BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE
1650 W. College, Grapevine, TX · Baylor Scott & White Health · · NPI 1073511762
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 |
|---|---|---|---|---|
| Contrast exam thoracic aorta CPT 75600 | $3,570.00 | $5,950.00 | $182.78 – $7,896.23 | 24 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,167.26 | $5,278.77 | $120.95 – $13,613.39 | 24 |
| Contrast x-ray gallbladder CPT 74290 | $186.25 | $310.41 | $85.20 – $455.16 | 24 |
| Contrast x-ray of ankle CPT 73615 | $495.58 | $825.96 | $128.31 – $952.69 | 24 |
| Contrast x-ray of brain CPT 70015 | $1,336.32 | $2,227.20 | $166.40 – $1,983.49 | 24 |
| Contrast x-ray of elbow CPT 73085 | $495.60 | $826.00 | $100.24 – $952.69 | 24 |
| Contrast x-ray of hip CPT 73525 | $520.38 | $867.30 | $129.31 – $952.69 | 24 |
| Contrast x-ray of knee joint CPT 73580 | $495.60 | $826.00 | $110.94 – $952.69 | 24 |
| Contrast x-ray of wrist CPT 73115 | $495.58 | $825.96 | $135.33 – $952.69 | 24 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $16,559.40 | $27,599.00 | $233.76 – $1,246.72 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $35,689.50 | $59,482.50 | $0.00 – $0.01 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | $460.17 | $766.95 | $46.68 – $575.21 | 24 |
| Control of nosebleed ant comp 30903 CPT 30903 | $410.06 | $683.43 | $46.68 – $512.57 | 24 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $461.69 | $769.49 | $111.00 – $577.12 | 24 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $682.33 | $1,137.21 | $187.22 – $1,363.00 | 24 |
| Control throat bleeding CPT 42961 | not published | not published | $729.66 – $7,038.00 | 3 |
| Control throat bleeding CPT 42962 | not published | not published | $886.62 – $7,975.81 | 17 |
| Contrst x-ray uppr gi tract CPT 74249 | $762.93 | $1,271.55 | $190.73 – $1,080.82 | 18 |
| Conversion ext bil drg cath CPT 47535 | $4,896.87 | $8,161.45 | $1,151.54 – $8,570.48 | 24 |
| Convert nephrostomy catheter CPT 50434 | $4,267.48 | $7,112.47 | $652.80 – $6,093.00 | 17 |
| Coombs direct CPT 86880 | $98.01 | $163.35 | $4.53 – $151.53 | 24 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $60.26 | $100.43 | $4.80 – $423.12 | 24 |
| Coombs indirect titer reference CPT 86886 | $146.00 | $243.33 | $4.35 – $423.12 | 24 |
| Copper intrauterine device HCPCS J7300 | $1,953.00 | $3,255.00 | $488.25 – $2,766.75 | 18 |
| Cor artery disease mrna CPT 81493 | $357.79 | $596.31 | $35.00 – $2,520.00 | 24 |
| Core ndl bx lng/med perq CPT 32408 | $3,063.31 | $5,105.52 | $486.45 – $8,921.00 | 22 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $3,132.58 – $17,722.46 | 17 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $3,103.16 – $17,722.46 | 17 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $16,963.25 | $28,272.09 | $3,098.97 – $21,204.07 | 23 |
| Coronary angio/lv gram/lt heart CPT 93458 | $15,525.65 | $25,876.08 | $3,098.97 – $19,407.06 | 23 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $18,931.51 | $31,552.51 | $3,098.97 – $23,664.38 | 23 |
| Coronary art/grft angio s&i CPT 93455 | $12,782.64 | $21,304.40 | $3,098.97 – $16,180.00 | 23 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $11,159.61 | $18,599.35 | $2,789.90 – $16,180.00 | 23 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $1,033.69 | $1,722.81 | $258.42 – $1,464.39 | 19 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $6,354.00 | $10,590.00 | $1,088.27 – $8,018.48 | 24 |
| Correct rectal prolapse CPT 45541 | not published | not published | $939.93 – $7,038.00 | 16 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $3,623.98 – $17,722.46 | 17 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Cortisol total am CPT 82533 | $164.33 | $273.89 | $10.00 – $81.47 | 24 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $287.77 | $479.61 | $17.88 – $306.76 | 19 |
| Co-treatment - group 15 mins, st CPT 92508 | $76.53 | $127.55 | $19.13 – $179.00 | 19 |
| Counseling smoke cess interm >10mins CPT 99407 | $69.32 | $115.53 | $17.33 – $86.65 | 24 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $98.14 | $163.56 | $24.53 – $1,841.00 | 24 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | $108.68 | $181.13 | $10.00 – $153.96 | 18 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,071.26 | $13,452.10 | $0.00 – $0.01 | 17 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $48.00 | $80.00 | $12.00 – $107.95 | 24 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $540.00 | $900.00 | $135.00 – $1,171.30 | 24 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $540.00 | $900.00 | $135.00 – $1,171.30 | 24 |
| Covid-19 lab test non-cdc HCPCS U0002 | $58.32 | $97.20 | $10.00 – $123.14 | 24 |
| #covid19rsv-rsv CPT 87634 | $129.47 | $215.78 | $10.00 – $168.48 | 24 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $116.55 | $194.25 | $10.00 – $35.06 | 24 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $927.61 | $1,546.01 | $209.32 – $1,159.51 | 24 |
| C-peptide CPT 84681 | $144.03 | $240.05 | $10.00 – $49.94 | 24 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,209.04 | $2,015.07 | $206.40 – $1,511.30 | 24 |
| Cptrized corneal topography CPT 92025 | $182.35 | $303.91 | $45.59 – $227.93 | 24 |
| Cptr ophth dx img post segmt CPT 92134 | $192.24 | $320.40 | $48.06 – $240.30 | 24 |
| Cptrz oph img pst sg rta oct CPT 92137 | $357.00 | $595.00 | $89.25 – $467.11 | 23 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,609.18 | $2,681.97 | $302.05 – $2,011.48 | 24 |
| C-reactive protein CPT 86140 | $101.59 | $169.31 | $4.35 – $56.66 | 24 |
| C-reactive protein high sensitivity CPT 86141 | $105.53 | $175.89 | $10.00 – $131.92 | 24 |
| C-reactive protein, quantitative CPT 86406 | $101.78 | $169.64 | $8.94 – $127.23 | 24 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $1,939.15 – $13,613.39 | 17 |
| Create eardrum opening CPT 69436 | not published | not published | $420.64 – $6,093.00 | 17 |
| Create passage to kidney CPT 52334 | $3,136.96 | $5,228.27 | $1,142.90 – $8,636.11 | 17 |
| Creatine kinase CPT 82550 | $95.77 | $159.62 | $5.47 – $16.12 | 24 |
| Creatine kinase isoenzymes CPT 82552 | $32.79 | $54.65 | $10.00 – $32.14 | 24 |
| Creatine kinase mb CPT 82553 | $175.00 | $291.66 | $9.70 – $218.75 | 24 |
| Creatine - sendout CPT 82540 | $90.60 | $151.00 | $3.90 – $82.62 | 24 |
| Creatinine CPT 82565 | $66.61 | $111.02 | $4.30 – $40.78 | 24 |
| Creatinine 24 hour urine CPT 82570 | $385.97 | $643.29 | $4.35 – $12.43 | 24 |
| Creatinine clearance urine CPT 82575 | $138.13 | $230.22 | $7.95 – $172.66 | 24 |
| #creutz-prot.,western blot CPT 84182 | $446.73 | $744.55 | $10.00 – $106.00 | 24 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $1,954.22 – $14,507.25 | 16 |
| Crisis psychotherapy 90839 CPT 90839 | $326.34 | $543.90 | $81.58 – $407.93 | 24 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $136.98 | $228.30 | $34.24 – $194.06 | 18 |
| Critical care each additional 30 minutes CPT 99292 | $845.09 | $1,408.48 | $211.27 – $3,000.00 | 18 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,540.23 | $4,233.71 | $635.06 – $3,175.28 | 24 |
| Crotalidae poly immune fab HCPCS J0840 | $5,760.00 | $9,600.00 | $1,440.00 – $7,200.00 | 24 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $3,161.89 | $5,269.82 | $790.47 – $7,038.00 | 16 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $112.26 | $187.10 | $10.00 – $64.64 | 24 |
| Cryoprecipitate each unit HCPCS P9012 | $144.78 | $241.30 | $36.20 – $180.97 | 24 |
| Cryopreserve stem cells CPT 38207 | $3,521.57 | $5,869.29 | $35.00 – $4,401.97 | 24 |
| Cryptococcus abs qn - sendout CPT 86641 | $120.20 | $200.33 | $10.00 – $150.25 | 24 |
| Crystal identification light microscopy CPT 89060 | $84.56 | $140.93 | $6.16 – $56.25 | 24 |
| C-section delivery incl p/p care 59515 CPT 59515 | $3,523.93 | $5,873.22 | $880.98 – $4,992.24 | 18 |
| Csf leakage imaging CPT 78650 | $1,433.25 | $2,388.75 | $242.91 – $3,517.62 | 24 |
| CT 3d report other modality w/workstation CPT 76377 | $681.35 | $1,135.58 | $63.42 – $965.24 | 18 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,061.80 | $5,103.00 | $167.67 – $3,827.25 | 24 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,576.98 | $9,294.97 | $333.49 – $6,971.23 | 24 |
| CT Angiogram of the Abdomen CPT 74175 | $3,522.40 | $5,870.67 | $167.67 – $4,403.00 | 24 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,768.15 | $4,613.58 | $167.67 – $3,460.18 | 24 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,774.58 | $6,290.97 | $167.67 – $4,718.23 | 24 |
| CT Angiogram of the Head CPT 70496 | $3,544.24 | $5,907.07 | $167.67 – $4,430.30 | 24 |
| CT Angiogram of the Neck CPT 70498 | $3,506.47 | $5,844.12 | $167.67 – $4,383.09 | 24 |
| CT angio hrt w/3d image CPT 75574 | $1,896.81 | $3,161.35 | $175.06 – $2,371.01 | 24 |
| CT angio pelvis CPT 72191 | $3,257.44 | $5,429.06 | $167.67 – $4,071.80 | 24 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,389.24 | $5,648.73 | $167.67 – $4,236.55 | 24 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,477.48 | $2,462.46 | $167.67 – $1,846.85 | 23 |
| CT colonography dx CPT 74261 | $699.00 | $1,165.00 | $99.94 – $1,841.00 | 24 |
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.