Drainage of a mouth lesion at Baylor Scott & White Medical Center - Buda

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRAIN MOUTH LESION - SUBLINGUAL/SUPERFICIAL

Buda, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $349 is 5% above the median hospital's median price ($332), higher than 52% of the 1,581 hospitals reporting CPT 41005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 41005 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
2	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
3	Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
4	Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
5	Superior Healthplan medicaid facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
6	UnitedHealthcare medicaid/chip facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
7	Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
8	Humana medicare facility · fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
9	Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
10	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
11	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$266	$266	—	—	—	$266 – $266
12	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276
13	Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
14	Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient	$299	$299	—	—	—	$299 – $299
15	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
16	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
17	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
18	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
19	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$374	$374	—	—	—	$374 – $374
20	Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient	$393	$393	—	—	—	$393 – $393
21	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$402	$402	—	—	—	$402 – $402
22	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$418	$418	—	—	—	$418 – $418
24	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$425	$425	—	—	—	$425 – $425
25	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$531	$531	—	—	—	$531 – $531

Page 1 of 2 · 30 rates

Last updated: Jun 13, 2026

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