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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $3,693.00 | 18 |
| Drainage of mouth lesion CPT 41016 | $6,781.90 | $11,303.16 | $1,804.00 – $14,507.25 | 28 |
| Drainage of mouth lesion CPT 41017 | $2,412.60 | $4,021.00 | $886.62 – $7,975.81 | 28 |
| Drainage of mouth lesion CPT 41018 | $1,304.89 | $2,174.82 | $420.64 – $3,777.93 | 28 |
| Drainage of nose lesion int 30000 CPT 30000 | $901.48 | $1,502.46 | $87.58 – $1,126.85 | 28 |
| Drainage of nose lesion sept 30020 CPT 30020 | $781.44 | $1,302.40 | $180.23 – $1,363.00 | 28 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,668.63 | $4,447.71 | $1,088.27 – $8,018.48 | 26 |
| Drainage of prostate abscess CPT 55720 | $2,260.09 | $3,766.82 | $1,142.90 – $8,636.11 | 26 |
| Drainage of rectal abscess CPT 45005 | $2,299.90 | $3,833.16 | $429.26 – $2,923.34 | 28 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $6,955.62 | 19 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,167.36 | $3,612.26 | $614.08 – $5,045.72 | 28 |
| Drain bladder by trocar/cath CPT 51101 | $1,078.00 | $1,796.66 | $98.83 – $2,590.07 | 28 |
| Drain blood from under nail 11740 CPT 11740 | $190.33 | $317.21 | $53.93 – $316.45 | 28 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,693.50 | $4,489.17 | $486.45 – $4,016.35 | 28 |
| Drain cath image guided visceral pq CPT 49405 | $2,839.24 | $4,732.07 | $804.45 – $4,016.35 | 28 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,192.95 | $1,988.25 | $262.86 – $1,713.14 | 28 |
| Drain finger abscess;simple 26010 CPT 26010 | $522.25 | $870.42 | $74.34 – $652.82 | 28 |
| Drain lower leg lesion 27603 CPT 27603 | $4,588.15 | $7,646.92 | $815.20 – $7,039.11 | 28 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,727.07 | $4,545.12 | $815.20 – $7,039.11 | 28 |
| Drain shoulder lesion CPT 23030 | not published | not published | $815.20 – $7,039.11 | 19 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,606.86 | $6,011.43 | $815.20 – $7,039.11 | 28 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $560.63 | $934.38 | $85.42 – $700.78 | 28 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $473.02 | $788.36 | $44.31 – $591.27 | 28 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $597.49 | $995.82 | $171.51 – $987.79 | 28 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $111.00 – $1,596.25 | 18 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $306.77 | $511.29 | $27.87 – $268.77 | 27 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,911.50 | $3,185.84 | $541.59 – $2,707.96 | 21 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,770.43 | $2,950.71 | $108.29 – $2,213.03 | 28 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,475.83 | $4,126.38 | $486.45 – $4,016.35 | 28 |
| Drng of hydrocele 55000 CPT 55000 | $732.01 | $1,220.02 | $54.26 – $1,742.94 | 28 |
| Drng of mouth lesion 40801 CPT 40801 | $1,746.68 | $2,911.14 | $187.22 – $2,183.36 | 28 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,614.45 | $2,690.75 | $429.26 – $3,693.00 | 26 |
| Drng of salivary cyst 42409 CPT 42409 | $2,635.12 | $4,391.86 | $886.62 – $7,975.81 | 28 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,997.89 | $3,329.81 | $486.45 – $4,016.35 | 28 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,600.76 | $2,667.94 | $453.55 – $6,299.00 | 19 |
| Drng salivary gland simple 42300 CPT 42300 | $3,113.71 | $5,189.52 | $420.64 – $3,892.14 | 28 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $34.85 | $58.08 | $4.94 – $24.68 | 22 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,275.80 | $3,793.00 | $33.62 – $158.23 | 19 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $321.43 | $535.72 | $10.68 – $268.77 | 27 |
| Drug admin & hemodynmic meas CPT 93463 | $1,667.83 | $2,779.72 | $312.00 – $13,331.00 | 20 |
| Drug assay caffeine CPT 80155 | $97.19 | $161.99 | $10.00 – $121.49 | 28 |
| Drug assay posaconazole CPT 80187 | $96.75 | $161.25 | $10.00 – $120.11 | 28 |
| Drug assay rufinamide CPT 80210 | $100.32 | $167.20 | $10.00 – $94.14 | 28 |
| Drug assay vedolizumab CPT 80280 | $365.25 | $608.75 | $10.00 – $92.57 | 28 |
| Drug assay voriconazole CPT 80285 | $96.75 | $161.25 | $10.00 – $120.94 | 28 |
| Drug asy hydroxychloroquine CPT 80220 | $345.00 | $575.00 | $10.00 – $44.74 | 28 |
| Drug of abuse screen urine CPT 80305 | $106.41 | $177.35 | $10.00 – $133.01 | 28 |
| Drug screening tapentadol CPT 80372 | $183.77 | $306.28 | $3.00 – $10.62 | 20 |
| Drug test def 15-21 classes HCPCS G0482 | $203.97 | $339.95 | $10.00 – $476.98 | 28 |
| Drug test def 1-7 classes HCPCS G0480 | $346.50 | $577.50 | $10.00 – $274.63 | 28 |
| Drug test def 22+ classes HCPCS G0483 | $479.60 | $799.33 | $10.00 – $599.50 | 28 |
| Drug test prsmv instrmnt CPT 80306 | $182.16 | $303.60 | $10.00 – $227.70 | 28 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,041.00 | $1,735.00 | $3.00 – $149.14 | 28 |
| Drvvt confirm - quest CPT 85597 | $131.79 | $219.65 | $10.00 – $164.74 | 28 |
| Dry needling (97799) CPT 97799 | $132.19 | $220.32 | $36.65 – $183.26 | 22 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,600.42 | $4,334.04 | $538.55 – $4,783.04 | 28 |
| Ductogram sgl duct CPT 77053 | $295.75 | $492.92 | $54.13 – $607.02 | 28 |
| Duplex scan bilateral study 93985 CPT 93985 | $403.69 | $672.82 | $114.38 – $607.02 | 28 |
| Duplex scan unilateral study 93986 CPT 93986 | $181.18 | $301.96 | $51.33 – $272.35 | 28 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $499.72 | $832.87 | $99.77 – $624.65 | 28 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $865.58 | $1,442.64 | $156.46 – $1,081.98 | 28 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,005.61 | $1,676.01 | $197.14 – $1,257.01 | 28 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,767.23 | $39,612.05 | $7.02 – $268.77 | 27 |
| Dxa bone density axl vrt fx CPT 77085 | $365.14 | $608.57 | $53.46 – $456.43 | 28 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $525.71 – $4,204.56 | 19 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $525.71 – $4,204.56 | 19 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $525.71 – $4,204.56 | 19 |
| Dx gastr intub w/asp spec CPT 43754 | $310.25 | $517.08 | $87.90 – $777.56 | 28 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $558.11 | $930.18 | $158.13 – $790.65 | 21 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $558.11 | $930.18 | $158.13 – $790.65 | 21 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $558.11 | $930.18 | $158.13 – $790.65 | 21 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $111.00 – $1,011.53 | 18 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,867.86 | $3,113.10 | $525.71 – $4,204.56 | 28 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $558.11 | $930.18 | $158.13 – $790.65 | 21 |
| Dynamic fine wire emg CPT 96003 | $374.29 | $623.82 | $106.05 – $777.56 | 22 |
| Dynamic surface emg CPT 96002 | $711.79 | $1,186.32 | $69.69 – $889.74 | 28 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $94.96 – $7,038.00 | 18 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Ear irrigation 69209 CPT 69209 | $215.33 | $358.89 | $56.30 – $269.17 | 28 |
| Ecallantide injection HCPCS J1290 | $29,917.98 | $49,863.30 | $540.47 – $37,397.47 | 28 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $145.26 | $242.10 | $41.16 – $181.57 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $598.24 | $997.07 | $126.97 – $747.80 | 28 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $763.92 | $1,273.20 | $56.30 – $954.90 | 28 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $520.72 | $867.86 | $35.64 – $650.89 | 28 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $520.72 | $867.86 | $35.64 – $650.89 | 28 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,589.56 | $4,315.93 | $416.02 – $3,236.95 | 28 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $838.44 | $1,397.40 | $97.56 – $1,048.05 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $702.59 | $1,170.98 | $68.58 – $995.33 | 21 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $572.29 | $953.82 | $60.85 – $810.75 | 21 |
| Echo exam of fetal heart CPT 76825 | $855.38 | $1,425.64 | $262.29 – $1,366.64 | 28 |
| Echo exam of fetal heart CPT 76826 | $378.00 | $630.00 | $157.04 – $607.02 | 28 |
| Echo exam of fetal heart CPT 76827 | $431.41 | $719.01 | $70.16 – $539.26 | 28 |
| Echo exam of fetal heart CPT 76828 | $318.34 | $530.57 | $48.79 – $397.93 | 28 |
| Echo exam uterus 76831- CPT 76831 | $409.50 | $682.50 | $116.61 – $607.02 | 28 |
| Echograp trans r pros study CPT 76873 | $459.40 | $765.66 | $99.77 – $574.25 | 28 |
| Echo guidance radiotherapy CPT 76965 | $627.20 | $1,045.34 | $50.46 – $888.54 | 21 |
| Echo guide cardiocentesis CPT 76930 | $364.99 | $608.31 | $103.41 – $517.06 | 21 |
| Echo guide for amniocentesis CPT 76946 | $304.49 | $507.49 | $26.66 – $431.37 | 21 |
| Echo guide for artery repair CPT 76936 | $687.35 | $1,145.58 | $206.06 – $859.18 | 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.