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 |
|---|---|---|---|---|
| Home sleep test/type 3 porta HCPCS G0399 | $658.80 | $1,098.00 | $175.68 – $823.50 | 26 |
| Homocysteine CPT 83090 | $177.68 | $296.14 | $10.00 – $187.50 | 26 |
| Homogenization tissue CPT 87176 | $45.72 | $76.20 | $4.94 – $43.83 | 26 |
| Homovanillic acid (hva) CPT 83150 | $122.39 | $203.98 | $10.00 – $90.00 | 26 |
| Hopd covid-19 spec collect HCPCS C9803 | $32.85 | $54.75 | $8.76 – $57.24 | 20 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $103.10 | $171.84 | $27.49 – $128.88 | 26 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $206.20 | $343.66 | $54.99 – $257.75 | 26 |
| Ho post-op hip abduction HCPCS L1686 | $1,350.00 | $2,250.00 | $360.00 – $1,800.00 | 19 |
| Hpa-15 genotyping CPT 81112 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-1 genotyping CPT 81105 | $147.17 | $245.28 | $35.00 – $293.33 | 26 |
| Hpa-2 genotyping CPT 81106 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-3 genotyping CPT 81107 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-4 genotyping CPT 81108 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-5 genotyping CPT 81109 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-6 genotyping CPT 81110 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpa-9 genotyping CPT 81111 | $1,081.50 | $1,802.50 | $35.00 – $293.33 | 26 |
| Hpv low-risk types CPT 87623 | $120.57 | $200.95 | $10.00 – $150.71 | 26 |
| H pylori (c-13) breath CPT 83013 | $231.31 | $385.52 | $10.00 – $289.14 | 26 |
| H pylori drug admin CPT 83014 | $46.00 | $76.66 | $6.60 – $57.49 | 26 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $2,250.00 | $3,750.00 | $35.00 – $2,803.49 | 26 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | $357.79 | $596.31 | $35.00 – $1,070.99 | 21 |
| Hrdtry cardmypy gene panel CPT 81439 | $4,646.25 | $7,743.75 | $35.00 – $1,403.76 | 26 |
| Hrdtry perph neurphy panel CPT 81448 | $4,500.00 | $7,500.00 | $35.00 – $1,403.76 | 26 |
| Htt gene detc abnor alleles CPT 81271 | $600.00 | $1,000.00 | $35.00 – $750.00 | 26 |
| Human epididymis protein 4 (he4) CPT 86305 | $225.79 | $376.31 | $10.00 – $135.82 | 26 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $57.60 | $96.00 | $5.28 – $34.70 | 21 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $326.23 | $543.72 | $87.00 – $462.16 | 20 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $150.66 | $251.10 | $0.40 – $213.44 | 21 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $152.86 | $254.76 | $3.70 – $19.64 | 21 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $428.14 | $713.57 | $6.86 – $36.47 | 21 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $279.00 | $465.00 | $0.11 – $5.87 | 21 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $294.92 | $491.54 | $78.65 – $417.81 | 20 |
| Hydromorphone injection HCPCS J1170 | $85.79 | $142.98 | $22.88 – $121.53 | 20 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $111.13 | $185.22 | $0.43 – $16.68 | 21 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $76.13 | $126.88 | $10.00 – $95.16 | 26 |
| Hyperthermia ext gen supfc CPT 77600 | $893.86 | $1,489.76 | $238.36 – $1,117.32 | 26 |
| Hypothermia ill neonate CPT 99184 | $1,633.46 | $2,722.44 | $435.59 – $2,314.07 | 20 |
| Hysterosalpingography s&i CPT 74740 | $702.41 | $1,170.68 | $66.83 – $878.01 | 26 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,526.99 – $12,321.66 | 19 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,526.99 – $12,321.66 | 19 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,063.52 – $8,732.00 | 19 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $12,321.66 | 19 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $12,321.66 | 19 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $151.66 | $252.77 | $10.00 – $189.58 | 26 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $85.80 | $143.00 | $10.00 – $107.25 | 26 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $949.32 | $1,582.20 | $9.96 – $1,344.87 | 21 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $9,377.40 | $15,629.00 | $35.00 – $6,377.81 | 26 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $987.93 | $1,646.55 | $208.26 – $1,006.76 | 26 |
| Icatibant injection HCPCS J1744 | $20,065.49 | $33,442.49 | $326.17 – $28,426.10 | 21 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $29,402.10 | $49,003.50 | $46.90 – $234.52 | 19 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $35,622.20 | $59,370.33 | $4,421.42 – $22,107.10 | 19 |
| Icd crtp serena MRI HCPCS C2621 | $50,985.00 | $84,975.00 | $69.70 – $21,668.62 | 20 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,584.49 | $17,640.81 | $304.08 – $1,520.38 | 19 |
| Icg angiography i&r uni/bi CPT 92240 | $788.39 | $1,313.98 | $206.06 – $985.49 | 26 |
| Icut allergy test drug/bug CPT 95024 | $57.42 | $95.70 | $15.31 – $151.53 | 26 |
| Idarubicin hcl injection HCPCS J9211 | $474.69 | $791.15 | $43.73 – $357.49 | 21 |
| I&d/bursa/foot 28001 CPT 28001 | $1,814.47 | $3,024.12 | $82.50 – $4,016.35 | 26 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,543,957.19 | $2,573,261.98 | $411,721.92 – $1,929,946.49 | 25 |
| Idh1 common variants CPT 81120 | $641.36 | $1,068.93 | $35.00 – $463.80 | 26 |
| Idh2 common variants CPT 81121 | $981.65 | $1,636.08 | $35.00 – $709.90 | 26 |
| I&d lacrimal gland CPT 68400 | $953.40 | $1,589.00 | $254.24 – $2,508.06 | 26 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,101.64 | $10,169.40 | $815.20 – $7,627.05 | 26 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $815.20 – $7,039.11 | 19 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $815.20 – $7,039.11 | 18 |
| Ifnl3 gene CPT 81283 | $90.53 | $150.88 | $24.14 – $176.09 | 26 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $320.36 | $533.93 | $27.15 – $229.87 | 21 |
| Igh gene rearrange amp meth CPT 81261 | $549.35 | $915.58 | $10.00 – $475.18 | 26 |
| Igh@ var region somatic mutation analy CPT 81263 | $795.25 | $1,325.41 | $35.00 – $843.75 | 26 |
| Igk rearrangeabn clonal pop CPT 81264 | $648.88 | $1,081.47 | $10.00 – $414.55 | 26 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $217.04 | $361.74 | $26.36 – $157.40 | 20 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $311.59 | $519.32 | $35.00 – $890.45 | 26 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $259.51 | $432.52 | $30.00 – $423.12 | 26 |
| Ikbkap gene CPT 81260 | $476.25 | $793.75 | $33.02 – $595.31 | 26 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,370.91 | $3,951.51 | $632.24 – $3,358.78 | 18 |
| Iliac revasc add-on 37222 CPT 37222 | $10,433.75 | $17,389.59 | $2,782.33 – $14,781.15 | 20 |
| Img rta detcj/mntr ds staff CPT 92227 | $51.17 | $85.28 | $13.64 – $151.53 | 23 |
| Img rta detc/mntr ds poc aly CPT 92229 | $66.79 | $111.32 | $17.81 – $151.53 | 23 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $382.08 | $636.80 | $21.19 – $105.96 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $299.33 | $498.89 | $9.23 – $46.13 | 19 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,845.21 – $17,652.85 | 19 |
| Immune complex assay CPT 86332 | $141.71 | $236.18 | $10.00 – $155.05 | 26 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,106.32 | $10,177.20 | $46.63 – $576.63 | 26 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,040.28 | $6,733.80 | $76.38 – $2,527.43 | 26 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $190.18 | $316.97 | $10.00 – $93.75 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $166.57 | $277.62 | $10.00 – $208.22 | 26 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $130.73 | $217.88 | $4.64 – $28.75 | 26 |
| Immunodiffusion nes CPT 86329 | $142.83 | $238.05 | $10.00 – $178.54 | 26 |
| Immunofixation electrophoresis serum CPT 86334 | $346.24 | $577.07 | $10.00 – $168.07 | 26 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $1,007.00 | $1,678.33 | $12.99 – $118.71 | 20 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $1,007.00 | $1,678.33 | $12.99 – $423.12 | 26 |
| Immunoglobulin assay CPT 86023 | $1,036.73 | $1,727.88 | $10.00 – $53.96 | 26 |
| Immunology procedure CPT 86849 | $289.39 | $482.31 | $10.00 – $107.96 | 20 |
| Impact tooth remov part bony HCPCS D7230 | $656.56 | $1,094.27 | $175.08 – $2,181.14 | 24 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $5,098.50 | $8,497.50 | $360.00 – $2,289.44 | 21 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,811.60 | $19,686.00 | $72.71 – $363.53 | 19 |
| Implant cochlear device CPT 69930 | not published | not published | $5,384.00 – $83,073.64 | 19 |
| Implant cochlear osia osi300 HCPCS L8690 | $21,892.96 | $36,488.27 | $722.44 – $3,612.18 | 19 |
| Implant neuroelectrodes CPT 64555 | $5,629.40 | $9,382.33 | $3,471.46 – $16,942.33 | 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.