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 |
|---|---|---|---|---|
| Dna probe gc CPT 87590 | $101.97 | $169.95 | $10.00 – $127.46 | 26 |
| Dna trichomonas CPT 87660 | $63.00 | $105.00 | $10.00 – $78.75 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $146.40 | $244.00 | $7.30 – $38.79 | 20 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,290.00 | $2,150.00 | $0.61 – $309.41 | 20 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $76.20 | $127.00 | $0.88 – $19.87 | 20 |
| Doppler echo complete CPT 93320 | $938.80 | $1,564.66 | $83.49 – $1,329.96 | 19 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,563.60 | $5,939.34 | $950.29 – $5,048.44 | 17 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $881.26 | $1,468.77 | $129.98 – $1,117.00 | 26 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $608.33 | $1,013.88 | $126.97 – $1,117.00 | 26 |
| Dornase alfa non-comp unit HCPCS J7639 | $350.67 | $584.45 | $50.93 – $496.78 | 20 |
| Dornhoffer fixed part w/window HCPCS L8614 | $50,985.00 | $84,975.00 | $87.86 – $439.30 | 18 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $20,843.62 | $34,739.36 | $226.76 – $26,054.52 | 26 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $740.18 | $1,233.64 | $3.00 – $292.65 | 20 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,278.13 | $3,796.88 | $68.27 – $1,556.25 | 26 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $97.79 | $162.98 | $0.10 – $138.53 | 20 |
| Dpyd gene common variants CPT 81232 | $851.19 | $1,418.65 | $35.00 – $515.62 | 26 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $866.92 | $1,444.87 | $131.78 – $1,742.94 | 26 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $3,325.73 | $5,542.89 | $147.56 – $4,157.17 | 26 |
| Drainage external ear complex 69005 CPT 69005 | $3,541.97 | $5,903.29 | $113.23 – $4,427.47 | 26 |
| Drainage external ear simple 69000 CPT 69000 | $984.69 | $1,641.15 | $107.14 – $1,742.94 | 26 |
| Drainage mouth roof lesion CPT 42000 | $641.66 | $1,069.44 | $87.58 – $802.08 | 26 |
| Drainage of arm bursa 23931 CPT 23931 | $3,155.93 | $5,259.88 | $486.45 – $4,016.35 | 26 |
| Drainage of eye CPT 65800 | $1,824.02 | $3,040.03 | $849.94 – $5,772.91 | 26 |
| Drainage of kidney lesion CPT 50390 | $1,719.93 | $2,866.55 | $257.60 – $2,149.91 | 26 |
| Drainage of mouth lesion CPT 41005 | $1,576.20 | $2,627.00 | $87.58 – $1,970.25 | 26 |
| Drainage of mouth lesion CPT 41007 | $3,021.62 | $5,036.04 | $420.64 – $3,777.93 | 26 |
| Drainage of mouth lesion CPT 41008 | $2,295.40 | $3,825.66 | $886.62 – $7,975.81 | 26 |
| Drainage of mouth lesion CPT 41009 | $583.82 | $973.04 | $187.22 – $1,363.00 | 26 |
| Drainage of mouth lesion CPT 41016 | $6,781.90 | $11,303.16 | $1,804.00 – $14,507.25 | 26 |
| Drainage of mouth lesion CPT 41017 | $2,412.60 | $4,021.00 | $886.62 – $7,975.81 | 26 |
| Drainage of mouth lesion CPT 41018 | $1,304.89 | $2,174.82 | $420.64 – $3,777.93 | 26 |
| Drainage of nose lesion int 30000 CPT 30000 | $901.48 | $1,502.46 | $87.58 – $1,126.85 | 26 |
| Drainage of nose lesion sept 30020 CPT 30020 | $781.44 | $1,302.40 | $180.23 – $1,363.00 | 26 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,668.63 | $4,447.71 | $1,088.27 – $8,018.48 | 24 |
| Drainage of prostate abscess CPT 55720 | $2,260.09 | $3,766.82 | $1,142.90 – $8,636.11 | 24 |
| Drainage of rectal abscess CPT 45005 | $2,299.90 | $3,833.16 | $429.26 – $2,923.34 | 26 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,167.36 | $3,612.26 | $577.96 – $5,045.72 | 26 |
| Drain bladder by trocar/cath CPT 51101 | $1,078.00 | $1,796.66 | $98.83 – $2,590.07 | 26 |
| Drain blood from under nail 11740 CPT 11740 | $190.33 | $317.21 | $50.75 – $316.45 | 26 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,693.50 | $4,489.17 | $486.45 – $4,016.35 | 26 |
| Drain cath image guided visceral pq CPT 49405 | $2,839.24 | $4,732.07 | $757.13 – $4,016.35 | 26 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,192.95 | $1,988.25 | $262.86 – $1,713.14 | 26 |
| Drain finger abscess;simple 26010 CPT 26010 | $522.25 | $870.42 | $74.34 – $652.82 | 26 |
| Drain lower leg lesion 27603 CPT 27603 | $4,588.15 | $7,646.92 | $815.20 – $7,039.11 | 26 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,727.07 | $4,545.12 | $815.20 – $7,039.11 | 26 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,606.86 | $6,011.43 | $815.20 – $7,039.11 | 26 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $560.63 | $934.38 | $85.42 – $700.78 | 26 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $473.02 | $788.36 | $44.31 – $591.27 | 26 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $597.49 | $995.82 | $171.51 – $987.79 | 26 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $306.77 | $511.29 | $26.23 – $268.77 | 25 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,911.50 | $3,185.84 | $509.73 – $2,707.96 | 19 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,770.43 | $2,950.71 | $108.29 – $2,213.03 | 26 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,475.83 | $4,126.38 | $486.45 – $4,016.35 | 26 |
| Drng of hydrocele 55000 CPT 55000 | $732.01 | $1,220.02 | $54.26 – $1,742.94 | 26 |
| Drng of mouth lesion 40801 CPT 40801 | $1,746.68 | $2,911.14 | $187.22 – $2,183.36 | 26 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,614.45 | $2,690.75 | $429.26 – $3,693.00 | 24 |
| Drng of salivary cyst 42409 CPT 42409 | $2,635.12 | $4,391.86 | $886.62 – $7,975.81 | 26 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,997.89 | $3,329.81 | $486.45 – $4,016.35 | 26 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,600.76 | $2,667.94 | $426.87 – $7,038.00 | 17 |
| Drng salivary gland simple 42300 CPT 42300 | $3,113.71 | $5,189.52 | $420.64 – $3,892.14 | 26 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $34.85 | $58.08 | $4.65 – $24.68 | 20 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,275.80 | $3,793.00 | $31.65 – $158.23 | 18 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $321.43 | $535.72 | $10.05 – $268.77 | 25 |
| Drug admin & hemodynmic meas CPT 93463 | $1,667.83 | $2,779.72 | $237.81 – $16,180.00 | 18 |
| Drug assay caffeine CPT 80155 | $97.19 | $161.99 | $10.00 – $121.49 | 26 |
| Drug assay posaconazole CPT 80187 | $96.75 | $161.25 | $10.00 – $120.11 | 26 |
| Drug assay rufinamide CPT 80210 | $100.32 | $167.20 | $10.00 – $94.14 | 26 |
| Drug assay vedolizumab CPT 80280 | $365.25 | $608.75 | $10.00 – $92.57 | 26 |
| Drug assay voriconazole CPT 80285 | $96.75 | $161.25 | $10.00 – $120.94 | 26 |
| Drug asy hydroxychloroquine CPT 80220 | $345.00 | $575.00 | $10.00 – $44.74 | 26 |
| Drug of abuse screen urine CPT 80305 | $106.41 | $177.35 | $10.00 – $133.01 | 26 |
| Drug screening tapentadol CPT 80372 | $183.77 | $306.28 | $3.92 – $10.62 | 18 |
| Drug test def 15-21 classes HCPCS G0482 | $203.97 | $339.95 | $10.00 – $476.98 | 26 |
| Drug test def 1-7 classes HCPCS G0480 | $346.50 | $577.50 | $10.00 – $274.63 | 26 |
| Drug test def 22+ classes HCPCS G0483 | $479.60 | $799.33 | $10.00 – $599.50 | 26 |
| Drug test prsmv instrmnt CPT 80306 | $182.16 | $303.60 | $10.00 – $227.70 | 26 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,041.00 | $1,735.00 | $3.92 – $149.14 | 26 |
| Drvvt confirm - quest CPT 85597 | $131.79 | $219.65 | $10.00 – $164.74 | 26 |
| Dry needling (97799) CPT 97799 | $132.19 | $220.32 | $34.50 – $183.26 | 20 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,600.42 | $4,334.04 | $395.15 – $4,783.04 | 26 |
| Ductogram sgl duct CPT 77053 | $295.75 | $492.92 | $54.13 – $607.02 | 26 |
| Duplex scan bilateral study 93985 CPT 93985 | $403.69 | $672.82 | $107.65 – $1,117.00 | 26 |
| Duplex scan unilateral study 93986 CPT 93986 | $181.18 | $301.96 | $48.31 – $1,117.00 | 26 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $499.72 | $832.87 | $99.77 – $1,117.00 | 26 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $865.58 | $1,442.64 | $156.46 – $1,117.00 | 26 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,005.61 | $1,676.01 | $197.14 – $1,257.01 | 26 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,767.23 | $39,612.05 | $6.61 – $268.77 | 25 |
| Dxa bone density axl vrt fx CPT 77085 | $365.14 | $608.57 | $53.46 – $456.43 | 26 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $525.71 – $4,204.56 | 18 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $525.71 – $4,204.56 | 18 |
| Dx gastr intub w/asp spec CPT 43754 | $310.25 | $517.08 | $82.73 – $777.56 | 26 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $558.11 | $930.18 | $148.83 – $790.65 | 19 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $558.11 | $930.18 | $148.83 – $790.65 | 19 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $558.11 | $930.18 | $148.83 – $790.65 | 19 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,867.86 | $3,113.10 | $525.71 – $4,204.56 | 26 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $558.11 | $930.18 | $148.83 – $790.65 | 19 |
| Dynamic fine wire emg CPT 96003 | $374.29 | $623.82 | $99.81 – $777.56 | 20 |
| Dynamic surface emg CPT 96002 | $711.79 | $1,186.32 | $53.12 – $889.74 | 26 |
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.