BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH
1400 8th Avenue, Fort Worth, TX · Baylor Scott & White Health · · NPI 1669472387
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $167.01 | $278.35 | $10.00 – $208.76 | 26 |
| 17-hydroxypregnenolone CPT 84143 | $111.45 | $185.75 | $10.00 – $139.31 | 26 |
| 24 hr ambulatory b/p monitor CPT 93786 | $373.60 | $622.66 | $99.63 – $467.00 | 26 |
| 2nd order venous cath CPT 36012 | $2,806.24 | $4,677.07 | $748.33 – $3,975.51 | 20 |
| 3d ech img cgen car anomal CPT 93319 | $695.69 | $1,159.49 | $24.21 – $985.57 | 20 |
| 3-d radiotherapy plan CPT 77295 | $5,482.48 | $9,137.47 | $423.90 – $6,853.10 | 26 |
| 3d recon without postprocess indpndt CPT 76376 | $121.28 | $202.14 | $26.66 – $171.82 | 20 |
| 5' nucleotidase - sendout CPT 83915 | $349.53 | $582.55 | $9.37 – $104.50 | 26 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $101.78 | $169.64 | $27.14 – $144.19 | 20 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $75.60 | $126.00 | $10.00 – $28.82 | 26 |
| Abciximab injection HCPCS J0130 | $2,443.52 | $4,072.54 | $651.61 – $3,461.66 | 20 |
| Abd aorta w/runoff s&i CPT 75630 | $3,407.32 | $5,678.87 | $157.04 – $7,896.23 | 26 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,109.78 – $7,038.00 | 3 |
| Abd/low ext cath 1st CPT 36245 | $3,724.64 | $6,207.74 | $993.24 – $5,276.58 | 20 |
| Abd/low ext cath 2nd CPT 36246 | $3,539.25 | $5,898.75 | $943.80 – $5,013.94 | 20 |
| Abd/low ext cath 3rd CPT 36247 | $4,024.18 | $6,706.97 | $1,073.12 – $5,700.92 | 20 |
| Abd/low ext cath addl CPT 36248 | $1,680.49 | $2,800.81 | $448.13 – $2,380.69 | 20 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,044.65 | $1,741.09 | $227.71 – $1,305.82 | 26 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $719.96 | $1,199.94 | $99.77 – $899.96 | 26 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,061.80 | $5,103.00 | $167.39 – $3,827.25 | 26 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,061.80 | $5,103.00 | $167.39 – $3,827.25 | 26 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,177.28 | $3,628.80 | $99.77 – $2,721.60 | 26 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,810.24 | $6,350.40 | $332.94 – $4,762.80 | 26 |
| Abdominal MRI (with contrast) CPT 74182 | $1,823.47 | $3,039.12 | $311.75 – $2,279.34 | 26 |
| Abdominal MRI (without contrast) CPT 74181 | $2,197.95 | $3,663.25 | $201.81 – $2,747.44 | 26 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,627.09 | $2,711.82 | $334.95 – $2,245.59 | 26 |
| Abdominal Ultrasound (complete) CPT 76700 | $862.90 | $1,438.16 | $99.77 – $1,078.62 | 26 |
| Abdominal Ultrasound (limited) CPT 76705 | $629.42 | $1,049.03 | $87.21 – $786.77 | 26 |
| Abdominal X-ray (2 views) CPT 74019 | $316.30 | $527.16 | $36.75 – $395.37 | 26 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $418.63 | $697.72 | $50.13 – $523.29 | 26 |
| Abdominal X-ray (single view) CPT 74018 | $247.64 | $412.73 | $30.40 – $309.55 | 26 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.21 – $16,154.42 | 19 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,281.73 | $2,136.21 | $334.95 – $2,245.59 | 26 |
| Abl1 gene CPT 81170 | $1,111.70 | $1,852.83 | $35.00 – $722.01 | 26 |
| Ablate arrhythmia add on CPT 93655 | $12,531.79 | $20,886.31 | $1,371.92 – $17,753.36 | 20 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,896.23 | $13,160.38 | $2,105.66 – $17,722.46 | 26 |
| Ablate bone tumor(s) perq CPT 20982 | $9,350.33 | $15,583.89 | $2,398.52 – $37,869.50 | 26 |
| Ablate heart dysrhythm focus CPT 93650 | $13,144.70 | $21,907.84 | $3,505.25 – $18,500.61 | 27 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $420.64 – $3,777.93 | 19 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $420.64 – $3,777.93 | 19 |
| Ablate pulm tumor perq crybl CPT 32994 | $7,553.70 | $12,589.50 | $2,014.32 – $25,500.18 | 26 |
| Ablate pulm tumor perq rf CPT 32998 | $6,479.33 | $10,798.89 | $1,727.82 – $14,293.73 | 26 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $34,741.90 | $57,903.16 | $0.00 – $386.96 | 26 |
| Ablation cryo abd perit om CPT 49999 | $2,566.58 | $4,277.63 | $269.03 – $2,245.59 | 25 |
| Ablation cryo adrenal tumor CPT 60699 | $15,083.15 | $25,138.58 | $1,667.70 – $14,293.73 | 25 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $1,885.46 | $3,142.43 | $235.40 – $2,356.82 | 25 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,581.80 | $14,303.00 | $2,813.82 – $25,500.18 | 26 |
| Ablation cryo retro lymph node CPT 38999 | $9,323.42 | $15,539.04 | $421.02 – $2,261.34 | 25 |
| Ablation cryo thigh/knee CPT 27599 | $12,927.60 | $21,546.00 | $235.40 – $2,220.30 | 25 |
| Ablation of upper extremity nerves rf CPT 64999 | $8,936.10 | $14,893.50 | $81.25 – $733.72 | 25 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,396.00 | $5,660.00 | $905.60 – $4,245.00 | 23 |
| Abltj mal prst8 tiss hifu CPT 55880 | $5,077.94 | $8,463.24 | $1,354.12 – $22,821.27 | 24 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,053.18 | $5,088.64 | $486.45 – $4,016.35 | 26 |
| Abscess imaging ltd area CPT 78805 | $1,098.00 | $1,830.00 | $292.80 – $1,555.50 | 20 |
| Abscess imaging whole body CPT 78806 | $1,457.72 | $2,429.53 | $388.72 – $2,065.10 | 20 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $3,386.54 | $5,644.24 | $903.08 – $4,797.60 | 17 |
| Access thoracic lymph duct CPT 38794 | $392.06 | $653.44 | $104.55 – $555.42 | 20 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $39.24 | $65.40 | $0.06 – $55.59 | 21 |
| Acetaminophen level CPT 80143 | $117.01 | $195.02 | $10.00 – $146.26 | 26 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $113.40 | $189.00 | $26.80 – $160.65 | 21 |
| Acetone qualitative CPT 82009 | $60.19 | $100.31 | $3.80 – $75.23 | 26 |
| Acetylcholine receptor modulating antibody CPT 86043 | $469.10 | $781.83 | $10.00 – $73.12 | 26 |
| Acetylcholinesterase assay CPT 82013 | $131.27 | $218.78 | $10.00 – $164.09 | 26 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $558.90 | $931.50 | $0.56 – $420.79 | 21 |
| Acetylcysteine non-comp unit HCPCS J7608 | $31.21 | $52.02 | $4.42 – $23.49 | 21 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $283.24 – $1,327.77 | 16 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $71.94 | $119.90 | $19.18 – $220.82 | 26 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $51.92 | $86.53 | $13.84 – $81.88 | 20 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $103.84 | $173.06 | $27.69 – $394.97 | 26 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $52.33 | $87.21 | $13.95 – $74.13 | 20 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $38.94 | $64.90 | $10.38 – $73.76 | 23 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $38.94 | $64.90 | $10.38 – $73.76 | 23 |
| Acute hepatitis panel CPT 80074 | $387.68 | $646.14 | $10.00 – $484.61 | 26 |
| Acyclovir 400 mg tablet HCPCS J8499 | $54.77 | $91.29 | $1.38 – $7.32 | 20 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $129.00 | $215.00 | $0.02 – $61.62 | 21 |
| #acylcarnitineprfl CPT 82017 | $300.00 | $500.00 | $10.00 – $260.88 | 26 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,811.26 | $3,018.76 | $270.40 – $1,352.00 | 19 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $529.18 | $881.96 | $0.48 – $15.30 | 21 |
| Adenovirus antibody,serum - quest CPT 86603 | $70.42 | $117.37 | $10.00 – $88.03 | 26 |
| Adh-sendout CPT 84588 | $435.33 | $725.55 | $10.00 – $84.38 | 26 |
| Adj gastric band via subq port CPT 43999 | $3,002.44 | $5,004.07 | $411.11 – $2,245.59 | 25 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $6,093.00 | 19 |
| Adjustment gastric band HCPCS S2083 | $207.51 | $345.85 | $55.34 – $293.97 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,784.40 | $2,974.00 | $11.20 – $59.50 | 20 |
| Admin ecg contrast agent CPT 93352 | $276.61 | $461.02 | $73.76 – $391.87 | 20 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $304.20 | $507.00 | $68.71 – $380.25 | 26 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $374.14 | $623.56 | $68.71 – $467.67 | 26 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $742.85 | $1,238.09 | $198.09 – $928.57 | 26 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $512.27 | $853.78 | $136.60 – $838.97 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $294.62 | $491.03 | $68.71 – $368.27 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $344.71 | $574.51 | $68.71 – $430.88 | 26 |
| Administration immunization each additional vaccine CPT 90472 | $53.42 | $89.04 | $14.25 – $75.68 | 20 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $48.00 | $80.00 | $4.00 – $174.51 | 26 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $33.60 | $56.00 | $4.00 – $39.82 | 20 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $27.46 | $45.76 | $7.32 – $122.80 | 20 |
| Administration vaccine hepatitis b HCPCS G0010 | $66.97 | $111.62 | $17.86 – $117.68 | 26 |
| Administration vaccine influenza virus HCPCS G0008 | $15.00 | $25.00 | $4.00 – $117.68 | 26 |
| Administration vaccine pneumococcal HCPCS G0009 | $42.50 | $70.83 | $11.33 – $117.68 | 26 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $24.68 | $41.14 | $6.58 – $122.80 | 20 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,350.31 | $18,917.18 | $38.34 – $8,881.51 | 26 |
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.