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 |
|---|---|---|---|---|
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.44 | $70.74 | $1.04 – $8.53 | 18 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.80 | $48.00 | $0.00 – $37.80 | 19 |
| Lidocaine therapeutic drug level CPT 80176 | $116.11 | $193.52 | $12.00 – $174.17 | 24 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3.30 | $5.50 | $0.61 – $4.95 | 18 |
| Ligate leg veins open CPT 37761 | $1,714.10 | $2,856.83 | $71.00 – $7,896.23 | 24 |
| Ligate leg veins radical 37760 CPT 37760 | $6,221.91 | $10,369.85 | $71.00 – $9,332.86 | 24 |
| Ligate/strip long leg vein CPT 37722 | $5,719.74 | $9,532.90 | $71.00 – $8,579.61 | 24 |
| Ligate/strip short leg vein CPT 37718 | $5,258.89 | $8,764.82 | $71.00 – $7,896.23 | 24 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $3,964.81 | $6,608.02 | $71.00 – $7,744.80 | 24 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $6,038.64 | $10,064.40 | $71.00 – $9,057.96 | 24 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $4,911.91 | $8,186.51 | $71.00 – $7,896.23 | 24 |
| Ligation external carotid artery 37600 CPT 37600 | $3,467.79 | $5,779.65 | $71.00 – $7,896.23 | 24 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,879.97 | $8,133.28 | $71.00 – $7,896.23 | 24 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,467.79 | $5,779.65 | $71.00 – $7,896.23 | 24 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,130.20 | $1,883.67 | $207.20 – $1,695.30 | 18 |
| Ligation major artery neck CPT 37615 | $4,163.29 | $6,938.82 | $71.00 – $7,896.23 | 24 |
| Ligation nasal sinus artery CPT 30915 | $5,802.45 | $9,670.75 | $71.00 – $8,703.67 | 24 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,200.20 | $3,667.00 | $403.37 – $8,356.81 | 23 |
| Ligation of femoral vein CPT 37650 | $3,160.00 | $5,266.67 | $71.00 – $7,896.23 | 24 |
| Ligation of inf vena cava CPT 37619 | $5,872.94 | $9,788.24 | $71.00 – $13,613.39 | 24 |
| Ligation upper jaw artery CPT 30920 | $3,318.32 | $5,530.54 | $71.00 – $7,896.23 | 24 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $4,303.40 | $7,172.33 | $71.00 – $7,896.23 | 24 |
| Lig/band angioaccess av fistula CPT 37607 | $5,893.65 | $9,822.75 | $71.00 – $8,840.48 | 24 |
| Lig&div&compl strpg saph vn CPT 37735 | $6,410.83 | $10,684.71 | $71.00 – $9,616.24 | 24 |
| Limb exercise test CPT 95875 | $355.54 | $592.57 | $65.18 – $533.31 | 24 |
| Limb nerve surgery add-on CPT 64783 | $1,561.28 | $2,602.14 | $71.00 – $2,341.93 | 18 |
| Limited ankle motion ea jnt HCPCS L2200 | $55.80 | $93.00 | $10.23 – $83.70 | 17 |
| Limited visual field xm CPT 92081 | $169.86 | $283.10 | $31.14 – $254.79 | 24 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $335.91 | $559.85 | $2.73 – $182.70 | 19 |
| Lipase CPT 83690 | $93.58 | $155.96 | $5.79 – $35.62 | 24 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $3,780.73 | $6,301.21 | $71.00 – $7,975.81 | 24 |
| Lipoprotein blood high res frac & quant CPT 83701 | $112.29 | $187.15 | $12.00 – $175.06 | 24 |
| Lipoprotein blood quant CPT 83704 | $145.82 | $243.04 | $12.00 – $176.76 | 24 |
| Lipoprotein direct measurement hdl CPT 83718 | $113.88 | $189.80 | $6.88 – $42.34 | 24 |
| Lipoprotein direct measurement ldl CPT 83721 | $71.36 | $118.93 | $8.82 – $96.75 | 24 |
| Lip surgery procedure CPT 40799 | $187.43 | $312.38 | $71.00 – $605.10 | 24 |
| Listeria monocytogenes CPT 86723 | $96.88 | $161.46 | $11.08 – $145.31 | 24 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $699.00 | $1,165.00 | $128.15 – $1,048.50 | 18 |
| Lithium therapeutic drug level CPT 80178 | $95.88 | $159.80 | $5.55 – $143.82 | 24 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,380.88 | $20,634.80 | $2,269.83 – $18,571.32 | 18 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $660.00 | $1,100.00 | $36.00 – $901.30 | 24 |
| Liver elastography 91200 CPT 91200 | $193.01 | $321.68 | $31.93 – $417.82 | 24 |
| Liver Function Test CPT 80076 | $161.95 | $269.91 | $6.86 – $242.92 | 24 |
| Liver image (3d) with flow CPT 78206 | $1,505.81 | $2,509.69 | $259.26 – $2,121.26 | 18 |
| Liver imaging CPT 78201 | $1,328.66 | $2,214.44 | $175.43 – $1,993.00 | 24 |
| Liver imaging (3d) CPT 78205 | $1,216.54 | $2,027.56 | $223.03 – $1,824.80 | 18 |
| Liver imag w/vasclr flow CPT 78202 | $1,498.22 | $2,497.04 | $194.80 – $2,247.34 | 24 |
| Liver/spleen imag static only CPT 78215 | $1,123.50 | $1,872.50 | $180.10 – $1,685.25 | 24 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,246.79 | $2,077.98 | $135.99 – $1,870.18 | 24 |
| Lmtd oph exam general anes CPT 92019 | $2,163.60 | $3,606.00 | $113.00 – $5,788.85 | 20 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,529.22 | $7,548.70 | $71.00 – $8,018.48 | 24 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $161.06 | $268.44 | $1.27 – $103.04 | 19 |
| Loop ostmy bridg ster HCPCS A4421 | $46.32 | $77.20 | $8.49 – $69.48 | 18 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $12.92 | $21.53 | $0.12 – $1.83 | 19 |
| Loudness balance test CPT 92562 | $169.90 | $283.17 | $31.15 – $777.56 | 24 |
| Low back disk surgery CPT 63030 | $11,779.73 | $19,632.89 | $71.00 – $17,722.46 | 24 |
| Low cost skin substitute app HCPCS C5271 | $860.50 | $1,434.16 | $71.00 – $2,975.00 | 19 |
| Low cost skin substitute app HCPCS C5273 | $3,422.28 | $5,703.80 | $71.00 – $8,649.00 | 19 |
| Low cost skin substitute app HCPCS C5275 | $1,339.33 | $2,232.21 | $71.00 – $2,975.00 | 19 |
| Low cost skin substitute app HCPCS C5277 | $1,067.65 | $1,779.41 | $71.00 – $2,975.00 | 19 |
| Low cost skin substitute app HCPCS C5272 | $22.30 | $37.16 | $4.09 – $71.00 | 18 |
| Low cost skin substitute app HCPCS C5274 | $39.97 | $66.62 | $7.33 – $71.00 | 18 |
| Low cost skin substitute app HCPCS C5276 | $20.99 | $34.98 | $3.85 – $71.00 | 18 |
| Low cost skin substitute app HCPCS C5278 | $53.17 | $88.61 | $9.75 – $79.75 | 18 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $240.33 | $400.55 | $99.77 – $1,841.00 | 24 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,677.35 | $2,795.59 | $167.39 – $2,516.03 | 24 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,381.40 | $3,969.00 | $173.75 – $3,572.10 | 24 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,655.02 | $2,758.37 | $99.77 – $2,482.53 | 24 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,167.94 | $5,279.90 | $329.13 – $4,751.91 | 24 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,446.79 | $4,077.99 | $279.00 – $3,670.19 | 24 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,065.69 | $3,442.81 | $197.14 – $3,098.53 | 24 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $474.69 | $791.15 | $40.10 – $712.03 | 24 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $626.63 | $1,044.39 | $52.13 – $939.95 | 24 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $626.63 | $1,044.39 | $61.48 – $939.95 | 24 |
| Lower jaw bone graft CPT 21215 | $5,095.16 | $8,491.94 | $71.00 – $14,507.25 | 24 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $342.47 | $570.78 | $31.74 – $513.70 | 24 |
| Lsh uterus 250 g or less CPT 58541 | $9,184.73 | $15,307.88 | $71.00 – $25,500.18 | 24 |
| Lsh uterus above 250 g CPT 58543 | $11,886.69 | $19,811.15 | $71.00 – $25,500.18 | 24 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $10,984.04 | $18,306.73 | $71.00 – $25,500.18 | 24 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $12,000.38 | $20,000.63 | $71.00 – $25,500.18 | 24 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $152.40 | $254.00 | $27.94 – $228.60 | 17 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $785.09 | $1,308.48 | $34.09 – $278.95 | 17 |
| Lso s/c shell/panel custom HCPCS L0640 | $984.60 | $1,641.00 | $180.51 – $1,476.90 | 17 |
| Lso s/c shell/panel prefab HCPCS L0639 | $792.33 | $1,320.55 | $145.26 – $1,188.49 | 17 |
| L/s ratio fetal lung CPT 83661 | $220.97 | $368.29 | $12.00 – $331.46 | 24 |
| Lumbar diskogram s&i CPT 72295 | $5,618.23 | $9,363.71 | $111.60 – $8,427.34 | 24 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $10,629.07 | $17,715.11 | $71.00 – $46,166.33 | 24 |
| Lumizyme injection HCPCS J0221 | $1,735.97 | $2,893.29 | $190.05 – $2,269.73 | 24 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $786.77 | $1,311.28 | $142.57 – $1,180.15 | 24 |
| Lung function test (mbc/mvv) CPT 94200 | $192.29 | $320.49 | $35.25 – $288.44 | 24 |
| Lung Function Test (Spirometry) CPT 94010 | $600.80 | $1,001.33 | $110.15 – $901.20 | 24 |
| Lung perfusion imaging CPT 78580 | $1,100.39 | $1,833.98 | $213.51 – $1,650.58 | 24 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $21,365.20 | $35,608.66 | $39.34 – $10,699.43 | 24 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,455.60 | $2,426.00 | $133.40 – $1,091.47 | 17 |
| Lymphatics/lymph node imaging CPT 78195 | $1,526.38 | $2,543.96 | $317.76 – $2,289.56 | 24 |
| Lymphocyte culture mixed CPT 86821 | $579.32 | $965.54 | $12.00 – $868.99 | 24 |
| Lymphocyte transformation mitogen CPT 86353 | $463.13 | $771.88 | $12.00 – $497.70 | 24 |
| Lymphocytotoxicity assay CPT 86805 | $399.82 | $666.36 | $12.00 – $979.77 | 24 |
| Lymph vessel x-ray arm/leg CPT 75801 | $984.85 | $1,641.41 | $71.00 – $1,556.23 | 24 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,288.81 | $2,148.02 | $299.60 – $3,967.42 | 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.