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 |
|---|---|---|---|---|
| Laps pelvic lymphadec CPT 38573 | not published | not published | $3,110.01 – $25,500.18 | 18 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $7,038.00 – $25,500.18 | 17 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $7,038.00 – $25,500.18 | 17 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $3,315.12 – $7,038.00 | 3 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $715.37 | $1,192.29 | $27.96 – $894.22 | 26 |
| Largsc w/laser dstrj les CPT 31572 | $7,420.68 | $12,367.80 | $1,062.24 – $9,276.93 | 26 |
| Largsc w/njx augmentation CPT 31574 | $3,482.74 | $5,804.56 | $525.71 – $4,353.42 | 26 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $800.06 | $1,333.44 | $155.59 – $1,011.53 | 26 |
| Largsc w/ther injection CPT 31573 | $3,682.54 | $6,137.56 | $160.85 – $4,603.17 | 26 |
| Laronidase injection HCPCS J1931 | $1,927.01 | $3,211.68 | $36.89 – $2,408.76 | 26 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Laryngoplasty medialization CPT 31591 | $5,832.68 | $9,721.13 | $1,954.22 – $14,507.25 | 26 |
| Laryngoscope w/vc inj CPT 31570 | $3,442.73 | $5,737.88 | $1,062.24 – $9,276.93 | 26 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,918.74 | $6,531.23 | $1,062.24 – $9,276.93 | 26 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,480.71 | $4,134.52 | $525.71 – $4,204.56 | 26 |
| Laryngoscopy telescopic CPT 31579 | $685.43 | $1,142.39 | $104.65 – $1,011.53 | 26 |
| Laryngoscopy w/biopsy CPT 31535 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 26 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 26 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laryngoscopy w/fb removal CPT 31530 | $3,814.47 | $6,357.45 | $525.71 – $4,768.09 | 26 |
| Laryngoscopy with biopsy CPT 31576 | $3,336.26 | $5,560.44 | $525.71 – $4,204.56 | 26 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,560.37 | $5,933.95 | $1,062.24 – $9,276.93 | 26 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Laser surgery of prostate CPT 52647 | not published | not published | $7,151.44 – $12,818.21 | 5 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $709.01 – $4,517.58 | 19 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,088.27 – $8,921.00 | 19 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $3,110.01 – $25,500.18 | 18 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,763.00 – $7,039.11 | 18 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $50,985.00 | $84,975.00 | $389.84 – $1,949.20 | 19 |
| Lead capillary CPT 83655 | $81.29 | $135.49 | $10.00 – $29.06 | 26 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,843.58 | $8,072.63 | $42.21 – $211.07 | 19 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,186.81 | $16,978.01 | $304.08 – $1,520.38 | 19 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,177.09 | $1,961.81 | $227.71 – $1,471.36 | 26 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,399.92 | $3,999.86 | $167.39 – $2,999.89 | 26 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,715.36 | $2,858.93 | $99.77 – $2,144.20 | 26 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,200.85 | $2,001.42 | $184.78 – $1,501.07 | 26 |
| Leishmania antibody CPT 86717 | $82.71 | $137.85 | $10.00 – $103.39 | 26 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,528.30 | $4,213.83 | $72.71 – $340.81 | 19 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,498.89 | $5,831.49 | $46.90 – $219.86 | 19 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $229.50 | $382.50 | $3.95 – $44.88 | 21 |
| Leukocyte phagocytosis CPT 86344 | $92.88 | $154.80 | $8.73 – $116.10 | 26 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,106.55 | $36,844.25 | $167.39 – $4,599.23 | 26 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $119.59 | $199.32 | $0.04 – $15.30 | 21 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.12 | $230.20 | $10.00 – $172.65 | 26 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $49.98 | $83.30 | $2.38 – $34.85 | 21 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,452.60 | $12,421.00 | $1,987.36 – $9,315.75 | 25 |
| Liberta rc ipg HCPCS C1820 | $50,985.00 | $84,975.00 | $0.77 – $3.87 | 19 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.44 | $70.74 | $1.52 – $8.06 | 20 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.80 | $48.00 | $0.00 – $35.70 | 21 |
| Lidocaine therapeutic drug level CPT 80176 | $129.40 | $215.67 | $10.00 – $161.75 | 26 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3.30 | $5.50 | $0.88 – $4.67 | 20 |
| Lift heel adj small gl60404sm HCPCS L3332 | $201.42 | $335.70 | $53.71 – $268.56 | 19 |
| Lifts elevation metal extens HCPCS L3330 | $927.30 | $1,545.50 | $247.28 – $1,236.40 | 19 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $132.16 – $7,038.00 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,118.22 – $7,896.23 | 19 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $486.45 – $4,063.00 | 19 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,118.22 – $7,896.23 | 19 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,356.15 | $2,260.25 | $361.64 – $7,896.23 | 26 |
| Ligation/major artery/extremity 37618 CPT 37618 | $11,489.80 | $19,149.66 | $676.66 – $16,277.21 | 20 |
| Ligation major artery neck CPT 37615 | $3,608.40 | $6,014.00 | $962.24 – $7,896.23 | 26 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,200.20 | $3,667.00 | $586.72 – $12,018.16 | 25 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,182.01 | $5,303.35 | $1,118.22 – $7,896.23 | 26 |
| Lig/band angioaccess av fistula CPT 37607 | $6,365.14 | $10,608.57 | $1,118.22 – $7,956.43 | 26 |
| Limited ankle motion ea jnt HCPCS L2200 | $160.99 | $268.32 | $42.93 – $214.66 | 19 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $335.91 | $559.85 | $2.73 – $172.55 | 21 |
| Lipase CPT 83690 | $130.62 | $217.70 | $5.79 – $16.54 | 26 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $886.62 – $7,975.81 | 19 |
| Lipoprotein blood high res frac & quant CPT 83701 | $112.29 | $187.15 | $10.00 – $140.36 | 26 |
| Lipoprotein blood quant CPT 83704 | $106.43 | $177.39 | $10.00 – $82.06 | 26 |
| Lipoprotein direct measurement hdl CPT 83718 | $113.88 | $189.80 | $6.88 – $25.15 | 26 |
| Lipoprotein direct measurement ldl CPT 83721 | $79.81 | $133.02 | $8.82 – $80.62 | 26 |
| Lip surgery procedure CPT 40799 | $433.65 | $722.75 | $180.69 – $605.10 | 25 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,578,304.84 | $2,630,508.07 | $420,881.29 – $1,972,881.05 | 25 |
| Listeria monocytogenes CPT 86723 | $159.53 | $265.88 | $10.00 – $199.41 | 26 |
| Lithium therapeutic drug level CPT 80178 | $95.88 | $159.80 | $5.55 – $119.85 | 26 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,380.88 | $20,634.80 | $3,301.57 – $17,539.58 | 19 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $660.00 | $1,100.00 | $35.00 – $751.09 | 26 |
| Liver elastography 91200 CPT 91200 | $312.00 | $520.00 | $31.93 – $390.00 | 26 |
| Liver Function Test CPT 80076 | $193.52 | $322.54 | $6.86 – $241.91 | 26 |
| Liver image (3d) with flow CPT 78206 | $1,198.66 | $1,997.76 | $126.11 – $669.97 | 20 |
| Liver imaging CPT 78201 | $1,279.10 | $2,131.83 | $175.43 – $1,598.87 | 26 |
| Liver imaging (3d) CPT 78205 | $1,198.66 | $1,997.76 | $319.64 – $1,698.10 | 20 |
| Liver imag w/vasclr flow CPT 78202 | $1,255.15 | $2,091.92 | $194.80 – $1,568.94 | 26 |
| Liver/spleen imag static only CPT 78215 | $1,471.52 | $2,452.54 | $180.10 – $1,839.40 | 26 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $504.82 | $841.37 | $135.99 – $1,021.72 | 26 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,088.27 – $8,018.48 | 19 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $161.06 | $268.44 | $1.27 – $228.17 | 21 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $12.92 | $21.53 | $0.18 – $1.83 | 21 |
| Low back disk surgery CPT 63030 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Low cost skin substitute app HCPCS C5271 | $1,126.12 | $1,876.87 | $300.30 – $1,595.34 | 21 |
| Low cost skin substitute app HCPCS C5273 | $1,584.24 | $2,640.40 | $422.46 – $4,517.58 | 21 |
| Low cost skin substitute app HCPCS C5275 | $1,313.06 | $2,188.44 | $350.15 – $1,860.17 | 21 |
| Low cost skin substitute app HCPCS C5272 | $693.49 | $1,155.81 | $184.93 – $982.44 | 20 |
| Low cost skin substitute app HCPCS C5274 | $769.45 | $1,282.42 | $205.19 – $1,090.06 | 20 |
| Low cost skin substitute app HCPCS C5276 | $2,428.65 | $4,047.75 | $647.64 – $3,440.59 | 20 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $184.05 | $306.75 | $99.77 – $1,841.00 | 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.