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 |
|---|---|---|---|---|
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $53.55 | $89.25 | $9.82 – $80.33 | 14 |
| Sbsq psyc collab care mgmt CPT 99493 | $98.80 | $164.67 | $18.11 – $394.97 | 24 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $799.42 | $1,332.36 | $179.76 – $1,199.12 | 24 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $497.68 | $829.46 | $99.77 – $1,117.00 | 24 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $601.48 | $1,002.46 | $99.77 – $1,117.00 | 24 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $803.29 | $1,338.82 | $99.77 – $1,204.94 | 24 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $641.09 | $1,068.48 | $99.77 – $1,117.00 | 24 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $542.84 | $904.73 | $99.77 – $1,117.00 | 24 |
| Scan proc cranial extra CPT 61782 | $2,985.38 | $4,975.64 | $71.00 – $4,478.08 | 18 |
| Scan proc cranial intra 61781 CPT 61781 | $2,171.30 | $3,618.83 | $71.00 – $3,256.95 | 18 |
| Scan proc spinal CPT 61783 | $2,854.85 | $4,758.08 | $71.00 – $4,282.27 | 18 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,068.42 | $3,447.36 | $71.00 – $6,837.00 | 24 |
| Scope plantar fasciotomy CPT 29893 | $4,042.58 | $6,737.64 | $71.00 – $8,649.00 | 24 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,127.71 | $11,879.51 | $66.79 – $1,583.23 | 18 |
| Screen cerv/vag thin layer HCPCS G0123 | $90.88 | $151.47 | $16.66 – $136.32 | 24 |
| Screen c/v thin layer by md HCPCS G0124 | $49.42 | $82.37 | $9.06 – $74.13 | 18 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $328.50 – $3,421.00 | 15 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,269.03 | $3,781.71 | $328.50 – $3,421.00 | 23 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.83 | $96.38 | $12.00 – $93.32 | 24 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $28.90 | $48.16 | $5.30 – $124.49 | 24 |
| Screening Mammogram CPT 77067 | $238.14 | $396.90 | $43.66 – $357.21 | 18 |
| Screening pap smear by phys HCPCS P3001 | $16.97 | $28.28 | $3.11 – $167.71 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $136.69 | $227.81 | $12.00 – $205.03 | 24 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $29.70 | $49.50 | $5.45 – $44.55 | 18 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $36,885.10 | $61,475.16 | $0.00 – $0.01 | 17 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $767.02 | $1,278.36 | $99.77 – $1,150.52 | 24 |
| Sc ther infusion reset pump CPT 96371 | $117.50 | $195.84 | $21.54 – $182.62 | 24 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,544.78 | $7,574.63 | $71.00 – $6,817.17 | 18 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $244.52 | $407.54 | $17.43 – $366.79 | 18 |
| Sedimentation rate erythrocyte automated CPT 85652 | $61.15 | $101.92 | $2.27 – $91.73 | 24 |
| Select picture audiometry CPT 92583 | $111.59 | $185.99 | $20.46 – $167.39 | 24 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $151.65 | $252.75 | $27.80 – $227.47 | 19 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $51.98 | $86.63 | $9.53 – $77.97 | 18 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $31.92 | $53.20 | $5.85 – $47.88 | 18 |
| Semen analysis presence/motility CPT 89321 | $92.39 | $153.99 | $11.45 – $138.59 | 24 |
| Semen analysis w/count CPT 89310 | $83.99 | $139.98 | $8.18 – $125.98 | 24 |
| Sensorimotor examination CPT 92060 | $163.10 | $271.83 | $29.90 – $244.65 | 24 |
| Sensorineural acuity lvl tst CPT 92575 | $134.51 | $224.19 | $24.66 – $201.77 | 24 |
| Separate eyelid adhesions CPT 68340 | $1,926.33 | $3,210.55 | $71.00 – $5,788.85 | 24 |
| Sept9 promoter methylation analysis CPT 81327 | $358.65 | $597.75 | $36.00 – $992.64 | 24 |
| Sequestrectomy radial h/n CPT 24136 | $4,528.94 | $7,548.23 | $71.00 – $8,018.48 | 24 |
| Serial casting application 97139app CPT 97139 | $55.84 | $93.07 | $10.24 – $149.00 | 19 |
| Serial tonometry CPT 92100 | $131.02 | $218.36 | $24.02 – $196.52 | 18 |
| Serpina1 gene CPT 81332 | $310.54 | $517.57 | $36.00 – $465.81 | 24 |
| Sertraline (zoloft) - sendout CPT 80332 | $306.00 | $510.00 | $12.00 – $243.90 | 17 |
| Set radiation therapy field CPT 77280 | $699.60 | $1,166.00 | $128.26 – $1,049.40 | 24 |
| Set radiation therapy field CPT 77285 | $1,159.03 | $1,931.72 | $212.49 – $1,738.55 | 24 |
| Set radiation therapy field CPT 77290 | $1,601.60 | $2,669.33 | $293.63 – $2,402.40 | 24 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $7.14 | $11.90 | $0.06 – $0.53 | 18 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $21.42 | $35.70 | $2.08 – $17.02 | 18 |
| Sever cranial nerve CPT 64771 | $3,141.46 | $5,235.77 | $71.00 – $4,783.04 | 24 |
| Sf3b1 gene common variants CPT 81347 | $115.95 | $193.25 | $21.26 – $3,926.77 | 24 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $429.26 – $5,132.00 | 14 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $262.64 | $437.74 | $71.00 – $495.95 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $232.83 | $388.05 | $71.00 – $495.95 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $432.64 | $721.06 | $71.00 – $987.79 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $461.54 | $769.24 | $71.00 – $987.79 | 24 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $255.46 | $425.76 | $46.83 – $495.95 | 24 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $232.77 | $387.95 | $42.67 – $495.95 | 24 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $244.52 | $407.53 | $71.00 – $495.95 | 24 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $415.83 | $693.05 | $71.00 – $987.79 | 24 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $253.40 | $422.33 | $46.46 – $987.79 | 24 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $266.02 | $443.37 | $48.77 – $495.95 | 24 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $237.65 | $396.08 | $43.57 – $495.95 | 24 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,108.01 | $10,180.01 | $9.46 – $77.41 | 18 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,108.01 | $10,180.01 | $1,119.80 – $9,162.01 | 18 |
| Shigella antibody CPT 86771 | $108.96 | $181.60 | $12.00 – $163.44 | 24 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,665.55 | $6,109.25 | $71.00 – $8,018.48 | 24 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 24 |
| Sho arthrs srg capsulorraphy CPT 29806 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Sho arthrs srg compl synvct CPT 29821 | $4,399.11 | $7,331.85 | $71.00 – $8,018.48 | 24 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $5,080.04 | $8,466.73 | $71.00 – $8,018.48 | 24 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $4,816.16 | $8,026.94 | $71.00 – $8,018.48 | 24 |
| Sho arthrs srg prtl synvct CPT 29820 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 24 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $4,311.23 | $7,185.38 | $71.00 – $8,018.48 | 24 |
| Sho arthrs srg rpr slap les CPT 29807 | $6,740.20 | $11,233.67 | $71.00 – $17,722.46 | 24 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $4,268.81 | $7,114.69 | $71.00 – $8,018.48 | 24 |
| Shoe post-op mens m HCPCS L3260 | $229.82 | $383.04 | $1.98 – $325.58 | 18 |
| Sho lift taper to metatarsal HCPCS L3300 | $49.20 | $82.00 | $9.02 – $73.80 | 17 |
| Shortening of hand tendon CPT 26479 | $1,474.73 | $2,457.88 | $71.00 – $8,018.48 | 24 |
| Shorten radius or ulna CPT 25390 | $6,609.96 | $11,016.60 | $71.00 – $17,722.46 | 24 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $197.78 | $329.64 | $36.26 – $296.68 | 24 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $299.18 | $498.63 | $29.08 – $448.77 | 24 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $4,880.57 | $8,134.29 | $71.00 – $17,722.46 | 24 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $311.92 | $519.86 | $24.06 – $467.87 | 24 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,182.18 | $5,303.63 | $332.94 – $4,773.27 | 24 |
| Shoulder MRI (with contrast) CPT 73222 | $2,838.31 | $4,730.52 | $323.10 – $4,257.47 | 24 |
| Shoulder MRI (without contrast) CPT 73221 | $2,311.68 | $3,852.80 | $209.16 – $3,467.52 | 24 |
| Shoulder prosthesis removal CPT 23334 | $3,870.38 | $6,450.63 | $71.00 – $10,897.47 | 24 |
| Shoulder prosthesis removal CPT 23335 | $2,213.40 | $3,689.00 | $71.00 – $10,897.47 | 23 |
| Shoulder X-ray CPT 73030 | $399.22 | $665.36 | $35.09 – $598.82 | 24 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $320.82 | $534.70 | $21.71 – $481.23 | 24 |
| Shrinker prosth above knee HCPCS L8460 | $71.40 | $119.00 | $13.09 – $107.10 | 17 |
| Shrinker prosth below knee HCPCS L8440 | $152.40 | $254.00 | $7.59 – $215.90 | 18 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,047.52 | $8,412.53 | $279.51 – $2,286.90 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $316.80 | $528.00 | $81.86 – $475.20 | 24 |
| Sialidase enzyme assay CPT 87905 | $1,188.00 | $1,980.00 | $10.26 – $1,782.00 | 24 |
| Sialography s&i CPT 70390 | $829.34 | $1,382.23 | $115.94 – $1,244.01 | 24 |
| Sialolithotomy 42330 CPT 42330 | $2,763.47 | $4,605.79 | $71.00 – $7,975.81 | 24 |
| Sickling rbc CPT 85660 | $72.23 | $120.39 | $4.63 – $59.35 | 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.