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 |
|---|---|---|---|---|
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $453.73 | $756.22 | $70.50 – $567.16 | 18 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,806.38 | $6,343.97 | $71.00 – $4,757.98 | 18 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,499.37 | $4,165.62 | $71.00 – $4,517.58 | 18 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,056.41 | $1,760.69 | $71.00 – $1,320.52 | 14 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,152.60 | $5,254.33 | $71.00 – $4,517.58 | 18 |
| Functional brain mapping CPT 96020 | $725.86 | $1,209.77 | $145.17 – $907.33 | 14 |
| Fundus photography with i&r 92250 CPT 92250 | $255.85 | $426.41 | $51.17 – $319.81 | 18 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $43.20 | $72.00 | $0.02 – $13.50 | 15 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $3.17 | $5.28 | $0.63 – $3.96 | 14 |
| Fuse/graft added joint CPT 26863 | $2,650.04 | $4,416.74 | $71.00 – $3,312.55 | 14 |
| Fusion/graft of finger joint CPT 26862 | $5,255.82 | $8,759.70 | $71.00 – $8,018.48 | 18 |
| Fusion/graft of hand joint CPT 26844 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of ankle joint open CPT 27870 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Fusion of big toe joint CPT 28750 | $6,862.26 | $11,437.10 | $71.00 – $17,722.46 | 18 |
| Fusion of big toe joint CPT 28755 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of finger jnt add-on CPT 26861 | $2,451.31 | $4,085.51 | $71.00 – $3,064.13 | 14 |
| Fusion of finger joint CPT 26860 | $4,341.02 | $7,235.04 | $71.00 – $8,018.48 | 18 |
| Fusion of finger tendons CPT 26471 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Fusion of finger tendons CPT 26474 | $2,019.85 | $3,366.41 | $71.00 – $3,981.46 | 18 |
| Fusion of foot bones CPT 28730 | $8,260.30 | $13,767.16 | $71.00 – $32,603.53 | 18 |
| Fusion of foot bones CPT 28735 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Fusion of foot bones CPT 28740 | $6,288.57 | $10,480.95 | $71.00 – $17,722.46 | 18 |
| Fusion of hand joint CPT 26843 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of knuckle CPT 26850 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of knuckle joint CPT 26516 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Fusion of knuckle joints CPT 26517 | $4,259.84 | $7,099.74 | $71.00 – $8,018.48 | 18 |
| Fusion of knuckle with graft CPT 26852 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of spermatic ducts CPT 54900 | $3,498.74 | $5,831.23 | $71.00 – $5,132.00 | 18 |
| Fusion of spermatic ducts CPT 54901 | $3,673.67 | $6,122.79 | $71.00 – $8,636.11 | 18 |
| Fusion of tendons at wrist CPT 25300 | $4,443.10 | $7,405.16 | $71.00 – $8,018.48 | 18 |
| Fusion of tendons at wrist CPT 25301 | $3,273.55 | $5,455.91 | $71.00 – $8,018.48 | 18 |
| Fusion of thumb CPT 26841 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Fusion of tibiofibular joint CPT 27871 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Fusion of toes CPT 28280 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| G0180 home health certification HCPCS G0180 | $134.40 | $224.00 | $26.88 – $168.00 | 14 |
| G6pc gene CPT 81250 | $140.79 | $234.65 | $36.00 – $175.99 | 18 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $36.00 – $1,440.00 | 18 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $36.00 – $419.54 | 18 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $7,875.00 | 17 |
| Gabapentin non-blood CPT 80355 | $43.68 | $72.80 | $3.03 – $8.25 | 13 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $129.20 | 15 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $139.72 | $232.86 | $12.00 – $174.65 | 18 |
| Galactokinase - sendout CPT 82759 | $225.00 | $375.00 | $12.00 – $281.25 | 18 |
| Galactose transferase test CPT 82776 | $34.93 | $58.22 | $9.86 – $43.66 | 18 |
| Galectin-3 CPT 82777 | $132.21 | $220.35 | $12.00 – $165.26 | 18 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,754.98 | $2,924.97 | $290.70 – $2,193.73 | 18 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,968.31 | $3,280.52 | $390.26 – $2,460.39 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $14,293.73 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,243.58 | $2,072.63 | $46.50 – $1,554.47 | 18 |
| Gammaglobulin iga CPT 82784 | $97.36 | $162.27 | $6.38 – $22.32 | 18 |
| Gammaglobulin ige CPT 82785 | $116.66 | $194.43 | $5.93 – $39.50 | 18 |
| Gamma glutamyltransferase CPT 82977 | $82.61 | $137.69 | $6.05 – $46.88 | 18 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $197.40 | $329.00 | $37.45 – $246.75 | 15 |
| Gardner vag dna amp probe CPT 87511 | $57.36 | $95.60 | $12.00 – $84.22 | 18 |
| Gastric analy w/ph ea spec CPT 82930 | $25.61 | $42.69 | $5.64 – $32.02 | 18 |
| Gastric emptying imag study CPT 78265 | $1,389.15 | $2,315.25 | $353.51 – $1,736.44 | 18 |
| Gastric emptying imag study CPT 78266 | $1,770.81 | $2,951.35 | $397.61 – $2,213.51 | 18 |
| Gastric motility studies CPT 91020 | $1,606.88 | $2,678.14 | $321.38 – $2,008.61 | 18 |
| Gastrin test CPT 82938 | $119.11 | $198.52 | $12.00 – $148.89 | 18 |
| Gastroesophageal reflux study CPT 78262 | $1,110.50 | $1,850.84 | $223.20 – $1,388.13 | 18 |
| Gastroesophageal reflux test CPT 91034 | $1,092.39 | $1,820.65 | $218.48 – $1,365.49 | 17 |
| Gastrostomy open neonatal CPT 43831 | $1,154.78 | $1,924.64 | $230.96 – $5,388.00 | 17 |
| Gated heart multiple CPT 78473 | $1,370.99 | $2,284.98 | $262.96 – $1,713.73 | 18 |
| Gba gene CPT 81251 | $291.87 | $486.45 | $36.00 – $364.84 | 18 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $90.00 | $150.00 | $18.00 – $120.00 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $87.54 | 15 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,843.81 | $29,739.68 | $218.85 – $22,304.76 | 18 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $3,196.08 – $21,307.20 | 14 |
| Generator emblem MRI sicd subq HCPCS C1722 | $43,578.00 | $72,630.00 | $1,111.20 – $7,408.00 | 14 |
| Genetic tstg severe inh cond CPT 81443 | $8,289.90 | $13,816.50 | $12.00 – $5,876.54 | 18 |
| Genioplasty augmentation CPT 21120 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Geniop sldg osteot 1 CPT 21121 | $2,903.97 | $4,839.95 | $71.00 – $7,975.81 | 18 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $50,985.00 | $84,975.00 | $8,157.60 – $54,384.00 | 14 |
| Genome sequence analysis CPT 81425 | $7,500.00 | $12,500.00 | $36.00 – $12,074.88 | 18 |
| Genome sequence analysis CPT 81426 | $3,900.00 | $6,500.00 | $36.00 – $6,503.88 | 18 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $122.95 | $204.92 | $2.12 – $21.75 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $159.60 | $266.00 | $12.00 – $199.50 | 18 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,787.85 | $2,979.75 | $357.57 – $2,234.81 | 17 |
| Ghs abscess perianal iandd CPT 46050 | $1,800.89 | $3,001.48 | $328.50 – $2,264.11 | 18 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,834.59 | $6,390.98 | $71.00 – $7,039.11 | 18 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $80.97 | $134.95 | $8.24 – $28.23 | 18 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $112.30 | $187.17 | $12.00 – $140.38 | 18 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $553.69 | $922.81 | $12.00 – $692.11 | 18 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $247.06 | $411.76 | $49.41 – $316.45 | 18 |
| Ghs antibodies (torch) igm CPT 86694 | $100.40 | $167.33 | $12.00 – $34.54 | 18 |
| Ghs aspiration bladder - needle CPT 51100 | $593.88 | $989.80 | $36.54 – $742.35 | 18 |
| Ghs bladder cath - complex-foley CPT 51703 | $352.34 | $587.24 | $57.79 – $440.43 | 18 |
| Ghs bleeding time (ivy) CPT 85002 | $53.82 | $89.70 | $4.05 – $67.28 | 18 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,164.15 | $1,940.25 | $61.74 – $1,713.14 | 18 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,966.54 | $3,277.57 | $71.00 – $7,896.23 | 18 |
| Ghs change cysto/gastrost CPT 43762 | $891.29 | $1,485.49 | $110.15 – $1,114.12 | 18 |
| Ghs chemo >8 hrs CPT 96416 | $840.52 | $1,400.87 | $168.10 – $1,050.65 | 18 |
| Ghs chemo infusion >8 hrs CPT 96425 | $503.81 | $839.69 | $100.76 – $838.97 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $382.34 | $637.24 | $68.71 – $801.00 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $214.54 | $357.56 | $12.00 – $268.17 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $858.89 | $1,431.49 | $71.00 – $1,073.62 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $701.73 | $1,169.55 | $71.00 – $877.16 | 18 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,986.71 | $3,311.19 | $71.00 – $3,981.46 | 18 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $486.35 | $810.59 | $71.00 – $607.94 | 18 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,578.79 | $4,297.99 | $71.00 – $3,981.46 | 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.