Supplies, drugs & other prices at Baylor Scott & White Medical Center - Hillcrest

Waco, TX · every code in this section with a posted price and a Medicare benchmark.

191 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $1,724.39 $2,873.98 1.0×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) $10,915.75 $18,192.92 1.0×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $3,604.51 $6,007.52 0.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $2,157.02 $3,595.04 1.1×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $7,414.38 $12,357.30 0.8×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,157.02 $3,595.04 1.1×
Adm of soc dtr assess 5-15 m (G0136) $32.81 $54.68 0.9×
Adm tocilizu covid-19 1st (M0249) $540 $900 1.2×
Adm tocilizu covid-19 2nd (M0250) $540 $900 1.2×
Admin hepatitis b vaccine (G0010) $45.91 $76.51 1.0×
Admin influenza virus vac (G0008) $15 $25 0.3×
Admin pneumococcal vaccine (G0009) $45.91 $76.51 1.0×
Alcohol/subs interv 15-30mn (G0396) $138.95 $231.59 3.7×
Alcohol/subs interv >30 min (G0397) $128.30 $213.83 0.7×
Annual alcohol screen 15 min (G0442) $33.29 $55.49 0.9×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $45.64 $76.06 1.2×
Behavior counsel obesity 15m (G0447) $125.04 $208.40 1.2×
Blind interatrial shunt ide (C9758) $14,874 $24,790 0.9×
Brief alcohol misuse counsel (G0443) $82.82 $138.03 0.8×
Ca screen;flexi sigmoidscope (G0104) $1,122.92 $1,871.54 1.2×
Ca screen;pelvic/breast exam (G0101) $130.58 $217.64 1.3×
Catheterize for urine spec (P9612) $38.09 $63.48 4.1×
Chemo extend iv infus w/pump (G0498) $851.01 $1,418.35 2.6×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $5,134.60 $8,557.66 2.1×
Colorectal scrn; hi risk ind (G0105) $2,265.62 $3,776.04 2.4×
Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) $5,779.28 $9,632.14 0.9×
Covid-19 lab test non-cdc (U0002) $54 $90 1.1×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $756.71 $1,261.18 0.2×
Cysto impl 4 or more (C9740) $6,900.08 $11,500.13 0.7×
Cystoscopy prostatic imp 1-3 (C9739) $5,741.40 $9,569 1.1×
Demonstrate use home inr mon (G0248) $319.25 $532.09 2.4×
Depression screen annual (G0444) $40.96 $68.27 1.1×
Dermal filler injection(s) (G0429) $56.99 $94.98 0.0×
Devlopment test interpt&rep (G0451) $103.82 $173.04 1.0×
Diab manage trn per indiv (G0108) $104.33 $173.89 1.9×
Diab manage trn ind/group (G0109) $63.45 $105.75 4.0×
Direct refer hospital observ (G0379) $549.99 $916.65 0.9×
Drug test def 1-7 classes (G0480) $141.09 $235.15 1.2×
Drug test def 15-21 classes (G0482) $402.75 $671.25 2.0×
Drug test def 22+ classes (G0483) $575.61 $959.35 2.3×
Drug test def 8-14 classes (G0481) $298.34 $497.24 1.9×
Ed svc ckd grp per session (G0421) $64.25 $107.09 2.3×
Ed svc ckd ind per session (G0420) $94.43 $157.39 0.8×
Ekg tracing for initial prev (G0404) $71.10 $118.50 2.4×
Elec stim other than wound (G0283) $116.87 $194.78 9.2×
Elec stim unattend for press (G0281) $122.93 $204.89 10.5×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $31,776.94 $52,961.56 0.7×
Ephys eval ccm-d ld 1st impl (0930T) $1,391.76 $2,319.60 1.1×
Ephys eval ccm-d ld separate (0931T) $1,391.76 $2,319.60 1.1×
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) $5,749.64 $9,582.74 0.9×
Extracorporeal shock wave muscskel sys nos (0101T) $3,730.12 $6,216.87 15.1×
Extrnl counterpulse, per tx (G0166) $297.63 $496.05 2.2×
Eye mvmt alys w/o calbrj i&r (0615T) $130.84 $218.06 1.0×
Fecal blood scrn immunoassay (G0328) $62.60 $104.33 3.5×
Fecal microbiota prep instil (G0455) $203.86 $339.77 0.2×
Fern test (Q0114) $45.30 $75.50 4.7×
Flt3 gene itd variants quan (0046U) $3,382.50 $5,637.50 8.3×
Followup eval of foot pt lop (G0246) $160.23 $267.05 1.2×
Fractional abl lsr fenestration first 100 sqcm (0479T) $3,142.21 $5,237.01 4.2×
Glaucoma scrn hgh risk direc (G0118) $76.08 $126.80 2.0×
Glaucoma scrn hgh risk direc (G0117) $116.17 $193.61 4.0×
Group behave couns 2-10 (G0473) $99.02 $165.04 2.6×
Group mnt 2 or more 30 mins (G0271) $54.10 $90.17 3.2×
Hbot, full body chamber, 30m (G0277) $764.76 $1,274.60 5.5×
High inten beh couns std 30m (G0445) $75.16 $125.26 0.7×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $15,000.60 $25,001 0.9×
Home sleep test/type 2 porta (G0398) $503.13 $838.55 2.3×
Home sleep test/type 3 porta (G0399) $559.04 $931.74 2.6×
Hopd mntl hlt, 15-29 min (C7900) $106.17 $176.95 2.8×
Hopd mntl hlt, 30-60 min (C7901) $212.33 $353.89 2.1×
Hospital outpt clinic visit (G0463) $195 $325 1.5×
Init/sub psych care m 1st 30 (G2214) $94.34 $157.23 0.9×
Initial foot exam pt lops (G0245) $94.76 $157.94 0.7×
Initial preventive exam (G0402) $196.72 $327.87 1.5×
Inj for sacroiliac jt anesth (G0260) $1,334.29 $2,223.82 1.9×
Injection posterior chamber eye medication (0699T) $2,545.03 $4,241.72 1.1×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $3,470.74 $5,784.56 1.1×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $901.34 $1,502.24 1.0×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $5,709.53 $9,515.88 1.1×
Insertion of sinus tarsi implant (0335T)
unusually low: confirm this is the full procedure
$3,608.81 $6,014.68 0.5×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $9,535.98 $15,893.30 0.9×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $9,535.98 $15,893.30 0.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $26,949.80 $44,916.34 1.2×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $36,756.42 $61,260.70 1.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $23,233.57 $38,722.62 0.7×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $14,619.83 $24,366.38 1.8×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $16,196.92 $26,994.87 1.9×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $19,669.95 $32,783.25 0.9×
Instlj fecal microbiota ssp (0780T) $147.78 $246.30 1.1×
Intens behave ther cardio dx (G0446) $38.70 $64.50 1.0×
Interro Device Evaluation Cardiac Modulj System (0418T) $178.48 $297.47 4.8×
Interrog dev eval impl ccm-d system in person (0927T) $42.76 $71.26 1.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $481.34 $802.23 3.9×
Liver dis 10 assays w/nash (0003M) $754.50 $1,257.50 1.5×
Mnt subs tx for change dx (G0270) $58.82 $98.03 1.9×
Mra w/cont, lwr ext (C8912) $2,007.60 $3,346 5.7×
Mra w/o cont, lwr ext (C8913) $1,754.28 $2,923.80 7.3×
Mra w/o fol w/cont, lwr ext (C8914) $2,400.21 $4,000.35 6.8×
Mra, w/dye, spinal canal (C8931) $1,033.39 $1,722.32 2.9×
Mra, w/o dye, spinal canal (C8932) $1,033.39 $1,722.32 4.3×
Mra, w/o&w/dye, spinal canal (C8933) $1,590.76 $2,651.26 4.5×
Mri w/cont, breast, bi (C8906) $2,119.87 $3,533.12 6.0×
Mri w/cont, breast, uni (C8903) $1,567.09 $2,611.82 8.9×
Mri w/o fol w/cont, breast, (C8908) $2,056.96 $3,428.27 5.9×
Mri w/o fol w/cont, brst, un (C8905) $1,567.09 $2,611.82 4.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $187.38 $312.30 0.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $267.98 $446.63 0.6×
Obtaining screen pap smear (Q0091) $17.09 $28.48 0.6×
Onc Merkel Cll Carc Srm Quan (0058U) $512.07 $853.45 1.6×
Oth resp proc, group (G0239) $144.68 $241.13 3.9×
Oth resp proc, indiv (G0238) $124.57 $207.61 4.3×
Pathogen test for platelets (P9100) $56.35 $93.92 1.0×
Pattern erg w/i&r (0509T) $574.20 $957 2.6×
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure
$2,429.10 $4,048.50 0.3×
Pemivibart infusion (M0224) $520.56 $867.60 1.2×
Perc d-e cor revasc chro sin (C9607) $22,885.16 $38,141.93 1.2×
Perc d-e cor revasc t cabg s (C9604) $22,624.54 $37,707.57 2.0×
Perc d-e cor stent ather s (C9602) $25,491.77 $42,486.29 1.4×
Perc drug-el cor stent sing (C9600) $21,902.41 $36,504.01 1.9×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $7,173.10 $11,955.17 1.0×
Perq Sacral Augmt Bilat Inj (0201T) $5,360.41 $8,934.02 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $4,685.68 $7,809.46 0.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $6,536.40 $10,894 0.6×
Pinworm examinations (Q0113) $5.70 $9.50 1.3×
Place device/marker, non pro (C9728) $2,039.82 $3,399.70 1.5×
Place endorectal app (C9725) $1,438.99 $2,398.32 1.5×
Post op service lvrs min 6 (G0305) $275.79 $459.65 0.7×
Potassium hydroxide preps (Q0112) $50.27 $83.78 8.6×
Pre-op service lvrs complete (G0302) $360.43 $600.71 1.0×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $41.52 $69.20 1.1×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $161.06 $268.44 4.3×
Programming device eval impl ccm-d sys in person (0926T) $42.76 $71.26 1.1×
Prostate biopsy, any mthd (G0416) $444.48 $740.80 1.2×
Provide inr test mater/equip (G0249) $151.14 $251.90 1.1×
Psa screening (G0103) $124.07 $206.79 6.4×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $777 $1,295 0.8×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,140.60 $1,901 1.2×
Quan us tiss charac i&r w/o dx us same anat (0689T) $99.13 $165.22 1.1×
Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) $14.66 $24.44 0.4×
Rbc DNA gnotyp 10 bld groups (0084U) $403.50 $672.50 0.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $570.96 $951.60 0.8×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $357 $595 1.6×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) $4,569.58 $7,615.96 0.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $3,960.09 $6,600.15 1.9×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $42.76 $71.26 1.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $26,949.80 $44,916.34 2.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure
$3,845.02 $6,408.36 0.4×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $5,015.75 $8,359.59 1.3×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $6,189.49 $10,315.82 1.6×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,517.86 $5,863.10 0.9×
Remove drug implant (G0517) $397.79 $662.99 0.9×
Repos Cardiac Modulj Transvenous Electrode (0415T) $5,032 $8,386.66 8.0×
Revasc intra lithotrip-ather (C9766) $25,282.33 $42,137.22 1.4×
Revasc intra lithotrip-stent (C9765) $20,147.07 $33,578.45 1.1×
Revasc intravasc lithotripsy (C9764) $13,011.48 $21,685.80 1.1×
Revasc lith-sten-ath tib/per (C9775) $18,789.86 $31,316.44 1.0×
Revasc lithotr-ather tib/per (C9774) $18,789.86 $31,316.44 1.0×
Revasc lithotr-stent tib/per (C9773) $19,729.36 $32,882.26 1.1×
Revasc lithotrip tibi/perone (C9772) $12,951.19 $21,585.32 1.1×
Revasc lithotrip-stent-ather (C9767) $36,083.08 $60,138.47 2.0×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
unusually low: confirm this is the full procedure
$8,213.26 $13,688.77 0.4×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $26,949.80 $44,916.34 1.2×
Routine footcare pt w lops (G0247) $166.70 $277.84 0.8×
Screen cerv/vag thin layer (G0123) $86.56 $144.26 4.3×
Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) $5,779.28 $9,632.14 0.9×
Speech audiometry threshold, automated; with speech recognition (0211T) $57.61 $96.02 1.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $30,934.42 $51,557.37 1.6×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $21,863.78 $36,439.64 1.1×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $21,452.34 $35,753.90 1.1×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $3,608.40 $6,014 1.1×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $21,452.34 $35,753.90 1.1×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,201.99 $10,336.65 1.1×
Therapeutic procd strg endur (G0237) $124.53 $207.55 4.3×
Therapeutic ultrafiltration (0692T) $4,048.98 $6,748.30 2.6×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $650.76 $1,084.60 1.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,377.80 $13,963 1.5×
Transcatheter renal sympath denervation unilat (0338T) $6,292.69 $10,487.82 1.1×
Transperineal focal laser abltj mal prst8 tiss (0655T) $3,724.85 $6,208.08 0.7×
Trauma respons w/hosp criti (G0390) $4,728.65 $7,881.09 3.5×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,520 $4,200 0.7×
Trim nail(s) (G0127) $95.01 $158.35 1.6×
Trluml Perip Athrc Renal Art (0234T) $8,304.86 $13,841.44 0.7×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,894.02 $18,156.70 0.9×
Trluml peripheral atherectomy iliac artery ea (0238T) $15,504.43 $25,840.71 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,393.28 $2,322.13 1.8×
Unsched dialysis esrd pt hos (G0257) $1,748.01 $2,913.35 2.5×
Vasc emb/occ w/prs cath (C9797) $16,008.89 $26,681.49 0.9×
Visit esketamine 56m or less (G2082) $780.60 $1,301 0.8×
Visit esketamine, > 56m (G2083) $1,109.94 $1,849.90 0.7×
Visit to determ ldct elig (G0296) $97.22 $162.03 1.0×
Wet mounts/ w preparations (Q0111) $56.84 $94.73 3.1×