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.
Original text from hospital filings
HC EXOS FORM II 637, S/M
Buda, TX
See all hospitals reporting HCPCS L0650 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $492 is 47% below the median hospital's median price ($923), higher than 11% of the 1,097 hospitals reporting HCPCS L0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | $2 | 3% | — | $87 – $93 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | $3 | 3% | — | $93 – $99 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · inpatientfrom % of charges | $244 | $245 | $7 | 3% | — | $239 – $255 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $333 | $335 | $9 | 3% | — | $326 – $347 |
| 5 | 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 | $336 | $338 | $9 | 3% | — | $330 – $351 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $391 | $394 | $11 | 3% | — | $384 – $409 |
| 7 | 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 | $396 | $398 | $11 | 3% | — | $388 – $413 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $406 | $409 | $11 | 3% | — | $398 – $424 |
| 9 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $428 | $431 | $12 | 3% | — | $420 – $447 |
| 10 | Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges | $428 | $431 | $12 | 3% | — | $420 – $447 |
| 11 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $428 | $431 | $12 | 3% | — | $420 – $447 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $436 | $438 | $12 | 3% | — | $427 – $455 |
| 13 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $480 | $483 | $13 | 3% | — | $470 – $501 |
| 14 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $480 | $483 | $13 | 3% | — | $470 – $501 |
| 15 | Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $502 | $505 | $14 | 3% | — | $492 – $524 |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $502 | $505 | $14 | 3% | — | $492 – $524 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $510 | $513 | $14 | 3% | — | $500 – $533 |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · inpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · inpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · inpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $517 | $520 | $14 | 3% | — | $507 – $540 |
Last updated: Jun 13, 2026
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