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 |
|---|---|---|---|---|
| Phentolaine mesylate inj HCPCS J2760 | $1,325.32 | $2,208.87 | $244.58 – $1,413.75 | 26 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $158.10 | $263.50 | $0.00 – $13.60 | 20 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $10.80 | $18.00 | $0.46 – $7.09 | 20 |
| Phenytoin total therapeutic drug level CPT 80185 | $146.87 | $244.78 | $10.00 – $183.59 | 26 |
| Phlebotomy therapeutic CPT 99195 | $275.15 | $458.59 | $73.37 – $343.94 | 26 |
| Phosphorus CPT 84100 | $62.87 | $104.78 | $3.98 – $78.58 | 26 |
| Phosphorus 24 hour urine CPT 84105 | $59.55 | $99.25 | $4.86 – $66.77 | 26 |
| Photopheresis CPT 36522 | $9,713.30 | $16,188.84 | $1,674.15 – $12,141.63 | 26 |
| Phys blood bank serv reactj CPT 86078 | $219.94 | $366.57 | $10.00 – $423.12 | 26 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $305.27 | $508.79 | $81.41 – $432.47 | 20 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $237.28 | $395.47 | $63.28 – $336.15 | 20 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $285.10 | $475.16 | $76.03 – $403.89 | 20 |
| Physical Therapy Re-Evaluation CPT 97164 | $128.83 | $214.71 | $34.35 – $204.36 | 20 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $176.28 | $293.80 | $3.47 – $30.60 | 20 |
| Pik3ca gene trgt seq alys CPT 81309 | $632.84 | $1,054.74 | $35.00 – $791.05 | 26 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,580.00 | $19,300.00 | $30.49 – $152.44 | 18 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,134.60 | $1,891.00 | $262.63 – $1,596.25 | 26 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Pinworm exam CPT 87172 | $49.50 | $82.50 | $3.59 – $61.88 | 26 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $399.28 | $665.47 | $1.19 – $30.46 | 20 |
| Place cath intracranial art CPT 36228 | $2,293.15 | $3,821.91 | $611.51 – $3,248.62 | 19 |
| Place cath xtrnl carotid CPT 36227 | $3,452.29 | $5,753.82 | $920.61 – $4,890.75 | 19 |
| Place device/marker, non pro HCPCS C9728 | $1,583.00 | $2,638.34 | $422.13 – $3,432.55 | 24 |
| Place duod/jej tube perc CPT 49441 | $2,302.66 | $3,837.77 | $564.97 – $4,713.77 | 26 |
| Place gastrostomy tube perc CPT 49440 | $1,915.88 | $3,193.13 | $564.97 – $4,713.77 | 26 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,799.78 | $2,999.64 | $479.94 – $4,016.35 | 26 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,167.64 | $1,946.07 | $311.37 – $1,654.16 | 19 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,721.65 | $2,869.41 | $459.11 – $2,152.06 | 26 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,772.36 | $7,953.93 | $652.80 – $5,965.45 | 26 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $925.72 | $1,542.86 | $246.86 – $1,311.43 | 19 |
| Placement of seton CPT 46020 | not published | not published | $939.93 – $6,955.62 | 18 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $16,799.75 | $27,999.58 | $5,004.56 – $27,252.71 | 26 |
| Place ndl musc/tis for right CPT 20555 | $3,512.89 | $5,854.82 | $936.77 – $8,018.48 | 26 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,498.01 | $9,163.35 | $1,466.14 – $7,896.23 | 26 |
| Placental lactogen CPT 83632 | $207.64 | $346.06 | $10.00 – $259.55 | 26 |
| Place right device/marker pros CPT 55876 | $2,926.58 | $4,877.63 | $70.87 – $3,658.22 | 26 |
| Place slctv cath carotd art uni CPT 36224 | $12,531.28 | $20,885.46 | $3,341.67 – $15,664.09 | 26 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,732.48 | $11,220.80 | $1,795.33 – $8,415.60 | 26 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,181.35 | $15,302.25 | $2,448.36 – $13,613.39 | 26 |
| Place slctv cath subclavian art CPT 36225 | $6,732.48 | $11,220.80 | $1,795.33 – $8,415.60 | 26 |
| Place slctv cath vertebral art uni CPT 36226 | $10,750.82 | $17,918.04 | $2,866.89 – $13,613.39 | 26 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $172.78 | $287.96 | $46.07 – $279.16 | 26 |
| Platelet aggregation each agent teg CPT 85576 | $192.99 | $321.65 | $10.00 – $241.24 | 26 |
| Platelet automated CPT 85049 | $73.34 | $122.23 | $3.76 – $91.67 | 26 |
| Platelet deplete of harvest CPT 38213 | $1,427.12 | $2,378.53 | $35.00 – $1,783.90 | 26 |
| Platelet pheresis each unit HCPCS P9034 | $1,260.36 | $2,100.60 | $288.60 – $1,575.45 | 26 |
| Platelets each unit HCPCS P9019 | $240.25 | $400.41 | $49.67 – $300.31 | 26 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $284.43 | $474.05 | $75.85 – $355.54 | 26 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $373.92 | $623.20 | $99.71 – $599.64 | 26 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,109.28 | $1,848.80 | $233.99 – $1,386.60 | 26 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,214.64 | $2,024.40 | $323.90 – $1,518.30 | 26 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,254.99 | $2,091.65 | $308.10 – $1,444.24 | 26 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,387.23 | $2,312.05 | $343.37 – $1,748.45 | 26 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $822.60 | $1,371.00 | $219.36 – $1,433.33 | 26 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,222.48 | $7,037.46 | $1,151.54 – $8,570.48 | 26 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,796.21 | $17,993.68 | $1,896.00 – $15,294.63 | 19 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,460.21 | $7,433.69 | $1,142.90 – $10,795.00 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,048.00 | $10,080.00 | $1,493.34 – $10,795.00 | 18 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,298.61 | $5,497.69 | $879.63 – $7,038.00 | 17 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,260.47 | $2,100.78 | $336.12 – $1,742.94 | 26 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $878.22 | $1,463.70 | $234.19 – $1,244.14 | 19 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,320.69 | $5,534.49 | $419.18 – $7,038.00 | 17 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $843.08 | $1,405.14 | $224.82 – $1,194.37 | 19 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $964.04 | $1,606.74 | $257.08 – $1,365.73 | 19 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,071.23 | $1,785.38 | $285.66 – $1,517.57 | 19 |
| Plerixafor injection HCPCS J2562 | $17,959.33 | $29,932.21 | $19.25 – $22,449.16 | 26 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $451.90 | $753.16 | $120.51 – $805.95 | 26 |
| Plmt access bil tree sm bwl CPT 47541 | $3,205.90 | $5,343.16 | $1,151.54 – $18,741.87 | 26 |
| Plmt biliary drainage cath CPT 47534 | $4,989.69 | $8,316.15 | $1,151.54 – $8,570.48 | 26 |
| Plmt nephroureteral catheter CPT 50433 | $3,820.82 | $6,368.04 | $1,142.90 – $8,636.11 | 26 |
| Plmt ureteral stent prq CPT 50694 | $4,709.76 | $7,849.60 | $1,142.90 – $10,795.00 | 18 |
| Pm device progr eval dual CPT 93280 | $252.07 | $420.12 | $35.62 – $917.00 | 26 |
| Pm device progr eval multi CPT 93281 | $225.60 | $376.00 | $35.62 – $917.00 | 26 |
| Pmp22 gene dup/delet CPT 81324 | $1,029.75 | $1,716.25 | $10.00 – $1,820.06 | 26 |
| Pms2 gene dup/delet variants CPT 81319 | $87.38 | $145.63 | $35.00 – $488.40 | 26 |
| Pms2 gene full seq analysis CPT 81317 | $290.46 | $484.10 | $35.00 – $1,623.60 | 26 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $811.82 | $1,353.04 | $216.49 – $1,556.23 | 26 |
| #pnh-flow cytometry interp CPT 88187 | $154.14 | $256.90 | $17.11 – $141.67 | 19 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $259.66 | $432.76 | $10.00 – $324.57 | 26 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $32,554.79 | $54,257.99 | $130.21 – $40,693.49 | 26 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,802.77 | $8,004.62 | $819.52 – $6,003.47 | 26 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,236.15 | $8,726.91 | $819.52 – $6,545.18 | 26 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $72.00 | $120.00 | $19.20 – $2,181.14 | 26 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $84.00 | $140.00 | $22.40 – $2,181.14 | 26 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $881.95 | $1,469.91 | $235.19 – $1,175.93 | 18 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $58.91 | $98.18 | $3.97 – $73.64 | 26 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $97.20 | $162.00 | $0.14 – $20.45 | 20 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.87 | $99.79 | $4.00 – $74.84 | 26 |
| Pq biliary strict dil s&i CPT 74363 | $707.71 | $1,179.51 | $100.69 – $1,002.58 | 19 |
| Pq dr cath chg w cont s&i CPT 75984 | $633.97 | $1,056.61 | $156.80 – $898.12 | 19 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,430.78 | $17,384.64 | $2,398.52 – $17,722.46 | 26 |
| Pq thr inj ext pse CPT 36002 | $1,014.07 | $1,690.12 | $223.75 – $1,556.23 | 26 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,725.56 | $4,542.60 | $726.82 – $3,861.21 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,236.34 | $7,060.56 | $1,088.27 – $8,018.48 | 26 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,811.54 | $8,019.23 | $1,088.27 – $8,018.48 | 26 |
| Pralatrexate injection HCPCS J9307 | $24,465.07 | $40,775.12 | $325.97 – $30,581.34 | 26 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $234.09 | $390.15 | $62.42 – $331.63 | 19 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,865.99 | $6,443.32 | $1,088.27 – $8,018.48 | 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.