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 |
|---|---|---|---|---|
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $4,858.97 | $8,098.28 | $71.00 – $16,502.12 | 18 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $4,858.97 | $8,098.28 | $71.00 – $16,502.12 | 18 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | $4,858.97 | $8,098.28 | $71.00 – $16,502.12 | 18 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | $4,858.97 | $8,098.28 | $71.00 – $16,502.12 | 18 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $6,128.86 | $10,214.76 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $5,837.00 | $9,728.34 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc surg max sins CPT 31295 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $5,107.38 | $8,512.30 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc total CPT 31253 | $6,128.86 | $10,214.76 | $71.00 – $16,955.09 | 18 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $6,128.86 | $10,214.76 | $71.00 – $16,955.09 | 18 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $3,597.57 | $5,995.95 | $71.00 – $9,276.93 | 18 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,695.65 | $11,159.42 | $71.00 – $14,507.25 | 18 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,716.84 | $4,528.06 | $543.37 – $4,019.81 | 15 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,878.27 | $4,797.11 | $575.65 – $3,597.83 | 15 |
| Nuclear exam of tear flow CPT 78660 | $583.70 | $972.83 | $131.65 – $1,021.72 | 18 |
| Nuclear localization/abscess CPT 78807 | $1,540.82 | $2,568.04 | $308.16 – $1,926.03 | 14 |
| Nuclear rx intra-arterial CPT 79445 | $1,034.57 | $1,724.28 | $222.68 – $1,293.21 | 18 |
| Nuclear rx intracav admin CPT 79200 | $1,171.04 | $1,951.73 | $130.98 – $1,463.80 | 18 |
| Nuclear rx IV admin CPT 79101 | $795.01 | $1,325.01 | $145.68 – $993.76 | 18 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,337.71 | $7,229.51 | $422.34 – $5,422.13 | 18 |
| Nudt15 gene common variants CPT 81306 | $277.50 | $462.50 | $36.00 – $699.26 | 18 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $134.65 | $224.42 | $26.93 – $168.31 | 10 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $107.93 | $179.88 | $21.59 – $134.91 | 10 |
| Nushield 1 square cm HCPCS Q4160 | $833.29 | $1,388.81 | $39.65 – $247.81 | 17 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $14,865.31 | $24,775.52 | $77.72 – $18,581.64 | 18 |
| Observation direct referral from physician office for admission HCPCS G0379 | $602.45 | $1,004.09 | $71.00 – $1,591.17 | 18 |
| Observation per hour HCPCS G0378 | $82.93 | $138.22 | $16.59 – $384.20 | 13 |
| Obstetrical care 59410 CPT 59410 | $1,858.73 | $3,097.88 | $71.00 – $2,323.41 | 14 |
| Obstetric panel inc HIV tstg CPT 80081 | $204.56 | $340.93 | $12.00 – $255.70 | 18 |
| Obstetrics panel CPT 80055 | $252.96 | $421.60 | $12.00 – $316.20 | 18 |
| Obtaining screen pap smear HCPCS Q0091 | $18.46 | $30.76 | $3.69 – $73.76 | 18 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $268.90 | $448.16 | $99.77 – $336.12 | 18 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $243.29 | $405.48 | $74.51 – $304.11 | 14 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $2,609.11 | $4,348.51 | $71.00 – $7,744.80 | 18 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $405.44 | $675.74 | $81.09 – $506.81 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $272.39 | $453.98 | $54.48 – $340.49 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $359.41 | $599.02 | $71.88 – $449.26 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $35,485.88 | $59,143.14 | $56.62 – $44,357.36 | 18 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $1,341.58 | $2,235.96 | $0.69 – $9.75 | 15 |
| Ocular photodynamic ther CPT 67221 | $1,117.62 | $1,862.70 | $71.00 – $2,975.00 | 18 |
| Ocular reconst transplant CPT 65780 | $5,645.17 | $9,408.61 | $71.00 – $9,578.04 | 18 |
| Ocular reconst transplant CPT 65781 | $6,138.17 | $10,230.29 | $71.00 – $12,947.48 | 18 |
| Ocular reconst transplant CPT 65782 | $3,099.14 | $5,165.24 | $71.00 – $9,578.04 | 18 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,440.03 | $2,400.05 | $244.98 – $1,633.23 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $135.70 | $226.17 | $0.78 – $126.31 | 15 |
| Onc breast mrna 58 genes CPT 81520 | $4,132.03 | $6,886.72 | $36.00 – $6,024.50 | 18 |
| Oncology prostate prob score CPT 81539 | $1,155.00 | $1,925.00 | $36.00 – $1,824.00 | 18 |
| Onco (ovar) five proteins CPT 81503 | $682.50 | $1,137.50 | $36.00 – $2,152.80 | 18 |
| Oncoprotein dcp CPT 83951 | $317.25 | $528.75 | $12.00 – $189.38 | 18 |
| Oncoprotein her-2/neu CPT 83950 | $275.18 | $458.63 | $12.00 – $343.97 | 18 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,320.00 | $7,200.00 | $36.00 – $8,640.00 | 18 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $28.30 | $47.16 | $0.10 – $2.70 | 15 |
| One-way allow prorated trip HCPCS P9604 | $24.91 | $41.51 | $4.98 – $31.13 | 14 |
| One way chest drain valve HCPCS A7040 | $149.20 | $248.66 | $24.65 – $154.06 | 14 |
| Oocyte identification CPT 89254 | $326.15 | $543.59 | $12.00 – $423.12 | 18 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,736.62 – $9,442.65 | 11 |
| Open nasoethmoid fx with fixj CPT 21339 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Open nasoethmoid fx without fixj CPT 21338 | $6,759.31 | $11,265.51 | $71.00 – $14,507.25 | 18 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $3,612.87 | $6,021.45 | $71.00 – $9,442.65 | 18 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $2,820.58 | $4,700.96 | $71.00 – $5,388.00 | 18 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $7,740.32 | $12,900.54 | $71.00 – $13,613.39 | 18 |
| Open tx nose fx w/skele fixj CPT 21330 | $5,977.18 | $9,961.96 | $71.00 – $14,507.25 | 18 |
| Open tx nose & septal fx CPT 21335 | $4,402.67 | $7,337.79 | $71.00 – $7,975.81 | 18 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $2,777.50 | $4,629.16 | $71.00 – $17,722.46 | 18 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $2,716.88 | $4,528.14 | $71.00 – $17,722.46 | 18 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $2,716.88 | $4,528.14 | $71.00 – $8,649.00 | 18 |
| Ophthalmic biometry CPT 92136 | $244.01 | $406.68 | $48.80 – $316.45 | 18 |
| Ophthalmodynamometry CPT 92260 | $72.19 | $120.31 | $14.44 – $99.35 | 15 |
| Ophth Ultrasound b & quant a CPT 76510 | $601.90 | $1,003.16 | $68.83 – $752.37 | 18 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $413.30 | $688.83 | $75.18 – $516.62 | 18 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $368.05 | $613.42 | $57.14 – $460.06 | 18 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,081.08 | $1,801.80 | $216.22 – $5,388.00 | 13 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $29,286.38 | $48,810.64 | $71.00 – $76,924.35 | 18 |
| Opn impltj nea perph nerve CPT 64575 | $19,287.34 | $32,145.56 | $71.00 – $33,745.27 | 18 |
| Opn impltj nea sacral nerve CPT 64581 | $9,085.29 | $15,142.15 | $71.00 – $16,942.33 | 18 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $36,076.18 | $60,126.96 | $5,388.00 – $76,924.35 | 17 |
| Opn tx complx malar fx CPT 21365 | $6,605.19 | $11,008.65 | $71.00 – $14,507.25 | 18 |
| Opn tx dprsd zygomatic arch CPT 21356 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 18 |
| Opn tx nasomax fx w/fixj CPT 21346 | $5,724.50 | $9,540.83 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx combined CPT 21387 | $6,493.99 | $10,823.31 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx periorbital CPT 21386 | $7,160.86 | $11,934.77 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx transantral CPT 21385 | $5,232.76 | $8,721.26 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx w/bone grft CPT 21408 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx w/implant CPT 21407 | $5,487.79 | $9,146.31 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $6,430.79 | $10,717.98 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit periorbtl implt CPT 21390 | $7,438.54 | $12,397.57 | $71.00 – $14,507.25 | 18 |
| Opn tx orbit periorbt w/grft CPT 21395 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Opscpy extnd on/mac draw CPT 92202 | $102.23 | $170.38 | $20.45 – $151.53 | 15 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $107.26 | $178.77 | $21.45 – $151.53 | 15 |
| Optical endomicroscpy interp CPT 88375 | $18.66 | $31.10 | $3.73 – $264.60 | 14 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $8,322.97 | $13,871.62 | $71.00 – $17,722.46 | 18 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $6,721.67 | $11,202.79 | $71.00 – $17,722.46 | 18 |
| Optx acute shoulder dislc CPT 23660 | $6,554.95 | $10,924.91 | $71.00 – $17,722.46 | 18 |
| Optx carpl scphd fx int fixj CPT 25628 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Optx clavicular fx w/int fix CPT 23515 | $9,809.42 | $16,349.04 | $71.00 – $17,722.46 | 18 |
| Optx complicated mndblr fx CPT 21470 | $8,803.45 | $14,672.42 | $71.00 – $14,507.25 | 18 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $5,876.49 | $9,794.15 | $71.00 – $8,018.48 | 18 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $8,926.15 | $14,876.91 | $71.00 – $17,722.46 | 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.