BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA
5330 Overpass Road, Suite 110, TX · Baylor Scott & White Health · · NPI 1144781501
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $159.00 | $265.00 | $12.00 – $198.75 | 18 |
| 17-hydroxypregnenolone CPT 84143 | $128.60 | $214.33 | $12.00 – $160.75 | 18 |
| 17-ketosteroids CPT 83586 | $91.01 | $151.68 | $10.75 – $113.76 | 18 |
| 1st psyc collab care mgmt CPT 99492 | $98.80 | $164.67 | $19.76 – $220.82 | 18 |
| 1st/sbsq psyc collab care CPT 99494 | $55.30 | $92.17 | $11.06 – $69.13 | 14 |
| 24 hr ambulatory b/p monitor CPT 93786 | $299.68 | $499.46 | $59.94 – $374.60 | 18 |
| 2nd order venous cath CPT 36012 | $2,128.64 | $3,547.74 | $71.00 – $2,660.80 | 14 |
| 3d ech img cgen car anomal CPT 93319 | $683.05 | $1,138.41 | $24.21 – $917.00 | 14 |
| 3-d radiotherapy plan CPT 77295 | $5,002.69 | $8,337.81 | $1,000.54 – $6,253.36 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $508.13 | $846.88 | $44.79 – $635.16 | 14 |
| 5' nucleotidase - sendout CPT 83915 | $349.53 | $582.55 | $9.37 – $95.19 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $104.88 | $174.80 | $20.98 – $131.10 | 14 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $176.03 | $293.38 | $35.21 – $313.45 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $75.60 | $126.00 | $10.09 – $28.82 | 18 |
| Abciximab injection HCPCS J0130 | $2,443.52 | $4,072.54 | $488.70 – $3,054.41 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $3,683.78 | $6,139.64 | $157.04 – $7,896.23 | 18 |
| Abd/low ext cath 1st CPT 36245 | $2,886.01 | $4,810.01 | $71.00 – $3,607.51 | 14 |
| Abd/low ext cath 2nd CPT 36246 | $3,123.85 | $5,206.42 | $71.00 – $3,904.82 | 14 |
| Abd/low ext cath 3rd CPT 36247 | $4,255.58 | $7,092.64 | $71.00 – $5,319.48 | 14 |
| Abd/low ext cath addl CPT 36248 | $1,020.60 | $1,701.00 | $71.00 – $1,275.75 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $942.10 | $1,570.16 | $227.71 – $1,177.62 | 18 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $743.89 | $1,239.81 | $99.77 – $1,117.00 | 18 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,721.60 | $4,536.00 | $167.39 – $3,402.00 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,670.05 | $4,450.09 | $167.39 – $3,337.57 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,116.45 | $3,527.42 | $99.77 – $2,645.57 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,387.55 | $5,645.91 | $332.94 – $4,234.43 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $2,612.36 | $4,353.94 | $311.75 – $3,265.45 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $2,742.65 | $4,571.09 | $201.81 – $3,428.32 | 18 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,457.75 | $2,429.58 | $71.00 – $2,245.59 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $537.43 | $895.71 | $99.77 – $671.78 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $604.43 | $1,007.39 | $87.21 – $755.54 | 18 |
| Abdominal X-ray (2 views) CPT 74019 | $316.47 | $527.45 | $36.75 – $395.59 | 18 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $468.03 | $780.05 | $50.13 – $585.04 | 18 |
| Abdominal X-ray (single view) CPT 74018 | $367.60 | $612.67 | $30.40 – $459.50 | 18 |
| Abdominoplasty 15830 CPT 15830 | $5,093.44 | $8,489.06 | $71.00 – $16,154.42 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,459.63 | $2,432.71 | $71.00 – $2,245.59 | 18 |
| Abl1 gene CPT 81170 | $1,111.70 | $1,852.83 | $36.00 – $722.01 | 18 |
| Ablate arrhythmia add on CPT 93655 | $12,531.79 | $20,886.31 | $1,349.58 – $15,664.73 | 14 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $6,727.70 | $11,212.84 | $71.00 – $17,722.46 | 18 |
| Ablate bone tumor(s) perq CPT 20982 | $9,437.59 | $15,729.31 | $71.00 – $32,603.53 | 18 |
| Ablate heart dysrhythm focus CPT 93650 | $11,694.25 | $19,490.42 | $2,338.85 – $18,500.61 | 18 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $2,188.42 | $3,647.37 | $71.00 – $3,777.93 | 18 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,463.19 | $2,438.65 | $71.00 – $3,777.93 | 18 |
| Ablate pulm tumor perq crybl CPT 32994 | $6,867.00 | $11,445.00 | $71.00 – $25,500.18 | 18 |
| Ablate pulm tumor perq rf CPT 32998 | $8,632.80 | $14,388.00 | $71.00 – $14,293.73 | 18 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $34,741.90 | $57,903.16 | $45.84 – $386.96 | 18 |
| Ablation cryo abd perit om CPT 49999 | $3,985.64 | $6,642.74 | $71.00 – $2,245.59 | 18 |
| Ablation cryo adrenal tumor CPT 60699 | $15,103.18 | $25,171.96 | $71.00 – $14,293.73 | 18 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $263.63 | $439.39 | $71.00 – $5,388.00 | 18 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $7,014.56 | $11,690.93 | $71.00 – $25,500.18 | 18 |
| Ablation cryo retro lymph node CPT 38999 | $8,632.80 | $14,388.00 | $71.00 – $5,388.00 | 18 |
| Ablation cryo thigh/knee CPT 27599 | $12,836.37 | $21,393.95 | $71.00 – $584.19 | 18 |
| Ablation of upper extremity nerves rf CPT 64999 | $9,362.69 | $15,604.48 | $71.00 – $745.48 | 18 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,396.00 | $5,660.00 | $679.20 – $4,245.00 | 16 |
| Abltj mal prst8 tiss hifu CPT 55880 | $5,077.94 | $8,463.24 | $1,015.59 – $22,821.27 | 17 |
| Abrasion lesions add-on CPT 15787 | $245.43 | $409.05 | $49.09 – $306.79 | 14 |
| Abrasion lesion single CPT 15786 | $259.59 | $432.65 | $51.92 – $495.95 | 18 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,053.18 | $5,088.64 | $71.00 – $4,016.35 | 18 |
| Abscess imaging ltd area CPT 78805 | $1,640.09 | $2,733.48 | $328.02 – $2,050.11 | 14 |
| Abscess imaging whole body CPT 78806 | $1,703.01 | $2,838.35 | $340.60 – $2,128.76 | 14 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $3,287.87 | $5,479.78 | $657.57 – $4,109.84 | 12 |
| Access thoracic lymph duct CPT 38794 | $398.92 | $664.87 | $71.00 – $498.65 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $39.24 | $65.40 | $0.06 – $49.05 | 15 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $39.96 | $66.60 | $7.99 – $49.95 | 14 |
| Acetaminophen level CPT 80143 | $117.01 | $195.02 | $12.00 – $146.26 | 18 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $113.40 | $189.00 | $22.68 – $141.75 | 15 |
| Acetone qualitative CPT 82009 | $53.82 | $89.70 | $3.80 – $67.28 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | $469.10 | $781.83 | $10.12 – $73.12 | 18 |
| Acetylcholinesterase assay CPT 82013 | $141.77 | $236.28 | $10.32 – $177.21 | 18 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $558.90 | $931.50 | $0.56 – $371.29 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $31.21 | $52.02 | $3.32 – $20.73 | 15 |
| Acne surgery 10040 CPT 10040 | $207.20 | $345.33 | $41.44 – $495.95 | 18 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $69.30 | $115.50 | $13.86 – $220.82 | 15 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $34.65 | $57.75 | $6.93 – $43.31 | 10 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $95.17 | $158.62 | $19.03 – $394.97 | 15 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $387.73 | $646.21 | $77.55 – $484.66 | 18 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $45.32 | $75.54 | $9.06 – $71.08 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $42.28 | $70.47 | $8.46 – $52.85 | 14 |
| Acoustic immitance testing CPT 92570 | $230.54 | $384.23 | $46.11 – $386.96 | 18 |
| Acoustic refl threshold tst CPT 92568 | $83.79 | $139.65 | $16.76 – $104.74 | 18 |
| Acromp/acromionectomy prtl CPT 23130 | $4,378.11 | $7,296.85 | $71.00 – $8,018.48 | 18 |
| Actigraphy testing CPT 95803 | $311.76 | $519.60 | $56.30 – $389.70 | 18 |
| Actinotherapy uv light CPT 96900 | $138.89 | $231.48 | $27.78 – $173.61 | 18 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $83.02 | $138.37 | $16.60 – $103.78 | 18 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $69.78 | $116.30 | $13.96 – $87.22 | 14 |
| Acup 1/> without estim ea add 15 CPT 97811 | $62.51 | $104.18 | $12.50 – $78.37 | 14 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $76.87 | $128.11 | $15.37 – $96.08 | 18 |
| Acute hepatitis panel CPT 80074 | $382.50 | $637.50 | $12.00 – $478.12 | 18 |
| Acute venous thrombus image CPT 78456 | $1,505.91 | $2,509.85 | $281.68 – $3,517.62 | 18 |
| Acyclovir 400 mg tablet HCPCS J8499 | $54.77 | $91.29 | $0.75 – $4.67 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $129.00 | $215.00 | $0.02 – $54.38 | 15 |
| #acylcarnitineprfl CPT 82017 | $300.00 | $500.00 | $12.00 – $204.16 | 18 |
| Acylcarnitines qual CPT 82016 | $45.60 | $76.00 | $12.00 – $57.00 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,811.26 | $3,018.76 | $23.16 – $154.40 | 14 |
| Adding walker to prev cast CPT 29440 | $281.15 | $468.59 | $17.17 – $390.34 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $529.18 | $881.96 | $0.48 – $13.50 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | $72.73 | $121.21 | $10.81 – $90.91 | 18 |
| Adenovirus assay w/optic CPT 87809 | $98.51 | $164.18 | $12.00 – $123.14 | 18 |
| Adh-sendout CPT 84588 | $414.60 | $691.00 | $12.00 – $84.38 | 18 |
| Adj gastric band via subq port CPT 43999 | $3,216.57 | $5,360.95 | $347.35 – $2,245.59 | 18 |
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.