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 |
|---|---|---|---|---|
| Unlisted px salivry glnd/dux CPT 42699 | $4,032.00 | $6,720.00 | $71.00 – $605.10 | 24 |
| Unlisted px small intestine CPT 44799 | $3,029.95 | $5,049.91 | $71.00 – $2,245.59 | 24 |
| Unlisted px ther rad tx plng CPT 77299 | $398.11 | $663.52 | $72.99 – $597.17 | 24 |
| Unlisted px tongue flr mouth CPT 41599 | $220.76 | $367.93 | $71.00 – $605.10 | 24 |
| Unlisted px vestibule mouth CPT 40899 | $187.43 | $312.38 | $71.00 – $5,388.00 | 24 |
| Unlisted spec derm svc/px CPT 96999 | $177.40 | $295.66 | $32.52 – $495.95 | 24 |
| Unlisted special svc px/rprt CPT 99199 | $210.00 | $350.00 | $16.50 – $135.00 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $3,075.41 | $5,125.68 | $83.05 – $408.24 | 24 |
| Unlisted vasc endoscopy px CPT 37501 | $3,160.00 | $5,266.67 | $71.00 – $5,388.00 | 24 |
| Unlstd laps px sprmatic cord CPT 55559 | $4,713.11 | $7,855.19 | $71.00 – $14,293.73 | 24 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $789.50 | $1,315.83 | $144.74 – $1,932.89 | 24 |
| Upgrade pm system CPT 33214 | $16,123.59 | $26,872.65 | $6,346.73 – $26,452.82 | 24 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $399.22 | $665.36 | $32.08 – $598.82 | 24 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,041.20 | $3,402.00 | $167.39 – $3,061.80 | 24 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,980.37 | $3,300.62 | $99.77 – $2,970.56 | 24 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,855.61 | $6,426.01 | $330.45 – $5,783.41 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,039.85 | $3,399.75 | $281.34 – $3,059.78 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,192.54 | $3,654.23 | $196.14 – $3,288.81 | 24 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $403.23 | $672.05 | $33.08 – $604.85 | 24 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $508.78 | $847.96 | $39.76 – $763.16 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $334.95 – $3,485.00 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $334.95 – $3,485.00 | 15 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $665.87 | $1,109.79 | $139.34 – $998.81 | 24 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $622.09 | $1,036.82 | $122.96 – $933.14 | 24 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $334.95 – $3,485.00 | 15 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $6,082.67 | $10,137.78 | $71.00 – $14,293.73 | 24 |
| Urea nitrogen CPT 84520 | $63.50 | $105.84 | $3.32 – $67.50 | 24 |
| Urea nitrogen 24 hour urine CPT 84540 | $71.51 | $119.19 | $4.67 – $107.27 | 24 |
| Urea nitrogen clearance CPT 84545 | $20.07 | $33.45 | $6.05 – $37.22 | 24 |
| Ureteral embolization/occl CPT 50705 | $1,515.59 | $2,525.98 | $71.00 – $2,273.38 | 18 |
| Ureteral reflux study CPT 78740 | $1,200.74 | $2,001.24 | $209.50 – $1,801.12 | 24 |
| Ureter endoscopy CPT 50970 | $1,780.46 | $2,967.44 | $71.00 – $8,636.11 | 24 |
| Ureter endoscopy & biopsy CPT 50955 | $4,704.07 | $7,840.12 | $71.00 – $12,818.21 | 24 |
| Ureter endoscopy & catheter CPT 50972 | $1,780.46 | $2,967.44 | $71.00 – $8,636.11 | 24 |
| Ureter endoscopy & treatment CPT 50961 | $4,627.89 | $7,713.15 | $71.00 – $12,818.21 | 24 |
| Ureter endoscopy & treatment CPT 50980 | $3,935.24 | $6,558.73 | $71.00 – $12,818.21 | 24 |
| Ureteroureterostomy 50760 CPT 50760 | $2,773.01 | $4,621.69 | $508.39 – $5,388.00 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $946.62 | $1,577.70 | $81.38 – $1,419.93 | 24 |
| Urethrlys transvag with scope CPT 53500 | $6,379.33 | $10,632.22 | $71.00 – $9,569.00 | 24 |
| Urethrocystography void s&i CPT 74455 | $712.66 | $1,187.77 | $104.25 – $1,068.99 | 24 |
| Uric acid blood CPT 84550 | $78.37 | $130.62 | $3.80 – $117.56 | 24 |
| Uric acid urine CPT 84560 | $54.55 | $90.91 | $4.27 – $26.26 | 24 |
| Urinalysis microscopic only CPT 81015 | $26.46 | $44.10 | $2.56 – $39.69 | 24 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.86 | $78.10 | $1.82 – $29.06 | 24 |
| Urinalysis (with microscopy) CPT 81001 | $77.87 | $129.78 | $2.66 – $116.80 | 24 |
| Urinalysis (without microscopy) CPT 81003 | $96.30 | $160.50 | $1.89 – $53.97 | 24 |
| Urinary bldr retent nuc study CPT 78730 | $337.17 | $561.95 | $61.81 – $505.75 | 18 |
| Urinary reflex study CPT 51792 | $316.14 | $526.90 | $56.30 – $474.21 | 24 |
| Urine Culture Test CPT 87086 | $121.84 | $203.06 | $6.78 – $182.75 | 24 |
| Urine flow measurement 51736 CPT 51736 | $249.76 | $416.27 | $45.79 – $374.64 | 24 |
| Urine pregnancy test CPT 81025 | $9.07 | $15.11 | $4.99 – $44.51 | 24 |
| Urography, antegrade CPT 74425 | $673.30 | $1,122.16 | $135.99 – $1,283.02 | 24 |
| Urography inf drip &/or bolus CPT 74410 | $823.49 | $1,372.48 | $142.00 – $1,235.23 | 24 |
| Use 1st target lesion CPT 76982 | $353.09 | $588.48 | $93.56 – $529.63 | 24 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,644.13 | $6,073.55 | $11.04 – $5,466.19 | 24 |
| Vaccine Administration (one shot) CPT 90471 | $66.51 | $110.85 | $11.29 – $182.62 | 24 |
| Vaccine dtap < 7 years im CPT 90700 | $101.02 | $168.37 | $16.54 – $135.31 | 18 |
| Vaccine dtap-ipv/hib im CPT 90698 | $280.15 | $466.92 | $51.36 – $420.23 | 18 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $46.99 | $78.32 | $8.62 – $70.49 | 18 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $225.31 | $375.52 | $41.31 – $337.97 | 19 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $179.89 | $299.81 | $32.98 – $269.83 | 19 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $402.20 | $670.34 | $73.74 – $603.31 | 19 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $103.22 | $172.03 | $18.58 – $152.05 | 19 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $81.00 | $135.00 | $14.85 – $121.50 | 19 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $81.00 | $135.00 | $14.85 – $121.50 | 19 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $27.00 | $45.00 | $4.95 – $40.50 | 19 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $605.69 | $1,009.48 | $111.04 – $908.53 | 18 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $426.43 | $710.71 | $65.01 – $531.90 | 18 |
| Vaccine mmr live subcutaneous CPT 90707 | $254.57 | $424.28 | $45.33 – $370.89 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $729.93 | $1,216.55 | $133.82 – $1,094.89 | 19 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,134.58 | $1,890.96 | $208.01 – $1,701.86 | 18 |
| Vaccine rabies im CPT 90675 | $1,174.89 | $1,958.15 | $188.28 – $1,540.51 | 24 |
| Vaccine tdap >=7 years im CPT 90715 | $167.69 | $279.48 | $30.45 – $249.16 | 19 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $131.77 | $219.61 | $24.16 – $197.64 | 19 |
| Vaccine varicella live subcutaneous CPT 90716 | $495.68 | $826.13 | $90.87 – $743.52 | 18 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $40.72 | $67.86 | $7.46 – $61.07 | 18 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $3,055.80 | $5,093.00 | $268.01 – $2,192.85 | 17 |
| Vad cable power module dc input HCPCS Q0478 | $5,556.00 | $9,260.00 | $71.00 – $638.84 | 18 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,675.20 | $27,792.00 | $2,590.06 – $21,191.40 | 17 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $5,345.59 | $8,909.31 | $71.00 – $12,321.66 | 24 |
| Vag hyst incl t/o complex CPT 58291 | $7,530.43 | $12,550.72 | $71.00 – $12,321.66 | 24 |
| Vag hyst including t/o CPT 58262 | $6,515.38 | $10,858.96 | $71.00 – $12,321.66 | 24 |
| Vag hyst t/o & repair compl CPT 58292 | $6,287.36 | $10,478.93 | $71.00 – $18,719.48 | 24 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $5,232.57 | $8,720.95 | $71.00 – $12,321.66 | 24 |
| Vag hyst w/enterocele repair CPT 58270 | $5,885.27 | $9,808.78 | $71.00 – $12,321.66 | 24 |
| Vaginal bx CPT 58999 | $3,061.00 | $5,101.67 | $70.31 – $1,143.82 | 24 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,759.08 | $6,265.13 | $71.00 – $7,744.80 | 24 |
| Vaginal Delivery (full care) CPT 59400 | $2,756.98 | $4,594.97 | $71.00 – $4,135.47 | 18 |
| Vaginal hysterectomy CPT 58260 | $8,216.20 | $13,693.66 | $71.00 – $12,324.29 | 24 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $24.12 | $40.20 | $0.04 – $36.18 | 19 |
| Valproic acid total therapeutic drug level CPT 80164 | $173.37 | $288.95 | $11.37 – $70.00 | 24 |
| Valvuloplasty aortic CPT 92986 | $9,551.60 | $15,919.34 | $1,751.13 – $14,327.41 | 24 |
| Valvuloplasty mitral CPT 92987 | $11,570.77 | $19,284.62 | $2,121.31 – $27,252.71 | 24 |
| Valvuloplasty pulmonary CPT 92990 | $11,095.42 | $18,492.36 | $2,034.16 – $27,252.71 | 24 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $246.70 | $411.17 | $0.03 – $20.70 | 19 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $89.83 | $149.72 | $0.11 – $91.12 | 19 |
| Vancomycin hcl injection HCPCS J3370 | $589.52 | $982.54 | $5.94 – $48.57 | 18 |
| Vancomycin peak therapeutic drug level CPT 80202 | $221.44 | $369.06 | $11.37 – $332.15 | 24 |
| Vanomycin dna amp probe CPT 87500 | $241.67 | $402.78 | $12.00 – $362.50 | 24 |
| Varicella zoster antibody igg CPT 86787 | $98.93 | $164.89 | $10.82 – $66.59 | 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.