BAYLOR UNIVERSITY MEDICAL CENTER
3500 Gaston Ave., Dallas, TX · Baylor Scott & White Health · · NPI 1447250253
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 |
|---|---|---|---|---|
| Cold agglutinin titer CPT 86157 | $83.66 | $139.44 | $6.77 – $104.58 | 28 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Colistimethate sodium inj HCPCS J0770 | $103.76 | $172.94 | $15.69 – $147.00 | 22 |
| Collagen based wound filler HCPCS A6010 | $1,096.43 | $1,827.38 | $56.13 – $1,130.78 | 21 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $236.29 | $393.82 | $32.75 – $295.37 | 28 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $482.43 | $804.05 | $22.91 – $107.81 | 20 |
| Collar cerv ascend 172 reg HCPCS L0172 | $286.37 | $477.28 | $21.39 – $100.67 | 20 |
| Collar extrication adult univ HCPCS L0200 | $907.63 | $1,512.72 | $147.73 – $695.20 | 20 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $202.31 | $337.19 | $10.00 – $316.45 | 28 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $192.03 | $320.05 | $10.00 – $316.45 | 28 |
| Collj & interpj data ea 30 d CPT 99091 | $174.20 | $290.34 | $49.36 – $6,299.00 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $328.50 – $4,063.00 | 19 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $429.26 – $3,693.00 | 19 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $429.26 – $3,693.00 | 19 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $429.26 – $3,693.00 | 19 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $328.50 – $3,693.00 | 19 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $429.26 – $6,703.00 | 18 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $429.26 – $6,703.00 | 18 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $429.26 – $6,703.00 | 18 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,801.85 – $14,118.49 | 18 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $429.26 – $3,693.00 | 19 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $429.26 – $4,063.00 | 19 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $939.93 – $6,955.62 | 18 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $1,526.99 – $12,321.66 | 18 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,660.92 – $7,038.00 | 3 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $7,038.00 – $18,719.48 | 18 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,038.00 – $18,719.48 | 18 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,907.93 | $6,513.21 | $1,063.52 – $7,744.80 | 28 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $76.14 – $3,693.00 | 18 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $185.22 – $7,744.80 | 18 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $139.80 | $233.00 | $56.75 – $493.64 | 28 |
| Colposcopy vulva 56820 CPT 56820 | $90.00 | $150.00 | $54.00 – $493.64 | 28 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $72.54 – $3,693.00 | 18 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $70.04 – $3,693.00 | 18 |
| Colpotomy w/exploration 57000 CPT 57000 | $2,788.64 | $4,647.74 | $1,063.52 – $7,744.80 | 28 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $182.86 | $304.77 | $10.00 – $423.12 | 28 |
| Compatibility test each unit electronic CPT 86923 | $188.22 | $313.70 | $10.00 – $423.12 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $169.52 | $282.54 | $10.00 – $423.12 | 28 |
| Complement antigen each component c3 CPT 86160 | $542.33 | $903.88 | $8.42 – $28.80 | 28 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,063.52 – $8,921.00 | 19 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,109.03 | $1,848.38 | $216.80 – $1,555.84 | 28 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,612.19 | $2,686.99 | $216.80 – $1,596.25 | 28 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,278.25 | $2,130.41 | $216.80 – $1,597.81 | 28 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,622.55 | $2,704.25 | $216.80 – $2,028.19 | 28 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $680.92 | $1,134.86 | $192.93 – $964.63 | 20 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,065.98 | $1,776.63 | $143.08 – $1,332.47 | 28 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,528.04 | $2,546.74 | $216.80 – $1,910.06 | 28 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $896.48 | $1,494.14 | $254.00 – $1,270.02 | 20 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $592.69 | $987.81 | $167.93 – $839.64 | 21 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,427.85 | $2,379.75 | $216.80 – $1,784.81 | 28 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,267.55 | $2,112.59 | $216.30 – $1,081.50 | 21 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $709.01 – $4,517.58 | 19 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $7,050.71 | $11,751.19 | $332.94 – $8,813.39 | 27 |
| Concentration infection agents any type CPT 87015 | $51.32 | $85.54 | $5.61 – $22.05 | 28 |
| Condylomata destruction 56420 CPT 56420 | $509.81 | $849.69 | $70.52 – $637.27 | 28 |
| Conivaptan hcl HCPCS C9488 | $1,611.54 | $2,685.90 | $122.82 – $2,283.01 | 22 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Conization of cervix CPT 57520 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $993.74 | $1,656.23 | $281.56 – $1,242.17 | 28 |
| Connect omega .5mm HCPCS L8613 | $1,447.28 | $2,412.14 | $113.08 – $587.69 | 20 |
| Connector tis 2x10mm HCPCS C9352 | $3,862.15 | $6,436.92 | $454.47 – $2,138.70 | 19 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $886.62 – $7,975.81 | 19 |
| Consultation pathology during surgery CPT 88329 | $134.66 | $224.43 | $35.00 – $168.32 | 28 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $461.95 | $769.91 | $35.00 – $2,130.15 | 28 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $154.18 | $256.96 | $35.00 – $218.42 | 21 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $297.87 | $496.45 | $35.00 – $423.12 | 28 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $275.42 | $459.04 | $35.00 – $344.28 | 28 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $171.65 | $286.09 | $10.00 – $214.57 | 28 |
| Consultation with family CPT 90887 | $135.79 | $226.31 | $38.47 – $192.36 | 21 |
| Consult comp w/report rfrd material CPT 88325 | $425.93 | $709.88 | $35.00 – $532.41 | 28 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Contour of face bone lesion CPT 21029 | not published | not published | $886.62 – $7,975.81 | 19 |
| Contrast baths charges CPT 97034 | $87.17 | $145.28 | $24.70 – $134.00 | 22 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,389.09 | $5,648.49 | $126.64 – $7,896.23 | 28 |
| Contrast exam thoracic aorta CPT 75600 | $3,570.00 | $5,950.00 | $182.78 – $7,896.23 | 28 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,167.26 | $5,278.77 | $120.95 – $13,613.39 | 28 |
| Contrast x-ray gallbladder CPT 74290 | $186.25 | $310.41 | $85.20 – $455.16 | 28 |
| Contrast x-ray of ankle CPT 73615 | $495.58 | $825.96 | $128.31 – $952.69 | 28 |
| Contrast x-ray of brain CPT 70015 | $1,336.32 | $2,227.20 | $166.40 – $1,983.49 | 28 |
| Contrast x-ray of elbow CPT 73085 | $495.60 | $826.00 | $100.24 – $952.69 | 28 |
| Contrast x-ray of hip CPT 73525 | $520.38 | $867.30 | $129.31 – $952.69 | 28 |
| Contrast x-ray of knee joint CPT 73580 | $495.60 | $826.00 | $110.94 – $952.69 | 28 |
| Contrast x-ray of wrist CPT 73115 | $495.58 | $825.96 | $135.33 – $952.69 | 28 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $16,559.40 | $27,599.00 | $264.93 – $1,246.72 | 20 |
| Controller infinity pt dbs HCPCS C1787 | $35,689.50 | $59,482.50 | $0.00 – $0.01 | 21 |
| Control nosebleed pack+caut 30905 CPT 30905 | $460.17 | $766.95 | $46.68 – $575.21 | 28 |
| Control of nosebleed ant comp 30903 CPT 30903 | $410.06 | $683.43 | $46.68 – $512.57 | 28 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $461.69 | $769.49 | $111.00 – $577.12 | 28 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $682.33 | $1,137.21 | $187.22 – $1,363.00 | 28 |
| Control throat bleeding CPT 42961 | not published | not published | $729.66 – $7,038.00 | 3 |
| Contrst x-ray uppr gi tract CPT 74249 | $762.93 | $1,271.55 | $216.16 – $1,080.82 | 21 |
| Conversion ext bil drg cath CPT 47535 | $4,896.87 | $8,161.45 | $1,151.54 – $8,570.48 | 28 |
| Convert nephrostomy catheter CPT 50434 | $4,267.48 | $7,112.47 | $652.80 – $6,093.00 | 20 |
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.