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 |
|---|---|---|---|---|
| Inj, kovaltry, 1 i.u HCPCS J7211 | $24.72 | $41.20 | $1.48 – $30.90 | 26 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $136.62 | $227.70 | $25.40 – $193.54 | 21 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $570.13 | $950.22 | $6.61 – $299.33 | 26 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $48.60 | $81.00 | $0.07 – $0.39 | 20 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $794.70 | $1,324.50 | $211.92 – $1,125.83 | 20 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $1,380.00 | $2,300.00 | $114.64 – $1,725.00 | 26 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $35.21 | $58.68 | $0.24 – $4.10 | 21 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $586.20 | $977.00 | $2.06 – $732.75 | 26 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $8,304.04 | $13,840.07 | $225.36 – $10,380.05 | 26 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $165.60 | $276.00 | $9.62 – $234.60 | 21 |
| Inj multihance HCPCS A9577 | $283.77 | $472.95 | $1.97 – $402.01 | 21 |
| Inj. mycophenolate mofetil HCPCS J7519 | $291.54 | $485.90 | $0.44 – $277.31 | 21 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,569.23 | $2,615.39 | $418.46 – $1,961.54 | 26 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,058.43 | $3,430.72 | $709.01 – $10,795.00 | 24 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,058.43 | $3,430.72 | $709.01 – $10,795.00 | 24 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $379.08 | $631.80 | $43.95 – $537.03 | 21 |
| Inj ontruzant 10 mg HCPCS Q5112 | $6,706.27 | $11,177.12 | $28.32 – $8,382.84 | 26 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $17,613.00 | $29,355.00 | $90.41 – $22,016.25 | 26 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $7,082.75 | $11,804.59 | $113.66 – $8,853.44 | 26 |
| Inj peritoneal venous shunt CPT 49427 | $329.49 | $549.15 | $87.86 – $466.78 | 20 |
| Inj proc ankle arthr CPT 27648 | $405.31 | $675.51 | $108.08 – $574.18 | 17 |
| Inj proc elbow arthro CPT 24220 | $768.85 | $1,281.41 | $106.14 – $743.22 | 20 |
| Inj proc for lymphang CPT 38790 | $1,848.76 | $3,081.27 | $493.00 – $2,619.08 | 20 |
| Inj proc lumbr disk ea lvl CPT 62290 | $2,015.55 | $3,359.25 | $537.48 – $2,855.36 | 20 |
| Inj proc myelogram lumbar CPT 62284 | $1,267.73 | $2,112.89 | $338.06 – $1,795.96 | 20 |
| Inj proc sialogram CPT 42550 | $419.34 | $698.90 | $111.82 – $594.07 | 20 |
| Inj progesterone per 50 mg HCPCS J2675 | $10.76 | $17.94 | $0.72 – $15.25 | 21 |
| Inj prohance multipack HCPCS A9576 | $283.77 | $472.95 | $1.53 – $402.01 | 21 |
| Inj retro urethrocysto CPT 51610 | $605.02 | $1,008.37 | $161.34 – $857.11 | 20 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $17,517.56 | $29,195.93 | $32.72 – $4,323.66 | 26 |
| Inj testosterone cypionate HCPCS J1071 | $85.64 | $142.74 | $0.03 – $94.55 | 21 |
| Inj theophylline per 40 mg HCPCS J2810 | $14.40 | $24.00 | $3.84 – $20.40 | 20 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $3,047.17 | $5,078.62 | $812.58 – $4,316.83 | 20 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,628.54 | $2,714.24 | $434.28 – $2,307.10 | 20 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $3,525.12 | $5,875.20 | $4.22 – $2,203.20 | 26 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $89.83 | $149.72 | $15.44 – $106.76 | 21 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $13.80 | $23.00 | $0.18 – $19.55 | 21 |
| Inj, vasopressin (baxter) HCPCS J2601 | $202.50 | $337.50 | $1.45 – $253.12 | 26 |
| Inj w/fluor eval cv device CPT 36598 | $696.14 | $1,160.23 | $79.46 – $870.17 | 26 |
| Ins cath ren art 1st bi CPT 36252 | $6,115.51 | $10,192.52 | $1,630.80 – $7,896.23 | 26 |
| Ins cath ren art 1st uni CPT 36251 | $4,879.64 | $8,132.73 | $1,301.24 – $7,896.23 | 26 |
| Ins cath ren art 2nd+ bi CPT 36254 | $3,325.60 | $5,542.66 | $886.83 – $7,896.23 | 26 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,528.94 | $9,214.90 | $1,474.38 – $13,613.39 | 26 |
| Ins cerv dilator (sep proc) CPT 59200 | $683.71 | $1,139.52 | $95.15 – $854.64 | 26 |
| Insert and remove bone pin CPT 20650 | $4,433.36 | $7,388.94 | $1,088.27 – $8,018.48 | 26 |
| Insert ant drainage device CPT 66183 | $4,299.12 | $7,165.20 | $2,229.18 – $10,072.14 | 26 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $1,939.15 – $13,613.39 | 19 |
| Insert cath pleura with image CPT 32557 | $2,239.02 | $3,731.70 | $446.27 – $3,967.42 | 26 |
| Insert cath pleura without image CPT 32556 | $2,549.87 | $4,249.78 | $564.97 – $4,713.77 | 26 |
| Insert hepatic shunt (tips) CPT 37182 | $9,754.48 | $16,257.47 | $1,448.96 – $39,592.62 | 25 |
| Insert intrauterine device iud CPT 58300 | $378.83 | $631.38 | $93.80 – $536.67 | 20 |
| Insertion catheter bladder non indwelling CPT 51701 | $237.13 | $395.21 | $63.23 – $316.45 | 26 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,524.66 | $7,541.10 | $1,551.50 – $8,570.48 | 26 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $5,560.92 | $9,268.20 | $460.46 – $7,877.97 | 18 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,210.78 | $12,017.97 | $1,922.88 – $13,613.39 | 26 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,487.99 | $4,146.65 | $1,118.22 – $7,896.23 | 26 |
| Insertion of catheter vein CPT 36481 | $2,244.40 | $3,740.67 | $598.51 – $3,179.57 | 20 |
| Insertion of catheter vein CPT 36500 | $1,799.84 | $2,999.73 | $479.96 – $2,549.77 | 20 |
| Insertion of heart electrode 33211 CPT 33211 | $9,537.90 | $15,896.50 | $5,113.52 – $21,045.99 | 27 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $22,677.49 | $37,795.82 | $6,450.90 – $28,346.87 | 27 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $15,987.70 | $26,646.17 | $6,323.37 – $26,452.82 | 27 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $18,479.83 | $30,799.72 | $4,927.96 – $26,179.76 | 19 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,079.43 | $3,465.72 | $446.27 – $3,967.42 | 26 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,992.46 | $4,987.44 | $446.27 – $3,967.42 | 26 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $43,324.90 | $72,208.16 | $21,852.74 – $81,499.55 | 27 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $7,753.75 | $12,922.92 | $3,320.59 – $21,045.99 | 27 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $10,799.55 | $17,999.25 | $4,538.30 – $21,045.99 | 27 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,520.42 | $14,200.70 | $5,254.26 – $21,045.99 | 26 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,470.54 | $9,117.57 | $1,118.22 – $7,896.23 | 26 |
| Insertion ureth cath CPT 51045 | not published | not published | $652.80 – $6,703.00 | 18 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $2,763.00 – $49,970.70 | 18 |
| Insert pessary/other device CPT 57160 | $220.25 | $367.08 | $33.50 – $493.64 | 26 |
| Insert pm/icd lead dual CPT 33217 | $11,589.58 | $19,315.96 | $5,845.58 – $21,045.99 | 27 |
| Insert/repl sq defib w/eltrd CPT 33270 | $55,859.92 | $93,099.87 | $21,943.90 – $81,499.55 | 26 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $2,763.00 – $49,970.70 | 18 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $2,763.00 – $31,800.16 | 18 |
| Insert spine fixation device CPT 22843 | not published | not published | $1,453.82 – $7,038.00 | 3 |
| Insert sq defib electrode CPT 33271 | $12,133.56 | $20,222.60 | $6,075.14 – $21,045.99 | 25 |
| Insert swan-ganz cath CPT 93503 | $3,551.79 | $5,919.65 | $947.14 – $4,439.74 | 26 |
| Insert tandem cuff CPT 53444 | not published | not published | $2,416.00 – $49,970.70 | 19 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $1,457.62 – $8,887.48 | 19 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $4,112.03 | $6,853.39 | $1,118.22 – $7,896.23 | 26 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $1,804.00 – $49,970.70 | 19 |
| Insert uteri tandem/ovoids CPT 57155 | $5,201.36 | $8,668.93 | $1,526.99 – $12,321.66 | 26 |
| Insert vad art access left hrt arterial access CPT 33990 | $8,898.90 | $14,831.50 | $2,373.04 – $12,606.77 | 19 |
| Insert vad art access left hrt art & vein access CPT 33991 | $7,330.95 | $12,218.25 | $1,107.88 – $10,385.51 | 18 |
| Ins icd gen exist mlt leads CPT 33231 | $31,286.77 | $52,144.61 | $18,250.61 – $81,499.55 | 26 |
| Ins icd gen exist sgl lead CPT 33240 | $31,662.03 | $52,770.05 | $16,654.19 – $58,392.49 | 27 |
| Insitu hybridization auto CPT 88367 | $294.00 | $490.00 | $35.00 – $890.45 | 26 |
| Insitu hybridization (fish) CPT 88366 | $862.50 | $1,437.50 | $19.89 – $423.12 | 26 |
| Insitu hybridization manual CPT 88368 | $401.28 | $668.80 | $35.00 – $890.45 | 26 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $361.60 | $602.66 | $35.00 – $512.26 | 20 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $373.43 | $622.39 | $35.00 – $466.79 | 26 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Insj perq vad r hrt venous CPT 33995 | $11,556.32 | $19,260.53 | $652.31 – $16,371.45 | 18 |
| Insj phrnc nrv stim sys CPT 33276 | $56,158.12 | $93,596.86 | $32,454.62 – $117,001.30 | 24 |
| Insj phrnc nrv stim transvns CPT 33277 | $13,142.86 | $21,904.76 | $1,896.00 – $18,619.05 | 18 |
| Insj rx elut implt lac canal CPT 68841 | $2,572.70 | $4,287.84 | $550.33 – $5,788.85 | 24 |
| Ins lv lead exist pm/icd CPT 33224 | $20,536.56 | $34,227.60 | $6,252.51 – $26,452.82 | 27 |
| Ins mark abd/pel for right perq CPT 49411 | $2,000.78 | $3,334.63 | $296.23 – $3,432.55 | 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.