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 |
|---|---|---|---|---|
| Radiation treatment aid(s) CPT 77332 | $685.07 | $1,141.78 | $113.84 – $1,027.60 | 24 |
| Radiation treatment aid(s) CPT 77333 | $634.99 | $1,058.31 | $116.41 – $952.48 | 24 |
| Radiation treatment aid(s) CPT 77334 | $1,075.03 | $1,791.72 | $197.09 – $1,612.55 | 24 |
| Radiation treatment delivery CPT 77401 | $352.94 | $588.23 | $64.71 – $529.41 | 19 |
| Radiation treatment delivery CPT 77402 | $1,800.00 | $3,000.00 | $97.38 – $2,700.00 | 24 |
| Radiation treatment delivery CPT 77412 | $3,600.00 | $6,000.00 | $527.31 – $5,400.00 | 24 |
| Radical resection of elbow CPT 24149 | $7,626.53 | $12,710.88 | $71.00 – $17,722.46 | 24 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $3,849.30 | $6,415.50 | $71.00 – $7,039.11 | 24 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $4,460.78 | $7,434.63 | $71.00 – $8,649.00 | 24 |
| Radiology port images(s) CPT 77417 | $82.72 | $137.86 | $15.16 – $124.07 | 18 |
| Radiotherapy dose plan imrt CPT 77301 | $5,418.88 | $9,031.46 | $993.46 – $8,128.31 | 24 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,014.64 | $3,357.73 | $275.66 – $3,517.62 | 24 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,534.30 | $5,890.50 | $518.17 – $5,301.45 | 24 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,215.46 | $3,692.44 | $652.23 – $3,517.62 | 24 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,381.40 | $3,969.00 | $338.81 – $3,572.10 | 24 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,185.84 | $1,976.40 | $228.55 – $1,778.76 | 24 |
| Radphm quant measure sgl area add-on CPT 78835 | $403.49 | $672.48 | $89.21 – $605.23 | 18 |
| Rad rescj tum dstl/shft hum CPT 24150 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $3,012.49 | $5,020.82 | $71.00 – $7,039.11 | 24 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $4,460.78 | $7,434.63 | $71.00 – $8,649.00 | 24 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $3,012.49 | $5,020.82 | $71.00 – $7,039.11 | 24 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $2,951.46 | $4,919.10 | $71.00 – $7,039.11 | 24 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $4,766.50 | $7,944.17 | $71.00 – $8,649.00 | 24 |
| Rad resect hand tumor < 3 cm CPT 26117 | $3,012.49 | $5,020.82 | $71.00 – $7,039.11 | 24 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $4,137.20 | $6,895.33 | $71.00 – $8,649.00 | 24 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $3,012.49 | $5,020.82 | $71.00 – $7,039.11 | 24 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $2,652.22 | $4,420.37 | $71.43 – $3,978.33 | 24 |
| Rapid desensitization CPT 95180 | $420.29 | $700.48 | $77.05 – $987.04 | 20 |
| Rapid Strep Test CPT 87880 | $77.77 | $129.62 | $12.00 – $116.66 | 24 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,934.13 | $3,223.55 | $354.59 – $2,901.20 | 24 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $42,296.39 | $70,493.98 | $209.30 – $17,335.80 | 24 |
| Rbc count only automated CPT 85041 | $27.60 | $46.00 | $2.54 – $41.40 | 24 |
| Rbc deglycerolized each unit HCPCS P9039 | $942.61 | $1,571.02 | $172.81 – $1,413.92 | 24 |
| Rbc irradiated each unit HCPCS P9038 | $846.17 | $1,410.29 | $135.65 – $1,269.26 | 24 |
| Rbc osmotic fragility CPT 85555 | $79.66 | $132.76 | $6.27 – $119.48 | 24 |
| Rbc serum pretx incubj drugs CPT 86975 | $181.63 | $302.72 | $12.00 – $987.04 | 24 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Rdctj forehead cntrg&prostc CPT 21138 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Realignment of tendons CPT 26437 | $2,280.89 | $3,801.49 | $71.00 – $8,018.48 | 24 |
| Rebuild eardrum structures CPT 69632 | $7,474.67 | $12,457.78 | $71.00 – $14,507.25 | 24 |
| Rebuild eardrum structures CPT 69633 | $7,583.59 | $12,639.32 | $71.00 – $14,507.25 | 24 |
| Rebuild eardrum structures CPT 69636 | $9,304.33 | $15,507.22 | $71.00 – $14,507.25 | 24 |
| Rebuild outer ear canal CPT 69310 | $6,017.08 | $10,028.46 | $71.00 – $14,507.25 | 24 |
| Rebuild outer ear canal CPT 69320 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Recon, cta for surg plan HCPCS G0288 | $1,184.58 | $1,974.30 | $122.30 – $1,841.00 | 18 |
| Reconst lwr jaw without fixation CPT 21195 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 24 |
| Reconst lwr jaw without graft CPT 21193 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstr lwr jaw segment CPT 21198 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 24 |
| Reconstruct cleft foot CPT 28360 | $8,624.12 | $14,373.53 | $71.00 – $17,722.46 | 24 |
| Reconstruct cleft palate CPT 42200 | $5,493.56 | $9,155.94 | $71.00 – $14,507.25 | 24 |
| Reconstruct cleft palate CPT 42205 | $5,289.89 | $8,816.49 | $71.00 – $7,975.81 | 24 |
| Reconstruct cleft palate CPT 42210 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstruct cleft palate CPT 42215 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstruct cleft palate CPT 42220 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstruct cleft palate CPT 42225 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 24 |
| Reconstruct elbow joint CPT 24360 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Reconstruct elbow joint CPT 24361 | $16,139.55 | $26,899.25 | $71.00 – $46,166.33 | 24 |
| Reconstruct elbow joint CPT 24362 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruct elbow lat ligmnt CPT 24344 | $9,961.01 | $16,601.68 | $71.00 – $17,722.46 | 24 |
| Reconstruct elbow med ligmnt CPT 24346 | $11,365.24 | $18,942.06 | $71.00 – $32,603.53 | 24 |
| Reconstruct extra finger CPT 26587 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 24 |
| Reconstruct finger joint CPT 26545 | $4,056.34 | $6,760.57 | $71.00 – $8,018.48 | 24 |
| Reconstruct finger joint CPT 26548 | $4,017.51 | $6,695.85 | $71.00 – $8,018.48 | 24 |
| Reconstruct head of radius CPT 24365 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruct head of radius CPT 24366 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruction knee CPT 27427 | $7,388.66 | $12,314.43 | $71.00 – $17,722.46 | 24 |
| Reconstruction knee CPT 27428 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruction knee CPT 27429 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruction of eyelid CPT 67971 | $3,910.89 | $6,518.15 | $71.00 – $5,866.34 | 24 |
| Reconstruction of eyelid CPT 67973 | $4,415.44 | $7,359.06 | $71.00 – $6,623.15 | 24 |
| Reconstruction of eyelid CPT 67975 | $2,584.75 | $4,307.91 | $71.00 – $5,788.85 | 24 |
| Reconstruction of jaw CPT 21245 | $5,095.85 | $8,493.09 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw CPT 21246 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw CPT 21248 | $6,245.56 | $10,409.27 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw CPT 21249 | $6,720.89 | $11,201.48 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw joint CPT 21240 | $7,317.87 | $12,196.45 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw joint CPT 21242 | $6,942.99 | $11,571.65 | $71.00 – $14,507.25 | 24 |
| Reconstruction of jaw joint CPT 21243 | $16,139.55 | $26,899.25 | $71.00 – $46,166.33 | 24 |
| Reconstruction of lower jaw CPT 21244 | $6,349.67 | $10,582.79 | $71.00 – $14,507.25 | 24 |
| Reconstruction of mouth CPT 40840 | $4,978.30 | $8,297.16 | $71.00 – $14,507.25 | 24 |
| Reconstruction of mouth CPT 40845 | $6,740.73 | $11,234.55 | $71.00 – $14,507.25 | 24 |
| Reconstruction of nail bed CPT 11762 | $2,000.41 | $3,334.02 | $71.00 – $4,517.58 | 24 |
| Reconstruction of nose CPT 30410 | $5,925.35 | $9,875.59 | $71.00 – $14,507.25 | 24 |
| Reconstruction of nose CPT 30420 | $7,369.11 | $12,281.85 | $71.00 – $14,507.25 | 24 |
| Reconstruction of orbit CPT 21256 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 24 |
| Reconstruction of throat CPT 42950 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 24 |
| Reconstruction of urethra CPT 53410 | $8,142.90 | $13,571.50 | $71.00 – $12,818.21 | 24 |
| Reconstruction of urethra CPT 53430 | $6,131.41 | $10,219.01 | $71.00 – $12,818.21 | 24 |
| Reconstruction of urethra CPT 54308 | $4,478.01 | $7,463.35 | $71.00 – $12,818.21 | 24 |
| Reconstruction of urethra CPT 54312 | $3,467.79 | $5,779.65 | $71.00 – $8,636.11 | 24 |
| Reconstruction of urethra CPT 54316 | $4,447.15 | $7,411.91 | $71.00 – $22,821.27 | 24 |
| Reconstruction of urethra CPT 54322 | $4,646.71 | $7,744.52 | $71.00 – $8,636.11 | 24 |
| Reconstruction of urethra CPT 54324 | $4,627.96 | $7,713.26 | $71.00 – $8,636.11 | 24 |
| Reconstruction of urethra CPT 54326 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 24 |
| Reconstruction tongue fold CPT 41520 | $2,923.73 | $4,872.89 | $71.00 – $7,975.81 | 24 |
| Reconstruct lip with flap CPT 40527 | $8,251.59 | $13,752.65 | $71.00 – $14,507.25 | 24 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $5,509.69 | $9,182.81 | $71.00 – $8,264.53 | 24 |
| Reconstruct orbit/forehead CPT 21172 | $6,612.37 | $11,020.62 | $71.00 – $14,507.25 | 24 |
| Reconstruct shoulder joint CPT 23470 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 24 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,372.46 – $46,166.33 | 14 |
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.