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 |
|---|---|---|---|---|
| CT limited or localized follow-up study CPT 76380 | $742.44 | $1,237.40 | $83.05 – $1,841.00 | 28 |
| Ctlso a-p-l control molded HCPCS L0700 | $3,381.32 | $5,635.54 | $958.04 – $4,790.21 | 21 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,069.09 | $3,448.48 | $167.39 – $2,586.36 | 28 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $450.77 | $751.29 | $87.58 – $605.10 | 28 |
| CT scan for localization CPT 77011 | $798.35 | $1,330.59 | $226.20 – $1,841.00 | 21 |
| CT scan for therapy guide CPT 77014 | $656.13 | $1,093.55 | $154.24 – $1,841.00 | 21 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,172.12 | $6,953.54 | $332.94 – $5,215.15 | 28 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,890.61 | $6,484.35 | $312.08 – $4,863.26 | 28 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,538.08 | $5,896.80 | $188.11 – $4,422.60 | 28 |
| CT t-spine w /wo contrast CPT 72130 | $3,303.95 | $5,506.58 | $167.39 – $4,129.94 | 28 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,845.36 | $3,075.60 | $167.39 – $2,306.70 | 28 |
| Cult skin graft fnhfg 15155 CPT 15155 | $3,528.11 | $5,880.19 | $1,457.62 – $8,887.48 | 28 |
| Culture aerobic additional method definitive id each CPT 87077 | $88.15 | $146.91 | $6.79 – $90.53 | 28 |
| Culture afb any source CPT 87116 | $155.04 | $258.40 | $9.07 – $193.80 | 28 |
| Culture anaerobic additional method definitive id each CPT 87076 | $136.81 | $228.01 | $6.79 – $130.61 | 28 |
| Culture anaerobic except blood CPT 87075 | $208.06 | $346.77 | $7.95 – $56.66 | 28 |
| Culture bact stool aero addl path ea CPT 87046 | $70.01 | $116.69 | $7.93 – $87.52 | 28 |
| Culture body fluid CPT 87070 | $171.29 | $285.48 | $7.24 – $43.83 | 28 |
| Culture fungi definitive id mold CPT 87107 | $100.46 | $167.43 | $8.67 – $86.14 | 28 |
| Culture fungi definitive id yeast CPT 87106 | $103.40 | $172.34 | $8.67 – $95.86 | 28 |
| Culture fungi other (except blood) CPT 87102 | $163.16 | $271.93 | $7.06 – $203.95 | 28 |
| Culture fungi skin/hair/nail CPT 87101 | $100.96 | $168.27 | $6.48 – $126.20 | 28 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $103.70 | $172.83 | $10.00 – $129.62 | 28 |
| Culture mycoplasma any source CPT 87109 | $121.34 | $202.24 | $10.00 – $151.68 | 28 |
| Culture quantitative aerobic other source CPT 87071 | $134.31 | $223.85 | $8.31 – $167.89 | 28 |
| Culture screening strep group a CPT 87081 | $107.77 | $179.61 | $5.57 – $87.66 | 28 |
| Culture typing glc/hplc CPT 87143 | $82.73 | $137.88 | $10.00 – $103.41 | 28 |
| Culture typing immunologic CPT 87147 | $86.63 | $144.38 | $4.35 – $65.23 | 28 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $146.48 | $244.13 | $10.00 – $523.34 | 28 |
| Culture urine each isolate CPT 87088 | $85.65 | $142.75 | $6.80 – $107.06 | 28 |
| Culture virus isolation CPT 87250 | $205.97 | $343.29 | $10.00 – $257.47 | 28 |
| Cutter lead HCPCS C1773 | $3,568.95 | $5,948.25 | $274.20 – $1,371.02 | 21 |
| Cv line/pic reposition CPT 36597 | $1,521.69 | $2,536.15 | $446.27 – $3,967.42 | 28 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.16 | $41.94 | $0.73 – $35.24 | 22 |
| Cyclic citrullinated peptide antibody CPT 86200 | $104.07 | $173.45 | $9.90 – $31.08 | 28 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,348.50 | $2,247.50 | $0.73 – $983.14 | 28 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.49 | $32.49 | $1.81 – $9.23 | 22 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $140.78 | $234.63 | $39.89 – $199.44 | 22 |
| Cyclosporine 2 hour CPT 80158 | $195.70 | $326.16 | $10.00 – $244.62 | 28 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.34 | $8.90 | $0.26 – $1.31 | 22 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,002.60 | $1,671.00 | $1.49 – $7.47 | 22 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $376.44 | $627.40 | $15.96 – $302.80 | 27 |
| Cygnus, per sq cm HCPCS Q4170 | $356.54 | $594.24 | $50.38 – $268.77 | 27 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $36,554.21 | $60,923.68 | $0.00 – $0.01 | 19 |
| Cyp2c19 gene com variants CPT 81225 | $1,052.85 | $1,754.75 | $24.49 – $699.26 | 28 |
| Cyp2c9 gene com variants CPT 81227 | $134.22 | $223.70 | $22.16 – $419.54 | 28 |
| Cyp2d6 gene com variants CPT 81226 | $683.87 | $1,139.79 | $35.00 – $1,082.18 | 28 |
| Cyp3a4 gene common variants CPT 81230 | $134.22 | $223.70 | $10.71 – $419.54 | 28 |
| Cyp3a5 gene common variants CPT 81231 | $134.22 | $223.70 | $10.71 – $419.54 | 28 |
| Cystatin c CPT 82610 | $93.16 | $155.26 | $10.00 – $44.45 | 28 |
| Cystic fibrosis cftr CPT 81223 | $2,245.28 | $3,742.14 | $35.00 – $1,197.60 | 28 |
| Cystine urine quantitative CPT 82131 | $385.97 | $643.29 | $10.00 – $224.73 | 28 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $326.08 | $543.46 | $41.44 – $952.69 | 28 |
| Cysto impl 4 or more HCPCS C9740 | $6,571.50 | $10,952.50 | $3,942.90 – $22,821.27 | 28 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,302.00 – $22,821.27 | 18 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,580.50 – $7,038.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,302.00 – $22,821.27 | 18 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,302.00 – $12,818.21 | 17 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $652.80 – $5,045.72 | 19 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $652.80 – $6,093.00 | 19 |
| Cystoscopy and treatment CPT 52310 | $2,659.14 | $4,431.90 | $652.80 – $5,045.72 | 28 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $652.80 – $5,045.72 | 19 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,671.23 | $2,785.38 | $238.15 – $2,089.03 | 28 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $652.80 – $7,373.00 | 18 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $5,741.40 | $9,569.00 | $2,780.78 – $12,818.21 | 28 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $652.80 – $5,045.72 | 19 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $652.80 – $5,045.72 | 19 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,747.01 | $7,911.69 | $652.80 – $5,933.77 | 28 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Cysto/uretero w/lithotripsy CPT 52356 | $4,748.22 | $7,913.70 | $1,689.43 – $12,818.21 | 28 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,398.11 | $5,663.52 | $652.80 – $5,045.72 | 28 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $652.80 – $5,045.72 | 19 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $132.06 | $220.10 | $0.88 – $74.86 | 22 |
| Cytogenetics 25-99 CPT 88274 | $246.56 | $410.94 | $35.00 – $308.20 | 28 |
| Cytogenetics 3-5 CPT 88272 | $170.27 | $283.78 | $34.19 – $212.84 | 28 |
| Cytogenomic neo microra alys CPT 81277 | $3,975.00 | $6,625.00 | $35.00 – $2,878.12 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $142.50 | $237.50 | $2.25 – $34.54 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $132.75 | $221.25 | $8.70 – $40.44 | 28 |
| Cytomegalovirus dfa CPT 87271 | $165.40 | $275.67 | $10.00 – $206.75 | 28 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,670.12 | $4,450.20 | $756.53 – $3,888.51 | 28 |
| Cytomeg dna dir probe CPT 87495 | $256.92 | $428.20 | $10.00 – $321.15 | 28 |
| Cyto/molecular report CPT 88291 | $1,178.85 | $1,964.75 | $17.65 – $88.26 | 21 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $640.93 | $1,068.22 | $35.00 – $248.85 | 28 |
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.