HC Shell Q4101, Apligraf per Sq Cm at Baylor Scott & White Medical Center - Buda

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 $131 is 9% above the median hospital's median price ($120), higher than 59% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
2	Humana medicare facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
3	Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
4	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
5	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
6	Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
7	Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
8	Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges	$30	$190	$339	179%	—	$20 – $947
9	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$32	$203	$363	179%	—	$22 – $1.0k
10	Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
11	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	$111	$713	$1.3k	179%	—	$76 – $3.6k
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	$112	$722	$1.3k	179%	—	$77 – $3.6k
13	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$114	$729	$1.3k	179%	—	$78 – $3.6k
14	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$114	$729	$1.3k	179%	—	$78 – $3.6k
15	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$115	$735	$1.3k	179%	—	$79 – $3.7k
16	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$122	$781	$1.4k	179%	—	$84 – $3.9k
17	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	$131	$839	$1.5k	179%	—	$90 – $4.2k
18	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$131	$839	$1.5k	179%	—	$90 – $4.2k
19	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	$132	$849	$1.5k	179%	—	$91 – $4.2k
20	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$134	$858	$1.5k	179%	—	$92 – $4.3k
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$136	$871	$1.6k	179%	—	$93 – $4.3k
22	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$138	$887	$1.6k	179%	—	$95 – $4.4k
23	Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges	$160	$1.0k	$1.8k	179%	—	$110 – $5.1k
24	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$160	$1.0k	$1.8k	179%	—	$110 – $5.1k
25	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$173	$1.1k	$2.0k	179%	—	$119 – $5.5k

Page 1 of 2 · 27 rates

Last updated: Jun 13, 2026

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