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 |
|---|---|---|---|---|
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $101.28 | $168.80 | $9.93 – $28.37 | 26 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $96.45 | $160.75 | $9.93 – $30.43 | 26 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $585.00 | $975.00 | $10.00 – $290.62 | 26 |
| Mayo chromium CPT 82495 | $130.68 | $217.80 | $10.00 – $163.35 | 26 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $162.00 | $270.00 | $10.00 – $79.35 | 19 |
| Mayo coccidioides antibody CPT 86635 | $123.75 | $206.25 | $9.63 – $27.53 | 26 |
| Mayo cocou cortisone urine CPT 82542 | $587.08 | $978.47 | $10.00 – $57.82 | 26 |
| Mayo cortisol free CPT 82530 | $121.52 | $202.53 | $10.00 – $83.51 | 26 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $81.51 | $135.85 | $10.00 – $101.11 | 26 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $75.00 | $125.00 | $10.00 – $93.75 | 26 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $66.93 | $111.55 | $3.92 – $19.35 | 19 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $247.50 | $412.50 | $3.92 – $13.38 | 19 |
| Mayo cyanide CPT 82600 | $113.38 | $188.97 | $10.00 – $141.73 | 26 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $809.09 | $1,348.48 | $35.00 – $791.20 | 26 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $103.04 | $171.74 | $10.00 – $128.81 | 26 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $64.52 | $107.54 | $10.00 – $80.66 | 26 |
| Mayo dihydrotestosterone CPT 82642 | $160.74 | $267.90 | $10.00 – $70.27 | 26 |
| Mayo efpo chloride stool CPT 82438 | $56.99 | $94.99 | $4.20 – $16.37 | 26 |
| Mayo estriol CPT 82677 | $127.91 | $213.19 | $10.00 – $159.89 | 26 |
| Mayo estrone CPT 82679 | $116.75 | $194.59 | $10.00 – $145.94 | 26 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $121.91 | $203.18 | $10.00 – $152.38 | 26 |
| Mayo everolimus therapeutic drug level CPT 80169 | $168.26 | $280.44 | $10.00 – $151.37 | 26 |
| Mayo factor ii CPT 85210 | $158.25 | $263.75 | $10.00 – $197.81 | 26 |
| Mayo factor v CPT 85220 | $220.03 | $366.71 | $10.00 – $275.03 | 26 |
| Mayo factor vii CPT 85230 | $257.96 | $429.93 | $10.00 – $322.45 | 26 |
| Mayo factor viii vw factor antigen CPT 85246 | $193.57 | $322.62 | $10.00 – $55.06 | 26 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $202.90 | $338.16 | $10.00 – $253.62 | 26 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $216.77 | $361.28 | $10.00 – $55.06 | 26 |
| Mayo factor x CPT 85260 | $218.72 | $364.53 | $10.00 – $273.40 | 26 |
| Mayo factor xi CPT 85270 | $219.98 | $366.64 | $10.00 – $274.98 | 26 |
| Mayo fat/lipids feces quantitative CPT 82710 | $132.79 | $221.31 | $10.00 – $75.81 | 26 |
| Mayo fbl culture fungi blood CPT 87103 | $149.35 | $248.92 | $10.00 – $186.69 | 26 |
| Mayo ffspg allergen clam igg CPT 86001 | $98.45 | $164.08 | $6.57 – $33.28 | 26 |
| Mayo fibrinogen antigen CPT 85385 | $126.67 | $211.12 | $10.00 – $57.87 | 26 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $103.53 | $172.55 | $10.00 – $129.41 | 26 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,487.95 | $12,479.92 | $0.00 – $62.59 | 20 |
| Mayo hemosiderin qualitative urine CPT 83070 | $50.16 | $83.60 | $3.99 – $62.70 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $483.21 | $805.35 | $10.00 – $125.62 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $360.37 | $600.61 | $10.00 – $125.62 | 26 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $70.60 | $117.66 | $10.00 – $33.10 | 26 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $581.25 | $968.75 | $10.00 – $61.94 | 26 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $93.82 | $156.36 | $7.47 – $117.27 | 26 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $103.07 | $171.78 | $10.00 – $128.84 | 26 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $180.80 | $301.34 | $10.00 – $226.00 | 26 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,222.50 | $2,037.50 | $10.00 – $46.88 | 26 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $86.84 | $144.74 | $3.92 – $35.98 | 26 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $171.74 | $286.24 | $10.00 – $214.68 | 26 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $296.10 | $493.50 | $10.00 – $173.71 | 26 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $115.79 | $192.98 | $10.00 – $144.74 | 25 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $81.04 | $135.06 | $10.00 – $81.02 | 26 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $310.50 | $517.50 | $10.00 – $112.20 | 26 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $634.21 | $1,057.02 | $10.00 – $187.50 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $161.25 | $268.75 | $10.00 – $90.89 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $771.30 | $1,285.50 | $10.00 – $163.12 | 26 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $826.14 | $1,376.90 | $10.00 – $268.38 | 25 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $587.43 | $979.05 | $10.00 – $165.21 | 26 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $395.63 | $659.38 | $35.00 – $342.56 | 26 |
| Mayo infliximab therapeutic drug level CPT 80230 | $682.32 | $1,137.20 | $10.00 – $369.18 | 26 |
| Mayo inhab inhibin a CPT 86336 | $126.47 | $210.79 | $10.00 – $158.09 | 26 |
| Mayo insft insulin free CPT 83527 | $82.93 | $138.22 | $10.00 – $31.08 | 26 |
| Mayo insulin antibodies CPT 86337 | $138.41 | $230.68 | $10.00 – $173.01 | 26 |
| Mayo iodine CPT 83789 | $226.25 | $377.08 | $10.00 – $196.31 | 26 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $433.44 | $722.40 | $10.00 – $541.80 | 26 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $187.50 | $312.50 | $10.00 – $234.38 | 26 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $106.14 | $176.90 | $10.00 – $132.68 | 26 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $89.48 | $149.14 | $10.00 – $111.86 | 26 |
| Mayo legionella antibody CPT 86713 | $126.47 | $210.79 | $10.00 – $43.12 | 26 |
| Mayo leptospira antibody igm CPT 86720 | $121.25 | $202.08 | $10.00 – $151.56 | 26 |
| Mayo lipoprotein electrophoresis CPT 83700 | $72.73 | $121.21 | $9.46 – $34.56 | 26 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $112.42 | $187.37 | $10.00 – $37.18 | 26 |
| Mayo manganese CPT 83785 | $114.38 | $190.64 | $10.00 – $142.98 | 26 |
| Mayo metanephrines plasma CPT 83835 | $183.84 | $306.40 | $10.00 – $45.62 | 26 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $137.37 | $228.95 | $8.76 – $15.84 | 19 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $500.67 | $834.45 | $10.00 – $66.48 | 26 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $469.10 | $781.83 | $10.00 – $46.88 | 26 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $103.53 | $172.55 | $10.00 – $129.41 | 26 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $675.00 | $1,125.00 | $10.00 – $114.19 | 26 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,350.00 | $2,250.00 | $10.00 – $328.80 | 26 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $735.15 | $1,225.25 | $10.00 – $918.94 | 26 |
| Mayo muramidase CPT 85549 | $89.74 | $149.56 | $10.00 – $112.17 | 26 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $826.88 | $1,378.13 | $10.00 – $252.33 | 26 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $138.00 | $230.00 | $10.00 – $172.50 | 26 |
| Mayo myoglobin CPT 83874 | $136.97 | $228.29 | $10.00 – $171.22 | 26 |
| Mayo nickel CPT 83885 | $60.00 | $100.00 | $10.00 – $75.00 | 26 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $122.09 | $203.48 | $3.92 – $14.28 | 19 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $25.10 | $41.83 | $10.00 – $35.56 | 19 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $147.42 | $245.70 | $3.92 – $11.91 | 19 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $170.65 | $284.41 | $10.00 – $50.90 | 26 |
| Mayo organic acids qualitative each specimen CPT 83919 | $346.50 | $577.50 | $10.00 – $242.86 | 26 |
| Mayo oxalate 24 hour urine CPT 83945 | $96.16 | $160.26 | $10.00 – $34.68 | 26 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $235.08 | $391.80 | $9.69 – $293.85 | 26 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $108.35 | $180.58 | $10.00 – $135.44 | 26 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,372.80 | $2,288.00 | $4.86 – $28.92 | 26 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $333.40 | $555.66 | $10.00 – $129.38 | 26 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $111.00 | $185.00 | $10.00 – $99.38 | 26 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $99.71 | $166.19 | $10.00 – $124.64 | 26 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $83.36 | $138.94 | $7.09 – $61.37 | 26 |
| Mayo pregnenolone CPT 84140 | $110.43 | $184.05 | $10.00 – $138.04 | 26 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $92.19 | $153.65 | $10.00 – $115.24 | 26 |
| Mayo proinsulin CPT 84206 | $149.54 | $249.23 | $10.00 – $186.92 | 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.