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 |
|---|---|---|---|---|
| Smear gram stain CPT 87205 | $81.61 | $136.02 | $3.59 – $102.02 | 18 |
| Smear nasal eosinophil CPT 89190 | $72.60 | $121.00 | $4.86 – $90.75 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $81.20 | $135.33 | $5.03 – $101.50 | 18 |
| Smear wet mount CPT 87210 | $63.11 | $105.18 | $4.89 – $78.89 | 18 |
| Smn1 gene full gene sequence CPT 81336 | $1,200.00 | $2,000.00 | $36.00 – $1,500.00 | 18 |
| Smpd1 gene common variants CPT 81330 | $240.00 | $400.00 | $36.00 – $300.00 | 18 |
| Snrpn/ube3a gene CPT 81331 | $176.53 | $294.22 | $12.00 – $220.66 | 18 |
| Sodium 24 hour urine CPT 84300 | $70.34 | $117.24 | $4.25 – $87.93 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $63.36 | $105.60 | $2.40 – $37.50 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $30.00 | $50.00 | $1.49 – $37.50 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $30.00 | $50.00 | $0.77 – $19.12 | 15 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $31.39 | $52.32 | $2.16 – $13.50 | 14 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $131.28 | $218.80 | $2.63 – $164.10 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $62.87 | $104.78 | $4.04 – $78.58 | 18 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $156.60 | $261.00 | $0.84 – $195.75 | 17 |
| Soft interface below knee se HCPCS L2820 | $76.20 | $127.00 | $15.24 – $101.60 | 14 |
| Somatosensory testing CPT 95927 | $1,180.60 | $1,967.66 | $206.06 – $1,475.74 | 18 |
| So neo gsap dna/dna&rna CPT 81459 | $2,714.80 | $4,524.66 | $36.00 – $3,393.49 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | $3,975.00 | $6,625.00 | $36.00 – $2,040.41 | 17 |
| So vest canvas/web pre ots HCPCS L3675 | $347.06 | $578.44 | $30.12 – $200.80 | 14 |
| Special physics consult CPT 77370 | $699.60 | $1,166.00 | $128.27 – $874.50 | 18 |
| Special radiation dosimetry CPT 77331 | $422.48 | $704.14 | $75.89 – $528.11 | 18 |
| Special radiation treatment CPT 77470 | $2,125.57 | $3,542.62 | $101.20 – $2,656.97 | 18 |
| Special supplies phys/qhp CPT 99070 | $60.00 | $100.00 | $6.00 – $37.50 | 14 |
| Special teletx port plan CPT 77321 | $1,056.31 | $1,760.51 | $174.29 – $1,320.38 | 18 |
| Specific gravity body fluid CPT 84315 | $28.32 | $47.20 | $2.76 – $35.40 | 18 |
| Specimen fat stain CPT 89125 | $27.68 | $46.14 | $4.94 – $34.60 | 18 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $491.24 | $818.73 | $98.25 – $614.05 | 15 |
| Speech audiometry complete CPT 92556 | $125.39 | $208.99 | $25.08 – $156.74 | 18 |
| Speech evaluation complex CPT 70371 | $409.96 | $683.27 | $109.60 – $607.02 | 18 |
| Speech recep thresh CPT 92555 | $102.55 | $170.91 | $20.51 – $151.53 | 18 |
| Speech Therapy Session (one-on-one) CPT 92507 | $264.98 | $441.63 | $53.00 – $331.22 | 15 |
| Sperm antibody test CPT 89325 | $74.27 | $123.78 | $10.14 – $92.83 | 18 |
| Sperm isolation complex CPT 89261 | $205.60 | $342.66 | $12.00 – $257.00 | 18 |
| Sperm isolation simple CPT 89260 | $180.60 | $301.00 | $12.00 – $225.75 | 18 |
| Sperm washing 58323 CPT 58323 | $174.22 | $290.37 | $34.84 – $2,975.00 | 18 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $4,349.40 | $7,249.00 | $939.93 – $6,955.62 | 17 |
| Spinal bone allograftstructural 20931 CPT 20931 | $4,517.20 | $7,528.67 | $71.00 – $5,646.50 | 14 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,030.57 | $1,717.62 | $262.86 – $2,975.00 | 17 |
| Spine X-ray (single view, one level) CPT 72020 | $332.48 | $554.13 | $24.39 – $415.60 | 18 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $261.28 | $435.46 | $52.26 – $777.56 | 18 |
| Spirometry up to 2 yrs old CPT 94011 | $143.14 | $238.56 | $28.63 – $386.96 | 18 |
| Spleen imaging CPT 78185 | $1,010.08 | $1,683.46 | $153.36 – $1,262.60 | 18 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $392.09 | $653.49 | $78.42 – $522.79 | 14 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $83.19 | $138.65 | $13.92 – $92.80 | 14 |
| Splint finger 4 prong foam sm HCPCS A4570 | $41.90 | $69.83 | $8.38 – $52.37 | 14 |
| Splint finger fold over sm HCPCS L3924 | $157.15 | $261.92 | $9.39 – $62.62 | 14 |
| Splint finger frog med HCPCS L3927 | $51.30 | $85.50 | $10.26 – $68.40 | 14 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.00 | $55.00 | $6.60 – $44.00 | 14 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $107.85 | $179.75 | $17.64 – $117.59 | 14 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,158.71 | $6,931.18 | $71.00 – $8,887.48 | 18 |
| Split blood or products CPT 86985 | $217.64 | $362.73 | $12.00 – $423.12 | 18 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $2,050.28 | $3,417.14 | $71.00 – $2,562.86 | 14 |
| Sprchoroidal spc njx rx agt CPT 67516 | $4,624.43 | $7,707.39 | $71.00 – $5,780.54 | 18 |
| Sputum specimen collection CPT 89220 | $192.85 | $321.42 | $12.00 – $423.12 | 18 |
| Srs linear based CPT 77372 | $16,723.13 | $27,871.88 | $3,344.63 – $20,903.91 | 18 |
| Staggered spondaic word test CPT 92572 | $263.71 | $439.51 | $52.74 – $386.96 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $401.71 | $669.52 | $80.34 – $502.14 | 15 |
| Staph a dna amp probe CPT 87640 | $116.39 | $193.98 | $12.00 – $145.49 | 18 |
| Static or dynami afo pre ots HCPCS L4397 | $217.65 | $362.75 | $20.31 – $135.41 | 14 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $323.83 | $539.71 | $64.77 – $404.78 | 15 |
| Stem cells total count CPT 86367 | $135.62 | $226.04 | $12.00 – $186.67 | 18 |
| Stenger test pure tone CPT 92565 | $98.41 | $164.01 | $19.68 – $151.53 | 18 |
| Stenger test speech CPT 92577 | $466.61 | $777.68 | $93.32 – $1,327.77 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $33,266.00 | $55,443.34 | $71.00 – $43,439.01 | 15 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $50,985.00 | $84,975.00 | $0.73 – $4.84 | 14 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,120.24 | $10,200.40 | $8.72 – $58.14 | 14 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $35,204.12 | $58,673.54 | $0.00 – $0.01 | 14 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $8,229.86 | $13,716.43 | $57.74 – $384.91 | 14 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $20,825.64 | $34,709.40 | $71.00 – $27,252.71 | 15 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $11,956.10 | $19,926.84 | $71.00 – $14,945.13 | 14 |
| Stent placemt retro carotid CPT 37217 | $2,070.72 | $3,451.20 | $71.00 – $5,388.00 | 14 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $28,036.28 | $46,727.13 | $71.00 – $43,439.01 | 15 |
| St evaluate speech sound production CPT 92522 | $407.75 | $679.58 | $81.55 – $509.69 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $470.53 | $784.21 | $94.11 – $588.16 | 15 |
| Stimulants synthetic CPT 80371 | $95.66 | $159.43 | $11.81 – $119.57 | 13 |
| Stoma absorptive cover HCPCS A5083 | $85.51 | $142.51 | $2.48 – $114.01 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,402.87 | $2,338.11 | $296.71 – $1,753.58 | 18 |
| Storage/year embryo(s) CPT 89342 | $317.54 | $529.24 | $12.00 – $423.12 | 18 |
| Storage/year oocyte(s) CPT 89346 | $641.92 | $1,069.86 | $12.00 – $802.39 | 18 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $254.25 | $423.75 | $10.80 – $390.34 | 18 |
| Strapping of chest CPT 29200 | $196.93 | $328.22 | $15.78 – $390.34 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | $199.99 | $333.31 | $40.00 – $249.98 | 18 |
| Strapping of hand or finger CPT 29280 | $230.72 | $384.53 | $46.14 – $288.40 | 18 |
| Strapping of hip CPT 29520 | $170.08 | $283.46 | $34.02 – $316.45 | 18 |
| Strapping of knee CPT 29530 | $206.78 | $344.63 | $41.36 – $316.45 | 18 |
| Strapping of toes 29550 CPT 29550 | $195.43 | $325.71 | $39.09 – $244.28 | 18 |
| Strep a ag ia CPT 87430 | $84.50 | $140.84 | $12.00 – $105.63 | 18 |
| Strep b dna amp probe CPT 87653 | $174.34 | $290.56 | $12.00 – $217.92 | 18 |
| Stress test pulmonary CPT 94618 | $517.67 | $862.79 | $103.53 – $647.09 | 18 |
| Stress tte complete CPT 93351 | $2,666.40 | $4,444.00 | $451.67 – $3,333.00 | 18 |
| Str markers spec anal addl CPT 81266 | $365.77 | $609.62 | $36.00 – $731.54 | 18 |
| Str markers specimen anal CPT 81265 | $554.90 | $924.83 | $36.00 – $693.62 | 18 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $878.24 | $1,463.74 | $71.00 – $2,975.00 | 18 |
| Subq njx filling matrl 1cc/< CPT 11950 | $538.11 | $896.85 | $38.48 – $672.64 | 18 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $748.14 | $1,246.90 | $62.29 – $1,555.84 | 18 |
| Subsequent repair of nerve CPT 64872 | $4,448.60 | $7,414.33 | $71.00 – $5,560.75 | 14 |
| Subtalar arthro w/deb CPT 29906 | $2,777.50 | $4,629.16 | $71.00 – $8,649.00 | 18 |
| Subtalar arthro w/exc CPT 29905 | $3,543.46 | $5,905.77 | $71.00 – $17,722.46 | 18 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,406.76 | $5,677.93 | $71.00 – $8,649.00 | 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.