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 |
|---|---|---|---|---|
| MRI fetal ea addl gestation CPT 74713 | $577.07 | $961.78 | $204.49 – $2,149.00 | 14 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,176.47 | $1,960.78 | $227.71 – $2,149.00 | 18 |
| MRI guid ndl plc s&i CPT 77021 | $1,354.55 | $2,257.59 | $270.91 – $2,149.00 | 14 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,394.95 | $3,991.59 | $478.99 – $2,993.69 | 14 |
| MRI loex nonjt w IV cont CPT 73719 | $2,770.20 | $4,617.00 | $271.31 – $3,462.75 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,485.95 | $4,143.25 | $227.71 – $3,107.44 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,086.29 | $5,143.82 | $332.94 – $3,857.86 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,580.02 | $4,300.03 | $276.66 – $3,225.02 | 18 |
| MRI tmj CPT 70336 | $2,374.65 | $3,957.75 | $227.71 – $2,968.31 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,370.78 | $3,951.30 | $227.71 – $2,963.47 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,633.38 | $6,055.63 | $332.94 – $4,541.72 | 18 |
| MRI upper extremity w/dye CPT 73219 | $2,565.00 | $4,275.00 | $332.94 – $3,206.25 | 18 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,119.87 | $3,533.12 | $332.94 – $2,649.84 | 18 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,567.09 | $2,611.82 | $167.39 – $2,149.00 | 18 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,049.50 | $3,415.83 | $332.94 – $2,561.87 | 18 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,410.38 | $2,350.64 | $282.08 – $2,149.00 | 18 |
| Mr safety determination physician/other qhp CPT 76016 | $186.00 | $310.00 | $37.20 – $2,149.00 | 17 |
| Mr safety implant elec prepj CPT 76018 | $204.73 | $341.22 | $40.95 – $2,149.00 | 17 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.00 | $75.00 | $34.50 – $2,149.00 | 14 |
| Mr safety implt pos&/immoblj CPT 76019 | $137.25 | $228.75 | $27.45 – $2,149.00 | 17 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $50.40 | $84.00 | $24.49 – $2,149.00 | 17 |
| Mr sfty med physics xm cstmz CPT 76017 | $513.60 | $856.00 | $102.72 – $2,149.00 | 17 |
| Mr spectroscopy CPT 76390 | $1,442.45 | $2,404.08 | $83.05 – $2,149.00 | 18 |
| Msh2 gene dup/delete variant CPT 81297 | $699.66 | $1,166.10 | $36.00 – $874.58 | 18 |
| Msh2 gene full seq CPT 81295 | $504.56 | $840.94 | $36.00 – $916.08 | 18 |
| Msh2 gene known variants CPT 81296 | $405.28 | $675.46 | $36.00 – $810.55 | 18 |
| Msh6 gene dup/delete variant CPT 81300 | $611.30 | $1,018.83 | $36.00 – $764.12 | 18 |
| Msh6 gene full seq CPT 81298 | $504.56 | $840.94 | $36.00 – $1,540.44 | 18 |
| Msh6 gene known variants CPT 81299 | $369.60 | $616.00 | $36.00 – $739.20 | 18 |
| Mthfr gene analy common variants CPT 81291 | $305.85 | $509.75 | $12.00 – $156.82 | 18 |
| Mucin synovial fluid CPT 83872 | $32.55 | $54.25 | $4.92 – $40.69 | 18 |
| Mucopolysaccharides CPT 83864 | $270.00 | $450.00 | $12.00 – $241.50 | 18 |
| Multi family grp psychotherapy CPT 90849 | $123.95 | $206.58 | $24.79 – $394.97 | 18 |
| Multifocal erg w/i&r CPT 92274 | $574.20 | $957.00 | $114.84 – $717.75 | 18 |
| Multiple sleep latency test CPT 95805 | $3,455.01 | $5,758.35 | $691.00 – $4,318.76 | 18 |
| Mumps antibody igg CPT 86735 | $92.38 | $153.97 | $10.96 – $90.04 | 18 |
| Muscle-skin graft arm CPT 15736 | $2,973.95 | $4,956.59 | $71.00 – $4,517.58 | 18 |
| Muscle-skin graft leg CPT 15738 | $4,633.78 | $7,722.96 | $71.00 – $8,887.48 | 18 |
| Muscle-skin graft trunk CPT 15734 | $3,527.31 | $5,878.85 | $71.00 – $8,887.48 | 18 |
| Muscle test cran nerv unilat CPT 95867 | $404.32 | $673.87 | $80.86 – $777.56 | 18 |
| Muscle test hemidiaphragm CPT 95866 | $267.87 | $446.45 | $53.57 – $386.96 | 18 |
| Muscle test larynx CPT 95865 | $295.79 | $492.98 | $59.16 – $369.74 | 18 |
| Muscle test one fiber CPT 95872 | $375.18 | $625.30 | $75.04 – $468.98 | 18 |
| Muscle transfers CPT 23397 | $9,458.14 | $15,763.56 | $71.00 – $17,722.46 | 18 |
| Muscle transfer shoulder/arm CPT 23395 | $8,434.13 | $14,056.88 | $71.00 – $17,722.46 | 18 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $3,086.40 | $5,144.00 | $71.00 – $8,887.48 | 18 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $6,021.07 | $10,035.12 | $71.00 – $17,722.46 | 18 |
| Mycobacteria dna amp probe CPT 87551 | $496.29 | $827.15 | $12.00 – $281.25 | 18 |
| Mycobacteria dna quant CPT 87552 | $288.75 | $481.25 | $12.00 – $102.82 | 18 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.79 | $17.99 | $0.05 – $3.10 | 15 |
| Mycophenolic acid HCPCS J7518 | $16.28 | $27.14 | $0.04 – $3.57 | 15 |
| Mycoplasma antibody igm CPT 86738 | $107.77 | $179.62 | $11.12 – $134.72 | 18 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,050.00 | $1,750.00 | $36.00 – $521.25 | 18 |
| Myelogphy 2/> spine regions CPT 72270 | $1,821.46 | $3,035.76 | $153.04 – $2,276.82 | 18 |
| Myelography l-s spine CPT 72265 | $1,334.09 | $2,223.48 | $109.26 – $1,983.49 | 18 |
| Myelography neck spine CPT 72240 | $1,133.23 | $1,888.71 | $112.26 – $1,983.49 | 18 |
| Myelography thoracic spine CPT 72255 | $1,370.02 | $2,283.37 | $107.93 – $1,983.49 | 18 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,242.29 | $2,070.49 | $71.00 – $5,132.00 | 18 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,185.83 | $1,976.38 | $71.00 – $5,132.00 | 18 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,242.29 | $2,070.49 | $71.00 – $5,132.00 | 18 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,074.97 | $1,791.61 | $71.00 – $5,132.00 | 18 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,007.00 | $1,678.33 | $9.69 – $27.67 | 18 |
| Myocrd img pet 1std rst/strs CPT 78491 | $3,627.73 | $6,046.21 | $725.55 – $4,534.66 | 18 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,731.60 | $2,886.00 | $286.98 – $5,371.00 | 18 |
| Myocrd img pet 2rtracer CPT 78432 | $2,700.60 | $4,501.00 | $337.85 – $5,371.00 | 18 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,300.60 | $5,501.00 | $369.33 – $5,371.00 | 18 |
| Myocrd img pet mlt rst&strs CPT 78492 | $4,225.34 | $7,042.23 | $845.07 – $5,281.67 | 18 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,700.60 | $4,501.00 | $317.25 – $5,851.30 | 18 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,731.60 | $2,886.00 | $272.46 – $5,371.00 | 18 |
| Myomectomy vag method CPT 58145 | $3,980.03 | $6,633.38 | $71.00 – $7,744.80 | 18 |
| Myringoplasty CPT 69620 | $4,064.96 | $6,774.94 | $71.00 – $7,975.81 | 18 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $84.00 | $140.00 | $0.05 – $56.30 | 15 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $141.23 | $235.38 | $2.51 – $15.68 | 15 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $118.80 | $198.00 | $0.07 – $45.00 | 15 |
| Narcosynthesis CPT 90865 | $237.77 | $396.28 | $47.55 – $394.97 | 18 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $525.95 | $876.58 | $68.14 – $657.43 | 18 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $4,650.92 | $7,751.53 | $71.00 – $605.10 | 18 |
| Nasal function studies CPT 92512 | $298.60 | $497.66 | $59.72 – $777.56 | 18 |
| Nasal/sinus endoscopy surg CPT 31287 | $4,340.45 | $7,234.09 | $71.00 – $16,955.09 | 18 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $2,831.51 | $4,719.19 | $71.00 – $4,204.56 | 18 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $2,517.67 | $4,196.12 | $71.00 – $4,204.56 | 18 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $901.29 | $1,502.15 | $71.00 – $1,126.61 | 18 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $1,960.88 | $3,268.13 | $71.00 – $4,204.56 | 18 |
| Nasal sinus therapy CPT 30210 | $1,195.09 | $1,991.82 | $71.00 – $3,777.93 | 18 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $211.51 | $352.51 | $42.30 – $490.70 | 18 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $15,367.89 | $25,613.15 | $23.10 – $19,209.86 | 18 |
| Natriuretic peptide CPT 83880 | $906.00 | $1,510.00 | $12.00 – $261.89 | 18 |
| Natural killer cells total count CPT 86357 | $431.25 | $718.75 | $12.00 – $90.55 | 18 |
| N block inj common digit CPT 64632 | $453.92 | $756.53 | $36.82 – $733.72 | 18 |
| N block inj hypogas plxs CPT 64517 | $2,114.16 | $3,523.60 | $71.00 – $3,421.00 | 18 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $233.82 | $389.70 | $46.76 – $316.45 | 18 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $48.00 | $80.00 | $9.60 – $73.76 | 15 |
| Ndl insj without njx 3+ musc CPT 20561 | $56.65 | $94.42 | $11.33 – $73.76 | 15 |
| Ndl oculoelectromyography 1+ CPT 92265 | $67.16 | $111.94 | $13.43 – $151.53 | 18 |
| Ndl round specialty proguide HCPCS C1715 | $1,286.47 | $2,144.12 | $257.29 – $1,608.09 | 14 |
| Nebulizer Breathing Treatment CPT 94640 | $325.31 | $542.19 | $65.06 – $528.37 | 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.