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 |
|---|---|---|---|---|
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $6,106.00 – $16,955.09 | 18 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $1,630.12 – $16,955.09 | 19 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $6,106.00 – $16,955.09 | 18 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $1,630.12 – $16,955.09 | 18 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $1,630.12 – $16,955.09 | 19 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $1,062.24 – $9,276.93 | 19 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,695.65 | $11,159.42 | $1,785.51 – $14,507.25 | 26 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $5,649.47 – $14,507.25 | 16 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,698.61 – $7,038.00 | 17 |
| Ntrk translocation analysis CPT 81194 | $1,200.00 | $2,000.00 | $35.00 – $1,500.00 | 26 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,594.96 | $4,324.94 | $691.99 – $3,676.20 | 21 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,594.96 | $4,324.94 | $691.99 – $3,676.20 | 21 |
| Nuclear localization/abscess CPT 78807 | $1,171.74 | $1,952.90 | $312.46 – $1,659.96 | 20 |
| Nuclear rx intra-arterial CPT 79445 | $1,172.68 | $1,954.46 | $222.68 – $1,465.85 | 26 |
| Nuclear rx intracav admin CPT 79200 | $749.55 | $1,249.25 | $105.96 – $936.94 | 26 |
| Nuclear rx IV admin CPT 79101 | $755.45 | $1,259.09 | $100.90 – $944.32 | 26 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,393.64 | $7,322.73 | $422.34 – $5,492.05 | 26 |
| Nudt15 gene common variants CPT 81306 | $277.50 | $462.50 | $35.00 – $699.26 | 26 |
| Nushield 1 square cm HCPCS Q4160 | $833.29 | $1,388.81 | $52.87 – $268.77 | 25 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | $1,625,690.40 | $2,709,484.00 | $264,337.50 – $2,032,113.00 | 25 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $14,865.31 | $24,775.52 | $77.72 – $18,581.64 | 26 |
| Observation direct referral from physician office for admission HCPCS G0379 | $554.33 | $923.88 | $147.82 – $1,591.17 | 26 |
| Observation per hour HCPCS G0378 | $107.81 | $179.69 | $28.75 – $390.57 | 19 |
| Obstetric panel inc HIV tstg CPT 80081 | $487.97 | $813.29 | $10.00 – $609.97 | 26 |
| Obstetrics panel CPT 80055 | $253.73 | $422.88 | $10.00 – $317.16 | 26 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $374.12 | $623.53 | $99.76 – $530.00 | 21 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $268.24 | $447.07 | $71.53 – $380.01 | 21 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $352.05 | $586.75 | $93.88 – $498.74 | 21 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $35,485.88 | $59,143.14 | $56.62 – $44,357.36 | 26 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $1,341.58 | $2,235.96 | $0.69 – $11.05 | 21 |
| Ocular function screen CPT 99172 | $16.22 | $27.04 | $4.33 – $22.98 | 16 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,440.03 | $2,400.05 | $326.65 – $1,633.23 | 19 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $135.70 | $226.17 | $0.78 – $143.16 | 21 |
| Onc breast mrna 58 genes CPT 81520 | $3,012.25 | $5,020.42 | $35.00 – $6,024.50 | 26 |
| Oncology lung CPT 81538 | $357.79 | $596.31 | $35.00 – $6,890.40 | 26 |
| Oncology prostate prob score CPT 81539 | $1,155.00 | $1,925.00 | $35.00 – $1,824.00 | 26 |
| Oncology thyroid CPT 81545 | $357.79 | $596.31 | $35.00 – $506.86 | 20 |
| Oncology tum unknown origin CPT 81540 | $5,700.00 | $9,500.00 | $35.00 – $9,000.00 | 26 |
| Onco (ovar) five proteins CPT 81503 | $682.50 | $1,137.50 | $35.00 – $2,152.80 | 26 |
| Oncoprotein dcp CPT 83951 | $159.60 | $266.00 | $10.00 – $189.38 | 26 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,320.00 | $7,200.00 | $35.00 – $8,640.00 | 26 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $28.30 | $47.16 | $0.10 – $3.06 | 21 |
| Oocyte identification CPT 89254 | $337.20 | $562.00 | $10.00 – $423.12 | 26 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,736.62 – $9,442.65 | 17 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $963.66 – $9,442.65 | 19 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $6,898.73 | $11,497.88 | $1,939.15 – $13,613.39 | 26 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $1,954.22 – $14,507.25 | 19 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $264.70 | $441.16 | $57.14 – $330.87 | 26 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,169.29 | $1,948.82 | $311.81 – $7,038.00 | 18 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,763.00 – $16,942.33 | 19 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $36,076.18 | $60,126.96 | $7,038.00 – $76,924.35 | 24 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,649.47 – $14,507.25 | 17 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,155.39 – $14,507.25 | 17 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $3,410.00 – $32,603.53 | 19 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $3,410.00 – $46,166.33 | 19 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Optx tmprmand dislocation CPT 21490 | $2,635.12 | $4,391.86 | $886.62 – $7,975.81 | 26 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,398.52 – $17,722.46 | 19 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,763.00 – $17,722.46 | 19 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,121.14 – $17,722.46 | 18 |
| Oral aprepitant HCPCS J8501 | $410.20 | $683.66 | $2.63 – $200.67 | 21 |
| Oral everolimus HCPCS J7527 | $25.34 | $42.24 | $1.37 – $35.84 | 21 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,151.54 – $8,570.48 | 19 |
| Organic acids total quant ea spec CPT 83918 | $231.47 | $385.79 | $10.00 – $289.34 | 26 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,698.19 | $2,830.32 | $85.54 – $3,777.93 | 26 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $348.29 | $580.48 | $92.88 – $493.41 | 20 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $881.50 | $1,469.16 | $235.07 – $1,175.33 | 19 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $225.00 | $375.00 | $60.00 – $300.00 | 19 |
| Orthopantogram CPT 70355 | $219.22 | $365.36 | $18.38 – $274.02 | 26 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $678.20 | $1,130.34 | $180.85 – $904.27 | 19 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $420.76 | $701.26 | $112.20 – $561.01 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $333.90 | $556.50 | $89.04 – $528.37 | 26 |
| Osmolality blood CPT 83930 | $91.31 | $152.18 | $5.55 – $114.14 | 26 |
| Osmolality urine CPT 83935 | $88.31 | $147.19 | $5.73 – $44.29 | 26 |
| Osteochondral talus autogrft CPT 28446 | $6,731.17 | $11,218.62 | $3,122.54 – $17,722.46 | 26 |
| Other immunoelectrophoresis CPT 86325 | $173.50 | $289.17 | $10.00 – $216.88 | 26 |
| Oth resp proc, group HCPCS G0239 | $173.23 | $288.71 | $35.64 – $216.53 | 26 |
| Oth resp proc, indiv HCPCS G0238 | $119.59 | $199.31 | $27.61 – $149.48 | 26 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $124.35 | $207.25 | $33.16 – $176.16 | 21 |
| Otoplasty 69300 CPT 69300 | not published | not published | $886.62 – $7,975.81 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $227.06 | $378.44 | $60.55 – $321.67 | 21 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $115.19 | $191.98 | $30.72 – $163.18 | 21 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.69 | $191.15 | $30.58 – $162.48 | 21 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $4,773.99 – $12,321.66 | 17 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $289.20 | $482.00 | $0.09 – $287.30 | 21 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $50.40 | $84.00 | $0.40 – $2.14 | 20 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $48,945.60 | $81,576.00 | $13,052.16 – $65,260.80 | 19 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $222.51 | $370.85 | $0.16 – $315.22 | 21 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,874.11 | $4,790.18 | $5.72 – $3,592.64 | 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.