | 24 |
| Injection treatment of nerve CPT 64681 | $2,025.45 | $3,375.75 | $71.00 – $3,421.00 | 24 |
| Injection treatment of nose CPT 30200 | $781.45 | $1,302.41 | $67.27 – $2,975.00 | 24 |
| Inject sacroiliac joint CPT 27096 | $1,150.36 | $1,917.26 | $71.00 – $1,725.53 | 18 |
| Inject/treat eye socket CPT 67500 | $507.21 | $845.35 | $26.30 – $760.82 | 24 |
| Inject/treat eye socket CPT 67505 | $750.70 | $1,251.16 | $34.88 – $2,975.00 | 24 |
| Inject/treat eye socket CPT 67515 | $822.14 | $1,370.23 | $19.38 – $2,975.00 | 24 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,258.14 | $2,096.90 | $71.00 – $1,887.21 | 24 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,255.99 | $2,093.32 | $71.00 – $2,975.00 | 24 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $300.00 | $500.00 | $1.23 – $253.57 | 24 |
| Inj., evomela, 1 mg HCPCS J9246 | $3,630.00 | $6,050.00 | $18.46 – $5,445.00 | 24 |
| Inj for ext venography CPT 36005 | $946.64 | $1,577.74 | $71.00 – $1,419.97 | 18 |
| Inj for mammo ductogram CPT 19030 | $219.68 | $366.14 | $40.28 – $329.53 | 18 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $904.21 | $1,507.01 | $3.54 – $536.62 | 19 |
| Inj givosiran 0.5 mg HCPCS J0223 | $76,708.80 | $127,848.00 | $108.90 – $115,063.20 | 24 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $36.60 | $61.00 | $1.26 – $54.90 | 19 |
| Inj herzuma 10 mg HCPCS Q5113 | $2,554.50 | $4,257.50 | $53.22 – $3,831.75 | 24 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,488.80 | $4,148.00 | $456.28 – $17,181.00 | 17 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $148.51 | $247.51 | $27.23 – $17,181.00 | 17 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $152.72 | $254.53 | $28.00 – $17,181.00 | 17 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $110.75 | $184.58 | $20.30 – $17,181.00 | 17 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $344.66 | $574.44 | $63.19 – $17,181.00 | 17 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,478.38 | $2,463.96 | $5.17 – $2,217.56 | 24 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $1,228.59 | $2,047.65 | $14.45 – $1,842.88 | 19 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $38.40 | $64.00 | $0.14 – $57.60 | 19 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $1,521.98 | $2,536.63 | $71.00 – $2,975.00 | 24 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $255.02 | $425.04 | $46.75 – $495.95 | 24 |
| Inj intralesional > 7 lsns CPT 11901 | $238.04 | $396.73 | $43.64 – $495.95 | 24 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $24.72 | $41.20 | $1.48 – $37.08 | 24 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $136.62 | $227.70 | $25.05 – $204.93 | 19 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $570.13 | $950.22 | $6.61 – $359.20 | 24 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $48.60 | $81.00 | $0.05 – $0.41 | 18 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $718.88 | $1,198.13 | $71.00 – $1,078.32 | 18 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $1,380.00 | $2,300.00 | $114.64 – $2,070.00 | 24 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $35.21 | $58.68 | $0.17 – $4.10 | 19 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $586.20 | $977.00 | $2.06 – $879.30 | 24 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $8,304.04 | $13,840.07 | $228.73 – $12,456.06 | 24 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $165.60 | $276.00 | $9.62 – $248.40 | 19 |
| Inj multihance HCPCS A9577 | $283.77 | $472.95 | $1.97 – $425.65 | 19 |
| Inj. mycophenolate mofetil HCPCS J7519 | $291.54 | $485.90 | $0.44 – $293.62 | 19 |
| Inj naloxone hydrochloride HCPCS J2310 | $40.39 | $67.32 | $7.41 – $60.59 | 18 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,884.14 | $3,140.23 | $71.00 – $2,826.21 | 24 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,058.43 | $3,430.72 | $709.01 – $8,649.00 | 23 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,058.43 | $3,430.72 | $709.01 – $8,649.00 | 23 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $379.08 | $631.80 | $6.60 – $54.00 | 19 |
| Inj ontruzant 10 mg HCPCS Q5112 | $6,706.27 | $11,177.12 | $28.32 – $10,059.41 | 24 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $17,613.00 | $29,355.00 | $91.76 – $26,419.50 | 24 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $7,082.75 | $11,804.59 | $113.66 – $10,624.13 | 24 |
| Inj peritoneal venous shunt CPT 49427 | $69.40 | $115.66 | $12.72 – $104.09 | 18 |
| Inj proc ankle arthr CPT 27648 | $232.66 | $387.77 | $42.65 – $348.99 | 18 |
| Inj proc elbow arthro CPT 24220 | $279.11 | $465.18 | $51.17 – $418.66 | 18 |
| Inj proc for lymphang CPT 38790 | $1,224.13 | $2,040.21 | $71.00 – $1,836.19 | 18 |
| Inj proc lumbr disk ea lvl CPT 62290 | $536.41 | $894.02 | $71.00 – $804.62 | 18 |
| Inj proc myelogram lumbar CPT 62284 | $317.24 | $528.73 | $58.16 – $475.86 | 18 |
| Inj proc sialogram CPT 42550 | $146.27 | $243.78 | $26.82 – $219.40 | 18 |
| Inj progesterone per 50 mg HCPCS J2675 | $10.76 | $17.94 | $0.72 – $16.15 | 19 |
| Inj prohance multipack HCPCS A9576 | $283.77 | $472.95 | $1.53 – $425.65 | 19 |
| Inj retro urethrocysto CPT 51610 | $103.65 | $172.75 | $19.00 – $155.47 | 18 |
| Inj scleros sol mult veins CPT 36471 | $535.38 | $892.30 | $71.00 – $987.79 | 24 |
| Inj scleros sol sgl vein CPT 36470 | $525.83 | $876.38 | $70.60 – $987.79 | 24 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $382.05 | $636.75 | $70.04 – $987.79 | 24 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $17,517.56 | $29,195.93 | $32.77 – $5,188.39 | 24 |
| Inj testosterone cypionate HCPCS J1071 | $85.64 | $142.74 | $0.03 – $100.12 | 19 |
| Inj theophylline per 40 mg HCPCS J2810 | $14.40 | $24.00 | $2.64 – $21.60 | 18 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,180.27 | $3,633.78 | $71.00 – $3,270.40 | 18 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,198.68 | $1,997.80 | $71.00 – $1,798.02 | 18 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $3,525.12 | $5,875.20 | $4.22 – $2,643.84 | 24 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $89.83 | $149.72 | $13.82 – $113.04 | 19 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $13.80 | $23.00 | $0.18 – $20.70 | 19 |
| Inj, vasopressin (baxter) HCPCS J2601 | $202.50 | $337.50 | $1.45 – $303.75 | 24 |
| Inj w/fluor eval cv device CPT 36598 | $703.21 | $1,172.01 | $71.00 – $2,975.00 | 24 |
| Ins cath ren art 1st bi CPT 36252 | $5,291.97 | $8,819.95 | $71.00 – $7,937.95 | 24 |
| Ins cath ren art 1st uni CPT 36251 | $7,640.49 | $12,734.15 | $71.00 – $11,460.74 | 24 |
| Ins cath ren art 2nd+ bi CPT 36254 | $4,864.95 | $8,108.25 | $71.00 – $7,896.23 | 24 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,034.14 | $8,390.24 | $71.00 – $13,613.39 | 24 |
| Ins cerv dilator (sep proc) CPT 59200 | $664.66 | $1,107.76 | $71.00 – $2,975.00 | 24 |
| Insemination of oocytes CPT 89268 | $295.39 | $492.31 | $12.00 – $741.89 | 24 |
| Insert and remove bone pin CPT 20650 | $3,178.36 | $5,297.27 | $71.00 – $8,018.48 | 24 |
| Insert ant drainage device CPT 66183 | $5,458.03 | $9,096.71 | $71.00 – $10,072.14 | 24 |
| Insert brain-fluid device 61215 CPT 61215 | $6,619.99 | $11,033.31 | $71.00 – $16,502.12 | 24 |
| Insert cannula hemo oth 36815 CPT 36815 | $8,339.60 | $13,899.34 | $71.00 – $13,613.39 | 24 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $5,977.85 | $9,963.08 | $71.00 – $13,613.39 | 24 |
| Insert cath pleura with image CPT 32557 | $1,579.11 | $2,631.85 | $71.00 – $3,967.42 | 24 |
| Insert cath pleura without image CPT 32556 | $1,768.26 | $2,947.10 | $71.00 – $4,713.77 | 24 |
| Insert drug delivery implant CPT 11981 | $826.70 | $1,377.84 | $46.38 – $1,240.06 | 24 |
| Insert eye socket implant CPT 67550 | $4,713.51 | $7,855.85 | $71.00 – $9,578.04 | 24 |
| Insert hepatic shunt (tips) CPT 37182 | $3,180.79 | $5,301.32 | $71.00 – $27,530.68 | 23 |
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.