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 |
|---|---|---|---|---|
| X-ray exam of teeth CPT 70310 | $425.96 | $709.94 | $40.76 – $783.01 | 24 |
| X-ray exam si joints CPT 72200 | $246.98 | $411.64 | $33.41 – $376.59 | 24 |
| X-ray exam thorac spine4/>vw CPT 72074 | $395.59 | $659.32 | $44.78 – $593.39 | 24 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $189.70 | $316.16 | $32.75 – $284.54 | 24 |
| X-ray fallopian tube CPT 74742 | $501.00 | $835.00 | $91.85 – $751.50 | 18 |
| X-ray head for orthodontia CPT 70350 | $219.76 | $366.26 | $16.71 – $329.63 | 24 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $433.02 | $721.70 | $60.14 – $649.53 | 24 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $477.22 | $795.37 | $62.15 – $715.83 | 24 |
| X-ray joint survey 1 view CPT 77077 | $190.70 | $317.83 | $47.11 – $376.59 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $254.12 | $423.53 | $83.05 – $381.18 | 24 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $423.69 | $706.15 | $40.76 – $635.53 | 24 |
| X-ray male genital tract CPT 74440 | $858.58 | $1,430.96 | $97.56 – $1,287.86 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $303.05 | $505.08 | $39.09 – $454.57 | 24 |
| X-ray measurement of pelvis CPT 74710 | $280.89 | $468.15 | $51.50 – $421.33 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $217.15 | $361.91 | $83.05 – $325.72 | 24 |
| X-ray of mammary ducts CPT 77054 | $437.00 | $728.33 | $69.50 – $783.01 | 24 |
| X-ray optic foramina CPT 70190 | $210.77 | $351.29 | $37.76 – $316.16 | 24 |
| Xray place dist ext thor ao CPT 75959 | $2,496.60 | $4,161.00 | $457.71 – $3,744.90 | 18 |
| Xray place prox ext thor ao CPT 75958 | $914.40 | $1,524.00 | $167.64 – $1,371.60 | 18 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $782.02 | $1,303.36 | $78.19 – $1,173.02 | 24 |
| X-ray ribs 2 views left CPT 71100 | $385.50 | $642.50 | $36.75 – $578.25 | 24 |
| X-ray sella turcica CPT 70240 | $210.77 | $351.29 | $33.08 – $316.16 | 24 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $735.32 | $1,225.54 | $59.81 – $1,618.11 | 24 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $370.64 | $617.73 | $89.55 – $555.96 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $1,235.93 | $2,059.88 | $82.53 – $1,853.89 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $221.11 | $368.51 | $41.44 – $331.66 | 24 |
| X-ray surgical specimen CPT 76098 | $565.09 | $941.82 | $42.78 – $1,618.11 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $317.59 | $529.32 | $42.78 – $476.39 | 24 |
| X-ray upper gi delay w/kub CPT 74241 | $619.72 | $1,032.86 | $113.61 – $929.57 | 18 |
| X-ray upper gi&small intest CPT 74245 | $692.45 | $1,154.09 | $126.95 – $1,038.68 | 18 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $362.98 | $604.96 | $94.89 – $612.26 | 24 |
| Xyntha inj HCPCS J7185 | $23.35 | $38.92 | $1.42 – $35.03 | 24 |
| Yersinia antibody CPT 86793 | $79.20 | $132.00 | $11.08 – $92.63 | 24 |
| Ziconotide injection HCPCS J2278 | $7,216.02 | $12,026.70 | $9.94 – $10,824.03 | 24 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $108.12 | $180.20 | $1.43 – $162.18 | 24 |
| Zika virus dna/rna amp probe CPT 87662 | $234.00 | $390.00 | $12.00 – $312.62 | 24 |
| Zika virus igm antibody CPT 86794 | $118.50 | $197.50 | $12.00 – $177.75 | 24 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $17.56 | $29.26 | $3.22 – $26.33 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $173.96 | $289.93 | $6.46 – $260.94 | 19 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $5,790.00 | $9,650.00 | $8.18 – $4,365.00 | 24 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,356.38 | $3,927.30 | $8.49 – $256.50 | 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.