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 |
|---|---|---|---|---|
| Ghs nerve block brachial plexus CPT 64415 | $2,421.27 | $4,035.45 | $71.00 – $3,026.59 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $1,901.86 | $3,169.77 | $71.00 – $2,377.33 | 18 |
| Ghs nerve block interscaline CPT 64510 | $1,526.09 | $2,543.49 | $71.00 – $2,257.97 | 18 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,327.15 | $3,878.58 | $71.00 – $2,975.00 | 18 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,206.40 | $3,677.34 | $71.00 – $2,758.01 | 18 |
| Ghs nerve block suprascapular CPT 64418 | $1,058.35 | $1,763.92 | $38.76 – $1,713.14 | 18 |
| Ghs ng placement w fluoro guidance CPT 43752 | $404.41 | $674.01 | $85.00 – $987.04 | 18 |
| Ghs o2 saturation CPT 82810 | $98.05 | $163.41 | $8.21 – $122.56 | 18 |
| Ghs o2 uptake rest & indirect CPT 94690 | $469.66 | $782.76 | $56.30 – $587.07 | 18 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $111.49 | $185.81 | $22.30 – $139.36 | 18 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,344.89 | $2,241.49 | $71.00 – $1,681.12 | 18 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,129.46 | $3,549.10 | $71.00 – $3,967.42 | 18 |
| Ghs optokenetic CPT 92544 | $202.96 | $338.27 | $8.70 – $386.96 | 18 |
| Ghs oscillating trac CPT 92545 | $267.15 | $445.25 | $8.70 – $777.56 | 18 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $52.96 | $88.26 | $10.59 – $66.19 | 18 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $57.65 | $96.08 | $11.53 – $72.06 | 18 |
| Ghs ot dds rom CPT 95851 | $106.09 | $176.82 | $21.22 – $157.00 | 15 |
| Ghs ot group caregiver training CPT 97552 | $12.85 | $21.42 | $2.57 – $157.00 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $104.58 | $174.30 | $20.92 – $149.00 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $104.80 | $174.67 | $20.96 – $182.79 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | $664.41 | $1,107.35 | $113.00 – $1,612.26 | 18 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $549.49 | $915.82 | $71.00 – $686.87 | 14 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $637.37 | $1,062.28 | $71.00 – $796.71 | 14 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $92.86 | $154.76 | $18.57 – $167.71 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | $844.18 | $1,406.96 | $71.00 – $1,055.22 | 18 |
| Ghs phenylketonurid CPT 84030 | $86.44 | $144.07 | $4.62 – $108.05 | 18 |
| Ghs picc line insert < 5 CPT 36568 | $2,436.00 | $4,060.00 | $71.00 – $3,967.42 | 18 |
| Ghs plngl fx pm cl CPT 26725 | $841.03 | $1,401.72 | $71.00 – $1,051.29 | 18 |
| Ghs plt ct-manual CPT 85032 | $44.40 | $74.00 | $3.62 – $55.50 | 18 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,346.17 | $7,243.61 | $819.52 – $5,432.71 | 18 |
| Ghs pos nystagmus CPT 92542 | $229.10 | $381.84 | $45.82 – $316.45 | 18 |
| Ghs ppd (tb intradermal) CPT 86580 | $60.68 | $101.13 | $8.93 – $73.76 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $71.40 | $119.00 | $8.11 – $89.25 | 18 |
| Ghs protein, misc fluid CPT 84160 | $24.60 | $41.00 | $4.71 – $30.75 | 18 |
| Ghs protoporphyrins fract CPT 84202 | $82.35 | $137.25 | $12.00 – $102.94 | 18 |
| Ghs pr without cont pulse ox CPT 94625 | $146.86 | $244.77 | $29.37 – $183.58 | 18 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $60.35 | $100.58 | $10.29 – $75.44 | 18 |
| Ghs quinidine CPT 80194 | $475.50 | $792.50 | $12.00 – $112.22 | 18 |
| Ghs refill of implantable pump CPT 95990 | $576.89 | $961.49 | $115.38 – $838.97 | 18 |
| Ghs removal intranasal foreign body CPT 30300 | $276.02 | $460.04 | $55.20 – $345.03 | 18 |
| Ghs removal pharyngeal foreign body CPT 42809 | $381.72 | $636.20 | $71.00 – $987.04 | 18 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,993.10 | $4,988.50 | $71.00 – $3,981.46 | 18 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,041.79 | $6,736.32 | $71.00 – $8,018.48 | 18 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $96.88 | $161.46 | $12.00 – $121.09 | 18 |
| Ghs reticulocyte count CPT 85044 | $55.80 | $93.00 | $3.62 – $69.75 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $153.45 | $255.75 | $11.68 – $191.81 | 18 |
| Ghs sedimentation rate CPT 85651 | $53.71 | $89.52 | $3.59 – $67.14 | 18 |
| Ghs semen analysis fert CPT 89320 | $165.89 | $276.48 | $11.69 – $207.36 | 18 |
| Ghs semen analysis, post-vas CPT 89300 | $46.20 | $77.00 | $9.24 – $57.75 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $95.89 | $159.82 | $6.28 – $119.86 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $624.34 | $1,040.57 | $71.00 – $987.79 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $430.77 | $717.95 | $71.00 – $987.79 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $522.76 | $871.26 | $71.00 – $987.79 | 18 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $326.34 | $543.90 | $71.00 – $987.79 | 18 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $624.34 | $1,040.57 | $71.00 – $780.43 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $545.35 | $908.91 | $71.00 – $681.68 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $624.34 | $1,040.57 | $71.00 – $780.43 | 18 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $353.59 | $589.31 | $71.00 – $495.95 | 18 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $624.25 | $1,040.42 | $71.00 – $780.32 | 18 |
| Ghs sleep study unattended CPT 95800 | $503.38 | $838.97 | $100.68 – $2,062.00 | 18 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,003.86 | $1,673.10 | $200.77 – $1,254.83 | 18 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,581.91 | $2,636.51 | $316.38 – $1,977.38 | 18 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $165.91 | $276.51 | $33.18 – $207.38 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | $718.88 | $1,198.13 | $70.60 – $898.60 | 18 |
| Ghs spont nystagmus CPT 92541 | $217.57 | $362.62 | $43.51 – $316.45 | 18 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $302.20 | $503.66 | $60.44 – $377.75 | 15 |
| Ghs st - eval for alt comm CPT 92567 | $115.63 | $192.71 | $23.13 – $144.53 | 18 |
| Ghs strapping shoulder - 29240 CPT 29240 | $210.91 | $351.52 | $42.18 – $316.45 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | $424.38 | $707.30 | $84.88 – $530.48 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $145.94 | $243.24 | $29.19 – $182.43 | 18 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $407.78 | $679.64 | $81.56 – $530.97 | 18 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,240.18 | $2,066.97 | $71.00 – $1,555.84 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $581.78 | $969.63 | $71.00 – $987.79 | 18 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,388.32 | $2,313.87 | $71.00 – $3,777.93 | 18 |
| Ghs trypsin (fecal) CPT 84488 | $79.83 | $133.05 | $6.13 – $99.79 | 18 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $548.92 | $914.86 | $71.00 – $686.14 | 18 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $486.35 | $810.59 | $71.00 – $607.94 | 18 |
| Ghs urine, hydroxproline total CPT 83505 | $186.16 | $310.27 | $12.00 – $232.70 | 18 |
| Ghs urine, porphyrins quant CPT 84120 | $129.66 | $216.10 | $12.00 – $53.53 | 18 |
| Ghs vaginal delivery only CPT 59409 | $3,433.76 | $5,722.94 | $71.00 – $7,744.80 | 18 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $4,052.97 | $6,754.95 | $356.12 – $5,066.21 | 18 |
| Ghs windowing of cast CPT 29730 | $216.80 | $361.34 | $27.69 – $390.34 | 18 |
| Giardia ag if CPT 87269 | $78.00 | $130.00 | $11.43 – $97.50 | 18 |
| Giardia lamblia antibody CPT 86674 | $94.15 | $156.92 | $12.00 – $117.69 | 18 |
| Gi endoscopic ultrasound CPT 76975 | $611.42 | $1,019.04 | $110.35 – $764.28 | 18 |
| Gi inhouse confirmation CPT 87045 | $111.95 | $186.58 | $7.93 – $139.94 | 18 |
| Gingivoplasty each quadrant CPT 41872 | $2,730.39 | $4,550.65 | $71.00 – $7,975.81 | 18 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,539.87 | $4,233.11 | $732.90 – $3,174.83 | 17 |
| Gi trc img intral esophagus CPT 91111 | $1,897.82 | $3,163.03 | $865.56 – $2,372.27 | 17 |
| Gi wireless capsule measure CPT 91112 | $710.42 | $1,184.03 | $466.98 – $2,245.59 | 17 |
| Gjb2 gene full sequence CPT 81252 | $628.20 | $1,047.00 | $12.00 – $785.25 | 18 |
| Gjb2 gene known fam variants CPT 81253 | $73.82 | $123.04 | $36.00 – $147.65 | 18 |
| Gjb6 gene com variants CPT 81254 | $343.03 | $571.72 | $29.40 – $428.79 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $116.17 | $193.61 | $23.23 – $145.21 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $76.08 | $126.80 | $15.22 – $99.35 | 18 |
| Glaucoma surgery CPT 66160 | $3,895.82 | $6,493.03 | $71.00 – $5,772.91 | 18 |
| Glaucoma surgery CPT 66170 | $4,188.22 | $6,980.36 | $71.00 – $5,772.91 | 18 |
| Glove finger flexion right lg xl HCPCS L3912 | $114.00 | $190.00 | $3.84 – $25.60 | 14 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $682.24 | $1,137.06 | $43.83 – $273.93 | 18 |
| Glucagon plasma - sendout CPT 82943 | $111.07 | $185.12 | $12.00 – $138.84 | 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.