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 |
|---|---|---|---|---|
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,673.52 | $2,789.20 | $334.70 – $2,091.90 | 18 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $361.59 | $602.65 | $72.32 – $451.99 | 18 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $411.20 | $685.33 | $82.24 – $599.64 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,191.73 | $1,986.21 | $218.43 – $1,365.16 | 18 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,206.13 | $2,010.22 | $221.31 – $1,748.45 | 18 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,614.38 | $6,023.97 | $71.00 – $8,649.00 | 18 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,816.31 | $3,027.18 | $71.00 – $2,270.39 | 14 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,087.15 | $8,478.59 | $71.00 – $8,649.00 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,882.47 | $8,137.45 | $71.00 – $8,649.00 | 18 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,298.61 | $5,497.69 | $659.72 – $5,388.00 | 13 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,328.97 | $2,214.95 | $71.00 – $3,421.00 | 18 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $431.58 | $719.30 | $71.00 – $539.48 | 14 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $190.22 | $317.04 | $38.04 – $237.78 | 14 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $206.77 | $344.61 | $41.35 – $258.46 | 14 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $386.81 | $644.68 | $71.00 – $483.51 | 14 |
| Plerixafor injection HCPCS J2562 | $17,959.33 | $29,932.21 | $19.54 – $22,449.16 | 18 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $516.35 | $860.58 | $103.27 – $777.56 | 18 |
| Plmt access bil tree sm bwl CPT 47541 | $3,468.06 | $5,780.10 | $71.00 – $18,741.87 | 18 |
| Plmt biliary drainage cath CPT 47534 | $4,762.80 | $7,938.00 | $71.00 – $8,649.00 | 18 |
| Plmt nephroureteral catheter CPT 50433 | $3,158.05 | $5,263.42 | $71.00 – $8,636.11 | 18 |
| Plmt ureteral stent prq CPT 50694 | $4,788.58 | $7,980.96 | $71.00 – $8,649.00 | 18 |
| Plug insert indwelling 16f HCPCS L8511 | $149.90 | $249.84 | $29.98 – $187.38 | 14 |
| Pm device progr eval dual CPT 93280 | $288.56 | $480.93 | $35.62 – $917.00 | 18 |
| Pm device progr eval multi CPT 93281 | $315.10 | $525.16 | $35.62 – $917.00 | 18 |
| Pml/raralpha 1 breakpoint CPT 81316 | $307.13 | $511.88 | $36.00 – $497.54 | 18 |
| Pmp22 gene dup/delet CPT 81324 | $1,029.75 | $1,716.25 | $12.00 – $1,820.06 | 18 |
| Pmp22 gene full sequence CPT 81325 | $2,559.68 | $4,266.13 | $12.00 – $3,199.60 | 18 |
| Pmp22 gene known fam variant CPT 81326 | $63.42 | $105.70 | $36.00 – $111.84 | 18 |
| Pm phone r-strip device eval CPT 93293 | $175.93 | $293.21 | $35.19 – $917.00 | 18 |
| Pms2 gene dup/delet variants CPT 81319 | $499.20 | $832.00 | $36.00 – $488.40 | 18 |
| Pms2 gene full seq analysis CPT 81317 | $843.75 | $1,406.25 | $36.00 – $1,623.60 | 18 |
| Pms2 known familial variants CPT 81318 | $397.20 | $662.00 | $36.00 – $794.40 | 18 |
| Pneum full leg splnt pre ots HCPCS L4370 | $52.80 | $88.00 | $10.56 – $70.40 | 14 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $811.82 | $1,353.04 | $71.00 – $1,556.23 | 18 |
| #pnh-flow cytometry interp CPT 88187 | $154.14 | $256.90 | $30.55 – $201.22 | 14 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $241.57 | $402.62 | $12.00 – $301.96 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $32,554.79 | $54,257.99 | $130.37 – $40,693.49 | 18 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,360.45 | $7,267.41 | $819.52 – $5,450.56 | 18 |
| Polysom any age 1-3> param CPT 95808 | $2,737.39 | $4,562.31 | $547.48 – $3,421.73 | 18 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,654.35 | $7,757.25 | $819.52 – $5,817.94 | 18 |
| Positional change of finger CPT 26555 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $3,277.80 | $5,463.00 | $655.56 – $4,097.25 | 14 |
| Post op service lvrs min 6 HCPCS G0305 | $948.13 | $1,580.22 | $113.00 – $1,327.77 | 15 |
| Postpartum Care Only CPT 59430 | $527.42 | $879.04 | $71.00 – $659.28 | 14 |
| Potassium 24 hour urine CPT 84133 | $58.31 | $97.19 | $3.97 – $72.89 | 18 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $97.20 | $162.00 | $0.14 – $18.05 | 15 |
| Potassium hydroxide preps HCPCS Q0112 | $51.47 | $85.79 | $5.54 – $64.34 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.87 | $99.79 | $4.00 – $74.84 | 18 |
| Pq biliary strict dil s&i CPT 74363 | $861.43 | $1,435.71 | $147.74 – $1,076.78 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | $531.83 | $886.38 | $106.37 – $664.78 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $12,736.87 | $21,228.12 | $71.00 – $17,722.46 | 18 |
| Pq thr inj ext pse CPT 36002 | $1,003.33 | $1,672.21 | $71.00 – $1,556.23 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,777.73 | $4,629.55 | $71.00 – $8,649.00 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,896.31 | $8,160.52 | $71.00 – $8,649.00 | 18 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,172.87 | $6,954.78 | $71.00 – $8,649.00 | 18 |
| Pralatrexate injection HCPCS J9307 | $24,465.07 | $40,775.12 | $330.84 – $30,581.34 | 18 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $234.09 | $390.15 | $46.82 – $292.61 | 14 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,503.41 | $5,839.02 | $71.00 – $8,018.48 | 18 |
| Pr application of long arm splint CPT 29105 | $579.77 | $966.29 | $40.14 – $724.72 | 18 |
| Pr application splint static short arm CPT 29125 | $454.81 | $758.01 | $71.00 – $568.51 | 18 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $51.12 | $85.20 | $10.22 – $99.35 | 18 |
| Pr biopsy skin punch single lesion CPT 11104 | $520.85 | $868.09 | $71.00 – $987.79 | 18 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $6,004.47 | $10,007.45 | $71.00 – $17,722.46 | 18 |
| Pr correction hammertoe CPT 28285 | $3,825.13 | $6,375.21 | $71.00 – $8,018.48 | 18 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.71 | $81.19 | $9.74 – $71.08 | 18 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,943.97 | $3,239.95 | $71.00 – $17,181.00 | 14 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,724.71 | $4,541.18 | $71.00 – $17,181.00 | 14 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $5,262.80 | $8,771.34 | $71.00 – $8,636.11 | 18 |
| Prealbumin CPT 84134 | $113.81 | $189.68 | $12.00 – $142.26 | 18 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $63.65 | $106.08 | $0.81 – $45.15 | 15 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.40 | $0.67 | $0.00 – $0.13 | 15 |
| Pregabalin - sendout CPT 80366 | $144.77 | $241.28 | $3.03 – $7.42 | 13 |
| Pregnancy associated plasma protein-a CPT 84163 | $82.58 | $137.64 | $12.00 – $103.23 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $607.12 | $1,011.87 | $99.77 – $758.90 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $580.03 | $966.71 | $99.77 – $725.03 | 18 |
| Pregnancy Ultrasound (limited) CPT 76815 | $459.00 | $765.00 | $81.20 – $573.75 | 18 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $613.78 | $1,022.97 | $71.00 – $767.23 | 14 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,143.04 | $1,905.06 | $71.00 – $1,428.80 | 14 |
| Pre-op service lvrs complete HCPCS G0302 | $948.13 | $1,580.22 | $113.00 – $1,327.77 | 15 |
| Preparation for bladder xray CPT 51605 | $1,143.32 | $1,905.54 | $71.00 – $1,429.15 | 14 |
| Preparation palate mold CPT 42280 | $583.82 | $973.04 | $71.00 – $1,363.00 | 18 |
| Prepare embryo for transfer CPT 89255 | $326.15 | $543.59 | $12.00 – $407.69 | 18 |
| Prepare fecal microbiota CPT 44705 | $107.04 | $178.40 | $21.41 – $133.80 | 14 |
| Prepare penis study CPT 54230 | $330.38 | $550.63 | $66.08 – $412.97 | 14 |
| Prepare sperm duct x-ray CPT 55300 | $1,206.34 | $2,010.57 | $71.00 – $1,507.93 | 14 |
| Prep corneal endo allograft CPT 65757 | $2,539.68 | $4,232.80 | $71.00 – $3,174.60 | 14 |
| Prep skin to 100cm2 other CPT 15004 | $816.63 | $1,361.05 | $71.00 – $1,555.84 | 18 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,882.12 | $3,136.86 | $71.00 – $4,517.58 | 18 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,117.37 | $1,862.28 | $71.00 – $1,396.71 | 14 |
| Pressure max expiratory/inspiratory CPT 94799 | $345.62 | $576.04 | $34.91 – $386.96 | 18 |
| Pressure treatment esophagus CPT 43460 | $2,284.80 | $3,808.00 | $456.96 – $2,856.00 | 14 |
| Pressure velocity wire add ves CPT 93572 | $2,127.73 | $3,546.22 | $425.55 – $2,659.66 | 13 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $101.80 | $169.67 | $12.00 – $423.12 | 18 |
| Pretreat rbc absorption reference CPT 86978 | $216.00 | $360.00 | $12.00 – $151.53 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $182.31 | $303.85 | $12.00 – $423.12 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $80.03 | $133.38 | $12.00 – $151.53 | 18 |
| Pretreat rbc w enzyme reference CPT 86971 | $94.50 | $157.50 | $12.00 – $423.12 | 18 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $337.14 | $561.90 | $67.43 – $421.43 | 18 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $125.42 | $209.03 | $25.08 – $156.77 | 10 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $188.86 | $314.76 | $37.77 – $327.47 | 15 |
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.