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 |
|---|---|---|---|---|
| Lymph vessel x-ray trunk CPT 75805 | $2,494.49 | $4,157.49 | $71.00 – $7,896.23 | 24 |
| Lymph vessel x-ray trunk CPT 75807 | $2,643.68 | $4,406.13 | $146.54 – $9,311.50 | 24 |
| Lysis intranasal synechia 30560 CPT 30560 | $833.97 | $1,389.95 | $71.00 – $3,421.00 | 24 |
| Lysis of labial adhesions CPT 56441 | $2,847.40 | $4,745.66 | $71.00 – $7,744.80 | 24 |
| Lysis penil circumic lesion CPT 54162 | $4,173.43 | $6,955.71 | $71.00 – $6,260.14 | 24 |
| Macro exam dissect molec study ea CPT 88387 | $41.98 | $69.97 | $7.70 – $62.97 | 18 |
| Macroscopic exam arthropod CPT 87168 | $45.36 | $75.60 | $3.59 – $68.04 | 24 |
| Macroscopic exam parasite CPT 87169 | $52.64 | $87.74 | $3.62 – $78.97 | 24 |
| Magnesium CPT 83735 | $116.29 | $193.82 | $5.63 – $34.64 | 24 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $58.32 | $97.20 | $0.47 – $6.42 | 19 |
| Magnetic image bone marrow CPT 77084 | $1,592.64 | $2,654.40 | $227.71 – $2,388.96 | 24 |
| Makena, 10 mg HCPCS J1726 | $1,445.40 | $2,409.00 | $18.96 – $2,168.10 | 19 |
| Malaria antibody CPT 86750 | $110.87 | $184.79 | $11.08 – $166.31 | 24 |
| Male sling procedure CPT 53440 | $8,465.18 | $14,108.64 | $71.00 – $31,800.16 | 24 |
| Mammosite ced HCPCS C1728 | $6,369.00 | $10,615.00 | $0.00 – $5,269.05 | 18 |
| Manipulate finger w/anesth CPT 26340 | $1,417.44 | $2,362.40 | $71.00 – $3,981.46 | 24 |
| Manipulate wrist w/anesthes CPT 25259 | $1,998.19 | $3,330.31 | $71.00 – $4,463.00 | 24 |
| Manipulation of hip joint CPT 27275 | $2,994.00 | $4,990.00 | $71.00 – $4,491.00 | 24 |
| Manipulation of spine CPT 22505 | $2,852.63 | $4,754.38 | $71.00 – $4,278.94 | 24 |
| Manipulat palm cord post inj CPT 26341 | $492.74 | $821.23 | $66.72 – $2,975.00 | 24 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $17.82 | $29.70 | $3.27 – $26.73 | 18 |
| Manual diff wbc count b-coat CPT 85009 | $44.14 | $73.56 | $4.26 – $66.20 | 24 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $741.11 | $1,235.18 | $135.87 – $1,111.66 | 18 |
| Mapping io sentinel lymph node CPT 38900 | $505.67 | $842.78 | $71.00 – $758.50 | 18 |
| Map tachycard site(s) CPT 93609 | $1,726.09 | $2,876.81 | $316.45 – $2,589.13 | 18 |
| Marker biop eviva buckle ss HCPCS A4648 | $6,369.00 | $10,615.00 | $7.30 – $59.75 | 17 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,753.29 | $2,922.15 | $321.44 – $2,629.93 | 20 |
| Mask full face lg af531 HCPCS A7030 | $116.62 | $194.37 | $21.38 – $174.93 | 18 |
| Mastectomy form HCPCS L8020 | $224.40 | $374.00 | $4.45 – $36.39 | 17 |
| Mastectomy partial CPT 19301 | $5,127.80 | $8,546.34 | $71.00 – $9,442.65 | 24 |
| Mast mod rad CPT 19307 | $8,079.05 | $13,465.08 | $71.00 – $16,154.42 | 24 |
| Mastoidectomy CPT 69501 | $6,260.10 | $10,433.50 | $71.00 – $14,507.25 | 24 |
| Mastoidectomy complete 69502 CPT 69502 | $6,969.40 | $11,615.67 | $71.00 – $14,507.25 | 24 |
| Mastoids complete CPT 70130 | $235.84 | $393.06 | $62.15 – $376.59 | 24 |
| Mastoid surgery revision CPT 69603 | $7,337.51 | $12,229.18 | $71.00 – $14,507.25 | 24 |
| Mastopexy CPT 19316 | $5,774.26 | $9,623.76 | $71.00 – $16,154.42 | 24 |
| Mast simple complete CPT 19303 | $6,052.48 | $10,087.47 | $71.00 – $16,154.42 | 24 |
| Matrion 1 sq cm HCPCS Q4201 | $361.00 | $601.66 | $23.63 – $541.49 | 23 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $6,522.00 | $10,870.00 | $2.67 – $186.89 | 23 |
| M.avium-intra dna amp prob CPT 87561 | $288.75 | $481.25 | $12.00 – $337.50 | 24 |
| Maxillofacial fixation CPT 21100 | $5,164.84 | $8,608.07 | $71.00 – $14,507.25 | 24 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $112.58 | $187.63 | $12.00 – $168.87 | 24 |
| Mayo aathr protein s free CPT 85306 | $178.61 | $297.68 | $12.00 – $79.20 | 24 |
| Mayo activated protein c resistance assay CPT 85307 | $149.84 | $249.73 | $12.00 – $153.85 | 24 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $645.00 | $1,075.00 | $12.00 – $967.50 | 24 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $164.30 | $273.83 | $11.31 – $228.19 | 17 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $74.63 | $124.38 | $9.42 – $50.40 | 17 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $96.40 | $160.67 | $12.00 – $76.41 | 24 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $83.43 | $139.05 | $12.00 – $45.00 | 17 |
| Mayo alpha 1 antitrypsin CPT 82103 | $109.99 | $183.31 | $11.29 – $164.98 | 24 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $116.35 | $193.91 | $12.00 – $174.52 | 24 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $156.82 | $261.36 | $10.92 – $69.75 | 17 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $144.00 | $240.00 | $3.03 – $9.10 | 17 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $435.52 | $725.86 | $36.00 – $628.83 | 24 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $481.34 | $802.23 | $12.00 – $473.88 | 24 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,171.25 | $3,618.75 | $12.00 – $5,997.20 | 24 |
| Mayo androstenedione CPT 82157 | $182.01 | $303.35 | $12.00 – $273.01 | 24 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $125.16 | $208.60 | $8.96 – $75.48 | 24 |
| Mayo antithrombin iii antigen CPT 85301 | $121.20 | $202.00 | $9.08 – $181.80 | 24 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $85.82 | $143.03 | $4.36 – $77.81 | 24 |
| Mayo avwpr vw factor activity CPT 85397 | $226.68 | $377.80 | $12.00 – $255.38 | 24 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $174.00 | $290.00 | $12.00 – $181.42 | 24 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $80.39 | $133.99 | $3.03 – $9.80 | 17 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $60.82 | $101.36 | $8.55 – $91.22 | 24 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $693.60 | $1,156.00 | $36.00 – $748.82 | 24 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $138.91 | $231.52 | $36.00 – $1,109.59 | 24 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $78.40 | $130.67 | $10.84 – $66.69 | 24 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $97.40 | $162.34 | $3.03 – $9.44 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $80.93 | $134.88 | $11.08 – $68.19 | 24 |
| Mayo brcmg brucella antibody igm CPT 86622 | $74.93 | $124.88 | $7.50 – $46.17 | 24 |
| Mayo c1 esterase inhibitor CPT 83883 | $135.42 | $225.70 | $11.42 – $70.31 | 24 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $4,339.50 | $7,232.50 | $11.27 – $87.75 | 17 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $180.00 | $300.00 | $12.00 – $226.85 | 24 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $212.33 | $353.88 | $12.00 – $138.45 | 24 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $365.14 | $608.57 | $12.00 – $631.88 | 24 |
| Mayo ceruloplasmin CPT 82390 | $89.37 | $148.95 | $9.02 – $55.53 | 24 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $334.35 | $557.25 | $11.86 – $73.06 | 24 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $403.50 | $672.50 | $10.82 – $66.59 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $101.28 | $168.80 | $9.80 – $61.11 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $96.45 | $160.75 | $9.80 – $65.56 | 24 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $585.00 | $975.00 | $12.00 – $602.25 | 24 |
| Mayo chromium CPT 82495 | $111.18 | $185.30 | $12.00 – $166.77 | 24 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $162.00 | $270.00 | $10.25 – $84.02 | 17 |
| Mayo coccidioides antibody CPT 86635 | $123.75 | $206.25 | $9.63 – $59.30 | 24 |
| Mayo cocou cortisone urine CPT 82542 | $442.20 | $737.00 | $12.00 – $124.55 | 24 |
| Mayo cortisol free CPT 82530 | $121.52 | $202.53 | $12.00 – $100.22 | 24 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $77.63 | $129.38 | $12.00 – $217.81 | 24 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $75.00 | $125.00 | $10.18 – $112.50 | 24 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $56.21 | $93.69 | $3.03 – $19.35 | 17 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $247.50 | $412.50 | $3.03 – $13.38 | 17 |
| Mayo cyanide CPT 82600 | $104.98 | $174.97 | $12.00 – $157.47 | 24 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $809.28 | $1,348.80 | $36.00 – $1,121.34 | 24 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $82.79 | $137.98 | $11.13 – $124.18 | 24 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $138.44 | $230.74 | $12.00 – $207.67 | 24 |
| Mayo dihydrotestosterone CPT 82642 | $187.02 | $311.70 | $12.00 – $280.53 | 24 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $135.63 | $226.05 | $8.10 – $203.44 | 24 |
| Mayo efpo chloride stool CPT 82438 | $57.25 | $95.42 | $4.20 – $25.85 | 24 |
| Mayo estriol CPT 82677 | $112.80 | $188.00 | $12.00 – $169.20 | 24 |
| Mayo estrone CPT 82679 | $124.07 | $206.79 | $12.00 – $186.11 | 24 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $134.41 | $224.01 | $12.00 – $201.61 | 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.