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 |
|---|---|---|---|---|
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $328.50 – $3,693.00 | 17 |
| Endoscopy swallow (fees) vid CPT 92612 | $576.16 | $960.27 | $112.00 – $816.23 | 19 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,872.59 | $4,787.65 | $525.71 – $4,204.56 | 24 |
| Endo, single, pulmonary HCPCS C1601 | $1,052.57 | $1,754.28 | $91.37 – $517.76 | 18 |
| Endo sleeve gastro w/tube HCPCS C9784 | $11,332.91 | $18,888.18 | $2,833.23 – $25,500.18 | 17 |
| Endovasc prosth delayed 33886 CPT 33886 | $1,409.01 | $2,348.35 | $352.25 – $7,038.00 | 16 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $12,308.74 | $20,514.57 | $2,546.00 – $17,437.38 | 16 |
| Endovasc tempory vessel occl CPT 61623 | $12,535.92 | $20,893.20 | $3,133.98 – $27,252.71 | 24 |
| Endovasc visc aorta 1 graft CPT 34841 | $10,241.99 | $17,069.99 | $1,826.96 – $14,509.49 | 17 |
| Endovasc visc aorta 2 graft CPT 34842 | $13,442.62 | $22,404.36 | $1,826.96 – $19,043.71 | 17 |
| Endovasc visc aorta 3 graft CPT 34843 | $13,966.36 | $23,277.27 | $1,826.96 – $19,785.68 | 17 |
| Endovasc visc aorta 4 graft CPT 34844 | $16,294.08 | $27,156.80 | $1,826.96 – $23,083.28 | 17 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $8,309.10 | $13,848.50 | $2,077.28 – $13,613.39 | 24 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,771.35 | $7,952.25 | $1,192.84 – $6,759.41 | 18 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $7,614.30 | $12,690.50 | $32.44 – $6,357.75 | 24 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $195.00 | $325.00 | $0.60 – $37.93 | 19 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $167.36 | $278.93 | $10.00 – $139.09 | 24 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,160.95 – $7,038.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | $55.20 | $92.00 | $10.00 – $69.00 | 24 |
| Enzyme cell activity ra CPT 82658 | $255.00 | $425.00 | $10.00 – $318.75 | 24 |
| Enzyme histochemistry CPT 88319 | $514.38 | $857.30 | $35.00 – $2,130.15 | 24 |
| Ep & ablate supravent arrhyt CPT 93653 | $52,673.30 | $87,788.83 | $13,168.32 – $65,841.62 | 24 |
| Ep & ablate ventric tachy CPT 93654 | $46,556.12 | $77,593.53 | $11,639.03 – $58,835.89 | 24 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $28,542.65 | $47,571.08 | $31.26 – $156.30 | 24 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,357.46 | $2,262.44 | $709.01 – $4,517.58 | 24 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $614.72 | $1,024.54 | $153.68 – $870.86 | 14 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,089.73 | $3,482.89 | $709.01 – $4,517.58 | 24 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,113.83 | $1,856.39 | $278.46 – $1,577.93 | 14 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,341.04 | $2,235.06 | $335.26 – $1,899.80 | 18 |
| Epidural lysis on single day 62264 CPT 62264 | $2,174.23 | $3,623.71 | $340.77 – $2,717.78 | 24 |
| Epidurography CPT 72275 | $589.04 | $981.74 | $147.26 – $834.48 | 18 |
| Epilepsy gen seq alys panel CPT 81419 | $4,315.50 | $7,192.50 | $35.00 – $5,876.54 | 24 |
| Ep induct arrhy by elect pacing CPT 93618 | $6,074.47 | $10,124.12 | $1,163.85 – $7,593.09 | 24 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $37.86 | $63.10 | $3.16 – $53.63 | 19 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $678.91 | $1,131.52 | $0.96 – $79.70 | 19 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.00 | $70.00 | $0.35 – $14.11 | 19 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.00 | $70.00 | $0.92 – $59.50 | 19 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 24 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $203.16 | $338.60 | $1.94 – $280.67 | 19 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,778.57 | $6,297.62 | $189.08 – $7,744.80 | 24 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,941.00 | $3,235.00 | $6.94 – $201.43 | 24 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $160.20 | $267.00 | $16.36 – $132.96 | 19 |
| Epstein barr early antigen antibody CPT 86663 | $17.92 | $29.86 | $10.00 – $31.49 | 24 |
| Epstein barr nuclear antigen antibody CPT 86664 | $107.78 | $179.63 | $10.00 – $134.72 | 24 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $132.49 | $220.82 | $9.40 – $43.54 | 24 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,723.82 | $4,539.70 | $3.10 – $607.71 | 24 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,290.09 | $5,483.49 | $19.52 – $4,112.62 | 24 |
| Ercp biliary & pancreas CPT 74330 | $967.04 | $1,611.73 | $92.98 – $1,369.97 | 18 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,216.50 – $14,118.49 | 16 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,686.17 – $14,118.49 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,119.26 – $9,487.30 | 17 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,250.66 – $14,118.49 | 16 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,568.00 | $4,280.00 | $72.92 – $3,210.00 | 24 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $350.38 | $583.97 | $7.94 – $496.37 | 19 |
| ER Visit (level 1, minor) CPT 99281 | $286.94 | $478.23 | $71.73 – $600.00 | 22 |
| ER Visit (level 2) CPT 99282 | $469.39 | $782.31 | $117.35 – $1,185.00 | 22 |
| ER Visit (level 3) CPT 99283 | $770.04 | $1,283.40 | $192.51 – $2,410.00 | 22 |
| ER Visit (level 4) CPT 99284 | $1,273.68 | $2,122.80 | $318.42 – $3,780.00 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $2,327.80 | $3,879.67 | $569.27 – $5,475.00 | 22 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $248.39 | $413.98 | $62.10 – $351.88 | 19 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $349.65 | $582.75 | $0.22 – $495.34 | 19 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $907.02 | $1,511.70 | $0.26 – $35.70 | 19 |
| Esophageal dilat s&i CPT 74360 | $330.65 | $551.09 | $57.66 – $468.43 | 18 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $334.95 – $3,693.00 | 17 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $564.97 – $6,093.00 | 16 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,954.22 – $14,507.25 | 16 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $564.97 – $7,373.00 | 16 |
| Esophagus motility study CPT 91010 | $1,257.17 | $2,095.29 | $314.29 – $1,571.47 | 22 |
| Esoph balloon distension tst CPT 91040 | $1,330.72 | $2,217.87 | $332.68 – $1,663.40 | 22 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esoph imped function test CPT 91037 | $800.22 | $1,333.70 | $200.06 – $1,000.27 | 22 |
| Esoph imped funct test > 1hr CPT 91038 | $1,543.64 | $2,572.74 | $356.71 – $1,929.56 | 24 |
| Establish access to aorta CPT 36160 | $1,560.95 | $2,601.58 | $390.24 – $2,211.34 | 18 |
| Establish access to artery CPT 36100 | $973.08 | $1,621.80 | $243.27 – $1,378.53 | 18 |
| Establish brain cavity shunt CPT 62180 | $2,425.63 | $4,042.71 | $606.41 – $3,436.30 | 18 |
| Estradiol total CPT 82670 | $366.74 | $611.23 | $10.00 – $67.06 | 24 |
| Estrogens total-sendout CPT 82672 | $161.24 | $268.73 | $10.00 – $201.55 | 24 |
| Ethylene glycol -sendout CPT 82693 | $138.70 | $231.16 | $10.00 – $173.37 | 24 |
| Etonogestrel implant system HCPCS J7307 | $2,081.30 | $3,468.84 | $463.79 – $2,628.13 | 18 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $235.20 | $392.00 | $0.88 – $95.03 | 19 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $350.99 | $584.98 | $87.75 – $438.74 | 24 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $442.57 | $737.61 | $110.64 – $626.97 | 19 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $223.43 | $372.39 | $10.00 – $279.29 | 24 |
| Evaluation heart device CPT 93640 | $3,469.10 | $5,781.83 | $575.32 – $4,914.56 | 18 |
| Evaluation of speech fluency 92521 CPT 92521 | $407.48 | $679.14 | $101.87 – $577.27 | 19 |
| Evaluation psychiatric diagnostic CPT 90791 | $384.35 | $640.58 | $96.09 – $480.44 | 24 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $7,201.60 | $12,002.66 | $980.59 – $10,202.26 | 18 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,803.24 | $4,672.06 | $700.81 – $3,971.25 | 18 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $5,234.05 | $8,723.42 | $1,308.51 – $7,414.91 | 18 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $4,979.34 | $8,298.90 | $1,244.84 – $7,054.06 | 16 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $4,169.50 | $6,949.17 | $1,042.38 – $7,038.00 | 16 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $6,331.42 | $10,552.36 | $1,582.85 – $8,969.51 | 16 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,846.34 | $8,077.24 | $1,211.59 – $6,865.65 | 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.