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 |
|---|---|---|---|---|
| ER Visit (level 4) CPT 99284 | $1,676.36 | $2,793.93 | $335.27 – $4,008.00 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $2,377.55 | $3,962.58 | $475.51 – $6,643.00 | 17 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $248.39 | $413.98 | $49.68 – $310.49 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $349.65 | $582.75 | $0.22 – $437.06 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $907.02 | $1,511.70 | $0.26 – $31.50 | 15 |
| Esophageal dilat s&i CPT 74360 | $582.56 | $970.94 | $96.87 – $728.21 | 14 |
| Esophageal motility CPT 78258 | $1,329.53 | $2,215.89 | $196.80 – $1,661.92 | 18 |
| Esophagus motility study CPT 91010 | $1,681.16 | $2,801.94 | $336.23 – $2,101.45 | 17 |
| Esoph balloon distension tst CPT 91040 | $1,039.09 | $1,731.81 | $207.82 – $1,327.77 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $564.97 – $4,713.77 | 11 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,015.33 | $1,692.22 | $50.07 – $1,269.16 | 13 |
| Esoph imped function test CPT 91037 | $855.56 | $1,425.93 | $171.11 – $1,069.45 | 17 |
| Esoph imped funct test > 1hr CPT 91038 | $1,393.73 | $2,322.88 | $278.75 – $1,742.16 | 18 |
| Esrd svc pr day pt 12-19 CPT 90969 | $470.50 | $784.17 | $94.10 – $588.13 | 14 |
| Esrd svc pr day pt <2 CPT 90967 | $448.10 | $746.83 | $89.62 – $560.12 | 14 |
| Esrd svc pr day pt 20+ CPT 90970 | $429.79 | $716.32 | $85.96 – $537.24 | 14 |
| Esrd svc pr day pt 2-11 CPT 90968 | $448.10 | $746.83 | $89.62 – $560.12 | 14 |
| Essure 58565 CPT 58565 | $6,333.02 | $10,555.04 | $71.00 – $12,321.66 | 18 |
| Establish access to aorta CPT 36160 | $931.54 | $1,552.56 | $71.00 – $1,164.42 | 14 |
| Establish access to artery CPT 36100 | $949.27 | $1,582.12 | $71.00 – $1,186.59 | 14 |
| Establish brain cavity shunt CPT 62180 | $2,674.30 | $4,457.17 | $534.86 – $3,342.88 | 14 |
| Established Patient Office Visit (level 1) CPT 99211 | $96.94 | $161.56 | $15.00 – $93.75 | 13 |
| Estim aid bone healg invasiv CPT 20975 | $3,885.99 | $6,476.65 | $71.00 – $4,857.49 | 14 |
| Estradiol total CPT 82670 | $366.74 | $611.23 | $12.00 – $67.06 | 18 |
| Estrogens total-sendout CPT 82672 | $112.76 | $187.94 | $12.00 – $140.96 | 18 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $3,615.13 | $6,025.22 | $71.00 – $7,975.81 | 18 |
| Ethylene glycol -sendout CPT 82693 | $165.11 | $275.19 | $12.00 – $206.39 | 18 |
| Etonogestrel implant system HCPCS J7307 | $2,081.30 | $3,468.84 | $371.03 – $2,318.94 | 14 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $235.20 | $392.00 | $0.89 – $83.85 | 15 |
| Euglobulin lysis CPT 85360 | $96.87 | $161.45 | $7.06 – $121.09 | 18 |
| Evacuate mole of uterus CPT 59870 | $3,427.35 | $5,712.25 | $71.00 – $7,744.80 | 18 |
| Eval aud funcj ea addl 15 CPT 92627 | $95.40 | $159.00 | $19.08 – $157.00 | 15 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $366.14 | $610.24 | $73.23 – $457.68 | 18 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $424.15 | $706.91 | $84.83 – $530.18 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $317.83 | $529.71 | $12.00 – $397.28 | 18 |
| Evaluation heart device CPT 93640 | $2,368.17 | $3,946.95 | $473.63 – $2,960.21 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $419.80 | $699.66 | $83.96 – $524.75 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | $342.20 | $570.34 | $68.44 – $427.75 | 18 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,031.48 | $6,719.13 | $71.00 – $5,388.00 | 14 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,340.56 | $7,234.27 | $71.00 – $5,425.70 | 14 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $4,487.36 | $7,478.93 | $71.00 – $17,181.00 | 14 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,487.36 | $7,478.93 | $71.00 – $17,181.00 | 14 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $7,150.44 | $11,917.40 | $1,430.09 – $8,938.05 | 14 |
| Event monitor CPT 93270 | $321.83 | $536.38 | $35.62 – $917.00 | 18 |
| Evoked auditory tst complete CPT 92588 | $412.43 | $687.38 | $14.16 – $777.56 | 18 |
| Evoked oa emissions ltd CPT 92587 | $373.31 | $622.19 | $10.87 – $777.56 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $377.71 | $629.51 | $75.54 – $472.13 | 14 |
| Evoked potentials upper limbs CPT 95925 | $953.96 | $1,589.94 | $190.79 – $1,192.45 | 18 |
| Evoked potential visual not glaucoma CPT 95930 | $864.16 | $1,440.26 | $152.36 – $1,080.19 | 18 |
| Evok oa screening qual CPT 92558 | $127.03 | $211.71 | $25.41 – $158.78 | 14 |
| Exam of vagina w/scope 57420 CPT 57420 | $758.98 | $1,264.96 | $57.86 – $2,975.00 | 18 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $2,760.31 | $4,600.52 | $71.00 – $7,744.80 | 18 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $4,243.84 | $7,073.07 | $71.00 – $7,039.11 | 18 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $4,336.54 | $7,227.57 | $71.00 – $8,649.00 | 18 |
| Exc abd les sc 3 cm/> CPT 22903 | $3,646.94 | $6,078.23 | $71.00 – $8,649.00 | 18 |
| Exc abdl tum deep < 5 cm CPT 22900 | $4,003.93 | $6,673.21 | $71.00 – $7,039.11 | 18 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $4,246.00 | $7,076.67 | $71.00 – $8,649.00 | 18 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $4,168.59 | $6,947.65 | $71.00 – $8,649.00 | 18 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $4,979.60 | $8,299.34 | $71.00 – $6,224.51 | 18 |
| Exc aurl glomus tum trnscanl CPT 69550 | $7,480.20 | $12,467.00 | $71.00 – $14,507.25 | 18 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $6,969.40 | $11,615.67 | $71.00 – $14,507.25 | 18 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $4,244.10 | $7,073.50 | $71.00 – $5,305.12 | 18 |
| Exc back tum deep 5 cm/> CPT 21933 | $5,366.32 | $8,943.87 | $71.00 – $8,649.00 | 18 |
| Exc bartholins gland/cyst CPT 56740 | $2,533.01 | $4,221.68 | $71.00 – $7,744.80 | 18 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,722.99 | $2,871.65 | $71.00 – $4,016.35 | 18 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,522.94 | $4,204.90 | $71.00 – $7,039.11 | 18 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,565.94 | $4,276.56 | $71.00 – $4,016.35 | 18 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,196.08 | $1,993.47 | $71.00 – $2,975.00 | 18 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,175.11 | $1,958.52 | $71.00 – $2,975.00 | 18 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,512.62 | $2,521.04 | $71.00 – $1,890.78 | 18 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,117.89 | $3,529.82 | $71.00 – $4,016.35 | 18 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,645.93 | $2,743.22 | $71.00 – $2,975.00 | 18 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,303.15 | $3,838.58 | $71.00 – $4,016.35 | 18 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $4,045.48 | $6,742.47 | $71.00 – $7,039.11 | 18 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $924.82 | $1,541.37 | $71.00 – $2,975.00 | 18 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,691.11 | $2,818.51 | $71.00 – $2,975.00 | 18 |
| Exc breast duct fistula 19112 CPT 19112 | $3,847.45 | $6,412.42 | $71.00 – $9,442.65 | 18 |
| Exc cervix/repair vagina 57555 CPT 57555 | $4,317.40 | $7,195.67 | $71.00 – $12,321.66 | 18 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $2,441.11 | $4,068.52 | $71.00 – $7,039.11 | 18 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $3,113.11 | $5,188.51 | $71.00 – $8,887.48 | 18 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $2,441.11 | $4,068.52 | $71.00 – $7,039.11 | 18 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $3,142.72 | $5,237.87 | $71.00 – $8,018.48 | 18 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $3,968.54 | $6,614.24 | $71.00 – $8,018.48 | 18 |
| Exc excessive skin buttock CPT 15835 | $2,680.44 | $4,467.40 | $71.00 – $7,039.11 | 18 |
| Exc excessive skin hip CPT 15834 | $2,448.48 | $4,080.80 | $71.00 – $7,039.11 | 18 |
| Exc excessive skin leg CPT 15833 | $4,460.78 | $7,434.63 | $71.00 – $7,039.11 | 18 |
| Exc excessive skin thigh CPT 15832 | $4,074.75 | $6,791.25 | $71.00 – $7,039.11 | 18 |
| Exc excsv skin forearm/hand CPT 15837 | $2,441.11 | $4,068.52 | $71.00 – $7,039.11 | 18 |
| Exc excsv submental fat pad CPT 15838 | $2,610.83 | $4,351.38 | $71.00 – $7,039.11 | 18 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $2,789.84 | $4,649.74 | $71.00 – $7,039.11 | 18 |
| Exc face tum deep < 2 cm CPT 21013 | $2,206.43 | $3,677.38 | $71.00 – $4,016.35 | 18 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $2,847.31 | $4,745.52 | $71.00 – $7,039.11 | 18 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,250.83 | $2,084.72 | $71.00 – $2,975.00 | 18 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $2,458.53 | $4,097.55 | $71.00 – $4,016.35 | 18 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $4,864.76 | $8,107.94 | $71.00 – $7,039.11 | 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.