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 |
|---|---|---|---|---|
| Tas congenital car anomal CPT 33741 | $7,684.33 | $12,807.21 | $1,745.28 – $10,886.13 | 18 |
| Tavr perq femoral CPT 33361 | $32,560.45 | $54,267.42 | $1,764.30 – $46,127.31 | 19 |
| Tbs techl calculation only CPT 77091 | $99.13 | $165.22 | $26.44 – $225.11 | 26 |
| Tbs techl prep&transmis data CPT 77090 | $99.13 | $165.22 | $26.44 – $225.11 | 26 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $506.22 | $843.70 | $10.00 – $364.02 | 26 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $220.37 | $367.29 | $10.00 – $275.47 | 26 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $109.62 | $182.70 | $29.23 – $155.29 | 19 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,970.00 | $4,950.00 | $626.93 – $3,712.50 | 25 |
| Tc-99m sulfur colloid HCPCS A9541 | $205.55 | $342.59 | $54.81 – $291.20 | 19 |
| Tcd emboli detect w/inj CPT 93893 | $640.22 | $1,067.03 | $99.77 – $1,117.00 | 26 |
| Tcd emboli detect without inj CPT 93892 | $600.96 | $1,001.60 | $99.77 – $1,117.00 | 26 |
| Tcd vasoreactivity study CPT 93890 | $566.88 | $944.80 | $151.17 – $1,117.00 | 20 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $228.43 | $380.72 | $10.00 – $112.75 | 26 |
| T cells absolute cd 4 count CPT 86361 | $258.20 | $430.33 | $10.00 – $204.09 | 26 |
| T cells total count CPT 86359 | $363.75 | $606.25 | $10.00 – $90.55 | 26 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,344.96 | $2,241.60 | $358.66 – $7,038.00 | 17 |
| Team conf without pat by hc pro CPT 99368 | $141.89 | $236.48 | $37.84 – $201.01 | 20 |
| Team conf w/pat by hc prof CPT 99366 | $113.83 | $189.72 | $30.36 – $161.26 | 20 |
| Telehealth original site facility fee HCPCS Q3014 | $465.99 | $776.65 | $12.99 – $69.01 | 18 |
| Telethx isodose plan cplx CPT 77307 | $1,679.31 | $2,798.85 | $134.93 – $2,099.14 | 26 |
| Telethx isodose plan simple CPT 77306 | $620.10 | $1,033.50 | $74.73 – $915.33 | 26 |
| Temozolomide HCPCS J8700 | $64.37 | $107.28 | $0.43 – $14.67 | 20 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,031.44 | $15,052.40 | $28.58 – $11,289.30 | 26 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,951.87 | $24,919.78 | $187.57 – $14,013.43 | 26 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $73.32 | $122.20 | $3.26 – $103.87 | 20 |
| Tert gene targeted seq alys CPT 81345 | $1,650.00 | $2,750.00 | $35.00 – $2,062.50 | 26 |
| Testicular imaging w/vasc flow CPT 78761 | $449.57 | $749.28 | $195.14 – $1,021.72 | 26 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $29.90 | $49.84 | $7.97 – $151.53 | 26 |
| Test stress cardiovascular tracing only CPT 93017 | $1,251.88 | $2,086.47 | $206.06 – $1,564.85 | 26 |
| Tetanus immune globulin inj HCPCS J1670 | $1,172.11 | $1,953.51 | $312.56 – $1,465.13 | 26 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $3,450.00 | $5,750.00 | $35.00 – $1,822.87 | 26 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $5,025.00 | $8,375.00 | $35.00 – $7,007.04 | 26 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $5,536.50 | $9,227.50 | $35.00 – $1,653.75 | 26 |
| Theophylline therapeutic drug level CPT 80198 | $141.91 | $236.51 | $10.00 – $177.38 | 26 |
| Therapeutic procd strg endur HCPCS G0237 | $143.36 | $238.94 | $22.77 – $179.21 | 26 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $158.40 | $264.00 | $42.24 – $224.40 | 19 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $122.76 | $204.60 | $32.74 – $173.91 | 20 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $125.24 | $208.73 | $33.40 – $177.42 | 20 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $67.10 | $111.83 | $17.89 – $95.06 | 19 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.10 | $106.84 | $17.09 – $90.81 | 19 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $232.32 | $387.20 | $167.39 – $455.16 | 26 |
| Ther/proph/diag inj ia CPT 96373 | $247.33 | $412.22 | $44.69 – $530.97 | 26 |
| Ther radiology tx plng cplx CPT 77263 | $269.23 | $448.72 | $71.80 – $381.41 | 19 |
| Ther radiology tx plng intrm CPT 77262 | $213.06 | $355.10 | $56.82 – $301.83 | 19 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.82 | $59.70 | $1.71 – $32.64 | 20 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $290.44 | $484.07 | $35.75 – $363.05 | 26 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,410.82 | $2,351.37 | $223.75 – $1,763.53 | 26 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $857.57 – $16,062.00 | 3 |
| Thoracotomy w/expl CPT 32100 | $2,045.17 | $3,408.62 | $545.38 – $2,897.33 | 19 |
| Thoracotomy with cardiac massage CPT 32160 | $3,459.68 | $5,766.13 | $922.58 – $4,901.21 | 19 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,643.64 – $37,869.50 | 16 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,875.14 | $3,125.24 | $310.74 – $2,343.93 | 26 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,006.73 | $10,011.21 | $1,601.79 – $8,509.53 | 17 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,282.24 | $15,470.40 | $2,362.78 – $14,159.18 | 26 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $19,636.34 | $32,727.24 | $4,535.02 – $27,252.71 | 26 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $31,119.42 | $51,865.70 | $8,719.70 – $43,439.01 | 26 |
| Thrombin time CPT 85670 | $72.22 | $120.37 | $4.85 – $27.90 | 26 |
| Thromboendarterectomy common femoral CPT 35371 | $3,315.64 | $5,526.06 | $884.17 – $7,038.00 | 17 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $5,994.11 | $9,990.19 | $1,598.43 – $13,613.39 | 26 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $3,529.55 | $5,882.58 | $941.21 – $7,038.00 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $85.32 | $142.20 | $5.43 – $106.65 | 26 |
| Thyroglobulin antibody CPT 86800 | $115.79 | $192.99 | $10.00 – $144.74 | 26 |
| Thyroid imaging CPT 78013 | $673.01 | $1,121.69 | $171.74 – $1,021.72 | 26 |
| Thyroid mets imag whole body CPT 78018 | $1,724.28 | $2,873.80 | $280.00 – $2,155.35 | 26 |
| Thyroid met uptake CPT 78020 | $398.40 | $664.00 | $106.24 – $564.40 | 19 |
| Thyroid (TSH) Test CPT 84443 | $171.47 | $285.79 | $10.00 – $45.00 | 26 |
| Thyroid Ultrasound CPT 76536 | $630.55 | $1,050.92 | $99.77 – $788.19 | 26 |
| Thyroid uptake measurement CPT 78012 | $680.77 | $1,134.61 | $81.20 – $1,021.72 | 26 |
| Thyroxine binding globulin (tbg) CPT 84442 | $103.42 | $172.37 | $10.00 – $129.28 | 26 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $33,770.88 | $56,284.80 | $7,038.00 – $47,842.08 | 20 |
| Tib/per revasc stnt & ather CPT 37235 | $11,078.70 | $18,464.50 | $2,954.32 – $15,694.83 | 17 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $20,598.88 | $34,331.47 | $5,493.04 – $29,181.75 | 19 |
| Tilt table study CPT 93660 | $2,325.16 | $3,875.27 | $155.17 – $2,906.45 | 26 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $1,382,069.38 | $2,303,448.96 | $368,551.83 – $1,727,586.72 | 25 |
| Tis cgen car anomal 1st shnt CPT 33745 | $7,684.33 | $12,807.21 | $2,049.15 – $17,181.00 | 18 |
| Tis cgen car anomal ea addl CPT 33746 | $6,546.38 | $10,910.64 | $966.06 – $17,181.00 | 18 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $12,851.40 | $21,419.00 | $186.31 – $16,064.25 | 26 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $35.06 | $58.44 | $9.35 – $49.67 | 19 |
| Tissue culture placenta CPT 88235 | $585.14 | $975.24 | $35.00 – $731.43 | 26 |
| Tissue culture skin/biopsy CPT 88233 | $687.36 | $1,145.60 | $35.00 – $859.20 | 26 |
| Tissue culture tumor CPT 88239 | $772.11 | $1,286.85 | $35.00 – $965.14 | 26 |
| Tissue exam koh skin/hair/nails CPT 87220 | $51.02 | $85.04 | $3.59 – $63.78 | 26 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $304.84 | $508.07 | $14.75 – $268.77 | 25 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $19,288.03 | $32,146.72 | $16.03 – $268.77 | 25 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $1,403.42 | $2,339.04 | $6.89 – $36.59 | 19 |
| Tissue transglutaminase iga CPT 86364 | $137.80 | $229.67 | $9.69 – $27.67 | 26 |
| Tixagev and cilgav inj HCPCS M0220 | $180.60 | $301.00 | $48.16 – $391.30 | 20 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $9,126.00 – $25,500.18 | 17 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Tlso 2 piece rigid shell HCPCS L0491 | $569.93 | $949.89 | $151.98 – $759.91 | 18 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,535.15 | $2,558.58 | $409.37 – $2,046.86 | 18 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $652.36 | $1,087.26 | $173.96 – $869.81 | 18 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,461.90 | $2,436.50 | $389.84 – $1,949.20 | 18 |
| Tlso rigid lined custom fab HCPCS L0482 | $2,547.21 | $4,245.35 | $679.26 – $3,396.28 | 18 |
| Tlso rigid plastic cust fab HCPCS L0484 | $2,347.16 | $3,911.93 | $625.91 – $3,129.54 | 18 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $228.45 | $380.75 | $2.22 – $14.35 | 20 |
| Tobramycin non-comp unit HCPCS J7682 | $143.38 | $238.96 | $2.37 – $74.25 | 20 |
| Tobramycin peak therapeutic drug level CPT 80200 | $171.40 | $285.66 | $10.00 – $214.25 | 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.