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 |
|---|---|---|---|---|
| Drain shoulder bursa 23031 CPT 23031 | $2,719.83 | $4,533.05 | $71.00 – $7,039.11 | 18 |
| Drain shoulder lesion CPT 23030 | $3,904.61 | $6,507.69 | $71.00 – $7,039.11 | 18 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,620.47 | $6,034.11 | $71.00 – $7,039.11 | 18 |
| Drain thyroid/tongue cyst CPT 60000 | $1,195.09 | $1,991.82 | $71.00 – $3,777.93 | 18 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $504.09 | $840.15 | $71.00 – $630.11 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $525.71 | $876.18 | $44.31 – $657.13 | 18 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $467.27 | $778.78 | $71.00 – $987.79 | 18 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $592.93 | $988.21 | $71.00 – $1,555.84 | 18 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $306.77 | $511.29 | $19.68 – $131.26 | 17 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,303.31 | $2,172.19 | $71.00 – $1,629.14 | 14 |
| Drm agrft t/a/l ea addl CPT 15131 | $1,793.59 | $2,989.32 | $71.00 – $2,241.99 | 14 |
| Drng hand tendon sheath 26020 CPT 26020 | $2,889.70 | $4,816.17 | $71.00 – $8,018.48 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | $531.28 | $885.47 | $71.00 – $721.66 | 18 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,169.64 | $3,616.07 | $71.00 – $4,016.35 | 18 |
| Drng of hydrocele 55000 CPT 55000 | $784.40 | $1,307.34 | $54.26 – $1,742.94 | 18 |
| Drng of mouth lesion 40801 CPT 40801 | $1,350.97 | $2,251.62 | $71.00 – $1,688.71 | 18 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,091.88 | $5,153.13 | $71.00 – $7,744.80 | 18 |
| Drng of palm multi bursas 26030 CPT 26030 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Drng of palm single bursa 26025 CPT 26025 | $2,444.37 | $4,073.95 | $71.00 – $8,018.48 | 18 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $3,070.50 | $5,117.50 | $429.26 – $3,838.12 | 17 |
| Drng of salivary cyst 42409 CPT 42409 | $3,575.45 | $5,959.09 | $71.00 – $7,975.81 | 18 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,437.31 | $4,062.19 | $71.00 – $4,016.35 | 18 |
| Drng salivary gland simple 42300 CPT 42300 | $1,710.96 | $2,851.60 | $71.00 – $3,777.93 | 18 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $482.86 | $804.77 | $71.00 – $2,975.00 | 18 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $34.85 | $58.08 | $3.48 – $21.78 | 15 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,275.80 | $3,793.00 | $23.73 – $158.23 | 14 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $27.00 | $45.00 | $5.40 – $131.26 | 17 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $56.67 | $94.45 | $11.33 – $131.26 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $321.43 | $535.72 | $7.54 – $131.26 | 17 |
| Drug admin & hemodynmic meas CPT 93463 | $458.72 | $764.54 | $91.74 – $13,331.00 | 14 |
| Drug assay caffeine CPT 80155 | $81.61 | $136.01 | $12.00 – $102.01 | 18 |
| Drug assay posaconazole CPT 80187 | $96.75 | $161.25 | $12.00 – $120.11 | 18 |
| Drug assay rufinamide CPT 80210 | $100.32 | $167.20 | $12.00 – $94.14 | 18 |
| Drug assay vedolizumab CPT 80280 | $327.60 | $546.00 | $12.00 – $92.57 | 18 |
| Drug assay voriconazole CPT 80285 | $96.75 | $161.25 | $12.00 – $120.94 | 18 |
| Drug asy hydroxychloroquine CPT 80220 | $345.00 | $575.00 | $12.00 – $44.74 | 18 |
| Drug of abuse screen urine CPT 80305 | $85.78 | $142.97 | $10.58 – $107.23 | 18 |
| Drug screening tapentadol CPT 80372 | $95.93 | $159.88 | $3.03 – $11.36 | 13 |
| Drug screen quant tiagabine CPT 80199 | $114.62 | $191.03 | $12.00 – $143.27 | 18 |
| Drug test def 15-21 classes HCPCS G0482 | $402.75 | $671.25 | $12.00 – $476.98 | 18 |
| Drug test def 1-7 classes HCPCS G0480 | $330.00 | $550.00 | $12.00 – $274.63 | 18 |
| Drug test def 22+ classes HCPCS G0483 | $526.27 | $877.12 | $12.00 – $657.84 | 18 |
| Drug test def 8-14 classes HCPCS G0481 | $298.34 | $497.24 | $12.00 – $375.82 | 18 |
| Drug test prsmv instrmnt CPT 80306 | $457.25 | $762.09 | $12.00 – $571.57 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,041.00 | $1,735.00 | $3.87 – $149.14 | 18 |
| Drvvt confirm - quest CPT 85597 | $136.45 | $227.42 | $12.00 – $170.56 | 18 |
| Dry needling (97799) CPT 97799 | $184.57 | $307.62 | $36.91 – $230.72 | 15 |
| Dstrj extensive retinopathy CPT 67227 | $3,521.44 | $5,869.06 | $71.00 – $9,578.04 | 18 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,834.84 | $4,724.73 | $71.00 – $4,783.04 | 18 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $604.09 | $1,006.82 | $71.00 – $2,975.00 | 18 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $683.48 | $1,139.13 | $71.00 – $987.79 | 18 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $602.32 | $1,003.87 | $71.00 – $2,975.00 | 18 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $512.61 | $854.35 | $71.00 – $1,555.84 | 18 |
| Ductogram sgl duct CPT 77053 | $346.42 | $577.36 | $54.13 – $607.02 | 18 |
| Duplex scan bilateral study 93985 CPT 93985 | $332.18 | $553.63 | $66.44 – $1,117.00 | 18 |
| Duplex scan unilateral study 93986 CPT 93986 | $134.48 | $224.14 | $26.90 – $1,117.00 | 18 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $467.33 | $778.89 | $99.77 – $1,117.00 | 18 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $610.51 | $1,017.51 | $156.46 – $1,117.00 | 18 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $838.98 | $1,398.30 | $197.14 – $1,117.00 | 18 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,767.23 | $39,612.05 | $4.95 – $131.26 | 17 |
| Dxa bone density axl vrt fx CPT 77085 | $300.82 | $501.37 | $53.46 – $376.03 | 18 |
| Dx dark adaptation exam i&r CPT 92284 | $319.04 | $531.74 | $63.81 – $987.04 | 18 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $215.77 | $359.62 | $43.15 – $2,975.00 | 17 |
| Dx duod intub w/asp specs CPT 43757 | $207.47 | $345.79 | $136.38 – $2,975.00 | 17 |
| Dx gastr intub w/asp spec CPT 43754 | $248.83 | $414.72 | $49.77 – $777.56 | 18 |
| Dx gastr intub w/asp specs CPT 43755 | $120.90 | $201.50 | $24.18 – $2,975.00 | 17 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $465.29 | $775.49 | $93.06 – $581.62 | 14 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $558.11 | $930.18 | $111.62 – $697.63 | 14 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $558.11 | $930.18 | $111.62 – $697.63 | 14 |
| Dx laryngoscopy newborn CPT 31520 | $623.70 | $1,039.50 | $71.00 – $1,011.53 | 18 |
| Dx laryngoscopy w/oper scope CPT 31526 | $3,316.47 | $5,527.45 | $71.00 – $4,204.56 | 18 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $558.11 | $930.18 | $111.62 – $697.63 | 14 |
| Ear and throat examination CPT 92502 | $774.02 | $1,290.03 | $113.00 – $1,363.00 | 15 |
| Ear canal biopsy 69105 CPT 69105 | $2,742.72 | $4,571.20 | $71.00 – $5,388.00 | 18 |
| Ear cartilage graft CPT 21235 | $6,385.40 | $10,642.34 | $71.00 – $14,507.25 | 18 |
| Ear irrigation 69209 CPT 69209 | $123.74 | $206.23 | $24.75 – $154.67 | 18 |
| Ecallantide injection HCPCS J1290 | $29,917.98 | $49,863.30 | $548.54 – $37,397.47 | 18 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $152.90 | $254.84 | $30.58 – $917.00 | 18 |
| Ecg < 30 days transmission & analysis CPT 93271 | $644.32 | $1,073.87 | $90.72 – $917.00 | 18 |
| Ecg external < 48 hours recording CPT 93225 | $877.25 | $1,462.09 | $126.97 – $1,096.57 | 18 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $657.76 | $1,096.27 | $56.30 – $917.00 | 18 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $456.60 | $761.00 | $35.64 – $917.00 | 18 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $456.60 | $761.00 | $35.64 – $917.00 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,589.56 | $4,315.93 | $409.24 – $3,236.95 | 18 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $838.44 | $1,397.40 | $97.56 – $1,048.05 | 18 |
| Echocardiography doppler color flow mapping CPT 93325 | $745.70 | $1,242.84 | $67.47 – $932.13 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $490.82 | $818.04 | $59.86 – $917.00 | 14 |
| Echo exam of eye CPT 76516 | $256.09 | $426.82 | $46.78 – $320.12 | 18 |
| Echo exam of eye CPT 76519 | $421.57 | $702.61 | $68.16 – $526.96 | 18 |
| Echo exam of eye thickness CPT 76514 | $100.69 | $167.81 | $11.36 – $125.86 | 18 |
| Echo exam of fetal heart CPT 76825 | $805.36 | $1,342.27 | $262.29 – $1,366.64 | 18 |
| Echo exam of fetal heart CPT 76826 | $767.01 | $1,278.35 | $157.04 – $958.76 | 18 |
| Echo exam of fetal heart CPT 76827 | $306.05 | $510.09 | $70.16 – $382.57 | 18 |
| Echo exam of fetal heart CPT 76828 | $284.85 | $474.75 | $48.79 – $356.06 | 18 |
| Echo exam uterus 76831- CPT 76831 | $552.03 | $920.05 | $116.61 – $690.04 | 18 |
| Echograp trans r pros study CPT 76873 | $531.67 | $886.11 | $99.77 – $664.58 | 18 |
| Echo guidance radiotherapy CPT 76965 | $152.28 | $253.80 | $30.46 – $190.35 | 14 |
| Echo guide cardiocentesis CPT 76930 | $269.33 | $448.89 | $53.87 – $336.67 | 14 |
| Echo guide for amniocentesis CPT 76946 | $61.82 | $103.03 | $12.36 – $77.27 | 14 |
| Echo guide for artery repair CPT 76936 | $612.68 | $1,021.13 | $206.06 – $777.56 | 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.