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 |
|---|---|---|---|---|
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $593.27 | $988.78 | $74.34 – $741.59 | 26 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $980.75 | $1,634.59 | $74.34 – $1,225.94 | 26 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $589.18 | $981.96 | $74.34 – $736.47 | 26 |
| Ghs sleep study unattended CPT 95800 | $503.38 | $838.97 | $134.24 – $629.23 | 26 |
| Ghs somatosensory testing lower extremit CPT 95926 | $885.81 | $1,476.35 | $206.06 – $1,107.26 | 26 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,765.32 | $2,942.20 | $470.75 – $2,206.65 | 26 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $162.65 | $271.08 | $43.37 – $230.42 | 21 |
| Ghs sphenopalatine ganglion block CPT 64505 | $762.91 | $1,271.52 | $70.60 – $953.64 | 26 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $281.16 | $468.60 | $74.98 – $398.31 | 21 |
| Ghs strapping shoulder - 29240 CPT 29240 | $262.91 | $438.18 | $70.11 – $328.63 | 26 |
| Ghs st - re-eval for alt comm CPT 92597 | $407.74 | $679.57 | $108.73 – $577.63 | 21 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $99.98 | $166.63 | $26.66 – $124.97 | 26 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $393.99 | $656.65 | $105.06 – $530.97 | 26 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,665.04 | $2,775.07 | $216.80 – $2,081.30 | 26 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $901.36 | $1,502.27 | $143.08 – $1,126.70 | 26 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,634.36 | $4,390.60 | $420.64 – $3,777.93 | 26 |
| Ghs trypsin (fecal) CPT 84488 | $79.83 | $133.05 | $6.13 – $99.79 | 26 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $705.76 | $1,176.26 | $85.32 – $882.20 | 26 |
| Ghs urine, porphyrins quant CPT 84120 | $127.80 | $213.00 | $10.00 – $53.53 | 26 |
| Ghs vaginal delivery only CPT 59409 | $3,142.35 | $5,237.25 | $837.96 – $7,744.80 | 26 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,915.55 | $6,525.92 | $356.12 – $4,894.44 | 26 |
| Ghs windowing of cast CPT 29730 | $235.37 | $392.28 | $27.69 – $390.34 | 26 |
| Gi inhouse confirmation CPT 87045 | $153.28 | $255.47 | $7.93 – $191.60 | 26 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,418.92 | $4,031.53 | $732.90 – $3,023.65 | 24 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $870.81 – $2,264.11 | 17 |
| Gi trc img intral esophagus CPT 91111 | $1,897.82 | $3,163.03 | $865.56 – $2,372.27 | 24 |
| Gjb2 gene full sequence CPT 81252 | $628.20 | $1,047.00 | $10.00 – $785.25 | 26 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $682.24 | $1,137.06 | $123.55 – $579.15 | 26 |
| Glucagon plasma - sendout CPT 82943 | $93.45 | $155.75 | $10.00 – $116.81 | 26 |
| Glucose 1 hr post dose CPT 82950 | $68.98 | $114.97 | $3.99 – $86.23 | 26 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $67.13 | $111.88 | $5.08 – $83.91 | 26 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $33.96 | $56.60 | $3.12 – $42.45 | 26 |
| Glucose blood quantitative CPT 82947 | $59.87 | $99.79 | $3.30 – $64.69 | 26 |
| Glucose body fluid CPT 82945 | $76.34 | $127.23 | $3.30 – $67.11 | 26 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $151.93 | $253.21 | $10.00 – $189.91 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $45.82 | $76.36 | $3.29 – $57.27 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $49.20 | $82.00 | $0.40 – $16.66 | 21 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,598.55 | $5,997.58 | $10.73 – $4,498.19 | 26 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $162.51 | $270.85 | $10.00 – $44.59 | 26 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $316.50 | $527.50 | $10.00 – $44.45 | 26 |
| Goniotomy CPT 65820 | $3,945.62 | $6,576.03 | $1,533.49 – $10,072.14 | 26 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,010.53 | $8,350.89 | $476.55 – $2,531.69 | 21 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,733.71 | $7,889.52 | $27.18 – $268.77 | 25 |
| Graft axiofill 1000mg HCPCS J3590 | $3,456.79 | $5,761.31 | $0.01 – $0.06 | 20 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $388.13 | $646.89 | $39.98 – $268.77 | 25 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,603.28 | $46,005.47 | $11.58 – $268.77 | 25 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $20,782.10 | $34,636.83 | $107.60 – $537.98 | 19 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $50,985.00 | $84,975.00 | $11.28 – $56.38 | 19 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,315.71 | $2,192.85 | $81.09 – $380.09 | 25 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $765.06 | $1,275.10 | $50.08 – $268.77 | 25 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,021.66 | $11,702.76 | $26.06 – $268.77 | 25 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $4,742.40 | $7,904.00 | $4.86 – $268.77 | 25 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $800.41 | $1,334.02 | $62.65 – $293.67 | 25 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $50,985.00 | $84,975.00 | $25.80 – $128.98 | 19 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,670.92 | $6,118.20 | $4.14 – $20.71 | 19 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,781.95 | $6,303.25 | $1,008.52 – $5,357.76 | 20 |
| Great toe with reduction 28495 CPT 28495 | $605.99 | $1,009.99 | $85.32 – $757.49 | 26 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $10,795.00 | 18 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $5,102.99 | $8,504.99 | $1,457.62 – $8,887.48 | 26 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $10,795.00 | 18 |
| Group health education CPT 99078 | $50.11 | $83.51 | $13.36 – $70.98 | 20 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $66.55 | $110.92 | $17.75 – $94.28 | 20 |
| Growth stimulation gene 2 CPT 83006 | $270.00 | $450.00 | $10.00 – $181.44 | 26 |
| Gstrst open wo constj tube CPT 43830 | $4,908.49 | $8,180.82 | $1,308.93 – $7,038.00 | 24 |
| G-tube reposition CPT 43761 | $1,291.62 | $2,152.70 | $110.15 – $1,614.53 | 26 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,525.20 | $2,542.00 | $119.63 – $5,045.72 | 26 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,270.09 | $3,783.48 | $111.00 – $2,837.61 | 26 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $23,453.10 | $39,088.50 | $0.00 – $0.01 | 20 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,541.00 | $4,235.00 | $0.00 – $0.01 | 20 |
| Guid loc target vol rad tx CPT 77387 | $620.91 | $1,034.85 | $165.58 – $879.62 | 20 |
| Gw stiffened micro access kit HCPCS C1894 | $9,177.30 | $15,295.50 | $0.00 – $0.01 | 20 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $9,442.65 | 19 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $111.00 – $1,596.25 | 17 |
| Halo cervical into body jack HCPCS L0820 | $3,051.31 | $5,085.52 | $813.68 – $4,068.42 | 19 |
| Halo cervical into jckt vest HCPCS L0810 | $3,617.20 | $6,028.67 | $964.59 – $4,822.94 | 19 |
| Halo cerv into milwaukee typ HCPCS L0830 | $5,529.64 | $9,216.06 | $1,474.57 – $7,372.85 | 19 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $139.00 | $231.66 | $3.84 – $20.40 | 21 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $74.29 | $123.81 | $0.84 – $4.49 | 21 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $30.36 | $50.60 | $8.10 – $43.01 | 20 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,628.05 | $11,046.75 | $1,767.48 – $9,389.74 | 20 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $136.53 | $227.55 | $36.41 – $193.42 | 21 |
| Hand X-ray CPT 73130 | $317.78 | $529.64 | $37.43 – $397.23 | 26 |
| Hand X-ray (2 views, both hands) CPT 73120 | $318.00 | $530.00 | $31.74 – $397.50 | 26 |
| Haptoglobin quantitative CPT 83010 | $119.07 | $198.45 | $10.00 – $46.88 | 26 |
| Harvest allogeneic stem cell CPT 38205 | $5,531.25 | $9,218.75 | $1,475.00 – $7,835.94 | 18 |
| Harvest auto stem cells CPT 38206 | $4,464.59 | $7,440.99 | $564.62 – $5,580.74 | 26 |
| Harvest cultured skin graft 15040 CPT 15040 | $1,829.30 | $3,048.84 | $784.87 – $4,517.58 | 26 |
| Harvest stem cell concentrte CPT 38215 | $1,429.77 | $2,382.95 | $381.27 – $1,787.21 | 25 |
| Hast w/i&r phys/qhp CPT 94452 | $569.72 | $949.53 | $126.97 – $712.15 | 26 |
| Hast w/oxygen titrate CPT 94453 | $458.17 | $763.61 | $122.18 – $572.71 | 26 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,101.45 | $1,835.75 | $35.00 – $1,440.00 | 26 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,140.22 | $1,900.36 | $35.00 – $600.00 | 26 |
| Hbb full gene sequence CPT 81364 | $1,350.00 | $2,250.00 | $10.00 – $809.84 | 26 |
| Hbot, full body chamber, 30m HCPCS G0277 | $717.11 | $1,195.19 | $131.33 – $896.39 | 26 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $290.91 | $484.85 | $167.39 – $455.16 | 26 |
| Hcg qualitative CPT 84703 | $137.41 | $229.02 | $6.32 – $171.76 | 26 |
| Hcg quantitative CPT 84702 | $181.31 | $302.19 | $10.00 – $36.12 | 26 |
| Hc metata joint dislocation anes CPT 28635 | $1,964.56 | $3,274.27 | $593.04 – $3,981.46 | 26 |
| Hc nm fusion spect CT unlisted CPT 78999 | $463.68 | $772.80 | $316.07 – $1,021.72 | 25 |
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.