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 |
|---|---|---|---|---|
| Mast simple complete CPT 19303 | $6,052.48 | $10,087.47 | $71.00 – $16,154.42 | 18 |
| Matrion 1 sq cm HCPCS Q4201 | $361.00 | $601.66 | $23.63 – $451.25 | 17 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $6,522.00 | $10,870.00 | $2.91 – $131.26 | 17 |
| M.avium-intra dna amp prob CPT 87561 | $288.75 | $481.25 | $12.00 – $281.25 | 18 |
| Maxillofacial fixation CPT 21100 | $5,164.84 | $8,608.07 | $71.00 – $14,507.25 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $112.58 | $187.63 | $12.00 – $140.72 | 18 |
| Mayo aathr protein s free CPT 85306 | $178.61 | $297.68 | $12.00 – $50.62 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $149.84 | $249.73 | $12.00 – $128.21 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $645.00 | $1,075.00 | $12.00 – $806.25 | 18 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $164.30 | $273.83 | $11.31 – $190.16 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $74.63 | $124.38 | $9.42 – $42.00 | 13 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $96.40 | $160.67 | $12.00 – $35.47 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $83.43 | $139.05 | $12.00 – $37.50 | 13 |
| Mayo alpha 1 antitrypsin CPT 82103 | $109.99 | $183.31 | $11.29 – $137.48 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $116.35 | $193.91 | $12.00 – $145.43 | 18 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $156.82 | $261.36 | $10.92 – $58.12 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $144.00 | $240.00 | $3.03 – $9.10 | 13 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $435.52 | $725.86 | $36.00 – $375.00 | 18 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $481.34 | $802.23 | $12.00 – $234.38 | 18 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,171.25 | $3,618.75 | $12.00 – $2,784.00 | 18 |
| Mayo androstenedione CPT 82157 | $182.01 | $303.35 | $12.00 – $227.51 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $125.16 | $208.60 | $8.96 – $35.04 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $121.20 | $202.00 | $9.08 – $151.50 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $85.82 | $143.03 | $4.36 – $36.12 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $226.68 | $377.80 | $12.00 – $212.81 | 18 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $174.00 | $290.00 | $12.00 – $95.31 | 18 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $80.39 | $133.99 | $3.03 – $9.80 | 13 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $60.82 | $101.36 | $8.55 – $76.02 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $693.60 | $1,156.00 | $36.00 – $347.62 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $138.91 | $231.52 | $36.00 – $515.09 | 18 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $78.40 | $130.67 | $10.84 – $30.96 | 18 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $97.40 | $162.34 | $3.03 – $9.44 | 13 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $80.93 | $134.88 | $11.08 – $48.75 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $74.93 | $124.88 | $7.50 – $23.35 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $135.42 | $225.70 | $11.42 – $46.88 | 18 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $4,339.50 | $7,232.50 | $11.27 – $73.12 | 13 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $180.00 | $300.00 | $12.00 – $189.04 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $212.33 | $353.88 | $12.00 – $64.27 | 18 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $365.14 | $608.57 | $12.00 – $293.33 | 18 |
| Mayo ceruloplasmin CPT 82390 | $89.37 | $148.95 | $9.02 – $31.54 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $334.35 | $557.25 | $11.86 – $60.88 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $403.50 | $672.50 | $10.82 – $41.31 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $101.28 | $168.80 | $9.80 – $28.37 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $96.45 | $160.75 | $9.80 – $30.43 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $585.00 | $975.00 | $12.00 – $290.62 | 18 |
| Mayo chromium CPT 82495 | $111.18 | $185.30 | $12.00 – $138.97 | 18 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $162.00 | $270.00 | $10.25 – $70.01 | 13 |
| Mayo coccidioides antibody CPT 86635 | $123.75 | $206.25 | $9.63 – $27.53 | 18 |
| Mayo cocou cortisone urine CPT 82542 | $442.20 | $737.00 | $12.00 – $57.82 | 18 |
| Mayo cortisol free CPT 82530 | $121.52 | $202.53 | $12.00 – $83.51 | 18 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $77.63 | $129.38 | $12.00 – $101.11 | 18 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $75.00 | $125.00 | $10.18 – $93.75 | 18 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $56.21 | $93.69 | $3.03 – $19.35 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $247.50 | $412.50 | $3.03 – $13.38 | 13 |
| Mayo cyanide CPT 82600 | $104.98 | $174.97 | $12.00 – $131.23 | 18 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $809.28 | $1,348.80 | $36.00 – $934.45 | 18 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $82.79 | $137.98 | $11.13 – $103.48 | 18 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $138.44 | $230.74 | $12.00 – $173.06 | 18 |
| Mayo dihydrotestosterone CPT 82642 | $187.02 | $311.70 | $12.00 – $233.78 | 18 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $135.63 | $226.05 | $8.10 – $169.54 | 18 |
| Mayo efpo chloride stool CPT 82438 | $57.25 | $95.42 | $4.20 – $12.00 | 18 |
| Mayo estriol CPT 82677 | $112.80 | $188.00 | $12.00 – $141.00 | 18 |
| Mayo estrone CPT 82679 | $124.07 | $206.79 | $12.00 – $155.09 | 18 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $134.41 | $224.01 | $12.00 – $168.01 | 18 |
| Mayo everolimus therapeutic drug level CPT 80169 | $162.35 | $270.59 | $11.53 – $151.37 | 18 |
| Mayo factor ii CPT 85210 | $158.25 | $263.75 | $10.90 – $197.81 | 18 |
| Mayo factor v CPT 85220 | $208.24 | $347.06 | $12.00 – $260.30 | 18 |
| Mayo factor vii CPT 85230 | $272.68 | $454.47 | $12.00 – $340.85 | 18 |
| Mayo factor viii vw factor antigen CPT 85246 | $193.57 | $322.62 | $12.00 – $55.06 | 18 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $222.16 | $370.27 | $12.00 – $277.70 | 18 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $230.74 | $384.56 | $12.00 – $55.06 | 18 |
| Mayo factor x CPT 85260 | $229.82 | $383.04 | $12.00 – $287.28 | 18 |
| Mayo factor xi CPT 85270 | $229.26 | $382.10 | $12.00 – $286.57 | 18 |
| Mayo fat/lipids feces quantitative CPT 82710 | $160.96 | $268.26 | $12.00 – $75.81 | 18 |
| Mayo fbl culture fungi blood CPT 87103 | $135.99 | $226.65 | $12.00 – $169.99 | 18 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $115.53 | $192.55 | $12.00 – $193.10 | 18 |
| Mayo ffspg allergen clam igg CPT 86001 | $98.45 | $164.08 | $6.57 – $33.28 | 18 |
| Mayo fibrinogen antigen CPT 85385 | $114.74 | $191.24 | $12.00 – $57.87 | 18 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $99.02 | $165.04 | $12.00 – $123.78 | 18 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,487.95 | $12,479.92 | $0.00 – $132.61 | 14 |
| Mayo hemosiderin qualitative urine CPT 83070 | $50.40 | $84.00 | $3.99 – $63.00 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $460.20 | $767.00 | $12.00 – $125.62 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $333.67 | $556.12 | $12.00 – $125.62 | 18 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $73.37 | $122.28 | $11.58 – $33.10 | 18 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $189.57 | $315.95 | $12.00 – $61.94 | 18 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $109.09 | $181.82 | $7.47 – $136.37 | 18 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $101.26 | $168.77 | $11.36 – $126.58 | 18 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $173.09 | $288.49 | $12.00 – $216.37 | 18 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,222.50 | $2,037.50 | $12.00 – $46.88 | 18 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $79.27 | $132.12 | $3.69 – $35.98 | 18 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $158.61 | $264.35 | $12.00 – $198.26 | 18 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $143.63 | $239.38 | $12.00 – $67.50 | 18 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $115.79 | $192.98 | $12.00 – $144.74 | 17 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $76.20 | $127.00 | $12.00 – $81.02 | 18 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $310.50 | $517.50 | $10.06 – $112.20 | 18 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $224.23 | $373.71 | $12.00 – $187.50 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $161.25 | $268.75 | $12.00 – $90.89 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $771.30 | $1,285.50 | $12.00 – $163.12 | 18 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $826.14 | $1,376.90 | $12.00 – $268.38 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $587.43 | $979.05 | $12.00 – $165.21 | 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.