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 |
|---|---|---|---|---|
| Cov-19 amp prb hgh thruput HCPCS U0003 | $108.68 | $181.13 | $10.00 – $153.96 | 19 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,071.26 | $13,452.10 | $0.00 – $0.01 | 18 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $48.00 | $80.00 | $12.80 – $107.95 | 26 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $540.00 | $900.00 | $144.00 – $1,171.30 | 26 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $540.00 | $900.00 | $144.00 – $1,171.30 | 26 |
| Covid-19 lab test non-cdc HCPCS U0002 | $58.32 | $97.20 | $10.00 – $123.14 | 26 |
| #covid19rsv-rsv CPT 87634 | $129.47 | $215.78 | $10.00 – $168.48 | 26 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $116.55 | $194.25 | $10.00 – $35.06 | 26 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $927.61 | $1,546.01 | $208.97 – $1,159.51 | 26 |
| C-peptide CPT 84681 | $144.03 | $240.05 | $10.00 – $49.94 | 26 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,209.04 | $2,015.07 | $206.06 – $1,511.30 | 26 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Cptrized corneal topography CPT 92025 | $182.35 | $303.91 | $48.63 – $227.93 | 26 |
| Cptr ophth dx img post segmt CPT 92134 | $192.24 | $320.40 | $51.26 – $240.30 | 26 |
| Cptrz oph img pst sg rta oct CPT 92137 | $357.00 | $595.00 | $95.20 – $466.36 | 25 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,609.18 | $2,681.97 | $302.05 – $2,011.48 | 26 |
| C-reactive protein CPT 86140 | $101.59 | $169.31 | $4.35 – $56.66 | 26 |
| C-reactive protein high sensitivity CPT 86141 | $105.53 | $175.89 | $10.00 – $131.92 | 26 |
| C-reactive protein, quantitative CPT 86406 | $101.78 | $169.64 | $8.94 – $127.23 | 26 |
| Create eardrum opening CPT 69436 | not published | not published | $420.64 – $6,093.00 | 18 |
| Create passage to kidney CPT 52334 | $3,136.96 | $5,228.27 | $1,142.90 – $8,636.11 | 24 |
| Creatine kinase CPT 82550 | $95.77 | $159.62 | $5.47 – $16.12 | 26 |
| Creatine kinase isoenzymes CPT 82552 | $32.79 | $54.65 | $10.00 – $32.14 | 26 |
| Creatine kinase mb CPT 82553 | $175.00 | $291.66 | $9.70 – $218.75 | 26 |
| Creatine - sendout CPT 82540 | $90.60 | $151.00 | $3.90 – $82.62 | 26 |
| Creatinine CPT 82565 | $66.61 | $111.02 | $4.30 – $40.78 | 26 |
| Creatinine 24 hour urine CPT 82570 | $385.97 | $643.29 | $4.35 – $12.43 | 26 |
| Creatinine clearance urine CPT 82575 | $138.13 | $230.22 | $7.95 – $172.66 | 26 |
| #creutz-prot.,western blot CPT 84182 | $446.73 | $744.55 | $10.00 – $106.00 | 26 |
| Crisis psychotherapy 90839 CPT 90839 | $326.34 | $543.90 | $87.02 – $407.93 | 26 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $136.98 | $228.30 | $36.53 – $194.06 | 19 |
| Critical care each additional 30 minutes CPT 99292 | $845.09 | $1,408.48 | $225.36 – $6,643.00 | 19 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,540.23 | $4,233.71 | $677.39 – $6,643.00 | 26 |
| Crotalidae poly immune fab HCPCS J0840 | $5,760.00 | $9,600.00 | $1,536.00 – $7,200.00 | 26 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $3,161.89 | $5,269.82 | $843.17 – $7,038.00 | 17 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $112.26 | $187.10 | $10.00 – $64.64 | 26 |
| Cryoprecipitate each unit HCPCS P9012 | $144.78 | $241.30 | $38.61 – $180.97 | 26 |
| Cryopreserve stem cells CPT 38207 | $3,521.57 | $5,869.29 | $35.00 – $4,401.97 | 26 |
| Cryptococcus abs qn - sendout CPT 86641 | $120.20 | $200.33 | $10.00 – $150.25 | 26 |
| Crystal identification light microscopy CPT 89060 | $84.56 | $140.93 | $6.16 – $56.25 | 26 |
| C-section delivery incl p/p care 59515 CPT 59515 | $3,523.93 | $5,873.22 | $939.72 – $4,992.24 | 19 |
| Csf leakage imaging CPT 78650 | $1,433.25 | $2,388.75 | $242.91 – $3,517.62 | 26 |
| CT 3d report other modality w/workstation CPT 76377 | $681.35 | $1,135.58 | $72.62 – $965.24 | 19 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,061.80 | $5,103.00 | $167.39 – $3,827.25 | 26 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,576.98 | $9,294.97 | $332.94 – $6,971.23 | 26 |
| CT Angiogram of the Abdomen CPT 74175 | $3,522.40 | $5,870.67 | $167.39 – $4,403.00 | 26 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,768.15 | $4,613.58 | $167.39 – $3,460.18 | 26 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,774.58 | $6,290.97 | $167.39 – $4,718.23 | 26 |
| CT Angiogram of the Head CPT 70496 | $3,544.24 | $5,907.07 | $167.39 – $4,430.30 | 26 |
| CT Angiogram of the Neck CPT 70498 | $3,506.47 | $5,844.12 | $167.39 – $4,383.09 | 26 |
| CT angio hrt w/3d image CPT 75574 | $1,896.81 | $3,161.35 | $175.06 – $2,371.01 | 26 |
| CT angio pelvis CPT 72191 | $3,257.44 | $5,429.06 | $167.39 – $4,071.80 | 26 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,389.24 | $5,648.73 | $167.39 – $4,236.55 | 26 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,477.48 | $2,462.46 | $167.39 – $1,846.85 | 25 |
| CT colonography dx CPT 74261 | $699.00 | $1,165.00 | $99.77 – $1,841.00 | 26 |
| CT colonography screening CPT 74263 | $1,233.01 | $2,055.02 | $227.71 – $1,841.00 | 25 |
| CT guidance for needle placement CPT 77012 | $1,506.04 | $2,510.07 | $179.08 – $2,133.56 | 19 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,085.05 | $1,808.42 | $146.08 – $1,537.16 | 19 |
| CT guid cryo ablat intramuscular CPT 20999 | $8,632.80 | $14,388.00 | $147.53 – $584.19 | 26 |
| CT guid parench tis ablat CPT 77013 | $1,564.92 | $2,608.20 | $417.31 – $2,216.97 | 19 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $79.00 | $131.67 | $61.88 – $1,841.00 | 26 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $934.40 | $1,557.33 | $175.06 – $1,168.00 | 26 |
| CT hrt w/3d image CPT 75572 | $1,876.48 | $3,127.46 | $175.06 – $2,345.59 | 26 |
| CT limited or localized follow-up study CPT 76380 | $742.44 | $1,237.40 | $83.05 – $2,062.00 | 26 |
| Ctlso a-p-l control molded HCPCS L0700 | $3,381.32 | $5,635.54 | $901.69 – $4,790.21 | 19 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,069.09 | $3,448.48 | $167.39 – $2,586.36 | 26 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $450.77 | $751.29 | $87.58 – $605.10 | 26 |
| CT scan for localization CPT 77011 | $798.35 | $1,330.59 | $212.89 – $1,841.00 | 19 |
| CT scan for therapy guide CPT 77014 | $656.13 | $1,093.55 | $174.97 – $1,841.00 | 19 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,172.12 | $6,953.54 | $332.94 – $5,215.15 | 26 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,890.61 | $6,484.35 | $312.08 – $4,863.26 | 26 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,538.08 | $5,896.80 | $188.11 – $4,422.60 | 26 |
| CT t-spine w /wo contrast CPT 72130 | $3,303.95 | $5,506.58 | $167.39 – $4,129.94 | 26 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,845.36 | $3,075.60 | $167.39 – $2,306.70 | 26 |
| Cult skin graft fnhfg 15155 CPT 15155 | $3,528.11 | $5,880.19 | $1,457.62 – $8,887.48 | 26 |
| Culture aerobic additional method definitive id each CPT 87077 | $88.15 | $146.91 | $6.79 – $90.53 | 26 |
| Culture afb any source CPT 87116 | $155.04 | $258.40 | $9.07 – $193.80 | 26 |
| Culture anaerobic additional method definitive id each CPT 87076 | $136.81 | $228.01 | $6.79 – $130.61 | 26 |
| Culture anaerobic except blood CPT 87075 | $208.06 | $346.77 | $7.95 – $56.66 | 26 |
| Culture bact stool aero addl path ea CPT 87046 | $70.01 | $116.69 | $7.93 – $87.52 | 26 |
| Culture body fluid CPT 87070 | $171.29 | $285.48 | $7.24 – $43.83 | 26 |
| Culture fungi definitive id mold CPT 87107 | $100.46 | $167.43 | $8.67 – $86.14 | 26 |
| Culture fungi definitive id yeast CPT 87106 | $103.40 | $172.34 | $8.67 – $95.86 | 26 |
| Culture fungi other (except blood) CPT 87102 | $163.16 | $271.93 | $7.06 – $203.95 | 26 |
| Culture fungi skin/hair/nail CPT 87101 | $100.96 | $168.27 | $6.48 – $126.20 | 26 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $103.70 | $172.83 | $10.00 – $129.62 | 26 |
| Culture mycoplasma any source CPT 87109 | $121.34 | $202.24 | $10.00 – $151.68 | 26 |
| Culture quantitative aerobic other source CPT 87071 | $134.31 | $223.85 | $8.31 – $167.89 | 26 |
| Culture screening strep group a CPT 87081 | $107.77 | $179.61 | $5.57 – $87.66 | 26 |
| Culture typing glc/hplc CPT 87143 | $82.73 | $137.88 | $10.00 – $103.41 | 26 |
| Culture typing immunologic CPT 87147 | $86.63 | $144.38 | $4.35 – $65.23 | 26 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $146.48 | $244.13 | $10.00 – $523.34 | 26 |
| Culture urine each isolate CPT 87088 | $85.65 | $142.75 | $6.80 – $107.06 | 26 |
| Culture virus isolation CPT 87250 | $205.97 | $343.29 | $10.00 – $257.47 | 26 |
| Cutter lead HCPCS C1773 | $3,568.95 | $5,948.25 | $258.07 – $1,371.02 | 19 |
| Cv line/pic reposition CPT 36597 | $1,521.69 | $2,536.15 | $446.27 – $3,967.42 | 26 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.16 | $41.94 | $0.73 – $35.24 | 20 |
| Cyclic citrullinated peptide antibody CPT 86200 | $104.07 | $173.45 | $10.00 – $31.08 | 26 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,348.50 | $2,247.50 | $0.73 – $983.14 | 26 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.49 | $32.49 | $1.74 – $9.23 | 20 |
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.