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 |
|---|---|---|---|---|
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $140.78 | $234.63 | $37.54 – $199.44 | 20 |
| Cyclosporine 2 hour CPT 80158 | $195.70 | $326.16 | $10.00 – $244.62 | 26 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.34 | $8.90 | $0.25 – $1.31 | 20 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,002.60 | $1,671.00 | $1.41 – $7.47 | 20 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $376.44 | $627.40 | $15.96 – $302.80 | 25 |
| Cygnus, per sq cm HCPCS Q4170 | $356.54 | $594.24 | $47.42 – $268.77 | 25 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $36,554.21 | $60,923.68 | $0.00 – $0.01 | 18 |
| Cyp2c19 gene com variants CPT 81225 | $1,052.85 | $1,754.75 | $31.98 – $699.26 | 26 |
| Cyp2c9 gene com variants CPT 81227 | $134.22 | $223.70 | $28.93 – $419.54 | 26 |
| Cyp2d6 gene com variants CPT 81226 | $683.87 | $1,139.79 | $35.00 – $1,082.18 | 26 |
| Cyp3a4 gene common variants CPT 81230 | $134.22 | $223.70 | $10.08 – $419.54 | 26 |
| Cyp3a5 gene common variants CPT 81231 | $134.22 | $223.70 | $10.08 – $419.54 | 26 |
| Cystatin c CPT 82610 | $93.16 | $155.26 | $10.00 – $44.45 | 26 |
| Cystic fibrosis cftr CPT 81223 | $2,245.28 | $3,742.14 | $35.00 – $1,197.60 | 26 |
| Cystine urine quantitative CPT 82131 | $385.97 | $643.29 | $10.00 – $224.73 | 26 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $326.08 | $543.46 | $41.44 – $952.69 | 26 |
| Cysto impl 4 or more HCPCS C9740 | $6,571.50 | $10,952.50 | $4,052.43 – $22,821.27 | 26 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,302.00 – $22,821.27 | 17 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,302.00 – $22,821.27 | 17 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,302.00 – $12,818.21 | 16 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,689.43 – $12,818.21 | 18 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $652.80 – $5,045.72 | 18 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $652.80 – $6,093.00 | 18 |
| Cystoscopy and treatment CPT 52310 | $2,659.14 | $4,431.90 | $652.80 – $5,045.72 | 26 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,671.23 | $2,785.38 | $238.15 – $2,089.03 | 26 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $652.80 – $7,373.00 | 17 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $5,741.40 | $9,569.00 | $2,780.78 – $12,818.21 | 26 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $652.80 – $5,045.72 | 18 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,747.01 | $7,911.69 | $652.80 – $5,933.77 | 26 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,689.43 – $12,818.21 | 18 |
| Cysto/uretero w/lithotripsy CPT 52356 | $4,748.22 | $7,913.70 | $1,689.43 – $12,818.21 | 26 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,689.43 – $12,818.21 | 18 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,398.11 | $5,663.52 | $652.80 – $5,045.72 | 26 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $652.80 – $5,045.72 | 18 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $132.06 | $220.10 | $0.88 – $74.86 | 20 |
| Cytogenetics 25-99 CPT 88274 | $246.56 | $410.94 | $35.00 – $308.20 | 26 |
| Cytogenetics 3-5 CPT 88272 | $170.27 | $283.78 | $34.19 – $212.84 | 26 |
| Cytogenomic neo microra alys CPT 81277 | $3,975.00 | $6,625.00 | $35.00 – $2,878.12 | 26 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $142.50 | $237.50 | $2.94 – $34.54 | 26 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $132.75 | $221.25 | $10.00 – $40.44 | 26 |
| Cytomegalovirus dfa CPT 87271 | $165.40 | $275.67 | $10.00 – $206.75 | 26 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,670.12 | $4,450.20 | $712.03 – $3,888.51 | 26 |
| Cytomeg dna dir probe CPT 87495 | $256.92 | $428.20 | $10.00 – $321.15 | 26 |
| Cyto/molecular report CPT 88291 | $1,178.85 | $1,964.75 | $16.61 – $123.32 | 19 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $640.93 | $1,068.22 | $35.00 – $248.85 | 26 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $101.64 | $169.40 | $22.35 – $127.05 | 26 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $102.95 | $171.58 | $17.02 – $128.69 | 26 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $142.94 | $238.24 | $35.00 – $178.68 | 26 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $179.62 | $299.37 | $10.00 – $224.53 | 26 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $109.27 | $182.12 | $26.24 – $154.80 | 19 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $191.66 | $319.43 | $35.00 – $423.12 | 26 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $262.49 | $437.49 | $35.00 – $328.12 | 26 |
| Cytopath smear other source CPT 88160 | $85.80 | $143.00 | $22.88 – $107.25 | 26 |
| Cytopath smear other source CPT 88162 | $145.31 | $242.18 | $35.00 – $181.63 | 26 |
| Cytopath smear oth prep screen & interp CPT 88161 | $100.34 | $167.23 | $26.76 – $125.42 | 26 |
| Cytopath tbs c/v manual CPT 88164 | $57.94 | $96.57 | $15.28 – $72.43 | 26 |
| Cytotoxic antibody screening CPT 86807 | $363.33 | $605.55 | $10.00 – $454.16 | 26 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $73.20 | $122.00 | $4.24 – $103.70 | 20 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $4,905.37 | $8,175.62 | $320.79 – $6,131.72 | 26 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,205.80 | $2,009.66 | $0.04 – $131.75 | 20 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,070.73 | $30,117.88 | $52.28 – $22,588.41 | 26 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,410.00 | $2,350.00 | $2.92 – $674.06 | 26 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $18,849.00 | $31,415.00 | $240.67 – $20,343.75 | 26 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $864.30 | $1,440.50 | $27.22 – $544.11 | 20 |
| D&c after delivery 59160 CPT 59160 | $3,441.98 | $5,736.64 | $1,063.52 – $7,744.80 | 26 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $4,150.07 | $6,916.78 | $1,063.52 – $7,744.80 | 26 |
| Dch glucoscan CPT 82948 | $30.85 | $51.41 | $4.23 – $38.56 | 26 |
| Dch pulmonary stress test CPT 94621 | $1,519.72 | $2,532.86 | $217.57 – $1,899.64 | 26 |
| Dch validity tests CPT 81002 | $35.80 | $59.67 | $2.92 – $44.75 | 26 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,321.73 | $8,869.55 | $659.94 – $6,652.16 | 26 |
| Deamidated gliadin antibody iga CPT 86258 | $131.24 | $218.74 | $10.00 – $164.06 | 26 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $602.45 | $1,004.08 | $28.98 – $1,555.84 | 26 |
| Debridement (>20 cm) charge pt CPT 97598 | $414.23 | $690.39 | $26.98 – $586.83 | 20 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,951.16 | $4,918.60 | $566.62 – $4,016.35 | 26 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $927.37 | $1,545.61 | $247.30 – $1,313.77 | 19 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,738.00 | $2,896.67 | $463.47 – $2,462.17 | 19 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,011.76 | $1,686.27 | $171.51 – $1,264.70 | 26 |
| Debride nail1-5 11720 CPT 11720 | $186.88 | $311.47 | $49.84 – $233.60 | 26 |
| Debride nail6 or more 11721 CPT 11721 | $200.21 | $333.69 | $53.39 – $250.27 | 26 |
| Debride skin bone at fx site CPT 11012 | $2,174.51 | $3,624.18 | $815.20 – $7,039.11 | 26 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,850.11 | $4,750.19 | $760.03 – $4,037.66 | 19 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $914.76 | $1,524.60 | $243.94 – $1,295.91 | 19 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,728.86 | $2,881.43 | $257.60 – $2,161.07 | 26 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,353.12 | $2,255.20 | $262.63 – $1,691.40 | 26 |
| Decalcification CPT 88311 | $88.31 | $147.19 | $10.00 – $125.11 | 19 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $3,109.80 | $5,183.00 | $1.10 – $4,405.55 | 20 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $635.93 | $1,059.88 | $26.30 – $838.97 | 26 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $7,088.32 | $11,813.87 | $1,088.27 – $8,860.40 | 26 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $593.04 – $6,093.00 | 18 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,088.27 – $8,018.48 | 17 |
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.