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 psaft prostate specific antigen free CPT 84154 | $112.80 | $188.00 | $10.00 – $141.00 | 26 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,506.45 | $2,510.75 | $10.00 – $52.97 | 26 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $197.93 | $329.88 | $10.00 – $178.71 | 26 |
| Mayo receptor assay transferrin soluble CPT 84238 | $197.80 | $329.67 | $10.00 – $87.77 | 26 |
| Mayo renin CPT 84244 | $161.71 | $269.52 | $10.00 – $52.78 | 26 |
| Mayo repu protein electrophoresis urine CPT 84166 | $129.47 | $215.78 | $10.00 – $42.79 | 26 |
| Mayo selenium CPT 84255 | $127.00 | $211.67 | $10.00 – $158.75 | 26 |
| Mayo serotonin CPT 84260 | $193.54 | $322.57 | $10.00 – $241.93 | 26 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $116.75 | $194.59 | $10.00 – $46.44 | 26 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $162.75 | $271.25 | $10.00 – $203.44 | 26 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $105.53 | $175.88 | $10.00 – $197.86 | 25 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $63.96 | $106.60 | $3.59 – $11.25 | 26 |
| Mayo tau phosphorylated 217 each CPT 84393 | $750.00 | $1,250.00 | $10.00 – $515.80 | 25 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $814.05 | $1,356.75 | $10.00 – $501.41 | 26 |
| Mayo tgrp testosterone free CPT 84402 | $161.84 | $269.73 | $9.40 – $61.13 | 26 |
| Mayo tgrp testosterone total CPT 84403 | $184.68 | $307.80 | $9.40 – $61.94 | 26 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $504.15 | $840.25 | $10.00 – $159.38 | 26 |
| Mayo thyroglobulin CPT 84432 | $214.12 | $356.87 | $10.00 – $162.25 | 26 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $102.16 | $170.26 | $8.55 – $57.08 | 26 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $306.00 | $510.00 | $2.94 – $29.74 | 26 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $168.67 | $281.11 | $10.00 – $238.94 | 19 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $47.19 | $78.65 | $9.04 – $123.07 | 26 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $93.75 | $156.25 | $10.00 – $103.39 | 26 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $46.32 | $77.20 | $10.00 – $32.50 | 26 |
| Mayo vasoactive intestinal peptide CPT 84586 | $197.03 | $328.38 | $10.00 – $246.28 | 26 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $147.70 | $246.16 | $10.00 – $184.62 | 26 |
| Mayo vitamin b3 (niacin) CPT 84591 | $138.60 | $231.00 | $10.00 – $163.40 | 26 |
| Mayo vitamin k CPT 84597 | $150.26 | $250.44 | $10.00 – $187.83 | 26 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $126.58 | $210.96 | $10.00 – $158.22 | 26 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,457.62 – $10,795.00 | 18 |
| Md inr test revie inter mgmt HCPCS G0250 | $13.73 | $22.88 | $3.66 – $22.86 | 20 |
| Measure kidney pressure CPT 50396 | $803.99 | $1,339.98 | $238.15 – $1,692.24 | 26 |
| Measurement post void urine by ultrasound CPT 51798 | $192.63 | $321.05 | $51.37 – $240.79 | 26 |
| #mec-opiates CPT 80356 | $76.46 | $127.44 | $3.92 – $13.36 | 19 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $100.00 | $166.67 | $26.67 – $141.67 | 16 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,769.43 – $14,293.73 | 17 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,769.43 – $14,293.73 | 17 |
| Medical services after hrs CPT 99050 | $23.40 | $39.00 | $6.24 – $33.15 | 16 |
| Med physic dos eval rad exps CPT 76145 | $798.01 | $1,330.02 | $212.80 – $1,327.77 | 26 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $165.13 | $275.22 | $44.04 – $233.94 | 20 |
| Melphalan oral 2 mg HCPCS J8600 | $16.58 | $27.64 | $4.42 – $23.49 | 20 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,524.60 | $2,541.00 | $118.76 – $1,432.66 | 25 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $790.10 | $1,316.83 | $81.79 – $383.41 | 25 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $511.67 | $852.78 | $51.32 – $268.77 | 25 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $736.80 | $1,228.00 | $36.99 – $268.77 | 25 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $30.79 | $51.32 | $3.40 – $18.04 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $107.90 | $179.84 | $0.41 – $19.55 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,896.00 – $5,384.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $107.41 | $179.01 | $1.47 – $91.80 | 21 |
| Metabolic Blood Panel (Basic) CPT 80048 | $149.84 | $249.74 | $7.11 – $187.31 | 26 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $235.72 | $392.86 | $8.87 – $294.64 | 26 |
| Metabolic panel ionized ca CPT 80047 | $284.96 | $474.94 | $10.00 – $356.20 | 26 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $224.10 | $373.50 | $59.76 – $317.48 | 20 |
| Methadone injection HCPCS J1230 | $1,157.85 | $1,929.75 | $16.18 – $1,640.29 | 21 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $103.20 | $172.00 | $4.62 – $49.30 | 21 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.32 | $10.54 | $0.15 – $5.18 | 21 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $162.19 | $270.32 | $2.94 – $61.03 | 21 |
| Methotrexate therapeutic drug level CPT 80204 | $448.27 | $747.11 | $10.00 – $560.33 | 26 |
| Methyldopate hcl injection HCPCS J0210 | $144.00 | $240.00 | $38.40 – $204.00 | 20 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,185.54 | $3,642.57 | $9.78 – $80.54 | 26 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $109.33 | $182.22 | $18.97 – $100.78 | 21 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $432.83 | $721.39 | $3.07 – $613.18 | 21 |
| Methylphenidate CPT 80360 | $153.60 | $256.00 | $3.92 – $9.75 | 19 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.37 | $2.29 | $0.10 – $0.54 | 21 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $177.44 | $295.74 | $0.12 – $44.37 | 21 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $224.40 | $374.00 | $0.27 – $20.81 | 21 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $7.92 | $13.20 | $1.05 – $6.33 | 21 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $12.10 | $20.17 | $0.14 – $9.70 | 21 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.52 | $24.20 | $0.02 – $15.98 | 21 |
| Mgmt promoter methylation analysis CPT 81287 | $477.82 | $796.37 | $35.00 – $299.14 | 26 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $507.90 | $846.50 | $0.28 – $361.89 | 21 |
| Microalbumin urine screen CPT 82044 | $45.29 | $75.49 | $5.23 – $56.62 | 26 |
| Microdissection laser CPT 88380 | $1,025.87 | $1,709.79 | $10.00 – $1,453.32 | 20 |
| Microdissection manual CPT 88381 | $388.07 | $646.79 | $35.00 – $317.44 | 20 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | $11,216.70 | $18,694.50 | $311.68 – $1,558.40 | 20 |
| Microsatellite instability CPT 81301 | $603.68 | $1,006.13 | $10.00 – $836.54 | 26 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $298.58 | $497.64 | $34.75 – $373.23 | 26 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $24.84 | $41.40 | $0.09 – $0.50 | 21 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $108.00 | $180.00 | $0.17 – $112.20 | 21 |
| Middle cerebral artery echo CPT 76821 | $332.64 | $554.40 | $89.21 – $415.80 | 26 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $115.20 | $192.00 | $1.30 – $31.88 | 21 |
| Minocycline hydrochloride HCPCS J2265 | $648.30 | $1,080.50 | $2.53 – $810.38 | 26 |
| Mitochondrial gene CPT 81440 | $1,010.00 | $1,683.33 | $35.00 – $7,977.60 | 26 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,305.13 | $3,841.88 | $27.04 – $226.50 | 26 |
| Mitomycin instillation HCPCS J9281 | $43,275.00 | $72,125.00 | $293.89 – $54,093.75 | 26 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,130.68 | $1,884.47 | $36.68 – $619.89 | 26 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Mlh1 gene CPT 81288 | $1,536.54 | $2,560.90 | $35.00 – $461.57 | 26 |
| Mlh1 gene full seq CPT 81292 | $290.00 | $483.33 | $35.00 – $1,620.96 | 26 |
| Mnl appl strs jt radiography CPT 77071 | $101.73 | $169.55 | $55.73 – $225.11 | 26 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | $57.53 | $95.88 | $15.34 – $90.72 | 20 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $825.00 | $1,375.00 | $10.00 – $150.00 | 26 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | $1,596.00 | $2,660.00 | $108.00 – $540.00 | 20 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,446.50 | $15,744.17 | $155.23 – $776.16 | 19 |
| Mopath procedure level 1 CPT 81400 | $371.95 | $619.92 | $10.00 – $287.81 | 26 |
| Mopath procedure level 3 CPT 81402 | $1,198.70 | $1,997.83 | $10.00 – $360.79 | 26 |
| Mopath procedure level 5 CPT 81404 | $7,487.95 | $12,479.92 | $10.00 – $659.59 | 26 |
| Mopath procedure level 6 CPT 81405 | $2,250.00 | $3,750.00 | $0.04 – $723.24 | 26 |
| Mopath procedure level 7 CPT 81406 | $7,487.95 | $12,479.92 | $10.00 – $678.91 | 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.