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 |
|---|---|---|---|---|
| Serial tonometry CPT 92100 | $131.02 | $218.36 | $26.20 – $163.77 | 14 |
| Serpina1 gene CPT 81332 | $310.54 | $517.57 | $36.00 – $388.18 | 18 |
| Sertraline (zoloft) - sendout CPT 80332 | $306.00 | $510.00 | $12.00 – $203.25 | 13 |
| Set radiation therapy field CPT 77280 | $699.60 | $1,166.00 | $128.27 – $874.50 | 18 |
| Set radiation therapy field CPT 77285 | $1,159.03 | $1,931.72 | $231.81 – $1,448.79 | 18 |
| Set radiation therapy field CPT 77290 | $1,601.60 | $2,669.33 | $320.32 – $2,002.00 | 18 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $7.14 | $11.90 | $0.07 – $0.44 | 14 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $21.42 | $35.70 | $2.27 – $14.18 | 14 |
| Sever cranial nerve CPT 64771 | $3,141.46 | $5,235.77 | $71.00 – $4,783.04 | 18 |
| Sf3b1 gene common variants CPT 81347 | $115.95 | $193.25 | $23.19 – $463.80 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $262.64 | $437.74 | $71.00 – $495.95 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $232.83 | $388.05 | $71.00 – $495.95 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $432.64 | $721.06 | $71.00 – $987.79 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $461.54 | $769.24 | $71.00 – $987.79 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $255.46 | $425.76 | $51.09 – $495.95 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $232.77 | $387.95 | $46.55 – $495.95 | 18 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $244.52 | $407.53 | $71.00 – $495.95 | 18 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $415.83 | $693.05 | $71.00 – $987.79 | 18 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $253.40 | $422.33 | $50.68 – $987.79 | 18 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $266.02 | $443.37 | $53.20 – $495.95 | 18 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $237.65 | $396.08 | $47.53 – $495.95 | 18 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,108.01 | $10,180.01 | $10.32 – $64.51 | 14 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,108.01 | $10,180.01 | $1,221.60 – $7,635.01 | 14 |
| Shigella antibody CPT 86771 | $108.96 | $181.60 | $12.00 – $136.20 | 18 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,665.55 | $6,109.25 | $71.00 – $8,018.48 | 18 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 18 |
| Sho arthrs srg capsulorraphy CPT 29806 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Sho arthrs srg compl synvct CPT 29821 | $4,399.11 | $7,331.85 | $71.00 – $8,018.48 | 18 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $5,080.04 | $8,466.73 | $71.00 – $8,018.48 | 18 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $4,816.16 | $8,026.94 | $71.00 – $8,018.48 | 18 |
| Sho arthrs srg prtl synvct CPT 29820 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 18 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $4,311.23 | $7,185.38 | $71.00 – $8,018.48 | 18 |
| Sho arthrs srg rpr slap les CPT 29807 | $6,740.20 | $11,233.67 | $71.00 – $17,722.46 | 18 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $4,268.81 | $7,114.69 | $71.00 – $8,018.48 | 18 |
| Shoe post-op mens m HCPCS L3260 | $229.82 | $383.04 | $2.16 – $14.38 | 14 |
| Sho lift taper to metatarsal HCPCS L3300 | $49.20 | $82.00 | $9.84 – $65.60 | 14 |
| Shortening of hand tendon CPT 26479 | $1,474.73 | $2,457.88 | $71.00 – $8,018.48 | 18 |
| Shorten radius or ulna CPT 25390 | $6,609.96 | $11,016.60 | $71.00 – $17,722.46 | 18 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $197.78 | $329.64 | $39.56 – $247.23 | 18 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $299.18 | $498.63 | $29.08 – $373.97 | 18 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $4,880.57 | $8,134.29 | $71.00 – $17,722.46 | 18 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $311.92 | $519.86 | $24.06 – $389.89 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,182.18 | $5,303.63 | $332.94 – $3,977.72 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $2,838.31 | $4,730.52 | $323.10 – $3,547.89 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $2,311.68 | $3,852.80 | $209.16 – $2,889.60 | 18 |
| Shoulder prosthesis removal CPT 23334 | $3,870.38 | $6,450.63 | $71.00 – $7,653.74 | 18 |
| Shoulder prosthesis removal CPT 23335 | $2,213.40 | $3,689.00 | $71.00 – $7,653.74 | 17 |
| Shoulder X-ray CPT 73030 | $399.22 | $665.36 | $35.09 – $499.02 | 18 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $320.82 | $534.70 | $21.71 – $401.02 | 18 |
| Shrinker prosth above knee HCPCS L8460 | $71.40 | $119.00 | $14.28 – $95.20 | 14 |
| Shrinker prosth below knee HCPCS L8440 | $152.40 | $254.00 | $8.28 – $55.20 | 14 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,047.52 | $8,412.53 | $304.92 – $2,032.80 | 14 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $316.80 | $528.00 | $81.86 – $396.00 | 18 |
| Sialidase enzyme assay CPT 87905 | $1,188.00 | $1,980.00 | $10.26 – $1,485.00 | 18 |
| Sialography s&i CPT 70390 | $829.34 | $1,382.23 | $115.94 – $1,036.67 | 18 |
| Sialolithotomy 42330 CPT 42330 | $2,763.47 | $4,605.79 | $71.00 – $7,975.81 | 18 |
| Sickling rbc CPT 85660 | $72.23 | $120.39 | $4.63 – $49.46 | 18 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $328.50 – $2,975.00 | 11 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $429.26 – $2,975.00 | 11 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $328.50 – $2,975.00 | 11 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $429.26 – $2,975.00 | 11 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $270.34 | $450.56 | $31.74 – $917.00 | 18 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $13,001.06 | $21,668.44 | $2,600.21 – $16,251.33 | 16 |
| Simple cystometrogram 51725 CPT 51725 | $881.99 | $1,469.99 | $110.15 – $1,102.49 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,265.86 | $3,776.43 | $167.39 – $2,832.32 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $2,561.70 | $4,269.50 | $156.38 – $3,202.12 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $2,137.91 | $3,563.18 | $99.77 – $2,672.39 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $1,855.99 | $3,093.32 | $125.64 – $7,896.23 | 18 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $2,766.91 | $4,611.51 | $71.00 – $7,975.81 | 18 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $5,181.19 | $8,635.32 | $71.00 – $14,507.25 | 18 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 18 |
| Sinus X-ray (complete) CPT 70220 | $419.51 | $699.19 | $37.76 – $524.39 | 18 |
| Sinus X-ray (limited) CPT 70210 | $249.35 | $415.59 | $32.41 – $311.69 | 18 |
| Sipuleucel-t - su HCPCS Q2043 | $112,684.50 | $187,807.50 | $22,536.90 – $140,855.62 | 18 |
| Sirolimus, oral HCPCS J7520 | $42.11 | $70.18 | $1.05 – $24.68 | 15 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $252.00 | $420.00 | $11.21 – $248.76 | 13 |
| Skin Biopsy CPT 11102 | $360.34 | $600.56 | $64.23 – $495.95 | 18 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,499.37 | $4,165.62 | $71.00 – $4,517.58 | 18 |
| Skin full graft add-on 15241 CPT 15241 | $675.58 | $1,125.96 | $71.00 – $844.47 | 14 |
| Skin pedicle flap arms/legs CPT 15572 | $3,040.42 | $5,067.37 | $71.00 – $8,887.48 | 18 |
| Skin pedicle flap trunk CPT 15570 | $2,501.86 | $4,169.77 | $71.00 – $4,517.58 | 18 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $2,711.32 | $4,518.86 | $71.00 – $3,389.14 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $312.96 | $521.60 | $36.09 – $391.20 | 18 |
| Skull X-ray (complete) CPT 70260 | $449.72 | $749.53 | $44.78 – $562.15 | 18 |
| Sleep study attended CPT 95807 | $2,830.09 | $4,716.82 | $356.12 – $3,537.61 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $4,141.16 | $6,901.94 | $819.52 – $5,176.45 | 18 |
| Sleep study unattended CPT 95806 | $757.21 | $1,262.02 | $151.44 – $2,062.00 | 18 |
| Sleeve fing rolyan med HCPCS L3933 | $197.40 | $329.00 | $39.48 – $263.20 | 14 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $41.10 | $68.50 | $2.20 – $14.70 | 14 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,564.21 | $27,607.02 | $154.38 – $1,029.18 | 14 |
| Slitting of prepuce CPT 54000 | $2,484.76 | $4,141.26 | $71.00 – $8,636.11 | 18 |
| Slitting of prepuce CPT 54001 | $2,851.12 | $4,751.87 | $71.00 – $5,045.72 | 18 |
| Slp pure tone screening CPT 92551 | $82.04 | $136.73 | $16.41 – $102.55 | 14 |
| Slp stdy unatnd w/anal CPT 95801 | $498.32 | $830.54 | $56.30 – $2,062.00 | 18 |
| Small animal inoculation CPT 87003 | $119.41 | $199.01 | $12.00 – $149.26 | 18 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $602.88 | $1,004.80 | $121.96 – $753.60 | 18 |
| Small bowel endoscopy CPT 44360 | not published | not published | $564.97 – $4,713.77 | 11 |
| Small bowel endoscopy CPT 44364 | not published | not published | $564.97 – $4,713.77 | 11 |
| Small bowel endoscopy CPT 44369 | not published | not published | $564.97 – $4,713.77 | 11 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $97.80 | $163.00 | $4.53 – $39.47 | 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.