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 |
|---|---|---|---|---|
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,405.90 – $7,038.00 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc prtl bn phlnx toe CPT 28124 | $3,122.93 | $5,204.89 | $238.37 – $8,018.48 | 26 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $939.93 – $10,795.00 | 17 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $939.93 – $7,373.00 | 17 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $815.20 – $7,039.11 | 17 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $486.45 – $10,795.00 | 17 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $5,239.80 | $8,733.00 | $815.20 – $7,039.11 | 26 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $593.04 – $6,093.00 | 18 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $815.20 – $7,039.11 | 18 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $815.20 – $10,795.00 | 17 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,985.99 | $4,976.65 | $125.69 – $3,732.49 | 26 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $486.45 – $4,063.00 | 18 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $1,063.52 – $7,744.80 | 18 |
| Exercise tst brncspsm w/ecg CPT 94617 | $469.15 | $781.92 | $125.11 – $586.44 | 26 |
| Exercise tst brncspsm wo ecg CPT 94619 | $80.36 | $133.93 | $21.43 – $151.53 | 26 |
| Exercise w/hemodynamic meas CPT 93464 | $2,285.01 | $3,808.35 | $382.87 – $16,180.00 | 18 |
| Exome sequence analysis CPT 81415 | $4,912.50 | $8,187.50 | $35.00 – $11,472.00 | 26 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $10,615.08 | $17,691.80 | $143.46 – $717.30 | 18 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $10,400.94 | $17,334.90 | $46.90 – $234.52 | 18 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $1,062.24 – $9,276.93 | 18 |
| Exploration of foot joint CPT 28020 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Exploration of knee joint CPT 27310 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $1,055.54 – $15,671.95 | 16 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,716.04 | $2,860.06 | $257.60 – $4,016.35 | 26 |
| Explore/repair chest 32110 CPT 32110 | $4,553.92 | $7,589.86 | $1,214.38 – $6,451.38 | 19 |
| Explore/treat finger joint CPT 26080 | $1,947.60 | $3,246.00 | $593.04 – $3,981.46 | 26 |
| Explore wound abdomen 20102 CPT 20102 | $2,929.84 | $4,883.07 | $781.29 – $4,517.58 | 26 |
| Explore woundchest 20101 CPT 20101 | $2,063.39 | $3,438.99 | $550.24 – $4,517.58 | 26 |
| Explore wound neck 20100 CPT 20100 | $1,185.00 | $1,975.00 | $316.00 – $1,481.25 | 26 |
| Expose art endoprosth iliac 34820 CPT 34820 | $5,370.81 | $8,951.35 | $1,432.22 – $7,608.65 | 18 |
| Expose endoprosth brachial 34834 CPT 34834 | $215.40 | $359.00 | $57.44 – $7,038.00 | 17 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $5,309.71 | $8,849.52 | $593.04 – $6,637.14 | 26 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $111.00 – $4,016.35 | 17 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $486.45 – $4,063.00 | 17 |
| Extended visual field xm CPT 92083 | $246.29 | $410.48 | $65.68 – $316.45 | 26 |
| External cannula declotting CPT 36860 | $1,404.86 | $2,341.44 | $446.27 – $4,063.00 | 24 |
| External chromosome analysis 20-25 cells CPT 88264 | $558.82 | $931.37 | $35.00 – $350.39 | 26 |
| External newborn metabolic screening panel HCPCS S3620 | $83.43 | $139.05 | $10.00 – $118.19 | 19 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,465.10 | $2,441.83 | $35.00 – $350.39 | 26 |
| Extnd color vision xm CPT 92283 | $105.04 | $175.07 | $28.01 – $151.53 | 26 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $532.50 | $887.50 | $8.43 – $43.03 | 26 |
| Extraction erupted tooth/exr HCPCS D7140 | $454.74 | $757.90 | $121.26 – $2,181.14 | 24 |
| Extraction of lens CPT 66940 | $2,523.23 | $4,205.38 | $849.94 – $5,772.91 | 26 |
| Eye allergy tests CPT 95060 | $129.56 | $215.94 | $34.55 – $316.45 | 26 |
| Eye implant band 40 HCPCS C1784 | $32,989.33 | $54,982.22 | $9.30 – $46.49 | 18 |
| Eye Socket (Orbit) X-ray CPT 70200 | $155.33 | $258.88 | $48.11 – $272.35 | 26 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,563.46 | $2,605.77 | $167.39 – $2,062.00 | 26 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,543.83 | $2,573.05 | $167.39 – $2,062.00 | 26 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,678.86 | $2,798.10 | $99.77 – $2,098.57 | 26 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,960.80 | $8,268.00 | $1,322.88 – $6,201.00 | 25 |
| F-18 fluciclovine per mci HCPCS A9588 | $7,930.80 | $13,218.00 | $306.16 – $9,913.50 | 25 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,691.51 | $6,152.52 | $332.94 – $4,614.39 | 26 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,551.50 | $4,252.50 | $227.71 – $3,189.38 | 26 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $121.12 | $201.87 | $32.08 – $225.11 | 26 |
| Facial Bones X-ray (complete) CPT 70150 | $281.80 | $469.66 | $47.45 – $352.25 | 26 |
| Factor ix CPT 85250 | $251.47 | $419.12 | $10.00 – $70.12 | 26 |
| Factor ix complex HCPCS J7194 | $22.13 | $36.88 | $1.44 – $27.07 | 26 |
| Factor ix recombinant nos HCPCS J7195 | $22.92 | $38.20 | $1.65 – $28.65 | 26 |
| Factor viii CPT 85240 | $813.60 | $1,356.00 | $10.00 – $44.37 | 26 |
| Factor viii HCPCS J7190 | $21.98 | $36.64 | $1.32 – $27.48 | 26 |
| Factor viii recombinant nos HCPCS J7192 | $23.64 | $39.40 | $1.49 – $27.61 | 26 |
| Factor viii recomb novoeight HCPCS J7182 | $24.58 | $40.96 | $1.34 – $30.72 | 26 |
| Family therapy with patient 50 min 90847 CPT 90847 | $181.20 | $302.00 | $48.32 – $394.97 | 26 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $20.16 | $33.60 | $0.01 – $2.27 | 20 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $5,085.07 | $8,475.11 | $29.70 – $6,356.33 | 26 |
| Fancc gene CPT 81242 | $378.11 | $630.18 | $30.76 – $377.03 | 26 |
| Fat/lipids feces qualitative CPT 82705 | $62.05 | $103.42 | $4.28 – $77.56 | 26 |
| Fatty acids nonesterified CPT 82725 | $208.04 | $346.73 | $10.00 – $59.23 | 26 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,461.90 | $2,436.50 | $156.00 – $907.11 | 19 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $3,252.85 | $5,421.41 | $57.97 – $4,066.06 | 26 |
| Fecal microbiota prep instil HCPCS G0455 | $897.47 | $1,495.78 | $239.32 – $2,264.11 | 26 |
| #fecal-sodium CPT 84302 | $42.21 | $70.35 | $4.08 – $16.00 | 26 |
| Feeding tube reposition CPT 74355 | $235.70 | $392.84 | $62.85 – $333.91 | 19 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $433.44 | $722.40 | $10.00 – $541.80 | 26 |
| Femoral endovas graft add-on 34813 CPT 34813 | $215.50 | $359.16 | $57.47 – $7,038.00 | 17 |
| Fem/popl revasc w/stent CPT 37226 | $25,228.15 | $42,046.91 | $6,727.51 – $35,739.87 | 20 |
| Feno poc CPT 95012 | $153.50 | $255.84 | $35.64 – $191.88 | 26 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $143.68 | $239.46 | $1.28 – $12.95 | 20 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,590.25 | $4,317.09 | $1.04 – $3,237.82 | 26 |
| Ferritin CPT 82728 | $149.69 | $249.48 | $10.00 – $65.62 | 26 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,102.74 | $3,504.57 | $0.22 – $2,628.43 | 26 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $541.74 | $902.90 | $99.77 – $677.17 | 26 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,231.20 | $2,052.00 | $35.00 – $1,821.72 | 26 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $623.30 | $1,038.84 | $27.13 – $779.13 | 26 |
| Fetal fibronectin CPT 82731 | $521.65 | $869.42 | $10.00 – $652.07 | 26 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $166.89 | $278.15 | $6.49 – $114.68 | 26 |
| Fetal hemoglobin rosette CPT 85461 | $99.86 | $166.43 | $7.86 – $124.82 | 26 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $70.18 | $116.96 | $10.00 – $87.72 | 26 |
| Fetal non stress test CPT 59025 | $557.85 | $929.75 | $15.78 – $697.31 | 26 |
| #_fet/norfentcnfrmur CPT 80354 | $247.50 | $412.50 | $10.00 – $136.52 | 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.