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 |
|---|---|---|---|---|
| Factor viii recombinant nos HCPCS J7192 | $23.64 | $39.40 | $1.49 – $27.61 | 28 |
| Factor viii recomb novoeight HCPCS J7182 | $24.58 | $40.96 | $1.34 – $30.72 | 28 |
| Family therapy with patient 50 min 90847 CPT 90847 | $181.20 | $302.00 | $51.34 – $394.97 | 28 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $20.16 | $33.60 | $0.01 – $2.27 | 22 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $5,085.07 | $8,475.11 | $29.70 – $6,356.33 | 28 |
| Fancc gene CPT 81242 | $378.11 | $630.18 | $30.76 – $377.03 | 28 |
| Fat/lipids feces qualitative CPT 82705 | $62.05 | $103.42 | $4.28 – $77.56 | 28 |
| Fatty acids nonesterified CPT 82725 | $208.04 | $346.73 | $10.00 – $59.23 | 28 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,461.90 | $2,436.50 | $165.75 – $907.11 | 21 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $3,252.85 | $5,421.41 | $57.97 – $4,066.06 | 28 |
| Fecal microbiota prep instil HCPCS G0455 | $897.47 | $1,495.78 | $254.28 – $2,264.11 | 28 |
| #fecal-sodium CPT 84302 | $42.21 | $70.35 | $4.08 – $16.00 | 28 |
| Feeding tube reposition CPT 74355 | $235.70 | $392.84 | $66.78 – $333.91 | 21 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $433.44 | $722.40 | $10.00 – $541.80 | 28 |
| Femoral endovas graft add-on 34813 CPT 34813 | $215.50 | $359.16 | $61.06 – $6,299.00 | 19 |
| Fem/popl revasc w/stent CPT 37226 | $25,228.15 | $42,046.91 | $6,299.00 – $35,739.87 | 22 |
| Feno poc CPT 95012 | $153.50 | $255.84 | $35.64 – $191.88 | 28 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $143.68 | $239.46 | $1.28 – $12.95 | 22 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,590.25 | $4,317.09 | $1.04 – $3,237.82 | 28 |
| Ferritin CPT 82728 | $149.69 | $249.48 | $10.00 – $65.62 | 28 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,102.74 | $3,504.57 | $0.22 – $2,628.43 | 28 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $541.74 | $902.90 | $99.77 – $677.17 | 28 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,231.20 | $2,052.00 | $35.00 – $1,821.72 | 28 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $623.30 | $1,038.84 | $27.13 – $779.13 | 28 |
| Fetal fibronectin CPT 82731 | $521.65 | $869.42 | $10.00 – $652.07 | 28 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $166.89 | $278.15 | $6.49 – $114.68 | 28 |
| Fetal hemoglobin rosette CPT 85461 | $99.86 | $166.43 | $7.86 – $124.82 | 28 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $70.18 | $116.96 | $10.00 – $87.72 | 28 |
| Fetal non stress test CPT 59025 | $557.85 | $929.75 | $15.78 – $697.31 | 28 |
| #_fet/norfentcnfrmur CPT 80354 | $247.50 | $412.50 | $10.00 – $136.52 | 20 |
| Fibrin degradation d dimer quantitative CPT 85379 | $148.97 | $248.29 | $8.55 – $85.20 | 28 |
| Fibrin degradation products CPT 85362 | $112.15 | $186.91 | $5.79 – $58.50 | 28 |
| Fibrin degradj d-dimer CPT 85380 | $334.60 | $557.67 | $8.55 – $418.25 | 28 |
| Fibrinogen activity CPT 85384 | $147.36 | $245.60 | $8.16 – $57.87 | 28 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $396.08 | $660.13 | $10.00 – $44.85 | 28 |
| Fibrinolytic antiplasmin CPT 85410 | $130.90 | $218.16 | $6.48 – $163.62 | 28 |
| Fibrinolytic plasminogen CPT 85415 | $263.93 | $439.88 | $10.00 – $220.12 | 28 |
| Fibrinolytic plasminogen CPT 85421 | $382.17 | $636.95 | $8.55 – $477.71 | 28 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $163.27 | $272.11 | $5.49 – $204.08 | 28 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $962.88 | $1,604.80 | $0.27 – $760.12 | 28 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $919.19 | $1,531.99 | $0.96 – $1,083.56 | 28 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,202.05 | $2,003.41 | $0.33 – $946.97 | 28 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $709.01 – $6,093.00 | 19 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $11,135.12 | $18,558.54 | $72.71 – $9,678.65 | 21 |
| Filter vena cava fem denali HCPCS C1880 | $3,416.00 | $5,693.33 | $90.88 – $427.68 | 19 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,081.52 | $1,802.54 | $194.07 – $1,742.94 | 28 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,162.97 | $1,938.28 | $329.51 – $1,647.54 | 21 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $210.73 | $351.21 | $59.71 – $298.53 | 21 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,031.75 | $1,719.59 | $292.33 – $1,461.65 | 21 |
| Fine needle asp without image guide 10021 CPT 10021 | $547.53 | $912.55 | $51.77 – $987.79 | 28 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,338.45 | $10,564.09 | $659.47 – $3,103.41 | 19 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Finger X-ray (both hands) CPT 73140 | $218.03 | $363.38 | $38.43 – $272.54 | 28 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,155.99 – $7,038.00 | 3 |
| Fixation of knee joint CPT 27570 | $1,776.24 | $2,960.40 | $593.04 – $3,981.46 | 28 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Fix g/colon tube w/device CPT 49460 | $761.49 | $1,269.15 | $334.95 – $2,245.59 | 28 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,967.08 | $6,611.80 | $1,088.27 – $8,018.48 | 28 |
| Flecainide (tambocor)-sendout CPT 80181 | $433.44 | $722.40 | $10.00 – $541.80 | 28 |
| Fl exam g/colon tube w contrast CPT 49465 | $627.02 | $1,045.04 | $111.00 – $783.78 | 28 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $130.67 – $3,693.00 | 18 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $104.93 – $4,016.35 | 18 |
| Flow cytometry interp 16 or more CPT 88189 | $300.00 | $500.00 | $35.00 – $215.45 | 21 |
| Flow cytometry marker each additional CPT 88185 | $541.20 | $902.00 | $7.58 – $60.68 | 21 |
| Flow cytometry one marker technical component CPT 88184 | $1,230.08 | $2,050.13 | $7.58 – $890.45 | 28 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | $407.88 | $679.80 | $79.45 – $397.26 | 21 |
| #flow interp 9 - 15 markers CPT 88188 | $564.24 | $940.40 | $15.26 – $160.92 | 21 |
| Flt3 gene CPT 81245 | $484.98 | $808.30 | $10.00 – $397.22 | 28 |
| Flt3 gene analysis CPT 81246 | $183.75 | $306.25 | $10.00 – $208.13 | 28 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $70.32 | $117.20 | $4.26 – $29.75 | 22 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $764.08 | $1,273.46 | $216.49 – $1,082.44 | 22 |
| Fluid pressure muscle 20950 CPT 20950 | $738.87 | $1,231.45 | $257.60 – $1,742.94 | 28 |
| Fluorescent antibody titer dna CPT 86256 | $315.00 | $525.00 | $10.00 – $43.12 | 28 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $766.31 | $1,277.18 | $137.66 – $1,085.60 | 21 |
| Fluoroguide needle placement CPT 77002 | $567.67 | $946.11 | $149.20 – $804.19 | 21 |
| Fluoro polarize fetal lung CPT 83663 | $190.72 | $317.86 | $10.00 – $238.40 | 28 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $463.80 | $773.00 | $42.78 – $607.02 | 28 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $136.92 | $228.20 | $2.26 – $70.81 | 22 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $41.84 | $69.74 | $6.14 – $59.28 | 22 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $5,265.00 | $8,775.00 | $1,491.75 – $6,581.25 | 27 |
| Fmri brain by tech CPT 70554 | $987.52 | $1,645.86 | $227.71 – $2,149.00 | 28 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,727.84 | $2,879.73 | $257.60 – $2,159.80 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | $579.00 | $965.00 | $164.05 – $820.25 | 21 |
| Folic acid CPT 82746 | $143.70 | $239.50 | $10.00 – $35.28 | 28 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $151.39 | $252.32 | $0.06 – $136.17 | 22 |
| Follow-up angiography CPT 75898 | $1,939.14 | $3,231.90 | $133.71 – $7,896.23 | 28 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,928.54 | $3,214.23 | $6.21 – $2,218.50 | 28 |
| Fondaparinux sodium HCPCS J1652 | $174.74 | $291.24 | $0.88 – $141.51 | 22 |
| Foot insert plastazote or eq HCPCS L3002 | $365.48 | $609.13 | $99.97 – $470.43 | 20 |
| Foot plate molded stirrup at HCPCS L2250 | $541.52 | $902.54 | $153.43 – $722.03 | 20 |
| Foot X-ray CPT 73630 | $365.31 | $608.85 | $34.41 – $456.64 | 28 |
| Foot X-ray (2 views, both feet) CPT 73620 | $287.92 | $479.87 | $28.74 – $359.90 | 28 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $42.66 | $71.10 | $11.31 – $53.21 | 20 |
| Forearm X-ray (both sides) CPT 73090 | $317.62 | $529.37 | $29.40 – $397.03 | 28 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,457.62 – $8,887.48 | 19 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $740.71 | $1,234.52 | $110.15 – $925.89 | 28 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $221.89 | $369.81 | $0.12 – $153.00 | 22 |
| Foscarnet sodium injection HCPCS J1455 | $1,299.00 | $2,165.00 | $9.19 – $1,840.25 | 22 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $86.40 | $144.00 | $1.26 – $101.25 | 28 |
| Fracture assessment via dxa CPT 77086 | $267.91 | $446.52 | $33.75 – $334.89 | 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.