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 |
|---|---|---|---|---|
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,610.93 | $2,684.88 | $269.31 – $2,013.66 | 28 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,199.16 | $1,998.60 | $181.76 – $1,498.95 | 28 |
| Quest t3 uptake CPT 84479 | $90.83 | $151.39 | $5.43 – $113.54 | 28 |
| Quinupristin/dalfopristin HCPCS J2770 | $1,261.22 | $2,102.04 | $16.20 – $1,786.73 | 22 |
| Rabies ig ht&sol human im/sc CPT 90377 | $6,129.43 | $10,215.72 | $230.07 – $1,682.14 | 28 |
| Radiation handling CPT 77790 | $213.57 | $355.95 | $24.18 – $302.56 | 21 |
| Radiation physics consult CPT 77336 | $694.39 | $1,157.31 | $127.06 – $867.98 | 28 |
| Radiation therapy dose plan CPT 77300 | $473.01 | $788.35 | $53.98 – $591.26 | 28 |
| Radiation treatment aid(s) CPT 77332 | $262.55 | $437.59 | $45.54 – $336.13 | 28 |
| Radiation treatment aid(s) CPT 77333 | $730.71 | $1,217.85 | $111.32 – $913.39 | 28 |
| Radiation treatment aid(s) CPT 77334 | $1,207.28 | $2,012.13 | $107.95 – $1,509.10 | 28 |
| Radiation treatment delivery CPT 77401 | $130.96 | $218.27 | $37.11 – $297.05 | 22 |
| Radiation treatment delivery CPT 77402 | $1,200.00 | $2,000.00 | $97.38 – $1,500.00 | 28 |
| Radiation treatment delivery CPT 77412 | $2,400.00 | $4,000.00 | $378.92 – $3,000.00 | 28 |
| Radiation tx management x5 CPT 77427 | $326.16 | $543.60 | $92.41 – $462.06 | 21 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,430.84 – $15,671.95 | 17 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $3,122.04 – $15,671.95 | 17 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,157.91 – $15,671.95 | 17 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $10,795.00 | 18 |
| Radiology port images(s) CPT 77417 | $230.29 | $383.81 | $17.99 – $326.24 | 21 |
| Radiotherapy dose plan imrt CPT 77301 | $5,996.41 | $9,994.01 | $1,320.92 – $7,495.51 | 28 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,175.81 | $3,626.35 | $275.66 – $3,517.62 | 28 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,357.46 | $5,595.76 | $518.17 – $4,196.82 | 28 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,731.46 | $4,552.43 | $652.23 – $3,517.62 | 28 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,723.06 | $4,538.43 | $338.81 – $3,517.62 | 28 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,494.49 | $2,490.81 | $228.55 – $1,868.11 | 28 |
| Radphm quant measure sgl area add-on CPT 78835 | $734.09 | $1,223.48 | $89.21 – $1,039.96 | 21 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $10,795.00 | 18 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $7,039.11 | 19 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $7,039.11 | 19 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $10,795.00 | 18 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $7,039.11 | 19 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $7,039.11 | 18 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $2,652.22 | $4,420.37 | $70.38 – $3,315.28 | 28 |
| Rapid desensitization CPT 95180 | $331.20 | $552.00 | $93.84 – $6,299.00 | 26 |
| Rapid Strep Test CPT 87880 | $259.93 | $433.21 | $10.00 – $324.91 | 28 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,934.13 | $3,223.55 | $363.08 – $2,417.66 | 28 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $42,296.39 | $70,493.98 | $206.22 – $14,446.50 | 28 |
| Rbc count only automated CPT 85041 | $11.85 | $19.75 | $2.54 – $14.81 | 28 |
| Rbc deglycerolized each unit HCPCS P9039 | $856.71 | $1,427.85 | $242.73 – $1,070.89 | 28 |
| Rbc depletion of harvest CPT 38212 | $1,803.18 | $3,005.30 | $35.00 – $2,253.97 | 28 |
| Rbc irradiated each unit HCPCS P9038 | $517.86 | $863.10 | $135.65 – $647.33 | 28 |
| Rbc osmotic fragility CPT 85555 | $151.80 | $253.00 | $6.27 – $189.75 | 28 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,816.30 – $12,785.64 | 17 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,928.36 – $12,785.64 | 17 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Realignment of thigh bone CPT 27454 | not published | not published | $2,276.06 – $15,671.95 | 17 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Recon, cta for surg plan HCPCS G0288 | $508.91 | $848.18 | $72.80 – $1,841.00 | 21 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,569.02 – $14,507.25 | 18 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,581.81 – $14,507.25 | 18 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,649.47 – $14,507.25 | 18 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,552.50 – $14,507.25 | 18 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,465.47 – $7,038.00 | 3 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $886.62 – $7,975.81 | 19 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,113.11 – $14,507.25 | 19 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,104.56 – $17,722.46 | 19 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $3,133.75 – $17,722.46 | 18 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Reconstruct head of radius CPT 24366 | not published | not published | $3,879.00 – $32,603.53 | 19 |
| Reconstruction of anus CPT 46753 | not published | not published | $939.93 – $6,955.62 | 19 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $698.30 – $6,093.00 | 19 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $698.30 – $6,093.00 | 19 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $698.30 – $6,093.00 | 19 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,934.37 – $15,671.95 | 17 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,544.14 – $14,507.25 | 19 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,384.00 – $14,507.25 | 19 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,384.00 – $14,507.25 | 19 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $3,879.00 – $58,603.99 | 19 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $2,688.18 – $14,507.25 | 19 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of nail bed CPT 11762 | $2,066.10 | $3,443.50 | $148.94 – $4,517.58 | 28 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,649.47 – $14,507.25 | 18 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruction of urethra CPT 54312 | $3,456.60 | $5,761.00 | $1,142.90 – $8,636.11 | 28 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $886.62 – $7,975.81 | 19 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $886.62 – $7,975.81 | 19 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,477.66 – $14,507.25 | 18 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,649.47 – $14,507.25 | 18 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $7,038.00 – $32,603.53 | 18 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,553.79 – $46,166.33 | 18 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $3,136.09 – $17,722.46 | 19 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Reconstruct windpipe CPT 31780 | not published | not published | $2,089.08 – $7,038.00 | 3 |
| Rectal sensation test CPT 91120 | $651.44 | $1,085.73 | $184.57 – $1,273.47 | 20 |
| Red blood cells each unit HCPCS P9021 | $414.33 | $690.55 | $117.39 – $517.91 | 28 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $943.35 | $1,572.25 | $267.28 – $1,281.02 | 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.