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 |
|---|---|---|---|---|
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.86 | $38.10 | $3.60 – $19.12 | 21 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.97 | $1.62 | $0.09 – $0.48 | 20 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $6,955.62 | 19 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,650.30 | $2,750.50 | $82.50 – $2,264.11 | 26 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $3,693.00 | 19 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $3,693.00 | 19 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $6,955.62 | 19 |
| Progesterone CPT 84144 | $146.26 | $243.77 | $10.00 – $50.06 | 26 |
| Prolactin CPT 84146 | $181.04 | $301.73 | $10.00 – $61.09 | 26 |
| Prolng svc o/p 1st hour CPT 99354 | $178.76 | $297.94 | $47.67 – $253.25 | 20 |
| Prolng svc o/p ea addl 30 CPT 99355 | $67.09 | $111.82 | $17.89 – $95.05 | 20 |
| Promethazine hcl injection HCPCS J2550 | $12.96 | $21.60 | $3.46 – $18.36 | 21 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $108.00 | $180.00 | $0.10 – $1.53 | 21 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $28.80 | $48.00 | $7.68 – $40.80 | 20 |
| Prostate biopsy, any mthd HCPCS G0416 | $614.11 | $1,023.51 | $35.00 – $890.45 | 26 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $12,818.21 | 19 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $12,818.21 | 18 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,641.03 | $4,401.71 | $72.71 – $363.53 | 19 |
| Prosthetic sock multi ply bk HCPCS L8420 | $57.89 | $96.48 | $15.44 – $77.18 | 19 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $159.63 | $266.05 | $1.84 – $102.75 | 21 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,326.26 | $5,543.77 | $887.00 – $4,435.02 | 19 |
| Protein c activity CPT 85303 | $216.97 | $361.61 | $10.00 – $50.62 | 26 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $129.22 | $215.37 | $8.39 – $25.78 | 26 |
| Protein s total CPT 85305 | $164.26 | $273.76 | $9.75 – $71.19 | 26 |
| Protein total 24 hour urine CPT 84156 | $77.09 | $128.49 | $3.08 – $46.67 | 26 |
| Protein total body fluid CPT 84157 | $77.77 | $129.62 | $3.36 – $15.06 | 26 |
| Protein total serum plasma whole blood CPT 84155 | $225.00 | $375.00 | $3.08 – $13.39 | 26 |
| Prothrombin complex kcentra HCPCS J7168 | $27.53 | $45.88 | $1.95 – $34.41 | 26 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $84.79 | $141.31 | $3.31 – $105.98 | 26 |
| Provide inr test mater/equip HCPCS G0249 | $151.14 | $251.90 | $40.30 – $327.47 | 26 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $10,795.00 | 19 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,010.00 | $28,350.00 | $1,939.15 – $43,439.01 | 25 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $16,135.50 | $26,892.50 | $1,939.15 – $43,439.01 | 25 |
| Prq card angio/athrect addl CPT 92925 | $11,537.46 | $19,229.10 | $3,076.66 – $16,344.74 | 18 |
| Prq cardiac angio addl art CPT 92921 | $12,185.48 | $20,309.14 | $3,249.46 – $17,262.77 | 18 |
| Prq card revasc chronic addl CPT 92944 | $20,797.93 | $34,663.21 | $5,546.11 – $29,463.73 | 18 |
| Prq card revasc mi 1 vsl CPT 92941 | $18,392.20 | $30,653.67 | $1,726.04 – $26,055.62 | 19 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $25,591.93 | $42,653.22 | $6,824.52 – $36,255.24 | 19 |
| Prq card stent/ath/angio CPT 92934 | $10,817.96 | $18,029.93 | $2,884.79 – $16,180.00 | 18 |
| Prq card stent w/angio addl CPT 92929 | $16,507.97 | $27,513.29 | $4,402.13 – $23,386.30 | 18 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,920.31 | $21,533.85 | $3,445.42 – $27,252.71 | 25 |
| Prq revasc byp graft addl CPT 92938 | $15,079.29 | $25,132.15 | $4,021.14 – $21,362.33 | 18 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $6,731.17 | $11,218.62 | $2,398.52 – $17,722.46 | 26 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $6,731.17 | $11,218.62 | $2,416.00 – $17,722.46 | 26 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,220.54 | $27,034.24 | $4,325.48 – $27,252.71 | 25 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $22,098.20 | $36,830.34 | $10,273.60 – $39,592.62 | 25 |
| Prq trlml c athrc st angiop1 CPT 92933 | $14,295.96 | $23,826.60 | $3,812.26 – $43,439.01 | 25 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $23,158.66 | $38,597.77 | $5,950.65 – $28,948.33 | 24 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,569.50 | $20,949.17 | $3,351.87 – $16,180.00 | 25 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $14,770.25 | $24,617.09 | $3,938.73 – $27,252.71 | 25 |
| Prq trluml revsc ch occ ant CPT 92943 | $17,474.24 | $29,123.73 | $4,659.80 – $27,252.71 | 25 |
| Pr removal drug delivery implant CPT 11982 | $271.48 | $452.47 | $54.42 – $987.04 | 26 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $280.79 | $467.99 | $74.88 – $350.99 | 26 |
| Pr removal intrauterine device CPT 58301 | $483.35 | $805.59 | $51.22 – $794.72 | 26 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $814.87 | $1,358.12 | $111.00 – $1,018.59 | 26 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $452.17 | $753.62 | $111.00 – $565.22 | 26 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $517.20 | $862.00 | $137.92 – $646.50 | 26 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $483.80 | $806.34 | $111.00 – $604.75 | 26 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $480.84 | $801.40 | $111.00 – $601.05 | 26 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $1,826.96 – $1,826.96 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $4,517.58 | 19 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,835.30 | $3,058.83 | $489.41 – $3,967.42 | 26 |
| PSA (Prostate) Test CPT 84153 | $150.44 | $250.73 | $10.00 – $47.29 | 26 |
| Psychoeducation 45 min + HCPCS G0177 | $168.81 | $281.35 | $45.02 – $239.15 | 20 |
| Psychotherapy group therapy CPT 90853 | $643.20 | $1,072.00 | $42.88 – $220.82 | 27 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $200.43 | $334.05 | $53.45 – $394.97 | 26 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $274.50 | $457.50 | $73.20 – $394.97 | 26 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $287.47 | $479.11 | $76.66 – $394.97 | 26 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $339.40 | $565.66 | $90.51 – $777.56 | 26 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $281.16 | $468.60 | $74.98 – $398.31 | 20 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $95.80 | $159.67 | $25.55 – $135.72 | 20 |
| Psycl/nrpsyc tech 1st CPT 96138 | $277.03 | $461.72 | $70.58 – $987.04 | 26 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $224.75 | $374.58 | $59.93 – $316.45 | 26 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $181.03 | $301.71 | $48.27 – $256.45 | 20 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $173.06 | $288.44 | $46.15 – $245.17 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $43.19 | $71.98 | $11.52 – $134.00 | 21 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $154.64 | $257.74 | $41.24 – $219.08 | 21 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $85.93 | $143.21 | $22.91 – $134.00 | 21 |
| Pt application of modality traction mechanical CPT 97012 | $86.94 | $144.90 | $23.18 – $134.00 | 21 |
| Pten gene dup/delet variant CPT 81323 | $825.86 | $1,376.44 | $35.00 – $840.94 | 26 |
| Pten gene full sequence CPT 81321 | $926.64 | $1,544.40 | $35.00 – $1,440.00 | 26 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Pt-focused hlth risk assmt CPT 96160 | $64.40 | $107.33 | $17.17 – $80.93 | 23 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,922.62 | $4,871.04 | $699.38 – $3,715.44 | 20 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $148.17 | $246.95 | $39.51 – $209.91 | 21 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $87.34 | $145.56 | $23.29 – $157.00 | 21 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $89.14 | $148.56 | $23.77 – $134.00 | 21 |
| Pt wheelchair management each 15 minutes CPT 97542 | $95.03 | $158.39 | $25.34 – $134.63 | 21 |
| Pul art balloon repr percut CPT 92997 | $9,721.21 | $16,202.01 | $2,592.32 – $27,252.71 | 25 |
| Pul art balloon repr percut CPT 92998 | $3,712.69 | $6,187.82 | $990.05 – $16,180.00 | 18 |
| Pulmonary vent imaging CPT 78579 | $828.73 | $1,381.21 | $169.08 – $1,035.91 | 26 |
| Pulse ox continuous overnight monitoring CPT 94762 | $394.75 | $657.92 | $105.27 – $493.44 | 26 |
| Pulse ox multiple CPT 94761 | $194.33 | $323.88 | $13.26 – $275.30 | 20 |
| Pulse ox single CPT 94760 | $112.05 | $186.75 | $7.74 – $158.74 | 20 |
| Punc of shunt for asp or inj CPT 61070 | $1,041.57 | $1,735.95 | $262.86 – $1,713.14 | 26 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $127.50 | $212.50 | $10.00 – $316.45 | 26 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $645.13 | $1,075.22 | $67.83 – $987.79 | 26 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $7,975.81 | 19 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,173.65 | $1,956.09 | $262.86 – $1,713.14 | 26 |
| Puraply 1 sq cm HCPCS Q4195 | $1,431.49 | $2,385.82 | $46.59 – $268.77 | 25 |
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.