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 |
|---|---|---|---|---|
| Fusion of big toe joint CPT 28755 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,410.00 – $32,603.53 | 19 |
| Fusion of foot bones CPT 28735 | 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 tibiofibular joint CPT 27871 | not published | not published | $3,410.00 – $32,603.53 | 19 |
| G0180 home health certification HCPCS G0180 | $128.18 | $213.64 | $34.18 – $181.59 | 20 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $35.00 – $1,440.00 | 26 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $35.00 – $419.54 | 26 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $7,875.00 | 25 |
| Gabapentin non-blood CPT 80355 | $125.07 | $208.45 | $3.92 – $8.25 | 19 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $222.46 | 21 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $135.08 | $225.14 | $10.00 – $168.85 | 26 |
| Galactokinase - sendout CPT 82759 | $204.97 | $341.62 | $10.00 – $256.21 | 26 |
| Galectin-3 CPT 82777 | $132.87 | $221.45 | $10.00 – $166.09 | 26 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,760.38 | $2,933.97 | $290.70 – $2,200.48 | 26 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,900.64 | $3,167.73 | $390.26 – $2,375.80 | 26 |
| 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 | 26 |
| Gammaglobulin iga CPT 82784 | $109.53 | $182.55 | $7.81 – $22.32 | 26 |
| Gammaglobulin ige CPT 82785 | $127.31 | $212.18 | $6.00 – $39.50 | 26 |
| Gamma glutamyltransferase CPT 82977 | $82.46 | $137.44 | $6.05 – $46.88 | 26 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $197.40 | $329.00 | $37.45 – $279.65 | 21 |
| Gardner vag dna quant CPT 87512 | $65.33 | $108.88 | $10.00 – $100.22 | 26 |
| Gastric analy w/ph ea spec CPT 82930 | $23.01 | $38.35 | $5.64 – $28.76 | 26 |
| Gastric emptying imag study CPT 78265 | $2,536.50 | $4,227.50 | $353.51 – $3,170.62 | 26 |
| Gastrin test CPT 82938 | $61.80 | $103.00 | $10.00 – $77.25 | 26 |
| Gastroesophageal reflux study CPT 78262 | $493.75 | $822.91 | $223.20 – $1,021.72 | 26 |
| Gastroesophageal reflux test CPT 91034 | $1,393.53 | $2,322.55 | $356.12 – $1,741.91 | 24 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $99.21 | 21 |
| 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 | 26 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $4,261.44 – $21,307.20 | 19 |
| Generator emblem MRI sicd subq HCPCS C1722 | $40,788.00 | $67,980.00 | $1,481.60 – $7,408.00 | 19 |
| Genetic counseling 30 min CPT 96040 | $100.00 | $166.67 | $26.67 – $141.67 | 16 |
| Genetic tstg severe inh cond CPT 81443 | $8,289.90 | $13,816.50 | $10.00 – $5,876.54 | 26 |
| 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 | 26 |
| Genome sequence analysis CPT 81426 | $3,900.00 | $6,500.00 | $35.00 – $6,503.88 | 26 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $122.95 | $204.92 | $2.12 – $24.65 | 21 |
| Gentamicin peak therapeutic drug level CPT 80170 | $166.14 | $276.90 | $10.00 – $207.68 | 26 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,886.71 | $3,144.52 | $503.12 – $2,358.39 | 24 |
| 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 | 26 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,846.29 | $6,410.49 | $815.20 – $7,039.11 | 26 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $68.59 | $114.31 | $8.24 – $28.23 | 26 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $124.41 | $207.35 | $10.00 – $155.51 | 26 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $663.50 | $1,105.83 | $10.00 – $829.37 | 26 |
| Ghs antibodies (torch) igm CPT 86694 | $100.40 | $167.33 | $10.00 – $34.54 | 26 |
| Ghs aspiration bladder - needle CPT 51100 | $934.66 | $1,557.76 | $36.54 – $1,168.32 | 26 |
| Ghs bladder cath - complex-foley CPT 51703 | $408.62 | $681.03 | $57.79 – $510.77 | 26 |
| Ghs bleeding time (ivy) CPT 85002 | $87.94 | $146.56 | $4.05 – $109.92 | 26 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $949.16 | $1,581.94 | $61.74 – $1,713.14 | 26 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,336.22 | $3,893.70 | $1,118.22 – $7,896.23 | 26 |
| Ghs change cysto/gastrost CPT 43762 | $825.14 | $1,375.24 | $110.15 – $1,031.43 | 26 |
| Ghs chemo >8 hrs CPT 96416 | $832.40 | $1,387.34 | $221.97 – $1,040.51 | 26 |
| Ghs chemo IV push, ea addtl CPT 96411 | $369.86 | $616.43 | $68.71 – $462.32 | 26 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $279.11 | $465.18 | $10.00 – $348.88 | 26 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $628.21 | $1,047.01 | $85.32 – $785.26 | 26 |
| Ghs closed reduction ankle dislocation CPT 27840 | $967.96 | $1,613.26 | $85.32 – $1,209.94 | 26 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,655.78 | $2,759.64 | $593.04 – $3,981.46 | 26 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $534.99 | $891.65 | $85.32 – $668.74 | 26 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,061.13 | $5,101.89 | $593.04 – $3,981.46 | 26 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,197.54 | $8,662.56 | $709.01 – $7,653.72 | 26 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,012.77 | $5,021.28 | $593.04 – $3,981.46 | 26 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,772.09 | $4,620.15 | $593.04 – $3,981.46 | 26 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $817.05 | $1,361.75 | $85.32 – $1,021.31 | 26 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $547.94 | $913.23 | $85.32 – $684.92 | 26 |
| Ghs community re-entry 15 minutes CPT 97537 | $103.27 | $172.12 | $27.54 – $146.30 | 21 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $419.22 | $698.70 | $111.79 – $987.04 | 26 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $383.78 | $639.64 | $102.34 – $479.73 | 26 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $435.07 | $725.11 | $116.02 – $987.04 | 26 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $362.21 | $603.68 | $96.59 – $452.76 | 26 |
| Ghs cricothyroidotomy CPT 31605 | $2,116.57 | $3,527.61 | $87.58 – $2,645.71 | 26 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $116.77 | $194.61 | $10.00 – $145.96 | 26 |
| Ghs dislocation elbow closed treatment CPT 24600 | $687.73 | $1,146.21 | $85.32 – $859.66 | 26 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,598.93 | $2,664.88 | $334.95 – $2,245.59 | 26 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $368.83 | $614.72 | $31.56 – $665.29 | 26 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,216.22 | $2,027.03 | $262.86 – $3,693.00 | 24 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $538.06 | $896.76 | $143.48 – $672.57 | 26 |
| Ghs excision ingrown nail CPT 11765 | $5,111.06 | $8,518.44 | $387.95 – $6,388.83 | 26 |
| Ghs eye exam CPT 92002 | $142.80 | $238.00 | $38.08 – $327.47 | 23 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $536.77 | $894.61 | $108.29 – $721.66 | 26 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,873.34 | $4,788.90 | $486.45 – $4,016.35 | 26 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,136.84 | $5,228.06 | $815.20 – $7,039.11 | 26 |
| Ghs fb removal - incisional CPT 10121 | $3,210.04 | $5,350.06 | $486.45 – $4,016.35 | 26 |
| Ghs fb removal - non-incisional CPT 20520 | $1,706.20 | $2,843.67 | $119.87 – $4,016.35 | 26 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $77.88 | $129.80 | $5.86 – $97.35 | 26 |
| Ghs fish cytogen CPT 88271 | $1,521.15 | $2,535.25 | $12.87 – $51.41 | 26 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $492.77 | $821.28 | $30.77 – $122.86 | 26 |
| Ghs flow volume loop CPT 94375 | $352.30 | $587.16 | $93.95 – $777.56 | 26 |
| Ghs gastric intub aspiration lavage CPT 43753 | $505.63 | $842.72 | $134.84 – $777.56 | 26 |
| Ghs hcv amplificaiton CPT 87521 | $237.73 | $396.22 | $10.00 – $297.17 | 26 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $423.75 | $706.25 | $0.00 – $37.18 | 26 |
| Ghs hgb stability-thal CPT 83068 | $108.51 | $180.85 | $7.95 – $131.05 | 26 |
| Ghs histoplasma antigen CPT 87385 | $191.10 | $318.50 | $10.00 – $84.38 | 26 |
| Ghs HIV antibody CPT 86703 | $140.00 | $233.33 | $2.94 – $32.90 | 26 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,278.02 | $7,130.03 | $652.80 – $5,347.52 | 26 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,267.70 | $5,446.16 | $429.26 – $4,084.62 | 26 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,191.57 | $3,652.61 | $209.30 – $2,739.46 | 26 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $888.10 | $1,480.17 | $111.00 – $1,742.94 | 26 |
| Ghs immun0electrophoresis CPT 86320 | $137.31 | $228.85 | $10.00 – $171.64 | 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.