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 |
|---|---|---|---|---|
| Optx lunate dislocation CPT 25695 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Optx medial ankle fx CPT 27766 | $6,596.05 | $10,993.41 | $71.00 – $17,722.46 | 18 |
| Optx mndblr cndylr fx CPT 21465 | $8,803.45 | $14,672.42 | $71.00 – $14,507.25 | 18 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $7,180.34 | $11,967.23 | $71.00 – $14,507.25 | 18 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Optx mndblr/max alv ridge fx CPT 21445 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Optx post ankle fx CPT 27769 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Optx prox humrl fx w/int fix CPT 23615 | $12,147.50 | $20,245.84 | $71.00 – $32,603.53 | 18 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $16,139.55 | $26,899.25 | $71.00 – $46,166.33 | 18 |
| Optx radial shaft fracture CPT 25515 | $7,572.41 | $12,620.69 | $71.00 – $17,722.46 | 18 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $4,840.09 | $8,066.82 | $71.00 – $17,722.46 | 18 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $7,386.73 | $12,311.21 | $71.00 – $17,722.46 | 18 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $8,084.83 | $13,474.71 | $71.00 – $17,722.46 | 18 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $8,770.85 | $14,618.09 | $71.00 – $17,722.46 | 18 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $6,665.84 | $11,109.74 | $71.00 – $17,722.46 | 18 |
| Optx scapular fx w/int fixj CPT 23585 | $9,081.73 | $15,136.21 | $71.00 – $17,722.46 | 18 |
| Optx sho dislc fx CPT 23670 | $9,238.32 | $15,397.20 | $71.00 – $17,722.46 | 18 |
| Optx sho dislc neck fx fixj CPT 23680 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $6,072.59 | $10,120.99 | $71.00 – $17,722.46 | 18 |
| Optx tmprmand dislocation CPT 21490 | $6,759.31 | $11,265.51 | $71.00 – $8,449.13 | 18 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $3,935.24 | $6,558.73 | $71.00 – $17,722.46 | 18 |
| Optx ulnar shft fx int fixj CPT 25545 | $7,292.83 | $12,154.72 | $71.00 – $17,722.46 | 18 |
| Optx ulnar styloid fracture CPT 25652 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Oral aprepitant HCPCS J8501 | $410.20 | $683.66 | $2.63 – $177.06 | 15 |
| Oral everolimus HCPCS J7527 | $25.34 | $42.24 | $1.37 – $31.62 | 15 |
| Orchiectomy partial CPT 54522 | $4,860.68 | $8,101.13 | $71.00 – $8,636.11 | 18 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,558.53 | $5,930.88 | $71.00 – $8,570.48 | 18 |
| Orchiopexy ingun/scrot appr CPT 54640 | $3,981.86 | $6,636.44 | $71.00 – $8,570.48 | 18 |
| Organic acids total quant ea spec CPT 83918 | $238.62 | $397.70 | $12.00 – $298.27 | 18 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,047.33 | $5,078.88 | $71.00 – $3,809.16 | 18 |
| Ortho dvc repair per 15 min HCPCS L4205 | $29.40 | $49.00 | $5.88 – $39.20 | 14 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $278.40 | $464.00 | $55.68 – $371.20 | 14 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $428.40 | $714.00 | $55.28 – $368.54 | 14 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $881.50 | $1,469.16 | $176.30 – $1,175.33 | 14 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $267.60 | $446.00 | $53.52 – $356.80 | 14 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $306.00 | $510.00 | $61.20 – $408.00 | 14 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $225.00 | $375.00 | $45.00 – $300.00 | 14 |
| Orthopantogram CPT 70355 | $203.49 | $339.15 | $18.38 – $254.36 | 18 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $221.21 | $368.68 | $44.24 – $276.51 | 14 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $389.40 | $649.00 | $77.88 – $519.20 | 14 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $420.76 | $701.26 | $11.71 – $78.06 | 14 |
| Oscillation chest wall mechanical per session CPT 94669 | $204.89 | $341.49 | $40.98 – $528.37 | 18 |
| Osmolality blood CPT 83930 | $91.67 | $152.79 | $5.55 – $114.59 | 18 |
| Osmolality urine CPT 83935 | $88.43 | $147.38 | $5.73 – $44.29 | 18 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $3,542.56 | $5,904.26 | $71.00 – $8,018.48 | 18 |
| Ostectomy scapula partial CPT 23190 | $3,252.74 | $5,421.23 | $71.00 – $8,018.48 | 18 |
| Osteochondral knee allograft CPT 27415 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Osteochondral knee autograft CPT 27416 | $7,952.51 | $13,254.19 | $71.00 – $17,722.46 | 18 |
| Osteochondral talus autogrft CPT 28446 | $6,982.66 | $11,637.77 | $71.00 – $17,722.46 | 18 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $58.25 | $97.09 | $11.65 – $72.82 | 18 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $53.08 | $88.47 | $10.62 – $66.35 | 18 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $47.24 | $78.74 | $9.45 – $64.27 | 18 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $6,063.98 | $10,106.64 | $71.00 – $7,653.74 | 17 |
| Osteot humerus w/wo int fixj CPT 24400 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Other immunoelectrophoresis CPT 86325 | $126.10 | $210.17 | $12.00 – $157.63 | 18 |
| Oth resp proc, group HCPCS G0239 | $138.85 | $231.42 | $27.77 – $173.56 | 18 |
| Oth resp proc, indiv HCPCS G0238 | $116.83 | $194.71 | $23.37 – $146.03 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $118.67 | $197.79 | $23.73 – $155.65 | 15 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $104.89 | $174.82 | $20.98 – $131.12 | 10 |
| Otoplasty 69300 CPT 69300 | $2,404.08 | $4,006.80 | $71.00 – $7,975.81 | 18 |
| Ot re-evaluation patient/family CPT 97168 | $245.25 | $408.75 | $49.05 – $306.56 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $99.73 | $166.21 | $19.95 – $124.66 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $108.04 | $180.07 | $21.61 – $135.05 | 15 |
| Ovarian cystectomy 58925 CPT 58925 | $7,040.37 | $11,733.95 | $71.00 – $12,321.66 | 18 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $289.20 | $482.00 | $0.09 – $253.50 | 15 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $50.40 | $84.00 | $0.30 – $1.89 | 14 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $48,945.60 | $81,576.00 | $9,789.12 – $65,260.80 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $222.51 | $370.85 | $0.16 – $278.14 | 15 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,874.11 | $4,790.18 | $5.72 – $3,592.64 | 18 |
| Palb2 gene full gene seq CPT 81307 | $290.46 | $484.10 | $36.00 – $1,623.60 | 18 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $6,191.26 | $10,318.76 | $414.91 – $4,100.23 | 18 |
| Palonosetron hcl HCPCS J2469 | $540.00 | $900.00 | $0.71 – $112.50 | 15 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $50.47 | $84.12 | $10.09 – $63.09 | 15 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,452.74 | $20,754.56 | $165.67 – $3,919.61 | 18 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $18.27 | $30.45 | $3.65 – $22.84 | 14 |
| Papaverin hcl injection HCPCS J2440 | $149.08 | $248.46 | $14.40 – $90.00 | 14 |
| Parathormone (pth) intact CPT 83970 | $179.47 | $299.11 | $12.00 – $224.33 | 18 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,987.70 | $3,312.84 | $397.54 – $2,484.63 | 18 |
| Parathyroid autotransplantation 60512 CPT 60512 | $4,080.85 | $6,801.42 | $71.00 – $5,101.06 | 14 |
| Parathyroid planar imaging CPT 78070 | $1,356.79 | $2,261.31 | $265.30 – $1,695.98 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,492.94 | $2,488.23 | $314.75 – $1,866.17 | 18 |
| Paravaginal defect repair 57284 CPT 57284 | $7,150.85 | $11,918.09 | $71.00 – $12,321.66 | 18 |
| Parial mast w/lymph removal 19302 CPT 19302 | $5,428.78 | $9,047.97 | $71.00 – $16,154.42 | 18 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $275.89 | $459.82 | $55.18 – $495.95 | 18 |
| Parotid duct diversion CPT 42507 | $5,286.68 | $8,811.13 | $71.00 – $14,507.25 | 18 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $7,553.59 | $12,589.32 | $71.00 – $17,722.46 | 18 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $2,822.37 | $4,703.95 | $71.00 – $7,744.80 | 18 |
| Partial exc bone humerus CPT 24140 | $4,298.11 | $7,163.52 | $71.00 – $8,018.48 | 18 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $3,881.50 | $6,469.17 | $71.00 – $8,018.48 | 18 |
| Partial excision of lip CPT 40500 | $4,133.59 | $6,889.31 | $71.00 – $7,975.81 | 18 |
| Partial removal finger bone CPT 26235 | $2,542.18 | $4,236.96 | $71.00 – $4,463.00 | 18 |
| Partial removal finger bone CPT 26236 | $2,630.32 | $4,383.87 | $71.00 – $3,981.46 | 18 |
| Partial removal foot fascia CPT 28060 | $3,762.00 | $6,270.00 | $71.00 – $8,018.48 | 18 |
| Partial removal leg bone(s) CPT 27360 | $5,160.97 | $8,601.62 | $71.00 – $8,018.48 | 18 |
| Partial removal of eye fluid CPT 67005 | $2,766.06 | $4,610.10 | $71.00 – $5,772.91 | 18 |
| Partial removal of eye fluid CPT 67010 | $3,423.98 | $5,706.63 | $71.00 – $5,772.91 | 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.