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 |
|---|---|---|---|---|
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $328.50 – $2,975.00 | 14 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $328.50 – $2,975.00 | 14 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $429.26 – $2,975.00 | 15 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $270.34 | $450.56 | $31.74 – $917.00 | 24 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $13,001.06 | $21,668.44 | $2,383.53 – $19,501.60 | 22 |
| Simple cystometrogram 51725 CPT 51725 | $881.99 | $1,469.99 | $110.15 – $1,322.99 | 24 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,265.86 | $3,776.43 | $167.39 – $3,398.79 | 24 |
| Sinus CT scan (with contrast) CPT 70487 | $2,561.70 | $4,269.50 | $156.38 – $3,842.55 | 24 |
| Sinus CT scan (without contrast) CPT 70486 | $2,137.91 | $3,563.18 | $99.77 – $3,206.86 | 24 |
| Sinus/juglr venogram s&i CPT 75860 | $1,855.99 | $3,093.32 | $125.64 – $9,311.50 | 24 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $2,766.91 | $4,611.51 | $71.00 – $7,975.81 | 24 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $5,181.19 | $8,635.32 | $71.00 – $14,507.25 | 24 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 24 |
| Sinus X-ray (complete) CPT 70220 | $419.51 | $699.19 | $37.76 – $629.27 | 24 |
| Sinus X-ray (limited) CPT 70210 | $249.35 | $415.59 | $32.41 – $374.03 | 24 |
| Sipuleucel-t - su HCPCS Q2043 | $112,684.50 | $187,807.50 | $20,658.83 – $169,026.75 | 24 |
| Sirolimus, oral HCPCS J7520 | $42.11 | $70.18 | $0.96 – $24.68 | 19 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $252.00 | $420.00 | $11.21 – $298.51 | 17 |
| Skin Biopsy CPT 11102 | $360.34 | $600.56 | $64.23 – $610.51 | 24 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,499.37 | $4,165.62 | $71.00 – $4,517.58 | 24 |
| Skin full graft add-on 15241 CPT 15241 | $675.58 | $1,125.96 | $71.00 – $1,013.36 | 18 |
| Skin pedicle flap arms/legs CPT 15572 | $3,040.42 | $5,067.37 | $71.00 – $8,887.48 | 24 |
| Skin pedicle flap trunk CPT 15570 | $2,501.86 | $4,169.77 | $71.00 – $4,517.58 | 24 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $2,711.32 | $4,518.86 | $71.00 – $4,066.97 | 18 |
| Skull X-ray (1 to 3 views) CPT 70250 | $312.96 | $521.60 | $36.09 – $469.44 | 24 |
| Skull X-ray (complete) CPT 70260 | $449.72 | $749.53 | $44.78 – $674.58 | 24 |
| Sleep study attended CPT 95807 | $2,830.09 | $4,716.82 | $356.12 – $4,245.14 | 24 |
| Sleep Study (Polysomnography) CPT 95810 | $4,141.16 | $6,901.94 | $759.21 – $6,211.75 | 24 |
| Sleep study unattended CPT 95806 | $757.21 | $1,262.02 | $138.82 – $2,062.00 | 24 |
| Sleeve fing rolyan med HCPCS L3933 | $197.40 | $329.00 | $36.19 – $296.10 | 17 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $41.10 | $68.50 | $2.02 – $36.36 | 18 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,564.21 | $27,607.02 | $141.51 – $1,157.82 | 17 |
| Slitting of prepuce CPT 54000 | $2,484.76 | $4,141.26 | $71.00 – $8,636.11 | 24 |
| Slitting of prepuce CPT 54001 | $2,851.12 | $4,751.87 | $71.00 – $5,045.72 | 24 |
| Slp pure tone screening CPT 92551 | $82.04 | $136.73 | $15.04 – $123.06 | 18 |
| Slp stdy unatnd w/anal CPT 95801 | $498.32 | $830.54 | $56.30 – $2,062.00 | 24 |
| Small animal inoculation CPT 87003 | $119.41 | $199.01 | $12.00 – $179.11 | 24 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $602.88 | $1,004.80 | $121.96 – $904.32 | 24 |
| Small bowel endoscopy CPT 44360 | not published | not published | $564.97 – $4,713.77 | 15 |
| Small bowel endoscopy CPT 44369 | not published | not published | $564.97 – $4,713.77 | 15 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $564.97 – $4,713.77 | 15 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $97.80 | $163.00 | $4.53 – $47.37 | 24 |
| Smear gram stain CPT 87205 | $81.61 | $136.02 | $3.59 – $122.42 | 24 |
| Smear nasal eosinophil CPT 89190 | $72.60 | $121.00 | $4.86 – $108.90 | 24 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $81.20 | $135.33 | $5.03 – $121.80 | 24 |
| Smear wet mount CPT 87210 | $63.11 | $105.18 | $4.89 – $94.66 | 24 |
| Smn1 gene full gene sequence CPT 81336 | $1,200.00 | $2,000.00 | $36.00 – $1,800.00 | 24 |
| Smpd1 gene common variants CPT 81330 | $240.00 | $400.00 | $36.00 – $360.00 | 24 |
| Snrpn/ube3a gene CPT 81331 | $176.53 | $294.22 | $12.00 – $264.80 | 24 |
| Sodium 24 hour urine CPT 84300 | $70.34 | $117.24 | $4.25 – $105.52 | 24 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $63.36 | $105.60 | $2.40 – $45.00 | 19 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $30.00 | $50.00 | $1.49 – $45.00 | 19 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $30.00 | $50.00 | $0.77 – $22.95 | 19 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $31.39 | $52.32 | $1.98 – $16.20 | 18 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $131.28 | $218.80 | $2.63 – $196.92 | 19 |
| Sodium serum/plasma/whole blood CPT 84295 | $62.87 | $104.78 | $4.04 – $94.30 | 24 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $156.60 | $261.00 | $0.84 – $234.90 | 23 |
| Soft interface below knee se HCPCS L2820 | $76.20 | $127.00 | $13.97 – $114.30 | 17 |
| Somatosensory testing CPT 95927 | $1,180.60 | $1,967.66 | $206.06 – $1,770.89 | 24 |
| So neo gsap dna/dna&rna CPT 81459 | $2,714.80 | $4,524.66 | $36.00 – $4,469.38 | 23 |
| So neo gsap dna mcrstl ins CPT 81457 | $3,975.00 | $6,625.00 | $36.00 – $2,448.49 | 23 |
| So vest canvas/web pre ots HCPCS L3675 | $347.06 | $578.44 | $27.61 – $225.90 | 17 |
| Special physics consult CPT 77370 | $699.60 | $1,166.00 | $128.26 – $1,049.40 | 24 |
| Special radiation dosimetry CPT 77331 | $422.48 | $704.14 | $75.89 – $633.73 | 24 |
| Special radiation treatment CPT 77470 | $2,125.57 | $3,542.62 | $101.20 – $3,188.36 | 24 |
| Special supplies phys/qhp CPT 99070 | $60.00 | $100.00 | $5.50 – $45.00 | 18 |
| Special teletx port plan CPT 77321 | $1,056.31 | $1,760.51 | $174.29 – $1,584.46 | 24 |
| Specific gravity body fluid CPT 84315 | $28.32 | $47.20 | $2.76 – $42.48 | 24 |
| Specimen fat stain CPT 89125 | $27.68 | $46.14 | $4.94 – $41.53 | 24 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $491.24 | $818.73 | $90.06 – $736.86 | 19 |
| Speech audiometry complete CPT 92556 | $125.39 | $208.99 | $22.99 – $188.09 | 24 |
| Speech evaluation complex CPT 70371 | $409.96 | $683.27 | $109.60 – $783.01 | 24 |
| Speech recep thresh CPT 92555 | $102.55 | $170.91 | $18.80 – $153.82 | 24 |
| Speech Therapy Session (one-on-one) CPT 92507 | $264.98 | $441.63 | $48.58 – $397.47 | 19 |
| Sperm antibody test CPT 89325 | $74.27 | $123.78 | $10.14 – $111.40 | 24 |
| Sperm isolation complex CPT 89261 | $205.60 | $342.66 | $12.00 – $308.39 | 24 |
| Sperm isolation simple CPT 89260 | $180.60 | $301.00 | $12.00 – $270.90 | 24 |
| Sperm washing 58323 CPT 58323 | $174.22 | $290.37 | $31.94 – $2,975.00 | 24 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $4,349.40 | $7,249.00 | $939.93 – $6,955.62 | 23 |
| Spinal bone allograftstructural 20931 CPT 20931 | $4,517.20 | $7,528.67 | $71.00 – $6,775.80 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,030.57 | $1,717.62 | $262.86 – $2,975.00 | 23 |
| Spine X-ray (single view, one level) CPT 72020 | $332.48 | $554.13 | $24.39 – $498.72 | 24 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $261.28 | $435.46 | $47.90 – $777.56 | 24 |
| Spirometry up to 2 yrs old CPT 94011 | $143.14 | $238.56 | $26.24 – $417.82 | 24 |
| Spleen imaging CPT 78185 | $1,010.08 | $1,683.46 | $153.36 – $1,515.11 | 24 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $392.09 | $653.49 | $71.88 – $588.14 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $83.19 | $138.65 | $12.76 – $104.40 | 17 |
| Splint finger 4 prong foam sm HCPCS A4570 | $41.90 | $69.83 | $7.68 – $62.85 | 18 |
| Splint finger fold over sm HCPCS L3924 | $157.15 | $261.92 | $8.61 – $70.45 | 17 |
| Splint finger frog med HCPCS L3927 | $51.30 | $85.50 | $9.40 – $76.95 | 17 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.00 | $55.00 | $6.05 – $49.50 | 17 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $107.85 | $179.75 | $16.17 – $132.29 | 17 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,158.71 | $6,931.18 | $71.00 – $8,887.48 | 24 |
| Split blood or products CPT 86985 | $217.64 | $362.73 | $12.00 – $741.89 | 24 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $2,050.28 | $3,417.14 | $71.00 – $3,075.43 | 18 |
| Sprchoroidal spc njx rx agt CPT 67516 | $4,624.43 | $7,707.39 | $71.00 – $6,936.65 | 24 |
| Sputum specimen collection CPT 89220 | $192.85 | $321.42 | $12.00 – $741.89 | 24 |
| Srs linear based CPT 77372 | $16,723.13 | $27,871.88 | $3,065.91 – $25,084.69 | 24 |
| Staggered spondaic word test CPT 92572 | $263.71 | $439.51 | $48.35 – $417.82 | 24 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $401.71 | $669.52 | $73.65 – $602.57 | 19 |
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.