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 |
|---|---|---|---|---|
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,690.30 | $2,817.16 | $71.00 – $4,016.35 | 18 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,857.71 | $4,762.85 | $71.00 – $4,016.35 | 18 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $961.75 | $1,602.91 | $71.00 – $1,202.18 | 18 |
| Prgrmg dev eval impltbl sys CPT 93260 | $210.00 | $350.00 | $35.62 – $917.00 | 18 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $271.51 | $452.52 | $35.62 – $917.00 | 18 |
| Prgrmg dev eval scrms ip CPT 93285 | $208.58 | $347.64 | $35.62 – $917.00 | 18 |
| Prgrmg eval implantable dfb CPT 93282 | $283.25 | $472.08 | $35.62 – $917.00 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | $318.07 | $530.11 | $35.62 – $917.00 | 18 |
| Prgrmg eval implantable dfb CPT 93284 | $320.29 | $533.81 | $35.62 – $917.00 | 18 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,992.20 | $9,987.00 | $501.74 – $7,490.25 | 14 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,318.36 | $12,197.26 | $71.00 – $43,439.01 | 18 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,556.28 | $9,260.46 | $71.00 – $6,945.35 | 14 |
| Prin care mgmt staff 1st 30 CPT 99426 | $91.70 | $152.84 | $18.34 – $220.82 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,032.04 | $1,720.06 | $71.00 – $1,290.05 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $807.74 | $1,346.23 | $65.06 – $1,009.67 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $451.35 | $752.25 | $71.00 – $794.72 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $843.22 | $1,405.36 | $71.00 – $1,054.02 | 18 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $251.56 | $419.26 | $50.31 – $327.47 | 15 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $195.53 | $325.89 | $39.11 – $327.47 | 15 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $232.42 | $387.37 | $38.08 – $290.53 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $5,067.54 | $8,445.90 | $71.00 – $6,334.43 | 18 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $12,640.20 | $21,067.00 | $292.38 – $1,827.38 | 14 |
| Probe nasolacrimal duct CPT 68810 | $537.77 | $896.28 | $71.00 – $2,975.00 | 18 |
| Probe nasolacrimal duct CPT 68811 | $2,088.62 | $3,481.03 | $71.00 – $5,788.85 | 18 |
| Probe nasolacrimal duct CPT 68815 | $2,388.16 | $3,980.27 | $71.00 – $5,788.85 | 18 |
| Probe nl duct w/balloon CPT 68816 | $2,511.16 | $4,185.26 | $71.00 – $5,788.85 | 18 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $248.56 | $414.27 | $5.89 – $236.29 | 18 |
| Procalcitonin CPT 84145 | $223.17 | $371.95 | $12.00 – $278.96 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.86 | $38.10 | $2.70 – $16.88 | 15 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.97 | $1.62 | $0.07 – $0.43 | 14 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,650.30 | $2,750.50 | $82.50 – $2,264.11 | 18 |
| Progesterone CPT 84144 | $150.66 | $251.10 | $12.00 – $50.06 | 18 |
| Prolactin CPT 84146 | $160.92 | $268.20 | $12.00 – $61.09 | 18 |
| Prolng clin staff svc 1st hr CPT 99415 | $11.01 | $18.35 | $2.20 – $71.00 | 14 |
| Prolng clin staff svc ea add CPT 99416 | $6.16 | $10.26 | $1.23 – $71.00 | 14 |
| Prolng svc o/p 1st hour CPT 99354 | $178.64 | $297.74 | $35.73 – $223.31 | 14 |
| Promethazine hcl injection HCPCS J2550 | $12.96 | $21.60 | $0.86 – $5.35 | 15 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $1,086.98 | $1,811.64 | $71.00 – $3,421.00 | 18 |
| Proph rta dtchmnt pc CPT 67145 | $1,655.24 | $2,758.74 | $71.00 – $2,975.00 | 18 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Prophylactic tx ulna CPT 25491 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $108.00 | $180.00 | $0.10 – $1.35 | 15 |
| _propoxygc/msur CPT 80367 | $153.56 | $255.94 | $10.51 – $191.96 | 13 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $28.80 | $48.00 | $5.76 – $36.00 | 14 |
| Prostate biopsy, any mthd HCPCS G0416 | $586.20 | $977.00 | $36.00 – $890.45 | 18 |
| Prostate ca screening; dre HCPCS G0102 | $29.70 | $49.50 | $5.94 – $37.12 | 14 |
| Prostatectomy (turp) CPT 52601 | $6,999.96 | $11,666.60 | $71.00 – $12,818.21 | 18 |
| Prostate laser enucleation CPT 52649 | $12,006.11 | $20,010.19 | $71.00 – $15,007.64 | 18 |
| Prostatic microwave thermotx CPT 53850 | $5,506.40 | $9,177.33 | $71.00 – $8,636.11 | 18 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,432.66 | $2,387.77 | $54.53 – $363.53 | 14 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $159.63 | $266.05 | $1.84 – $90.66 | 15 |
| Protect body sock ea pre ots HCPCS L0984 | $53.40 | $89.00 | $10.68 – $71.20 | 14 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,599.40 | $5,999.00 | $665.25 – $4,435.02 | 14 |
| Protein c activity CPT 85303 | $187.13 | $311.88 | $11.63 – $50.62 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $129.22 | $215.37 | $8.28 – $25.78 | 18 |
| Protein s total CPT 85305 | $144.58 | $240.97 | $9.75 – $71.19 | 18 |
| Protein total 24 hour urine CPT 84156 | $73.78 | $122.97 | $3.08 – $46.67 | 18 |
| Protein total body fluid CPT 84157 | $73.78 | $122.97 | $3.36 – $15.06 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $225.00 | $375.00 | $3.08 – $13.39 | 18 |
| Prothrombin complex kcentra HCPCS J7168 | $27.53 | $45.88 | $1.95 – $34.41 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $56.39 | $93.99 | $3.31 – $70.49 | 18 |
| Proton trmt intermediate CPT 77523 | $1,444.54 | $2,407.56 | $288.91 – $3,514.21 | 18 |
| Provide inr test mater/equip HCPCS G0249 | $163.23 | $272.05 | $32.65 – $327.47 | 18 |
| Prp i/hern init block >5 yr CPT 49507 | $5,690.72 | $9,484.53 | $71.00 – $8,649.00 | 18 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,860.50 | $29,767.50 | $1,939.15 – $43,439.01 | 18 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $16,135.50 | $26,892.50 | $1,939.15 – $43,439.01 | 18 |
| Prq card angio/athrect addl CPT 92925 | $17,648.93 | $29,414.88 | $3,529.79 – $22,061.16 | 13 |
| Prq cardiac angio addl art CPT 92921 | $11,348.40 | $18,914.00 | $2,269.68 – $14,185.50 | 13 |
| Prq card revasc chronic addl CPT 92944 | $13,928.62 | $23,214.36 | $2,785.72 – $17,410.77 | 13 |
| Prq card revasc mi 1 vsl CPT 92941 | $17,636.90 | $29,394.84 | $1,921.70 – $22,046.13 | 14 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $21,600.07 | $36,000.11 | $4,320.01 – $27,000.08 | 14 |
| Prq card stent/ath/angio CPT 92934 | $13,371.82 | $22,286.36 | $2,674.36 – $16,714.77 | 13 |
| Prq card stent w/angio addl CPT 92929 | $15,171.03 | $25,285.05 | $3,034.21 – $18,963.79 | 13 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,158.72 | $20,264.53 | $2,431.74 – $27,252.71 | 18 |
| Prq revasc byp graft addl CPT 92938 | $14,660.42 | $24,434.03 | $2,932.08 – $18,325.52 | 13 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,079.75 | $5,132.91 | $71.00 – $3,981.46 | 18 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $12,158.72 | $20,264.53 | $2,431.74 – $27,252.71 | 18 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $22,098.20 | $36,830.34 | $10,273.60 – $27,622.76 | 17 |
| Prq trlml c athrc st angiop1 CPT 92933 | $14,295.96 | $23,826.60 | $2,859.19 – $43,439.01 | 18 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $23,158.66 | $38,597.77 | $5,950.65 – $28,948.33 | 17 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,333.02 | $20,555.03 | $2,466.60 – $15,416.27 | 18 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $12,866.36 | $21,443.94 | $2,573.27 – $27,252.71 | 18 |
| Prq trluml revsc ch occ ant CPT 92943 | $18,978.50 | $31,630.84 | $3,795.70 – $27,252.71 | 18 |
| Pr removal drug delivery implant CPT 11982 | $669.86 | $1,116.43 | $54.42 – $987.04 | 18 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $292.10 | $486.84 | $58.42 – $365.13 | 18 |
| Pr removal intrauterine device CPT 58301 | $491.31 | $818.85 | $51.22 – $794.72 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,166.11 | $1,943.52 | $71.00 – $1,457.64 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $886.50 | $1,477.50 | $71.00 – $1,108.12 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $723.38 | $1,205.64 | $71.00 – $904.23 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $886.50 | $1,477.50 | $71.00 – $1,108.12 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $695.56 | $1,159.26 | $71.00 – $869.45 | 18 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,730.00 | $4,550.00 | $71.00 – $4,517.58 | 18 |
| Prtl exc bone olecrn process CPT 24147 | $3,819.82 | $6,366.36 | $71.00 – $8,018.48 | 18 |
| Prtl exc bone radial h/n CPT 24145 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Prtl exchange transfuse nb CPT 36456 | $464.59 | $774.31 | $71.00 – $2,975.00 | 18 |
| Prtl excision bone clavicle CPT 23180 | $4,842.92 | $8,071.54 | $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.