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 |
|---|---|---|---|---|
| _fragile x methylation-sendout CPT 81244 | $391.65 | $652.75 | $35.00 – $489.56 | 28 |
| Fragmenting of kidney stone CPT 50590 | $13,091.90 | $21,819.84 | $1,142.90 – $10,982.00 | 27 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,934.37 – $7,038.00 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $4,032.59 – $7,038.00 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $162.23 – $3,777.93 | 18 |
| Frenulotomy of penis CPT 54164 | not published | not published | $652.80 – $5,045.72 | 19 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $162.45 | $270.75 | $46.03 – $203.06 | 28 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $164.16 | $273.60 | $46.51 – $207.90 | 28 |
| Fresh frozen plasma thawing ea un CPT 86927 | $114.35 | $190.58 | $10.00 – $423.12 | 28 |
| Fructosamine glycated protein CPT 82985 | $78.73 | $131.22 | $10.00 – $98.42 | 28 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Ftl cgen abnor four anal CPT 81511 | $119.34 | $198.90 | $33.81 – $368.40 | 28 |
| Full field erg w/i&r CPT 92273 | $574.20 | $957.00 | $162.69 – $777.56 | 28 |
| Full mouth x-ray of teeth CPT 70320 | $204.53 | $340.89 | $53.46 – $607.02 | 28 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $464.96 | $774.93 | $70.50 – $581.20 | 28 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,873.67 | $6,456.12 | $709.01 – $4,842.09 | 28 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $709.01 – $4,517.58 | 19 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,003.75 | $1,672.92 | $585.52 – $4,517.58 | 28 |
| Fundus photography with i&r 92250 CPT 92250 | $209.46 | $349.10 | $59.35 – $316.45 | 28 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $43.20 | $72.00 | $0.02 – $15.30 | 22 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $3,410.00 – $32,603.53 | 19 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,410.00 – $17,722.46 | 19 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,896.00 – $2,416.00 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,410.00 – $32,603.53 | 19 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,410.00 – $17,722.46 | 19 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,407.66 – $8,018.48 | 19 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| G0180 home health certification HCPCS G0180 | $128.18 | $213.64 | $36.32 – $181.59 | 21 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $35.00 – $1,440.00 | 28 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $35.00 – $419.54 | 28 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $7,875.00 | 27 |
| Gabapentin non-blood CPT 80355 | $125.07 | $208.45 | $3.00 – $8.25 | 20 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $222.46 | 22 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $135.08 | $225.14 | $10.00 – $168.85 | 28 |
| Galactokinase - sendout CPT 82759 | $204.97 | $341.62 | $10.00 – $256.21 | 28 |
| Galectin-3 CPT 82777 | $132.87 | $221.45 | $10.00 – $166.09 | 28 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,760.38 | $2,933.97 | $290.70 – $2,200.48 | 28 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,900.64 | $3,167.73 | $390.26 – $2,375.80 | 28 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $14,293.73 | 18 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,243.58 | $2,072.63 | $46.50 – $1,554.47 | 28 |
| Gammaglobulin iga CPT 82784 | $109.53 | $182.55 | $6.08 – $22.32 | 28 |
| Gammaglobulin ige CPT 82785 | $127.31 | $212.18 | $4.60 – $39.50 | 28 |
| Gamma glutamyltransferase CPT 82977 | $82.46 | $137.44 | $6.05 – $46.88 | 28 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $197.40 | $329.00 | $37.45 – $279.65 | 22 |
| Gardner vag dna quant CPT 87512 | $65.33 | $108.88 | $10.00 – $100.22 | 28 |
| Gastric analy w/ph ea spec CPT 82930 | $23.01 | $38.35 | $5.64 – $28.76 | 28 |
| Gastric emptying imag study CPT 78265 | $2,536.50 | $4,227.50 | $353.51 – $3,170.62 | 28 |
| Gastrin test CPT 82938 | $61.80 | $103.00 | $10.00 – $77.25 | 28 |
| Gastroesophageal reflux study CPT 78262 | $493.75 | $822.91 | $223.20 – $1,021.72 | 28 |
| Gastroesophageal reflux test CPT 91034 | $1,393.53 | $2,322.55 | $356.12 – $1,741.91 | 26 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $3,441.19 – $20,285.00 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $99.21 | 22 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,843.81 | $29,739.68 | $215.63 – $22,304.76 | 28 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $4,527.78 – $21,307.20 | 19 |
| Generator emblem MRI sicd subq HCPCS C1722 | $40,788.00 | $67,980.00 | $1,574.20 – $7,408.00 | 20 |
| Genetic counseling 30 min CPT 96040 | $100.00 | $166.67 | $28.33 – $6,299.00 | 18 |
| Genetic tstg severe inh cond CPT 81443 | $8,289.90 | $13,816.50 | $10.00 – $5,876.54 | 28 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,302.00 – $14,507.25 | 19 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $8,921.00 | 19 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $886.62 – $8,921.00 | 19 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $50,985.00 | $84,975.00 | $9,651.92 – $54,384.00 | 19 |
| Genome sequence analysis CPT 81425 | $7,500.00 | $12,500.00 | $35.00 – $12,074.88 | 28 |
| Genome sequence analysis CPT 81426 | $3,900.00 | $6,500.00 | $35.00 – $6,503.88 | 28 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $122.95 | $204.92 | $2.12 – $24.65 | 22 |
| Gentamicin peak therapeutic drug level CPT 80170 | $166.14 | $276.90 | $10.00 – $207.68 | 28 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,886.71 | $3,144.52 | $534.57 – $2,358.39 | 26 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,569.82 | $2,616.36 | $328.50 – $2,264.11 | 28 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,846.29 | $6,410.49 | $815.20 – $7,039.11 | 28 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $68.59 | $114.31 | $8.24 – $28.23 | 28 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $124.41 | $207.35 | $10.00 – $155.51 | 28 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $663.50 | $1,105.83 | $10.00 – $829.37 | 28 |
| Ghs antibodies (torch) igm CPT 86694 | $100.40 | $167.33 | $9.76 – $34.54 | 28 |
| Ghs aspiration bladder - needle CPT 51100 | $934.66 | $1,557.76 | $36.54 – $1,168.32 | 28 |
| Ghs bladder cath - complex-foley CPT 51703 | $408.62 | $681.03 | $57.79 – $510.77 | 28 |
| Ghs bleeding time (ivy) CPT 85002 | $87.94 | $146.56 | $4.05 – $109.92 | 28 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $949.16 | $1,581.94 | $61.74 – $1,713.14 | 28 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,336.22 | $3,893.70 | $1,118.22 – $7,896.23 | 28 |
| Ghs change cysto/gastrost CPT 43762 | $825.14 | $1,375.24 | $110.15 – $1,031.43 | 28 |
| Ghs chemo >8 hrs CPT 96416 | $832.40 | $1,387.34 | $235.85 – $1,040.51 | 28 |
| Ghs chemo IV push, ea addtl CPT 96411 | $369.86 | $616.43 | $68.71 – $462.32 | 28 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $279.11 | $465.18 | $10.00 – $348.88 | 28 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $628.21 | $1,047.01 | $85.32 – $785.26 | 28 |
| Ghs closed reduction ankle dislocation CPT 27840 | $967.96 | $1,613.26 | $85.32 – $1,209.94 | 28 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,655.78 | $2,759.64 | $593.04 – $3,981.46 | 28 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $534.99 | $891.65 | $85.32 – $668.74 | 28 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,061.13 | $5,101.89 | $593.04 – $3,981.46 | 28 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,197.54 | $8,662.56 | $709.01 – $7,653.72 | 28 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $85.32 – $3,693.00 | 18 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,012.77 | $5,021.28 | $593.04 – $3,981.46 | 28 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,772.09 | $4,620.15 | $593.04 – $3,981.46 | 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.