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 |
|---|---|---|---|---|
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $375.00 | $625.00 | $12.00 – $468.75 | 18 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $556.63 | $927.72 | $12.00 – $695.79 | 18 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,105.50 | $1,842.50 | $12.00 – $102.82 | 18 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $266.96 | $444.94 | $12.00 – $184.69 | 18 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $325.45 | $542.41 | $12.00 – $150.00 | 18 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $426.38 | $710.63 | $12.00 – $532.97 | 18 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $363.10 | $605.16 | $12.00 – $342.31 | 18 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,102.08 | $3,503.46 | $29.49 – $2,627.59 | 18 |
| Influenza dna amp prob addl CPT 87503 | $32.29 | $53.82 | $12.00 – $70.13 | 18 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,321.38 | $2,202.30 | $71.00 – $1,651.72 | 14 |
| Ingest challenge ea addl 60 min CPT 95079 | $322.34 | $537.24 | $3.00 – $402.93 | 14 |
| Ingest challenge ini 120 min CPT 95076 | $709.16 | $1,181.93 | $3.00 – $1,327.77 | 18 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $357.05 | $595.08 | $71.41 – $528.37 | 18 |
| Initial foot exam pt lops HCPCS G0245 | $193.85 | $323.09 | $38.77 – $327.47 | 18 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $169.81 | $283.02 | $33.96 – $212.26 | 10 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $215.57 | $359.29 | $43.11 – $269.47 | 10 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $120.07 | $200.11 | $24.01 – $150.08 | 10 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $94.34 | $157.23 | $18.87 – $220.82 | 18 |
| Inj acetaminophen -fresenius HCPCS J0134 | $34.56 | $57.60 | $0.06 – $43.20 | 15 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $16.63 | $27.72 | $3.33 – $20.79 | 14 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,176.71 | $11,961.18 | $3.62 – $8,775.00 | 18 |
| Inj alymsys 10 mg HCPCS Q5126 | $676.74 | $1,127.90 | $49.01 – $845.92 | 18 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $20.40 | $34.00 | $0.17 – $25.50 | 15 |
| Inj, bupivacaine liposome HCPCS J0666 | $507.76 | $846.27 | $1.32 – $634.70 | 18 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $35.82 | $59.70 | $5.40 – $33.76 | 14 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $34.59 | $57.65 | $0.94 – $43.24 | 15 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $24.24 | $40.40 | $0.81 – $30.30 | 15 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $596.08 | $993.47 | $2.30 – $745.10 | 18 |
| Inj ceftolozane tazobactam HCPCS J0695 | $431.36 | $718.93 | $8.40 – $539.20 | 18 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $286.95 | $478.25 | $57.39 – $358.69 | 14 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,584.60 | $2,641.00 | $316.92 – $2,746.61 | 15 |
| Inj disk cerv-thor ea lev CPT 62291 | $511.09 | $851.81 | $102.22 – $638.86 | 12 |
| Inj dupuytren cord w/enzyme CPT 20527 | $353.64 | $589.40 | $38.48 – $733.72 | 18 |
| Inj dx for sinogram CPT 20501 | $204.50 | $340.84 | $40.90 – $255.63 | 14 |
| Inject for sacroiliac joint HCPCS G0259 | $932.51 | $1,554.19 | $186.50 – $1,841.00 | 13 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,030.57 | $1,717.62 | $71.00 – $2,975.00 | 18 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $388.32 | $647.20 | $71.00 – $485.40 | 14 |
| Injection, belinostat, 10mg HCPCS J9032 | $3,631.78 | $6,052.97 | $48.17 – $4,539.73 | 18 |
| Injection, cangrelor HCPCS C9460 | $1,734.77 | $2,891.29 | $19.02 – $2,168.47 | 18 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $518.54 | $864.24 | $36.54 – $733.72 | 18 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,324.34 | $8,873.90 | $67.23 – $1,691.99 | 18 |
| Injection during cath supravalvular aortography CPT 93567 | $432.00 | $720.00 | $86.40 – $17,181.00 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $1,942.35 | $3,237.25 | $71.00 – $2,427.94 | 18 |
| Injection eye drug CPT 67028 | $505.70 | $842.84 | $48.45 – $838.97 | 18 |
| Injection for arthrography wrist (both sides) CPT 25246 | $323.84 | $539.74 | $64.77 – $404.81 | 14 |
| Injection for bladder x-ray CPT 51600 | $313.22 | $522.03 | $62.64 – $391.52 | 14 |
| Injection for hip x-ray CPT 27095 | $1,189.34 | $1,982.23 | $71.00 – $1,486.67 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $307.18 | $511.97 | $61.44 – $383.98 | 14 |
| Injection for ureter x-ray CPT 50684 | $136.52 | $227.53 | $27.30 – $170.65 | 14 |
| Injection for ureter x-ray CPT 50690 | $103.69 | $172.81 | $20.74 – $129.61 | 14 |
| Injection, fulvestrant HCPCS J9395 | $3,520.29 | $5,867.15 | $5.43 – $2,231.25 | 15 |
| Injection, glucarpidase HCPCS C9293 | $74,113.20 | $123,522.00 | $426.64 – $92,641.50 | 17 |
| Injection into brain canal CPT 61055 | $980.28 | $1,633.80 | $71.00 – $2,975.00 | 18 |
| Injection into hemorrhoid(s) CPT 46500 | $1,133.20 | $1,888.66 | $210.13 – $2,264.11 | 18 |
| Injection, isavuconazonium HCPCS J1833 | $987.58 | $1,645.97 | $0.96 – $1,234.48 | 18 |
| Injection jaw joint x-ray CPT 21116 | $235.74 | $392.90 | $47.15 – $294.68 | 14 |
| Injection jugular CPT 36299 | $1,766.28 | $2,943.80 | $71.00 – $1,707.40 | 13 |
| Injection of sinus tract CPT 20500 | $1,036.42 | $1,727.37 | $60.63 – $3,777.93 | 18 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,162.80 | $1,938.00 | $6.10 – $1,453.50 | 18 |
| Injection, peramivir HCPCS J2547 | $857.98 | $1,429.97 | $1.48 – $1,072.48 | 18 |
| Injection px peyronie ds CPT 54200 | $374.54 | $624.24 | $60.08 – $2,975.00 | 18 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,481.87 | $2,469.78 | $71.00 – $1,852.34 | 18 |
| Injection, renflexis HCPCS Q5104 | $1,356.10 | $2,260.17 | $25.46 – $1,695.13 | 18 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,491.47 | $2,485.79 | $71.00 – $1,864.34 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,297.51 | $3,829.18 | $39.86 – $2,871.89 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,784.85 | $2,974.75 | $39.31 – $2,231.06 | 18 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,284.54 | $3,807.56 | $71.00 – $2,855.67 | 18 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $788.20 | $1,313.67 | $71.00 – $985.25 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,595.15 | $2,658.59 | $71.00 – $2,975.00 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $680.40 | $1,134.00 | $71.00 – $850.50 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,690.45 | $2,817.41 | $71.00 – $2,975.00 | 18 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,817.24 | $3,028.73 | $71.00 – $2,271.55 | 18 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,824.76 | $3,041.26 | $71.00 – $2,280.95 | 18 |
| Injection, siltuximab HCPCS J2860 | $8,477.45 | $14,129.09 | $154.01 – $2,677.34 | 18 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $508.01 | $846.69 | $23.54 – $733.72 | 18 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $624.56 | $1,040.94 | $23.26 – $780.71 | 18 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $684.48 | $1,140.80 | $27.13 – $855.60 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $325.54 | $542.57 | $65.11 – $406.93 | 14 |
| Injection treatment of eye CPT 66020 | $2,449.41 | $4,082.35 | $71.00 – $5,772.91 | 18 |
| Injection treatment of eye CPT 66030 | $2,017.15 | $3,361.91 | $71.00 – $5,772.91 | 18 |
| Injection treatment of nerve CPT 64605 | $2,792.73 | $4,654.55 | $71.00 – $4,783.04 | 18 |
| Injection treatment of nerve CPT 64610 | $4,613.80 | $7,689.66 | $71.00 – $5,767.24 | 18 |
| Injection treatment of nerve CPT 64681 | $2,025.45 | $3,375.75 | $71.00 – $3,421.00 | 18 |
| Injection treatment of nose CPT 30200 | $781.45 | $1,302.41 | $67.27 – $2,975.00 | 18 |
| Inject sacroiliac joint CPT 27096 | $1,150.36 | $1,917.26 | $71.00 – $1,437.94 | 14 |
| Inject/treat eye socket CPT 67500 | $507.21 | $845.35 | $26.30 – $721.66 | 18 |
| Inject/treat eye socket CPT 67505 | $750.70 | $1,251.16 | $34.88 – $2,975.00 | 18 |
| Inject/treat eye socket CPT 67515 | $822.14 | $1,370.23 | $19.38 – $2,975.00 | 18 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,258.14 | $2,096.90 | $71.00 – $1,713.14 | 18 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,255.99 | $2,093.32 | $71.00 – $2,975.00 | 18 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $300.00 | $500.00 | $1.23 – $211.31 | 18 |
| Inj., evomela, 1 mg HCPCS J9246 | $3,630.00 | $6,050.00 | $18.46 – $4,537.50 | 18 |
| Inj for ext venography CPT 36005 | $946.64 | $1,577.74 | $71.00 – $1,183.31 | 14 |
| Inj for mammo ductogram CPT 19030 | $219.68 | $366.14 | $43.94 – $274.61 | 14 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $904.21 | $1,507.01 | $3.54 – $447.19 | 15 |
| Inj givosiran 0.5 mg HCPCS J0223 | $76,708.80 | $127,848.00 | $108.90 – $95,886.00 | 18 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $36.60 | $61.00 | $1.26 – $45.75 | 15 |
| Inj herzuma 10 mg HCPCS Q5113 | $2,554.50 | $4,257.50 | $53.22 – $3,193.12 | 18 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,488.80 | $4,148.00 | $497.76 – $17,181.00 | 13 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $148.51 | $247.51 | $29.70 – $17,181.00 | 13 |
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.