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 |
|---|---|---|---|---|
| X-ray measurement of pelvis CPT 74710 | $157.39 | $262.31 | $41.97 – $222.96 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $113.43 | $189.05 | $83.05 – $225.11 | 26 |
| X-ray optic foramina CPT 70190 | $138.73 | $231.21 | $37.76 – $225.11 | 21 |
| Xray place prox ext thor ao CPT 75958 | $1,005.84 | $1,676.40 | $268.22 – $1,424.94 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $719.37 | $1,198.95 | $78.19 – $952.69 | 26 |
| X-ray ribs 2 views left CPT 71100 | $296.32 | $493.87 | $36.75 – $370.40 | 26 |
| X-ray sella turcica CPT 70240 | $92.48 | $154.13 | $33.08 – $225.11 | 26 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $492.03 | $820.05 | $59.81 – $1,366.64 | 26 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $300.00 | $500.00 | $89.55 – $375.00 | 26 |
| X-ray small intestine follow-through study CPT 74248 | $1,234.59 | $2,057.65 | $82.53 – $1,749.00 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $218.48 | $364.13 | $41.44 – $273.10 | 26 |
| X-ray surgical specimen CPT 76098 | $458.88 | $764.80 | $42.78 – $1,366.64 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $187.70 | $312.83 | $42.78 – $234.62 | 26 |
| X-ray upper gi delay w/kub CPT 74241 | $231.32 | $385.54 | $61.69 – $327.71 | 20 |
| X-ray upper gi&small intest CPT 74245 | $721.42 | $1,202.37 | $192.38 – $1,022.01 | 20 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $200.39 | $333.99 | $94.89 – $455.16 | 26 |
| Xylose absorption test blood &/or urine CPT 84620 | $99.89 | $166.48 | $10.00 – $124.86 | 26 |
| Xyntha inj HCPCS J7185 | $23.35 | $38.92 | $1.42 – $29.19 | 26 |
| Yersinia antibody CPT 86793 | $124.80 | $208.00 | $10.00 – $77.19 | 26 |
| Ziconotide injection HCPCS J2278 | $7,216.02 | $12,026.70 | $9.94 – $9,020.02 | 26 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $108.12 | $180.20 | $1.43 – $135.15 | 26 |
| Zika virus dna/rna amp probe CPT 87662 | $387.70 | $646.17 | $10.00 – $145.43 | 26 |
| Zika virus igm antibody CPT 86794 | $146.60 | $244.33 | $10.00 – $183.25 | 26 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $173.96 | $289.93 | $6.46 – $246.44 | 21 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $5,790.00 | $9,650.00 | $8.18 – $3,637.50 | 26 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,356.38 | $3,927.30 | $8.49 – $242.25 | 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.