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 |
|---|---|---|---|---|
| Lap place gastr adj device CPT 43770 | not published | not published | $10,144.36 – $25,500.18 | 19 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $3,353.48 – $7,711.00 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $5,769.43 – $16,409.00 | 19 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $423.90 – $7,711.00 | 3 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $7,711.00 – $25,500.18 | 18 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $1,888.85 – $14,293.73 | 18 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,679.39 – $16,409.00 | 19 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,679.39 – $16,409.00 | 19 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $3,110.01 – $25,500.18 | 18 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $7,038.00 – $25,500.18 | 18 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,970.93 – $20,285.00 | 4 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $3,110.01 – $25,500.18 | 18 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $7,038.00 – $25,500.18 | 18 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $7,038.00 – $25,500.18 | 18 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $3,315.12 – $7,038.00 | 3 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $715.37 | $1,192.29 | $27.96 – $894.22 | 28 |
| Largsc w/laser dstrj les CPT 31572 | $7,420.68 | $12,367.80 | $1,062.24 – $9,276.93 | 28 |
| Largsc w/njx augmentation CPT 31574 | $3,482.74 | $5,804.56 | $525.71 – $4,353.42 | 28 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $800.06 | $1,333.44 | $155.59 – $1,011.53 | 28 |
| Largsc w/ther injection CPT 31573 | $3,682.54 | $6,137.56 | $160.85 – $4,603.17 | 28 |
| Laronidase injection HCPCS J1931 | $1,927.01 | $3,211.68 | $36.89 – $2,408.76 | 28 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Laryngoplasty medialization CPT 31591 | $5,832.68 | $9,721.13 | $1,954.22 – $14,507.25 | 28 |
| Laryngoscope w/vc inj CPT 31570 | $3,442.73 | $5,737.88 | $1,062.24 – $9,276.93 | 28 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,630.12 – $16,955.09 | 19 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,918.74 | $6,531.23 | $1,062.24 – $9,276.93 | 28 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,480.71 | $4,134.52 | $525.71 – $4,204.56 | 28 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy telescopic CPT 31579 | $685.43 | $1,142.39 | $104.65 – $1,011.53 | 28 |
| Laryngoscopy w/biopsy CPT 31535 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 28 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 28 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy w/fb removal CPT 31530 | $3,814.47 | $6,357.45 | $525.71 – $4,768.09 | 28 |
| Laryngoscopy with biopsy CPT 31576 | $3,336.26 | $5,560.44 | $525.71 – $4,204.56 | 28 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,560.37 | $5,933.95 | $1,062.24 – $9,276.93 | 28 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,630.12 – $16,955.09 | 19 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,533.49 – $10,072.14 | 19 |
| Lateral canthopexy CPT 21282 | not published | not published | $886.62 – $7,975.81 | 19 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,088.27 – $8,921.00 | 19 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,110.01 – $25,500.18 | 18 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,763.00 – $7,039.11 | 19 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $50,985.00 | $84,975.00 | $414.20 – $1,949.20 | 20 |
| Lead capillary CPT 83655 | $81.29 | $135.49 | $10.00 – $29.06 | 28 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,843.58 | $8,072.63 | $44.85 – $211.07 | 20 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,186.81 | $16,978.01 | $323.08 – $1,520.38 | 20 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,403.35 – $14,507.25 | 18 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,470.36 – $14,507.25 | 18 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $3,096.47 – $12,785.64 | 17 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,577.54 – $14,507.25 | 18 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,177.09 | $1,961.81 | $227.71 – $1,471.36 | 28 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,399.92 | $3,999.86 | $167.39 – $2,999.89 | 28 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,715.36 | $2,858.93 | $99.77 – $2,144.20 | 28 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,200.85 | $2,001.42 | $184.78 – $1,501.07 | 28 |
| Leishmania antibody CPT 86717 | $82.71 | $137.85 | $10.00 – $103.39 | 28 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,528.30 | $4,213.83 | $77.25 – $340.81 | 20 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,498.89 | $5,831.49 | $49.84 – $219.86 | 20 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $229.50 | $382.50 | $3.95 – $44.88 | 22 |
| Leukocyte phagocytosis CPT 86344 | $92.88 | $154.80 | $8.73 – $116.10 | 28 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,106.55 | $36,844.25 | $167.39 – $4,599.23 | 28 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $119.59 | $199.32 | $0.04 – $15.30 | 22 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.12 | $230.20 | $10.00 – $172.65 | 28 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $49.98 | $83.30 | $2.38 – $34.85 | 22 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,452.60 | $12,421.00 | $2,111.57 – $9,315.75 | 27 |
| Liberta rc ipg HCPCS C1820 | $50,985.00 | $84,975.00 | $0.82 – $3.87 | 19 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.44 | $70.74 | $1.61 – $8.06 | 21 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.80 | $48.00 | $0.00 – $35.70 | 22 |
| Lidocaine therapeutic drug level CPT 80176 | $129.40 | $215.67 | $10.00 – $161.75 | 28 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3.30 | $5.50 | $0.94 – $4.67 | 21 |
| Lift heel adj small gl60404sm HCPCS L3332 | $201.42 | $335.70 | $57.07 – $268.56 | 20 |
| Lifts elevation metal extens HCPCS L3330 | $927.30 | $1,545.50 | $262.74 – $1,236.40 | 20 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,063.52 – $7,744.80 | 18 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $486.45 – $4,063.00 | 19 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,356.15 | $2,260.25 | $384.24 – $7,896.23 | 28 |
| Ligation/major artery/extremity 37618 CPT 37618 | $11,489.80 | $19,149.66 | $676.66 – $16,277.21 | 21 |
| Ligation major artery neck CPT 37615 | $3,608.40 | $6,014.00 | $1,022.38 – $7,896.23 | 28 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,118.22 – $7,896.23 | 19 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,200.20 | $3,667.00 | $623.39 – $12,018.16 | 27 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,182.01 | $5,303.35 | $1,118.22 – $7,896.23 | 28 |
| Lig/band angioaccess av fistula CPT 37607 | $6,365.14 | $10,608.57 | $1,118.22 – $7,956.43 | 28 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | not published | 0 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,896.00 – $2,416.00 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $160.99 | $268.32 | $45.61 – $214.66 | 20 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $335.91 | $559.85 | $2.73 – $172.55 | 22 |
| Lipase CPT 83690 | $130.62 | $217.70 | $5.79 – $16.54 | 28 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $886.62 – $7,975.81 | 19 |
| Lipoprotein blood high res frac & quant CPT 83701 | $112.29 | $187.15 | $10.00 – $140.36 | 28 |
| Lipoprotein blood quant CPT 83704 | $106.43 | $177.39 | $10.00 – $82.06 | 28 |
| Lipoprotein direct measurement hdl CPT 83718 | $113.88 | $189.80 | $6.88 – $25.15 | 28 |
| Lipoprotein direct measurement ldl CPT 83721 | $79.81 | $133.02 | $8.82 – $80.62 | 28 |
| Lip surgery procedure CPT 40799 | $433.65 | $722.75 | $180.69 – $605.10 | 28 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,578,304.84 | $2,630,508.07 | $6,299.00 – $1,972,881.05 | 27 |
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.