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 |
|---|---|---|---|---|
| Realignment of tendons CPT 26437 | $2,280.89 | $3,801.49 | $71.00 – $8,018.48 | 18 |
| Rebuild eardrum structures CPT 69632 | $7,474.67 | $12,457.78 | $71.00 – $14,507.25 | 18 |
| Rebuild eardrum structures CPT 69633 | $7,583.59 | $12,639.32 | $71.00 – $14,507.25 | 18 |
| Rebuild eardrum structures CPT 69636 | $9,304.33 | $15,507.22 | $71.00 – $14,507.25 | 18 |
| Rebuild outer ear canal CPT 69310 | $6,017.08 | $10,028.46 | $71.00 – $14,507.25 | 18 |
| Rebuild outer ear canal CPT 69320 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Recon, cta for surg plan HCPCS G0288 | $1,184.58 | $1,974.30 | $122.30 – $1,841.00 | 14 |
| Reconst lwr jaw without fixation CPT 21195 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Reconst lwr jaw without graft CPT 21193 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstr lwr jaw segment CPT 21198 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 18 |
| Reconstruct cleft foot CPT 28360 | $8,624.12 | $14,373.53 | $71.00 – $17,722.46 | 18 |
| Reconstruct cleft palate CPT 42200 | $5,493.56 | $9,155.94 | $71.00 – $14,507.25 | 18 |
| Reconstruct cleft palate CPT 42205 | $5,289.89 | $8,816.49 | $71.00 – $7,975.81 | 18 |
| Reconstruct cleft palate CPT 42210 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstruct cleft palate CPT 42215 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstruct cleft palate CPT 42220 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstruct cleft palate CPT 42225 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Reconstruct elbow joint CPT 24360 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Reconstruct elbow joint CPT 24361 | $16,139.55 | $26,899.25 | $71.00 – $46,166.33 | 18 |
| Reconstruct elbow joint CPT 24362 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruct elbow lat ligmnt CPT 24344 | $9,961.01 | $16,601.68 | $71.00 – $17,722.46 | 18 |
| Reconstruct elbow med ligmnt CPT 24346 | $11,365.24 | $18,942.06 | $71.00 – $32,603.53 | 18 |
| Reconstruct extra finger CPT 26587 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Reconstruct finger joint CPT 26545 | $4,056.34 | $6,760.57 | $71.00 – $8,018.48 | 18 |
| Reconstruct finger joint CPT 26548 | $4,017.51 | $6,695.85 | $71.00 – $8,018.48 | 18 |
| Reconstruct head of radius CPT 24365 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruct head of radius CPT 24366 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruction knee CPT 27427 | $7,388.66 | $12,314.43 | $71.00 – $17,722.46 | 18 |
| Reconstruction knee CPT 27428 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruction knee CPT 27429 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruction of eyelid CPT 67971 | $3,910.89 | $6,518.15 | $71.00 – $5,788.85 | 18 |
| Reconstruction of eyelid CPT 67973 | $4,415.44 | $7,359.06 | $71.00 – $5,788.85 | 18 |
| Reconstruction of eyelid CPT 67975 | $2,584.75 | $4,307.91 | $71.00 – $5,788.85 | 18 |
| Reconstruction of jaw CPT 21245 | $5,095.85 | $8,493.09 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw CPT 21246 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw CPT 21248 | $6,245.56 | $10,409.27 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw CPT 21249 | $6,720.89 | $11,201.48 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw joint CPT 21240 | $7,317.87 | $12,196.45 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw joint CPT 21242 | $6,942.99 | $11,571.65 | $71.00 – $14,507.25 | 18 |
| Reconstruction of jaw joint CPT 21243 | $16,139.55 | $26,899.25 | $71.00 – $46,166.33 | 18 |
| Reconstruction of lower jaw CPT 21244 | $6,349.67 | $10,582.79 | $71.00 – $14,507.25 | 18 |
| Reconstruction of mouth CPT 40840 | $4,978.30 | $8,297.16 | $71.00 – $14,507.25 | 18 |
| Reconstruction of mouth CPT 40845 | $6,740.73 | $11,234.55 | $71.00 – $14,507.25 | 18 |
| Reconstruction of nail bed CPT 11762 | $2,000.41 | $3,334.02 | $71.00 – $4,517.58 | 18 |
| Reconstruction of nose CPT 30410 | $5,925.35 | $9,875.59 | $71.00 – $14,507.25 | 18 |
| Reconstruction of nose CPT 30420 | $7,369.11 | $12,281.85 | $71.00 – $14,507.25 | 18 |
| Reconstruction of orbit CPT 21256 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reconstruction of throat CPT 42950 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Reconstruction of urethra CPT 53410 | $8,142.90 | $13,571.50 | $71.00 – $12,818.21 | 18 |
| Reconstruction of urethra CPT 53430 | $6,131.41 | $10,219.01 | $71.00 – $12,818.21 | 18 |
| Reconstruction of urethra CPT 54308 | $4,478.01 | $7,463.35 | $71.00 – $12,818.21 | 18 |
| Reconstruction of urethra CPT 54312 | $3,467.79 | $5,779.65 | $71.00 – $8,636.11 | 18 |
| Reconstruction of urethra CPT 54316 | $4,447.15 | $7,411.91 | $71.00 – $22,821.27 | 18 |
| Reconstruction of urethra CPT 54322 | $4,646.71 | $7,744.52 | $71.00 – $8,636.11 | 18 |
| Reconstruction of urethra CPT 54324 | $4,627.96 | $7,713.26 | $71.00 – $8,636.11 | 18 |
| Reconstruction of urethra CPT 54326 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 18 |
| Reconstruction tongue fold CPT 41520 | $2,923.73 | $4,872.89 | $71.00 – $7,975.81 | 18 |
| Reconstruct lip with flap CPT 40527 | $8,251.59 | $13,752.65 | $71.00 – $14,507.25 | 18 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $5,509.69 | $9,182.81 | $71.00 – $7,975.81 | 18 |
| Reconstruct orbit/forehead CPT 21172 | $6,612.37 | $11,020.62 | $71.00 – $14,507.25 | 18 |
| Reconstruct shoulder joint CPT 23470 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reconstruct ulna/radioulnar CPT 25337 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Reconstruct upper jaw bone CPT 21206 | $6,215.99 | $10,359.99 | $71.00 – $14,507.25 | 18 |
| Reconstruct urethra/bladder CPT 53431 | $3,891.34 | $6,485.56 | $71.00 – $12,818.21 | 18 |
| Reconstruct urethra stage 1 CPT 53420 | $4,892.98 | $8,154.97 | $71.00 – $12,818.21 | 18 |
| Reconstruct urethra stage 2 CPT 53425 | $4,892.98 | $8,154.97 | $71.00 – $12,818.21 | 18 |
| Rectal sensation test CPT 91120 | $564.48 | $940.80 | $112.90 – $1,252.73 | 14 |
| Red blood cells each unit HCPCS P9021 | $464.14 | $773.56 | $92.83 – $580.17 | 18 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $992.78 | $1,654.64 | $198.56 – $1,281.02 | 18 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $411.88 | $686.46 | $82.38 – $628.84 | 18 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $853.50 | $1,422.50 | $78.66 – $491.62 | 18 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $485.68 | $809.47 | $97.14 – $656.45 | 18 |
| Red blood cells washed each unit HCPCS P9022 | $611.44 | $1,019.06 | $122.29 – $1,032.51 | 18 |
| Red cell mass multiple CPT 78121 | $1,982.90 | $3,304.83 | $94.56 – $2,478.62 | 18 |
| Red cell sequestration CPT 78140 | $407.63 | $679.39 | $109.60 – $1,021.72 | 18 |
| Red cell survival kinetics CPT 78135 | $856.11 | $1,426.85 | $171.22 – $1,070.14 | 14 |
| Red cell survival study CPT 78130 | $856.11 | $1,426.85 | $124.63 – $1,070.14 | 18 |
| Redo endovas vena cava filtr CPT 37192 | $5,196.69 | $8,661.15 | $71.00 – $7,896.23 | 18 |
| Reduce testis torsion CPT 54600 | $4,006.88 | $6,678.13 | $71.00 – $8,636.11 | 18 |
| Reduction of facial bones CPT 21209 | $6,495.98 | $10,826.63 | $71.00 – $14,507.25 | 18 |
| Reduction of procidentia 45900 CPT 45900 | $1,155.24 | $1,925.40 | $328.50 – $2,264.11 | 18 |
| Re-explore parathyroids CPT 60502 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 18 |
| Refill maint impl spine pump CPT 95991 | $390.91 | $651.52 | $78.18 – $733.72 | 18 |
| Refill/maint pump/resvr syst CPT 96522 | $403.76 | $672.93 | $80.75 – $801.00 | 18 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $695.95 | $1,159.92 | $3.19 – $869.94 | 15 |
| Reinforce clavicle CPT 23490 | $9,458.14 | $15,763.56 | $71.00 – $17,722.46 | 18 |
| Reinforce/graft eye wall CPT 67255 | $3,602.81 | $6,004.69 | $71.00 – $10,072.14 | 18 |
| Reinforce shoulder bones CPT 23491 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 18 |
| Reinforce tibia CPT 27745 | $7,824.40 | $13,040.66 | $71.00 – $17,722.46 | 18 |
| Reinnervate larynx CPT 31590 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Reinsert ocular implant CPT 65155 | $4,060.51 | $6,767.51 | $71.00 – $9,578.04 | 18 |
| Release encircling material CPT 67115 | $3,791.29 | $6,318.82 | $71.00 – $10,072.14 | 18 |
| Release eye tissue CPT 67343 | $2,189.95 | $3,649.91 | $71.00 – $6,837.00 | 18 |
| Release facial nerve CPT 69720 | $6,759.31 | $11,265.51 | $71.00 – $14,507.25 | 18 |
| Release facial nerve CPT 69955 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Release finger contracture CPT 26525 | $2,903.68 | $4,839.47 | $71.00 – $4,463.00 | 18 |
| Release forearm/hand tendon CPT 26449 | $3,051.96 | $5,086.60 | $71.00 – $8,018.48 | 18 |
| Release inner ear canal CPT 69960 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 18 |
| Release knuckle contracture CPT 26520 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 18 |
| Release middle ear bone CPT 69650 | $5,268.98 | $8,781.64 | $71.00 – $7,975.81 | 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.