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 |
|---|---|---|---|---|
| ER Visit (level 4) CPT 99284 | $1,273.68 | $2,122.80 | $339.65 – $3,894.00 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $2,327.80 | $3,879.67 | $568.33 – $6,643.00 | 24 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $248.39 | $413.98 | $66.24 – $351.88 | 20 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $349.65 | $582.75 | $0.22 – $495.34 | 20 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $907.02 | $1,511.70 | $0.26 – $35.70 | 20 |
| Esophageal dilat s&i CPT 74360 | $330.65 | $551.09 | $66.02 – $468.43 | 19 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $334.95 – $3,693.00 | 18 |
| Esophagus motility study CPT 91010 | $1,257.17 | $2,095.29 | $292.64 – $1,571.47 | 24 |
| Esoph balloon distension tst CPT 91040 | $1,330.72 | $2,217.87 | $354.86 – $1,663.40 | 24 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $564.97 – $4,713.77 | 18 |
| Esoph imped function test CPT 91037 | $800.22 | $1,333.70 | $206.06 – $1,000.27 | 24 |
| Esoph imped funct test > 1hr CPT 91038 | $1,543.64 | $2,572.74 | $356.12 – $1,929.56 | 26 |
| Establish access to aorta CPT 36160 | $1,560.95 | $2,601.58 | $416.25 – $2,211.34 | 19 |
| Establish access to artery CPT 36100 | $973.08 | $1,621.80 | $259.49 – $1,378.53 | 19 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,356.75 – $7,038.00 | 3 |
| Establish brain cavity shunt CPT 62180 | $2,425.63 | $4,042.71 | $646.83 – $3,436.30 | 19 |
| Estradiol total CPT 82670 | $366.74 | $611.23 | $10.00 – $67.06 | 26 |
| Estrogens total-sendout CPT 82672 | $161.24 | $268.73 | $10.00 – $201.55 | 26 |
| Ethylene glycol -sendout CPT 82693 | $138.70 | $231.16 | $10.00 – $173.37 | 26 |
| Etonogestrel implant system HCPCS J7307 | $2,081.30 | $3,468.84 | $494.71 – $2,628.13 | 19 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $235.20 | $392.00 | $0.88 – $95.03 | 20 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,063.52 – $7,744.80 | 18 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $350.99 | $584.98 | $93.60 – $438.74 | 26 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $442.57 | $737.61 | $112.00 – $626.97 | 20 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $223.43 | $372.39 | $10.00 – $279.29 | 26 |
| Evaluation heart device CPT 93640 | $3,469.10 | $5,781.83 | $438.52 – $4,914.56 | 19 |
| Evaluation of speech fluency 92521 CPT 92521 | $407.48 | $679.14 | $108.00 – $577.27 | 20 |
| Evaluation psychiatric diagnostic CPT 90791 | $384.35 | $640.58 | $102.49 – $480.44 | 26 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $7,201.60 | $12,002.66 | $1,920.43 – $10,202.26 | 19 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,803.24 | $4,672.06 | $747.53 – $3,971.25 | 19 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $5,234.05 | $8,723.42 | $1,395.75 – $17,181.00 | 19 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $4,979.34 | $8,298.90 | $1,327.82 – $7,054.06 | 17 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $4,169.50 | $6,949.17 | $1,111.87 – $7,038.00 | 17 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $6,331.42 | $10,552.36 | $1,688.38 – $8,969.51 | 17 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,846.34 | $8,077.24 | $1,292.36 – $17,181.00 | 19 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,245.02 | $5,408.37 | $865.34 – $7,038.00 | 17 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $2,667.85 | $4,446.41 | $711.43 – $7,038.00 | 17 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $8,412.85 | $14,021.41 | $1,494.39 – $11,918.20 | 19 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $8,996.13 | $14,993.55 | $2,398.88 – $12,744.52 | 17 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $22,386.00 | $37,310.00 | $1,012.65 – $31,713.50 | 17 |
| Evoked auditory tst complete CPT 92588 | $374.62 | $624.37 | $10.97 – $805.95 | 26 |
| Evoked oa emissions ltd CPT 92587 | $234.32 | $390.54 | $8.42 – $777.56 | 26 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $359.72 | $599.53 | $95.92 – $509.60 | 19 |
| Evoked potentials upper limbs CPT 95925 | $908.54 | $1,514.23 | $206.06 – $1,135.67 | 26 |
| Evoked potential visual not glaucoma CPT 95930 | $1,041.27 | $1,735.45 | $118.05 – $1,301.59 | 26 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $1,069.67 | $1,782.78 | $659.63 – $7,744.80 | 26 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,550.69 – $7,038.00 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,063.52 – $7,744.80 | 18 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $77.79 – $3,693.00 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $86.38 – $3,693.00 | 17 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,358.40 | $2,264.00 | $103.82 – $1,742.94 | 26 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,061.19 | $3,435.32 | $114.34 – $4,016.35 | 26 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $86.66 – $3,693.00 | 17 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $104.38 – $4,016.35 | 17 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $707.65 | $1,179.41 | $89.14 – $987.79 | 26 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,466.01 | $2,443.35 | $105.20 – $1,832.51 | 26 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $152.26 – $4,016.35 | 17 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $486.45 – $10,795.00 | 17 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $486.45 – $6,093.00 | 18 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $486.45 – $10,795.00 | 17 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exchange biliary drg cath CPT 47536 | $4,278.56 | $7,130.94 | $1,151.54 – $8,570.48 | 26 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $485.65 | $809.42 | $164.30 – $1,075.39 | 26 |
| Exchange drainage catheter CPT 49423 | $2,256.80 | $3,761.34 | $564.97 – $4,713.77 | 26 |
| Exchange nephrostomy cath CPT 50435 | $2,628.13 | $4,380.22 | $652.80 – $5,045.72 | 26 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $815.20 – $8,921.00 | 17 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $815.20 – $10,795.00 | 17 |
| Excise inferior turbinate CPT 30130 | not published | not published | $886.62 – $7,975.81 | 18 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $4,302.00 – $17,722.46 | 17 |
| Excise lip or cheek fold CPT 40819 | $1,969.57 | $3,282.61 | $420.64 – $3,777.93 | 26 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Excise sublingual gland CPT 42450 | not published | not published | $1,954.22 – $14,507.25 | 18 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $486.45 – $8,921.00 | 17 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $762.65 | $1,271.09 | $96.06 – $1,742.94 | 26 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,663.16 | $2,771.94 | $95.79 – $4,016.35 | 26 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,858.66 | $6,431.10 | $486.45 – $4,823.32 | 26 |
| Excision breast lesion CPT 19125 | $3,694.96 | $6,158.26 | $963.66 – $9,442.65 | 26 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $939.93 – $6,955.62 | 18 |
| Excision of rectal stricture CPT 45150 | $1,157.12 | $1,928.54 | $429.26 – $2,923.34 | 26 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,151.54 – $8,570.48 | 18 |
| Excision of uvula CPT 42140 | not published | not published | $886.62 – $7,975.81 | 18 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $486.45 – $10,795.00 | 17 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,088.27 – $8,921.00 | 18 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $984.27 | $1,640.45 | $112.95 – $4,016.35 | 26 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $131.22 – $3,693.00 | 17 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $257.60 – $4,063.00 | 17 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $815.20 – $10,795.00 | 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.