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 |
|---|---|---|---|---|
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,763.00 – $16,942.33 | 19 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,763.00 – $76,924.35 | 19 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $10,095.03 | $16,825.05 | $233.76 – $1,168.80 | 19 |
| Implant pulse generator remede el HCPCS C1823 | $50,985.00 | $84,975.00 | $13,596.00 – $67,980.00 | 19 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $858.17 – $7,711.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | $7,266.13 | $12,110.21 | $1,937.63 – $10,293.68 | 19 |
| Implant tcat pulm vlv perq CPT 33477 | $29,995.46 | $49,992.44 | $2,419.18 – $42,493.57 | 18 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,635.94 – $7,038.00 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $4,507.67 | $7,512.78 | $138.94 – $694.70 | 19 |
| Impl neurostim electr perc CPT 63650 | $7,546.20 | $12,577.00 | $2,416.00 – $16,942.33 | 26 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,448.30 | $5,747.17 | $2,126.45 – $18,954.06 | 26 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $6,263.30 – $32,603.53 | 18 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,038.00 – $32,603.53 | 19 |
| Implt neurostim elctr each HCPCS L8680 | $7,137.90 | $11,896.50 | $582.74 – $2,913.68 | 19 |
| Impres&prep intrm obt prosth CPT 21079 | $2,803.51 | $4,672.51 | $504.98 – $7,975.81 | 26 |
| Impres&prep paltl aug prosth CPT 21082 | $3,115.01 | $5,191.68 | $519.92 – $7,975.81 | 23 |
| Impres&prep paltl lft prosth CPT 21083 | $2,429.71 | $4,049.51 | $647.92 – $7,975.81 | 23 |
| Impres&prep sp aid prosth CPT 21084 | $2,709.12 | $4,515.20 | $722.43 – $7,975.81 | 26 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $294.29 – $7,038.00 | 18 |
| Incise flexor carpi radialis CPT 25001 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 26 |
| Incise skull repair CPT 62121 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Incise skull/sutures CPT 61556 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,051.89 | $5,086.48 | $90.81 – $4,016.35 | 26 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,688.92 – $15,671.95 | 16 |
| Incision of anal sphincter CPT 46080 | not published | not published | $939.93 – $6,955.62 | 19 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $2,369.24 – $7,038.00 | 3 |
| Incision of breast lesion CPT 19020 | $3,030.26 | $5,050.44 | $486.45 – $4,016.35 | 26 |
| Incision of burn scab initi CPT 16035 | $693.60 | $1,156.00 | $143.08 – $987.79 | 26 |
| Incision of foot fascia CPT 28008 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Incision of heel bone CPT 28300 | not published | not published | $2,416.00 – $17,722.46 | 19 |
| Incision of metatarsal CPT 28306 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Incision of metatarsals CPT 28309 | not published | not published | $3,254.74 – $17,722.46 | 19 |
| Incision of midfoot bones CPT 28304 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Incision of prostate CPT 52450 | not published | not published | $1,142.90 – $8,636.11 | 19 |
| Incision of rectal abscess CPT 46060 | $5,159.16 | $8,598.60 | $939.93 – $6,955.62 | 26 |
| Incision of tibia CPT 27705 | not published | not published | $2,416.00 – $17,722.46 | 19 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $593.04 – $6,093.00 | 19 |
| Incision of tongue fold CPT 41010 | $1,163.78 | $1,939.64 | $420.64 – $3,777.93 | 26 |
| Incision of urethra CPT 53010 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Incision of urethra CPT 53020 | not published | not published | $652.80 – $5,045.72 | 19 |
| Incision tendon sheath CPT 26055 | not published | not published | $593.04 – $4,063.00 | 19 |
| Incisn of toe tndn CPT 28010 | $2,298.99 | $3,831.65 | $100.50 – $3,981.46 | 26 |
| Incisn windpipe CPT 31600 | $5,256.07 | $8,760.12 | $1,401.62 – $7,975.81 | 26 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,080.00 | $1,800.00 | $6.91 – $32.40 | 25 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $1,997.99 | $3,329.99 | $532.80 – $2,830.49 | 20 |
| Induced abortion d&c CPT 59840 | $3,645.12 | $6,075.20 | $1,063.52 – $7,744.80 | 26 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $121.73 | $202.88 | $10.00 – $152.16 | 25 |
| Infec agen detec ampli probe HCPCS U0005 | $34.02 | $56.70 | $9.07 – $48.20 | 20 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,208.07 | $2,013.45 | $10.00 – $312.84 | 26 |
| Infect ag eia influenza a or b ea CPT 87400 | $121.93 | $203.21 | $10.00 – $152.41 | 26 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,328.66 | $2,214.43 | $10.00 – $773.44 | 26 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $727.04 | $1,211.74 | $10.00 – $908.80 | 26 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $669.30 | $1,115.50 | $10.00 – $308.95 | 26 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $828.32 | $1,380.53 | $10.00 – $617.88 | 26 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $175.15 | $291.92 | $10.00 – $218.94 | 26 |
| Infect ag ia optc obs influenza CPT 87804 | $93.18 | $155.30 | $10.00 – $116.47 | 26 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $83.03 | $138.39 | $10.00 – $103.79 | 26 |
| Infect ag if hep delta agent CPT 87380 | $219.64 | $366.07 | $10.00 – $274.55 | 26 |
| Infect ag if influenza a CPT 87276 | $82.46 | $137.43 | $10.00 – $103.07 | 26 |
| Infect ag if influenza b CPT 87275 | $80.74 | $134.56 | $10.00 – $100.92 | 26 |
| Infect ag if legionella pneumophila CPT 87278 | $126.02 | $210.04 | $10.00 – $157.53 | 26 |
| Infect ag if pneumocystis carinii CPT 87281 | $154.04 | $256.74 | $10.00 – $28.75 | 26 |
| Infect ag if varicella zoster CPT 87290 | $92.78 | $154.63 | $10.00 – $115.97 | 26 |
| Infect ag na hep b amp CPT 87516 | $108.44 | $180.73 | $10.00 – $135.55 | 26 |
| Infect ag na herpes simplex quant CPT 87530 | $284.06 | $473.43 | $10.00 – $261.85 | 26 |
| Infect ag na hpv high-risk types CPT 87624 | $615.00 | $1,025.00 | $10.00 – $164.33 | 26 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $390.44 | $650.73 | $10.00 – $488.05 | 26 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $158.06 | $263.44 | $10.00 – $197.58 | 26 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $127.50 | $212.50 | $10.00 – $110.32 | 25 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,078.16 | $1,796.94 | $10.00 – $1,347.70 | 26 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $843.26 | $1,405.43 | $10.00 – $1,172.78 | 26 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $199.73 | $332.88 | $10.00 – $85.16 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $127.01 | $211.69 | $10.00 – $158.77 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $86.83 | $144.71 | $10.00 – $108.53 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $80.05 | $133.41 | $10.00 – $100.06 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $93.89 | $156.49 | $10.00 – $28.84 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $140.84 | $234.74 | $10.00 – $75.00 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $118.25 | $197.09 | $2.94 – $24.79 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $93.38 | $155.64 | $8.68 – $116.73 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $145.09 | $241.82 | $10.00 – $181.37 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $324.45 | $540.75 | $10.00 – $56.66 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $153.61 | $256.01 | $10.00 – $192.01 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $68.11 | $113.52 | $10.00 – $85.14 | 26 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $849.00 | $1,415.00 | $2.94 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $165.34 | $275.56 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $215.18 | $358.64 | $10.00 – $268.98 | 26 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $855.45 | $1,425.75 | $10.00 – $1,000.27 | 26 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $652.67 | $1,087.78 | $10.00 – $154.69 | 26 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $168.42 | $280.70 | $10.00 – $210.53 | 26 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $345.17 | $575.28 | $10.00 – $299.01 | 26 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $162.62 | $271.03 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $900.00 | $1,500.00 | $10.00 – $129.38 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $61.45 | $102.41 | $10.00 – $342.31 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $104.93 | $174.88 | $10.00 – $342.31 | 26 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $126.60 | $211.00 | $10.00 – $158.25 | 26 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $162.85 | $271.42 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $327.95 | $546.59 | $10.00 – $409.94 | 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.