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 |
|---|---|---|---|---|
| Mopath procedure level 8 CPT 81407 | $3,496.50 | $5,827.50 | $10.00 – $2,031.05 | 26 |
| Mopath procedure level 9 CPT 81408 | $2,939.33 | $4,898.88 | $10.00 – $4,800.00 | 26 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $156.83 | $261.38 | $1.89 – $10.06 | 21 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $958.48 | $1,597.47 | $1.83 – $13.36 | 21 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,137.00 | $1,895.00 | $10.00 – $690.00 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $322.24 | $537.06 | $35.00 – $890.45 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $285.90 | $476.50 | $35.00 – $423.12 | 26 |
| Motor &/ sens nrve cndj test CPT 95905 | $296.34 | $493.90 | $79.02 – $987.04 | 26 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,194.59 | $1,990.99 | $35.00 – $423.12 | 26 |
| M/phmtrc alysishquant/semiq CPT 88369 | $331.55 | $552.58 | $35.00 – $469.69 | 20 |
| M/phmtrc alys skeletal musc CPT 88355 | $326.83 | $544.72 | $35.00 – $423.12 | 26 |
| Mpl gene analysis common variants CPT 81338 | $622.13 | $1,036.88 | $10.00 – $360.79 | 26 |
| MRA abdomen post contrast CPT 74185 | $1,948.22 | $3,247.04 | $519.53 – $2,759.98 | 20 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,552.76 | $4,254.60 | $680.74 – $3,616.41 | 20 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,982.02 | $3,303.36 | $528.54 – $2,807.86 | 20 |
| MRA pelvis CPT 72198 | $2,364.48 | $3,940.80 | $630.53 – $3,349.68 | 20 |
| MRA spinal canal CPT 72159 | $1,803.94 | $3,006.56 | $481.05 – $2,555.58 | 20 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,224.43 | $2,040.71 | $326.51 – $2,149.00 | 20 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,691.95 | $2,819.92 | $451.19 – $2,396.93 | 21 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,033.39 | $1,722.32 | $275.57 – $2,149.00 | 26 |
| MRA without cont, lwr ext HCPCS C8913 | $1,691.95 | $2,819.92 | $451.19 – $2,396.93 | 21 |
| Mra, without dye, spinal canal HCPCS C8932 | $1,033.39 | $1,722.32 | $227.71 – $2,149.00 | 26 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,965.82 | $3,276.37 | $524.22 – $2,784.91 | 21 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,590.76 | $2,651.26 | $332.94 – $2,149.00 | 26 |
| Mr elastography CPT 76391 | $1,736.89 | $2,894.81 | $207.16 – $2,171.11 | 26 |
| MRI brain w/dye CPT 70558 | $2,505.67 | $4,176.11 | $167.39 – $3,132.08 | 26 |
| MRI brain without dye CPT 70557 | $2,005.45 | $3,342.42 | $521.46 – $2,506.82 | 26 |
| MRI brain without & w/dye CPT 70559 | $2,813.09 | $4,688.49 | $167.39 – $3,516.37 | 26 |
| MRI breast c- unilateral CPT 77046 | $1,780.67 | $2,967.78 | $227.71 – $2,225.84 | 26 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,003.54 | $3,339.24 | $534.28 – $2,838.35 | 20 |
| MRI breast without cont bi CPT 77047 | $2,083.19 | $3,471.99 | $227.71 – $2,603.99 | 26 |
| MRI breast w IV cont bi CPT 77049 | $1,876.12 | $3,126.87 | $500.30 – $2,657.84 | 20 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,445.07 | $4,075.12 | $227.71 – $3,056.34 | 26 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,959.00 | $4,931.66 | $332.94 – $3,698.74 | 26 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,628.80 | $6,048.00 | $436.71 – $4,536.00 | 26 |
| MRI chest without contrast CPT 71550 | $1,593.75 | $2,656.25 | $227.71 – $2,149.00 | 26 |
| MRI chest without & w/contrast CPT 71552 | $2,270.14 | $3,783.56 | $332.94 – $2,837.67 | 26 |
| MRI chest w IV cont CPT 71551 | $1,581.08 | $2,635.13 | $385.25 – $2,149.00 | 26 |
| MRI fetal ea addl gestation CPT 74713 | $477.93 | $796.55 | $204.49 – $2,149.00 | 20 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,136.26 | $1,893.77 | $227.71 – $2,149.00 | 26 |
| MRI guid ndl plc s&i CPT 77021 | $1,037.97 | $1,729.95 | $276.79 – $2,149.00 | 20 |
| MRI loex nonjt w IV cont CPT 73719 | $1,541.64 | $2,569.40 | $271.31 – $2,149.00 | 26 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,115.46 | $3,525.77 | $227.71 – $2,644.33 | 26 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,830.86 | $6,384.76 | $332.94 – $4,788.57 | 26 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,720.74 | $2,867.90 | $276.66 – $2,150.93 | 26 |
| MRI tmj CPT 70336 | $1,658.77 | $2,764.61 | $227.71 – $2,149.00 | 26 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,074.10 | $3,456.83 | $227.71 – $2,592.62 | 26 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,402.00 | $5,670.00 | $332.94 – $4,252.50 | 26 |
| MRI upper extremity w/dye CPT 73219 | $1,447.90 | $2,413.16 | $332.94 – $2,149.00 | 26 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,994.42 | $3,324.03 | $332.94 – $2,493.02 | 26 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,039.11 | $3,398.51 | $167.39 – $2,548.88 | 26 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,056.69 | $3,427.81 | $332.94 – $2,570.86 | 26 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,938.60 | $3,231.00 | $332.94 – $2,423.25 | 26 |
| Mr safety determination physician/other qhp CPT 76016 | $186.00 | $310.00 | $49.60 – $2,149.00 | 25 |
| Mr safety implant elec prepj CPT 76018 | $204.73 | $341.22 | $54.60 – $2,149.00 | 25 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.00 | $75.00 | $26.25 – $2,149.00 | 20 |
| Mr safety implt pos&/immoblj CPT 76019 | $137.25 | $228.75 | $36.60 – $2,149.00 | 25 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $50.40 | $84.00 | $24.49 – $2,149.00 | 25 |
| Mr sfty med physics xm cstmz CPT 76017 | $513.60 | $856.00 | $136.96 – $2,149.00 | 25 |
| Mr spectroscopy CPT 76390 | $1,322.36 | $2,203.93 | $83.05 – $2,149.00 | 26 |
| Msh2 gene full seq CPT 81295 | $163.88 | $273.13 | $35.00 – $916.08 | 26 |
| Msh6 gene full seq CPT 81298 | $275.58 | $459.30 | $35.00 – $1,540.44 | 26 |
| Mthfr gene analy common variants CPT 81291 | $286.88 | $478.13 | $10.00 – $156.82 | 26 |
| Mucopolysaccharides CPT 83864 | $270.00 | $450.00 | $10.00 – $241.50 | 26 |
| Multi family grp psychotherapy CPT 90849 | $543.60 | $906.00 | $96.64 – $453.00 | 26 |
| Multifocal erg w/i&r CPT 92274 | $574.20 | $957.00 | $122.80 – $717.75 | 26 |
| Multiple sleep latency test CPT 95805 | $2,763.80 | $4,606.33 | $737.01 – $3,454.75 | 26 |
| Mumps antibody igg CPT 86735 | $97.52 | $162.53 | $10.00 – $90.04 | 26 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,457.62 – $8,887.48 | 19 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,457.62 – $8,887.48 | 19 |
| Muscle test cran nerv unilat CPT 95867 | $385.07 | $641.78 | $102.68 – $777.56 | 26 |
| Muscle test hemidiaphragm CPT 95866 | $300.55 | $500.92 | $80.15 – $386.96 | 26 |
| Muscle test larynx CPT 95865 | $287.64 | $479.40 | $76.70 – $359.55 | 26 |
| Muscle test one fiber CPT 95872 | $497.35 | $828.91 | $132.63 – $621.68 | 26 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,457.62 – $10,795.00 | 18 |
| Mycobacteria dna amp probe CPT 87551 | $496.29 | $827.15 | $10.00 – $281.25 | 26 |
| Mycobacteria dna quant CPT 87552 | $288.75 | $481.25 | $10.00 – $281.25 | 26 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.79 | $17.99 | $0.06 – $3.06 | 21 |
| Mycophenolic acid HCPCS J7518 | $16.28 | $27.14 | $0.06 – $3.52 | 21 |
| Mycoplasma antibody igm CPT 86738 | $107.89 | $179.82 | $10.00 – $134.87 | 26 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,050.00 | $1,750.00 | $35.00 – $547.27 | 26 |
| Myelogphy 2/> spine regions CPT 72270 | $1,615.24 | $2,692.06 | $153.04 – $2,019.05 | 26 |
| Myelography l-s spine CPT 72265 | $1,350.68 | $2,251.14 | $109.26 – $1,983.49 | 26 |
| Myelography neck spine CPT 72240 | $875.40 | $1,459.00 | $112.26 – $1,983.49 | 26 |
| Myelography thoracic spine CPT 72255 | $1,014.13 | $1,690.21 | $107.93 – $1,983.49 | 26 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,421.26 | $4,035.44 | $645.67 – $3,026.58 | 26 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,629.67 | $2,716.11 | $434.58 – $2,037.08 | 26 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,923.03 | $3,205.05 | $512.81 – $2,403.79 | 26 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,218.31 | $3,697.18 | $591.55 – $2,772.89 | 26 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,007.00 | $1,678.33 | $9.69 – $27.67 | 26 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,584.32 | $2,640.54 | $422.49 – $5,371.00 | 26 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,731.60 | $2,886.00 | $170.82 – $5,371.00 | 26 |
| Myocrd img pet 2rtracer CPT 78432 | $2,700.60 | $4,501.00 | $201.10 – $5,371.00 | 26 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,300.60 | $5,501.00 | $219.84 – $5,371.00 | 26 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,700.60 | $4,501.00 | $188.84 – $5,851.30 | 26 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,731.60 | $2,886.00 | $162.18 – $5,371.00 | 26 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,982.49 – $7,038.00 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,594.52 – $7,038.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $1,063.52 – $7,744.80 | 19 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $84.00 | $140.00 | $0.05 – $63.81 | 21 |
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.