BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
12505 Lebanon Road, Frisco, TX · Baylor Scott & White Health · · NPI 1801826839
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 |
|---|---|---|---|---|
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,283.70 | $5,472.83 | $593.04 – $4,104.62 | 26 |
| Closed tx septal&nose fx CPT 21337 | $3,540.97 | $5,901.62 | $886.62 – $7,975.81 | 26 |
| Closed tx sesamoid fx 28530 CPT 28530 | $245.81 | $409.68 | $65.55 – $584.19 | 26 |
| Closed tx vert fx w/manj CPT 22315 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 26 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $523.20 | $872.00 | $87.58 – $654.00 | 26 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,833.15 | $4,721.91 | $420.64 – $3,777.93 | 26 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,503.55 | $2,505.92 | $187.22 – $1,879.44 | 26 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,200.72 | $5,334.54 | $886.62 – $7,975.81 | 26 |
| Closure paravalvlr leak pq CPT 33999 | $54,125.45 | $90,209.08 | $320.18 – $1,556.23 | 26 |
| Clot factor fletcher fact CPT 85292 | $224.97 | $374.95 | $10.00 – $215.87 | 26 |
| Clot factor wght kininogen CPT 85293 | $188.63 | $314.38 | $10.00 – $235.78 | 26 |
| Clot factor xii hageman CPT 85280 | $225.00 | $375.00 | $10.00 – $281.25 | 26 |
| Clot factor xiii fibrin scrn CPT 85291 | $114.06 | $190.10 | $7.65 – $142.57 | 26 |
| Clot factor xiii fibrin stab CPT 85290 | $146.47 | $244.12 | $10.00 – $183.09 | 26 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $909.08 | $1,515.14 | $85.32 – $1,136.36 | 26 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $719.35 | $1,198.92 | $85.32 – $899.19 | 26 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $610.55 | $1,017.59 | $85.32 – $763.19 | 26 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,725.70 | $2,876.17 | $593.04 – $3,981.46 | 26 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $417.82 | $696.36 | $85.32 – $584.19 | 26 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,642.32 | $4,403.86 | $593.04 – $3,981.46 | 26 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $426.82 | $711.36 | $85.32 – $584.19 | 26 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $971.32 | $1,618.87 | $85.32 – $1,214.15 | 26 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $627.36 | $1,045.60 | $49.00 – $784.20 | 26 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,136.82 | $5,228.04 | $593.04 – $3,981.46 | 26 |
| Clsd tx fracture of radius 25500 CPT 25500 | $537.73 | $896.21 | $85.32 – $672.16 | 26 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $439.01 | $731.69 | $79.18 – $584.19 | 26 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $798.36 | $1,330.60 | $85.32 – $997.95 | 26 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $674.18 | $1,123.63 | $85.32 – $842.72 | 26 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,053.56 | $3,422.60 | $593.04 – $3,981.46 | 26 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $715.30 | $1,192.17 | $85.32 – $894.13 | 26 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,827.71 | $3,046.19 | $593.04 – $3,981.46 | 26 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $889.94 | $1,483.23 | $85.32 – $1,112.42 | 26 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $623.93 | $1,039.88 | $85.32 – $779.91 | 26 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $466.10 | $776.83 | $85.32 – $584.19 | 26 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,226.22 | $3,710.36 | $99.86 – $2,782.77 | 26 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $519.12 | $865.20 | $85.32 – $648.90 | 26 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $908.24 | $1,513.74 | $85.32 – $1,135.31 | 26 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $580.30 | $967.16 | $85.32 – $725.37 | 26 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $85.32 – $584.19 | 17 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,678.17 | $6,130.29 | $886.62 – $7,975.81 | 26 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,843.91 | $3,073.18 | $593.04 – $3,981.46 | 26 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $814.21 | $1,357.02 | $85.32 – $1,017.76 | 26 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $600.60 | $1,001.00 | $85.32 – $750.75 | 26 |
| Clsd tx pelvic ring fx CPT 27197 | $241.88 | $403.14 | $85.32 – $584.19 | 26 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,028.68 | $5,047.80 | $593.04 – $3,981.46 | 26 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $491.88 | $819.80 | $85.32 – $614.85 | 26 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $85.32 – $584.19 | 17 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,782.86 | $2,971.43 | $593.04 – $3,981.46 | 26 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $658.00 | $1,096.66 | $85.32 – $822.50 | 26 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,066.17 | $3,443.62 | $593.04 – $3,981.46 | 26 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,797.83 | $2,996.38 | $593.04 – $3,981.46 | 26 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,062.63 | $5,104.38 | $593.04 – $3,981.46 | 26 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $3,848.69 | $6,414.49 | $1,088.27 – $8,018.48 | 26 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $512.40 | $854.00 | $85.32 – $640.50 | 26 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $598.58 | $997.63 | $59.25 – $748.22 | 26 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $713.23 | $1,188.72 | $85.32 – $891.54 | 26 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,565.74 | $2,609.56 | $593.04 – $3,981.46 | 26 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $593.29 | $988.82 | $85.32 – $741.62 | 26 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $543.23 | $905.39 | $85.32 – $679.04 | 26 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $705.55 | $1,175.92 | $85.32 – $881.94 | 26 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $5,766.26 | $9,610.44 | $85.32 – $7,207.83 | 26 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,128.12 | $3,546.87 | $593.04 – $3,981.46 | 26 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,534.94 | $2,558.24 | $593.04 – $3,981.46 | 26 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,952.64 | $4,921.06 | $593.04 – $3,981.46 | 26 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $5,807.49 | $9,679.15 | $1,954.22 – $14,507.25 | 26 |
| Cltx mndblr fx w/mnpj CPT 21451 | $3,847.80 | $6,413.00 | $420.64 – $4,809.75 | 26 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,811.92 | $8,019.87 | $468.98 – $7,975.81 | 26 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,377.24 | $7,295.40 | $886.62 – $7,975.81 | 26 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,621.81 | $4,369.68 | $850.02 – $3,981.46 | 26 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,050.29 | $3,417.15 | $593.04 – $3,981.46 | 26 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $722.16 | $1,203.60 | $85.32 – $902.70 | 26 |
| Cltx thigh fx w/mnpj CPT 27268 | $3,503.71 | $5,839.52 | $934.32 – $4,379.64 | 25 |
| Cltx tmprmand dislc comp CPT 21485 | $3,445.34 | $5,742.23 | $420.64 – $4,306.67 | 26 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,526.99 – $12,321.66 | 18 |
| C motor evoked lwr limbs CPT 95929 | $621.00 | $1,035.00 | $165.60 – $1,327.77 | 26 |
| C motor evoked uppr limbs CPT 95928 | $649.09 | $1,081.81 | $173.09 – $2,590.07 | 26 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,568.20 | $2,613.66 | $418.19 – $2,590.07 | 26 |
| Cmptr ophth dx img ant segmt CPT 92132 | $130.41 | $217.35 | $34.78 – $163.01 | 26 |
| Cmptr ophth img optic nerve CPT 92133 | $207.29 | $345.49 | $55.28 – $259.12 | 26 |
| #cms hgb-sulfhemoglobin CPT 83060 | $75.58 | $125.96 | $7.39 – $56.47 | 26 |
| #cmvcul-virus inoculation shell CPT 87254 | $133.00 | $221.67 | $10.00 – $166.25 | 26 |
| Cmv pcr-sendout CPT 87496 | $786.79 | $1,311.32 | $10.00 – $133.12 | 26 |
| Cnbp gene detc abnor allele CPT 81187 | $7,487.95 | $12,479.92 | $35.00 – $9,359.94 | 26 |
| Co2 monitor per day CPT 94681 | $483.66 | $806.10 | $128.98 – $805.95 | 26 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $26.45 | $44.08 | $2.51 – $33.06 | 26 |
| Coagulation time activated teg CPT 85347 | $99.66 | $166.10 | $3.60 – $124.58 | 26 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | $87.13 | $145.21 | $23.23 – $145.06 | 19 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | $0.01 | $0.01 | $0.00 – $268.77 | 25 |
| Cold agglutinin screen (arc) CPT 86156 | $128.26 | $213.77 | $6.78 – $160.33 | 26 |
| Cold agglutinin titer CPT 86157 | $83.66 | $139.44 | $6.77 – $104.58 | 26 |
| Colistimethate sodium inj HCPCS J0770 | $103.76 | $172.94 | $15.69 – $147.00 | 20 |
| Collagen based wound filler HCPCS A6010 | $1,096.43 | $1,827.38 | $56.13 – $1,130.78 | 19 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $236.29 | $393.82 | $32.75 – $295.37 | 26 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $482.43 | $804.05 | $21.56 – $107.81 | 18 |
| Collar cerv ascend 172 reg HCPCS L0172 | $286.37 | $477.28 | $20.13 – $100.67 | 18 |
| Collar extrication adult univ HCPCS L0200 | $907.63 | $1,512.72 | $139.04 – $695.20 | 18 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $202.31 | $337.19 | $10.00 – $316.45 | 26 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $192.03 | $320.05 | $10.00 – $316.45 | 26 |
| Collj & interpj data ea 30 d CPT 99091 | $174.20 | $290.34 | $46.45 – $246.79 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $328.50 – $4,063.00 | 18 |
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.