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 |
|---|---|---|---|---|
| Tympanolysis transcanal 69450 CPT 69450 | $5,550.20 | $9,250.33 | $71.00 – $8,325.30 | 24 |
| Tympanometry & reflex thresh CPT 92550 | $168.62 | $281.04 | $30.91 – $417.82 | 24 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $1,047.93 | $1,746.55 | $71.00 – $2,975.00 | 24 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $11,063.54 | $18,439.24 | $71.00 – $16,595.32 | 24 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $9,481.40 | $15,802.33 | $71.00 – $14,507.25 | 24 |
| Tyms gene com variants CPT 81346 | $1,192.80 | $1,988.00 | $36.00 – $1,789.20 | 24 |
| Ua w/micro/comp poc CPT 81000 | $33.17 | $55.29 | $3.38 – $49.76 | 24 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,476.60 | $2,461.00 | $12.00 – $1,209.78 | 24 |
| Ultrasound breast complete CPT 76641 | $386.64 | $644.40 | $99.77 – $579.96 | 24 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $346.09 | $576.82 | $83.05 – $519.14 | 24 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $303.43 | $505.72 | $44.78 – $455.15 | 24 |
| Ultrasound dx ophth b-scan CPT 76512 | $380.47 | $634.11 | $48.11 – $570.70 | 24 |
| Ultrasound elastography parenchyma CPT 76981 | $353.09 | $588.48 | $99.77 – $529.63 | 24 |
| Ultrasound encephalogram CPT 76506 | $444.58 | $740.96 | $99.77 – $666.86 | 24 |
| Ultrasound exam follow-up CPT 76970 | $267.44 | $445.74 | $49.03 – $401.17 | 18 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $601.20 | $1,002.00 | $99.77 – $901.80 | 24 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $421.33 | $702.21 | $85.88 – $631.99 | 24 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $906.04 | $1,510.07 | $84.77 – $1,359.06 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | $605.63 | $1,009.39 | $66.60 – $908.45 | 18 |
| Ultrasound guide intraoperative CPT 76998 | $488.56 | $814.26 | $89.57 – $732.83 | 18 |
| Ultrasound guide tissue ablation CPT 76940 | $400.79 | $667.99 | $73.48 – $601.19 | 18 |
| Ultrasound hips infant dynamic CPT 76885 | $462.36 | $770.60 | $83.05 – $693.54 | 24 |
| Ultrasound infant hips ltd without stress CPT 76886 | $321.35 | $535.59 | $83.05 – $482.03 | 24 |
| Ultrasound joint complete left CPT 76881 | $499.95 | $833.25 | $96.28 – $749.92 | 24 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $388.47 | $647.45 | $71.50 – $582.71 | 24 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $459.43 | $765.71 | $87.54 – $689.14 | 18 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $326.54 | $544.24 | $60.14 – $489.82 | 18 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $631.20 | $1,052.00 | $177.76 – $946.80 | 24 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $352.11 | $586.85 | $99.77 – $528.16 | 24 |
| Ultrasound prostate/transrectal CPT 76872 | $515.63 | $859.38 | $99.77 – $773.44 | 24 |
| Ultrasound spinal canal and contents CPT 76800 | $491.43 | $819.05 | $99.77 – $737.14 | 24 |
| Ultrasound transabd ea addl gest CPT 76812 | $375.38 | $625.64 | $192.13 – $563.08 | 18 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $237.74 | $396.24 | $144.15 – $833.11 | 24 |
| Ultraviolet therapy CPT 97028 | $45.05 | $75.08 | $8.26 – $149.00 | 19 |
| Umbilical artery cath newborn 36660 CPT 36660 | $534.45 | $890.75 | $71.00 – $5,388.00 | 18 |
| Umbilical cord occlud w/us CPT 59072 | $374.48 | $624.14 | $68.66 – $2,975.00 | 24 |
| Umbilicoplasty 15847 CPT 15847 | $4,172.97 | $6,954.95 | $71.00 – $6,259.45 | 18 |
| Unit mobile power mpu HCPCS Q0479 | $18,528.00 | $30,880.00 | $3,396.80 – $27,792.00 | 17 |
| Unlistd noninvas vasc dx std CPT 93998 | $844.07 | $1,406.78 | $27.61 – $1,117.00 | 24 |
| Unlisted chemotherapy px CPT 96549 | $475.70 | $792.84 | $44.69 – $510.27 | 24 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $6,289.53 | $10,482.55 | $71.00 – $5,388.00 | 24 |
| Unlisted CT procedure CPT 76497 | $4,603.28 | $7,672.13 | $83.05 – $484.38 | 24 |
| Unlisted dialysis procedure CPT 90999 | $3,467.73 | $5,779.55 | $71.00 – $1,519.02 | 18 |
| Unlisted dx gi procedure CPT 91299 | $1,256.74 | $2,094.57 | $116.45 – $1,841.00 | 24 |
| Unlisted fetal invas px w/us CPT 59897 | $694.58 | $1,157.63 | $71.00 – $5,388.00 | 24 |
| Unlisted fluoroscopic px CPT 76496 | $3,433.99 | $5,723.32 | $71.00 – $618.03 | 24 |
| Unlisted hystsc px uterus CPT 58579 | $2,803.60 | $4,672.67 | $71.00 – $5,388.00 | 24 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $6,307.38 | $10,512.30 | $71.00 – $14,293.73 | 24 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $6,838.32 | $11,397.20 | $71.00 – $14,293.73 | 24 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $4,981.62 | $8,302.70 | $71.00 – $14,293.73 | 24 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $9,492.80 | $15,821.34 | $1,511.84 – $14,293.73 | 23 |
| Unlisted laps px appendix CPT 44979 | $3,617.40 | $6,029.00 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px bladder CPT 51999 | $5,082.74 | $8,471.23 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px endoc sys CPT 60659 | $5,631.01 | $9,385.01 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px esoph CPT 43289 | $5,042.16 | $8,403.60 | $2,100.90 – $14,293.73 | 23 |
| Unlisted laps px lymphtc sys CPT 38589 | $10,635.94 | $17,726.56 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px ovidct ovry CPT 58679 | $4,713.11 | $7,855.19 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px renal CPT 50549 | $8,914.07 | $14,856.79 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px testis CPT 54699 | $5,628.67 | $9,381.11 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px ureter CPT 50949 | $5,787.59 | $9,645.99 | $71.00 – $14,293.73 | 24 |
| Unlisted laps px uterus CPT 58578 | $8,151.73 | $13,586.22 | $71.00 – $14,293.73 | 24 |
| Unlisted maxlfcl prosth px CPT 21089 | $1,432.65 | $2,387.75 | $71.00 – $5,388.00 | 24 |
| Unlisted misc path test CPT 89240 | $89.40 | $149.00 | $12.00 – $255.76 | 24 |
| Unlisted mr procedure CPT 76498 | $2,280.00 | $3,800.00 | $83.05 – $977.72 | 24 |
| Unlisted muscskel px head CPT 21499 | $187.43 | $312.38 | $71.00 – $5,388.00 | 24 |
| Unlisted oph svc/procedure CPT 92499 | $213.51 | $355.85 | $28.19 – $320.26 | 20 |
| Unlisted orl service/px CPT 92700 | $334.27 | $557.12 | $16.76 – $137.11 | 24 |
| Unlisted procedure colon CPT 45399 | $1,839.55 | $3,065.92 | $71.00 – $5,645.00 | 24 |
| Unlisted procedure esophagus CPT 43499 | $5,817.32 | $9,695.54 | $71.00 – $5,623.41 | 24 |
| Unlisted procedure eyelids CPT 67999 | $479.62 | $799.37 | $71.00 – $5,388.00 | 24 |
| Unlisted procedure larynx CPT 31599 | $5,107.38 | $8,512.30 | $71.00 – $5,388.00 | 24 |
| Unlisted procedure liver CPT 47399 | $3,950.78 | $6,584.63 | $71.00 – $5,388.00 | 24 |
| Unlisted procedure microbiology CPT 87999 | $2,221.36 | $3,702.27 | $12.00 – $270.00 | 18 |
| Unlisted procedure orbit CPT 67599 | $479.62 | $799.37 | $71.00 – $721.66 | 24 |
| Unlisted procedure pancreas CPT 48999 | $7,194.87 | $11,991.45 | $71.00 – $5,388.00 | 24 |
| Unlisted procedure rectum CPT 45999 | $745.48 | $1,242.47 | $71.00 – $2,264.11 | 24 |
| Unlisted procedure spine CPT 22899 | $9,362.69 | $15,604.48 | $71.00 – $6,253.44 | 24 |
| Unlisted px abdomen muscskel CPT 22999 | $11,582.59 | $19,304.31 | $71.00 – $5,388.00 | 24 |
| Unlisted px accessory sinus CPT 31299 | $235.82 | $393.03 | $71.00 – $5,388.00 | 24 |
| Unlisted px ant segment eye CPT 66999 | $3,110.31 | $5,183.85 | $71.00 – $5,772.91 | 24 |
| Unlisted px arthroscopy CPT 29999 | $13,708.47 | $22,847.45 | $71.00 – $5,779.66 | 24 |
| Unlisted px biliary tract CPT 47999 | $11,636.44 | $19,394.07 | $865.56 – $6,287.02 | 24 |
| Unlisted px casting/strpg CPT 29799 | $224.93 | $374.88 | $71.00 – $390.34 | 24 |
| Unlisted px conjunctiva CPT 68399 | $479.62 | $799.37 | $71.00 – $5,388.00 | 24 |
| Unlisted px diaphragm CPT 39599 | $6,547.57 | $10,912.61 | $71.00 – $9,821.35 | 17 |
| Unlisted px exc pressure ulc CPT 15999 | $626.83 | $1,044.71 | $71.00 – $5,388.00 | 24 |
| Unlisted px external ear CPT 69399 | $7,359.08 | $12,265.13 | $71.00 – $605.10 | 24 |
| Unlisted px extraocular musc CPT 67399 | $3,718.79 | $6,197.98 | $71.00 – $5,578.18 | 24 |
| Unlisted px foot/toes CPT 28899 | $7,763.00 | $12,938.34 | $71.00 – $5,388.00 | 24 |
| Unlisted px forearm/wrist CPT 25999 | $6,515.57 | $10,859.29 | $71.00 – $5,388.00 | 24 |
| Unlisted px hands/fingers CPT 26989 | $6,841.45 | $11,402.42 | $71.00 – $584.19 | 24 |
| Unlisted px inner ear CPT 69949 | $17,114.99 | $28,524.99 | $71.00 – $5,388.00 | 24 |
| Unlisted px lacrimal system CPT 68899 | $479.62 | $799.37 | $71.00 – $5,388.00 | 24 |
| Unlisted px leg/ankle CPT 27899 | $6,818.24 | $11,363.73 | $71.00 – $584.19 | 24 |
| Unlisted px male genital sys CPT 55899 | $6,664.68 | $11,107.80 | $71.00 – $612.25 | 24 |
| Unlisted px med radj physics CPT 77399 | $376.03 | $626.72 | $68.94 – $564.05 | 24 |
| Unlisted px middle ear CPT 69799 | $1,975.05 | $3,291.75 | $71.00 – $5,388.00 | 24 |
| Unlisted px neck/thorax CPT 21899 | $2,680.22 | $4,467.04 | $71.00 – $5,388.00 | 24 |
| Unlisted px palate uvula CPT 42299 | $187.43 | $312.38 | $71.00 – $605.10 | 24 |
| Unlisted px pelvis/hip joint CPT 27299 | $10,031.98 | $16,719.97 | $71.00 – $5,388.00 | 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.