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 |
|---|---|---|---|---|
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $10.10 | $16.83 | $2.27 – $12.05 | 19 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Passy muir valve metal trach HCPCS L8501 | $339.37 | $565.61 | $70.24 – $351.20 | 18 |
| Path clin consltj high 41-60 CPT 80505 | $177.88 | $296.46 | $10.00 – $423.12 | 26 |
| Path clin consltj mod 21-40 CPT 80504 | $177.88 | $296.46 | $10.00 – $423.12 | 26 |
| Path clin consltj prolng svc CPT 80506 | $118.57 | $197.62 | $10.00 – $167.98 | 19 |
| Path clin consltj sf 5-20 CPT 80503 | $59.27 | $98.78 | $10.00 – $134.24 | 26 |
| Pdgfra gene CPT 81314 | $1,302.83 | $2,171.38 | $35.00 – $790.82 | 26 |
| Pegaspargase injection HCPCS J9266 | $33,512.48 | $55,854.14 | $8,936.66 – $61,111.73 | 26 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $11,569.18 | $19,281.97 | $121.01 – $14,461.48 | 26 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,531.80 | $12,553.00 | $129.10 – $9,414.75 | 26 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,774.30 | $6,290.50 | $75.53 – $4,717.88 | 26 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,047.67 | $3,412.78 | $167.39 – $2,559.59 | 26 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,199.47 | $3,665.78 | $167.39 – $2,749.34 | 26 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,621.86 | $2,703.10 | $99.77 – $2,027.33 | 26 |
| Pelvic & hip control thigh c HCPCS L1680 | $1,902.39 | $3,170.65 | $507.30 – $2,536.52 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,742.20 | $6,237.00 | $332.94 – $4,677.75 | 26 |
| Pelvic MRI (with contrast) CPT 72196 | $1,745.15 | $2,908.58 | $276.66 – $2,181.43 | 26 |
| Pelvic MRI (without contrast) CPT 72195 | $2,721.60 | $4,536.00 | $227.71 – $3,402.00 | 26 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $3,091.54 | $5,152.56 | $824.41 – $17,722.46 | 26 |
| Pelvic Ultrasound (complete) CPT 76856 | $761.44 | $1,269.06 | $96.28 – $951.79 | 26 |
| Pelvic Ultrasound (limited) CPT 76857 | $560.25 | $933.75 | $50.79 – $700.31 | 26 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $270.84 | $451.40 | $28.06 – $338.55 | 26 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $355.88 | $593.13 | $42.44 – $444.85 | 26 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $10,437.74 | $17,396.24 | $55.59 – $13,047.18 | 26 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $7,307.40 | $12,179.00 | $3.84 – $172.50 | 26 |
| Pemivibart infusion HCPCS M0224 | $520.56 | $867.60 | $138.82 – $1,171.30 | 26 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $826.47 | $1,377.45 | $29.90 – $598.07 | 26 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $182.10 | $303.50 | $0.75 – $59.08 | 20 |
| Penile injection CPT 54235 | $533.92 | $889.87 | $35.16 – $667.40 | 26 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $23,449.80 | $39,083.00 | $0.00 – $0.01 | 18 |
| Penile vascular study CPT 93980 | $855.79 | $1,426.32 | $99.77 – $1,117.00 | 26 |
| Penile vascular study CPT 93981 | $605.42 | $1,009.03 | $70.50 – $1,117.00 | 26 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $453.61 | $756.01 | $0.18 – $642.61 | 20 |
| Pentobarbital sodium inj HCPCS J2515 | $4,062.60 | $6,771.00 | $35.00 – $2,722.99 | 25 |
| Perc cryo ablate renal tum CPT 50593 | $13,038.50 | $21,730.83 | $4,645.39 – $25,500.18 | 18 |
| Perc d-e cor revasc chro add HCPCS C9608 | $18,907.21 | $31,512.01 | $0.00 – $16,180.00 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $25,041.46 | $41,735.77 | $6,182.22 – $43,439.01 | 25 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $21,937.06 | $36,561.77 | $0.00 – $16,180.00 | 17 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $21,790.26 | $36,317.10 | $5,810.74 – $27,252.71 | 25 |
| Perc d-e cor stent ather br HCPCS C9603 | $19,620.85 | $32,701.42 | $0.00 – $16,180.00 | 17 |
| Perc d-e cor stent ather s HCPCS C9602 | $26,512.47 | $44,187.45 | $7,069.99 – $43,439.01 | 25 |
| Perc drug-el cor stent bran HCPCS C9601 | $19,200.89 | $32,001.48 | $0.00 – $16,180.00 | 17 |
| Perc drug-el cor stent sing HCPCS C9600 | $23,831.01 | $39,718.35 | $6,014.81 – $28,194.40 | 25 |
| Perc rf ablate renal tumor CPT 50592 | $6,949.48 | $11,582.46 | $1,888.85 – $14,293.73 | 26 |
| Percut ablate liver rf CPT 47382 | $8,169.20 | $13,615.33 | $1,888.85 – $14,293.73 | 26 |
| Percutaneous islet celltrans HCPCS G0341 | $1,870.88 | $3,118.13 | $498.90 – $7,038.00 | 15 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $939.94 | $1,566.57 | $43.95 – $1,331.58 | 20 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,227.59 | $5,379.32 | $860.69 – $17,181.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,161.89 | $5,269.82 | $446.27 – $3,967.42 | 26 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,432.75 | $2,387.92 | $382.07 – $2,029.73 | 19 |
| Perineoplasty rpr per nonob CPT 56810 | $3,285.49 | $5,475.81 | $1,063.52 – $7,744.80 | 26 |
| Peripheral vascular rehab CPT 93668 | $142.11 | $236.85 | $37.90 – $177.64 | 26 |
| Peri-proc device eval icd CPT 93287 | $304.91 | $508.19 | $47.22 – $917.00 | 19 |
| Peri-proc device eval pm CPT 93286 | $263.13 | $438.55 | $47.22 – $917.00 | 19 |
| Peritoneal cath sub q resv per CPT 49419 | $5,625.74 | $9,376.23 | $1,804.00 – $13,613.39 | 24 |
| Peritoneogram rs&i CPT 74190 | $563.20 | $938.67 | $81.04 – $1,366.64 | 26 |
| Perit-vens shunt pat tst CPT 78291 | $441.21 | $735.35 | $238.58 – $1,021.72 | 26 |
| Perphenazine 4mg oral HCPCS Q0175 | $2.58 | $4.30 | $0.15 – $0.79 | 19 |
| Perq art m-thrombect &/nfs CPT 61645 | $7,559.55 | $12,599.25 | $2,015.88 – $10,709.36 | 19 |
| Perq clsr tcat l atr apndge CPT 33340 | $20,784.58 | $34,640.97 | $1,028.28 – $29,444.82 | 18 |
| Perq dev breast 1st mr guide CPT 19287 | $2,281.60 | $3,802.66 | $608.42 – $2,851.95 | 26 |
| Perq dev breast 1st strtctc CPT 19283 | $2,200.66 | $3,667.77 | $586.84 – $2,750.83 | 26 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $10,114.58 | $16,857.64 | $3,322.27 – $22,821.27 | 26 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,322.27 – $22,821.27 | 17 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $12,403.61 | $20,672.68 | $5,338.09 – $27,252.71 | 25 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $20,071.40 | $33,452.34 | $5,338.09 – $43,439.01 | 25 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $12,403.61 | $20,672.68 | $5,338.09 – $27,252.71 | 25 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $12,403.61 | $20,672.68 | $5,338.09 – $27,252.71 | 25 |
| Perq p-art revsc each addl CPT 33904 | $9,442.02 | $15,736.70 | $1,896.00 – $13,376.19 | 18 |
| Perq plmt bile duct stent CPT 47538 | $8,164.80 | $13,608.00 | $2,858.51 – $14,293.73 | 26 |
| Perq plmt bile duct stent CPT 47539 | $6,085.18 | $10,141.96 | $2,559.08 – $14,293.73 | 26 |
| Perq plmt bile duct stent CPT 47540 | $7,082.99 | $11,804.99 | $2,787.88 – $14,293.73 | 26 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $625.93 | $1,043.22 | $110.15 – $782.41 | 26 |
| Perq skel fix ulnar styld fx CPT 25651 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 26 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | $1,770.60 | $2,951.00 | $472.16 – $2,508.35 | 19 |
| Perq transcath closure each CPT 93592 | $17,513.80 | $29,189.66 | $4,670.35 – $24,811.21 | 18 |
| Perq transcath closure pda CPT 93582 | $28,594.22 | $47,657.04 | $0.00 – $43,439.01 | 26 |
| Perq transcath cls aortic CPT 93591 | $35,806.50 | $59,677.50 | $661.87 – $44,758.12 | 26 |
| Perq transcath cls mitral CPT 93590 | $32,632.58 | $54,387.64 | $801.09 – $43,439.01 | 26 |
| Perq transcath septal reduxn CPT 93583 | $22,203.10 | $37,005.16 | $1,684.56 – $31,454.39 | 18 |
| Pertussis ag if CPT 87265 | $79.09 | $131.81 | $10.00 – $98.86 | 26 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $11,778.22 | $19,630.36 | $15.15 – $14,722.77 | 26 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,099.76 | $6,832.94 | $1,364.64 – $5,371.00 | 26 |
| Pet CT whole body initial CPT 78816 | $5,231.06 | $8,718.43 | $1,364.64 – $6,538.82 | 26 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,028.73 | $5,047.88 | $1,364.64 – $5,371.00 | 26 |
| Pet image full body CPT 78813 | $5,148.14 | $8,580.24 | $1,364.64 – $6,435.18 | 26 |
| Pet image ltd area CPT 78811 | $2,253.07 | $3,755.12 | $1,235.52 – $5,371.00 | 26 |
| Pet image w/ct lmtd CPT 78814 | $4,422.60 | $7,371.00 | $1,364.64 – $5,528.25 | 26 |
| Pet scan brain perf study CPT 78609 | $2,209.74 | $3,682.90 | $249.83 – $5,371.00 | 19 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $50,985.00 | $84,975.00 | $0.00 – $0.01 | 18 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $53.40 | $89.00 | $14.24 – $75.65 | 19 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $87.78 | $146.30 | $23.41 – $124.36 | 19 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $27.60 | $46.00 | $7.36 – $39.10 | 19 |
| Ph body fluid CPT 83986 | $54.62 | $91.04 | $3.01 – $19.43 | 26 |
| Phencyclidine (pcp) CPT 83992 | $115.40 | $192.34 | $10.00 – $163.49 | 19 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $184.67 | $307.79 | $25.30 – $134.40 | 20 |
| Phenobarbital therapeutic drug level CPT 80184 | $124.42 | $207.37 | $10.00 – $155.53 | 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.