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 |
|---|---|---|---|---|
| Gastric emptying imag study CPT 78265 | $2,536.50 | $4,227.50 | $353.51 – $3,170.62 | 24 |
| Gastrin test CPT 82938 | $61.80 | $103.00 | $10.00 – $77.25 | 24 |
| Gastroesophageal reflux study CPT 78262 | $493.75 | $822.91 | $223.20 – $1,021.72 | 24 |
| Gastroesophageal reflux test CPT 91034 | $1,393.53 | $2,322.55 | $348.38 – $1,741.91 | 22 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,307.12 – $7,038.00 | 3 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $3,441.19 – $20,285.00 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $99.21 | 19 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,843.81 | $29,739.68 | $215.63 – $22,304.76 | 24 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $3,995.10 – $21,307.20 | 17 |
| Generator emblem MRI sicd subq HCPCS C1722 | $40,788.00 | $67,980.00 | $1,389.00 – $7,408.00 | 17 |
| Genetic counseling 30 min CPT 96040 | $100.00 | $166.67 | $25.00 – $141.67 | 14 |
| Genetic tstg severe inh cond CPT 81443 | $8,289.90 | $13,816.50 | $10.00 – $5,876.54 | 24 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,302.00 – $14,507.25 | 17 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $50,985.00 | $84,975.00 | $9,651.92 – $54,384.00 | 17 |
| Genome sequence analysis CPT 81425 | $7,500.00 | $12,500.00 | $35.00 – $12,074.88 | 24 |
| Genome sequence analysis CPT 81426 | $3,900.00 | $6,500.00 | $35.00 – $6,503.88 | 24 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $122.95 | $204.92 | $2.12 – $24.65 | 19 |
| Gentamicin peak therapeutic drug level CPT 80170 | $166.14 | $276.90 | $10.00 – $207.68 | 24 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,886.71 | $3,144.52 | $471.68 – $2,358.39 | 22 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,569.82 | $2,616.36 | $328.50 – $2,264.11 | 24 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,846.29 | $6,410.49 | $815.20 – $7,039.11 | 24 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $68.59 | $114.31 | $8.24 – $28.23 | 24 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $124.41 | $207.35 | $10.00 – $155.51 | 24 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $663.50 | $1,105.83 | $10.00 – $829.37 | 24 |
| Ghs antibodies (torch) igm CPT 86694 | $100.40 | $167.33 | $10.00 – $34.54 | 24 |
| Ghs aspiration bladder - needle CPT 51100 | $934.66 | $1,557.76 | $36.54 – $1,168.32 | 24 |
| Ghs bladder cath - complex-foley CPT 51703 | $408.62 | $681.03 | $57.79 – $510.77 | 24 |
| Ghs bleeding time (ivy) CPT 85002 | $87.94 | $146.56 | $4.05 – $109.92 | 24 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $949.16 | $1,581.94 | $61.74 – $1,713.14 | 24 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,336.22 | $3,893.70 | $1,118.22 – $7,896.23 | 24 |
| Ghs change cysto/gastrost CPT 43762 | $825.14 | $1,375.24 | $110.15 – $1,031.43 | 24 |
| Ghs chemo >8 hrs CPT 96416 | $832.40 | $1,387.34 | $208.10 – $1,040.51 | 24 |
| Ghs chemo IV push, ea addtl CPT 96411 | $369.86 | $616.43 | $68.83 – $462.32 | 24 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $279.11 | $465.18 | $10.00 – $348.88 | 24 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $628.21 | $1,047.01 | $85.32 – $785.26 | 24 |
| Ghs closed reduction ankle dislocation CPT 27840 | $967.96 | $1,613.26 | $85.32 – $1,209.94 | 24 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,655.78 | $2,759.64 | $593.04 – $3,981.46 | 24 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $534.99 | $891.65 | $85.32 – $668.74 | 24 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,061.13 | $5,101.89 | $593.04 – $3,981.46 | 24 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,197.54 | $8,662.56 | $709.01 – $7,666.34 | 24 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,012.77 | $5,021.28 | $593.04 – $3,981.46 | 24 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,772.09 | $4,620.15 | $593.04 – $3,981.46 | 24 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $817.05 | $1,361.75 | $85.32 – $1,021.31 | 24 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $547.94 | $913.23 | $85.32 – $684.92 | 24 |
| Ghs community re-entry 15 minutes CPT 97537 | $103.27 | $172.12 | $25.82 – $146.30 | 19 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $419.22 | $698.70 | $104.81 – $987.04 | 24 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $383.78 | $639.64 | $95.95 – $479.73 | 24 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $435.07 | $725.11 | $108.77 – $987.04 | 24 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $362.21 | $603.68 | $90.55 – $452.76 | 24 |
| Ghs cricothyroidotomy CPT 31605 | $2,116.57 | $3,527.61 | $87.58 – $2,645.71 | 24 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $116.77 | $194.61 | $10.00 – $145.96 | 24 |
| Ghs dislocation elbow closed treatment CPT 24600 | $687.73 | $1,146.21 | $85.32 – $859.66 | 24 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,598.93 | $2,664.88 | $334.95 – $2,245.59 | 24 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $368.83 | $614.72 | $31.56 – $665.29 | 24 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,216.22 | $2,027.03 | $262.86 – $3,693.00 | 22 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $538.06 | $896.76 | $134.51 – $672.57 | 24 |
| Ghs excision ingrown nail CPT 11765 | $5,111.06 | $8,518.44 | $388.59 – $6,388.83 | 24 |
| Ghs eye exam CPT 92002 | $142.80 | $238.00 | $35.70 – $327.47 | 21 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $536.77 | $894.61 | $108.29 – $721.66 | 24 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,873.34 | $4,788.90 | $486.45 – $4,016.35 | 24 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,136.84 | $5,228.06 | $815.20 – $7,039.11 | 24 |
| Ghs fb removal - incisional CPT 10121 | $3,210.04 | $5,350.06 | $486.45 – $4,016.35 | 24 |
| Ghs fb removal - non-incisional CPT 20520 | $1,706.20 | $2,843.67 | $119.87 – $4,016.35 | 24 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $77.88 | $129.80 | $5.86 – $97.35 | 24 |
| Ghs fish cytogen CPT 88271 | $1,521.15 | $2,535.25 | $12.87 – $51.41 | 24 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $492.77 | $821.28 | $30.77 – $122.86 | 24 |
| Ghs flow volume loop CPT 94375 | $352.30 | $587.16 | $88.07 – $777.56 | 24 |
| Ghs gastric intub aspiration lavage CPT 43753 | $505.63 | $842.72 | $126.41 – $777.56 | 24 |
| Ghs hcv amplificaiton CPT 87521 | $237.73 | $396.22 | $10.00 – $297.17 | 24 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $423.75 | $706.25 | $0.00 – $37.18 | 24 |
| Ghs hgb stability-thal CPT 83068 | $108.51 | $180.85 | $7.95 – $131.05 | 24 |
| Ghs histoplasma antigen CPT 87385 | $191.10 | $318.50 | $10.00 – $84.38 | 24 |
| Ghs HIV antibody CPT 86703 | $140.00 | $233.33 | $2.94 – $32.90 | 24 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,278.02 | $7,130.03 | $652.80 – $5,347.52 | 24 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,267.70 | $5,446.16 | $429.26 – $4,084.62 | 24 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,191.57 | $3,652.61 | $209.30 – $2,739.46 | 24 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $888.10 | $1,480.17 | $111.00 – $1,742.94 | 24 |
| Ghs immun0electrophoresis CPT 86320 | $137.31 | $228.85 | $10.00 – $171.64 | 24 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $620.02 | $1,033.37 | $110.15 – $775.03 | 24 |
| Ghs inf midline insertion CPT 36140 | $1,934.63 | $3,224.38 | $483.66 – $2,740.72 | 18 |
| Ghs inhibitor screen CPT 85335 | $491.25 | $818.75 | $10.00 – $311.91 | 24 |
| Ghs init tx 1st degree burn CPT 16000 | $331.04 | $551.73 | $82.76 – $495.95 | 24 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,047.92 | $3,413.20 | $340.77 – $2,559.90 | 24 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,972.69 | $3,287.82 | $145.34 – $2,465.86 | 24 |
| Ghs inj tendon origin/insertion CPT 20551 | $431.07 | $718.45 | $24.36 – $733.72 | 24 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,282.59 | $2,137.65 | $320.65 – $1,817.00 | 18 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,045.34 | $3,408.90 | $340.77 – $2,556.68 | 24 |
| Ghs insertion of needle - bone CPT 36680 | $461.99 | $769.99 | $115.50 – $987.04 | 24 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,084.85 | $1,808.09 | $143.08 – $1,356.07 | 24 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,195.31 | $1,992.19 | $216.80 – $1,598.87 | 24 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,123.36 | $3,538.93 | $709.01 – $4,517.58 | 24 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $213.75 | $356.25 | $53.44 – $302.81 | 15 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $643.61 | $1,072.69 | $110.15 – $804.52 | 24 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $149.49 | $249.15 | $37.37 – $186.86 | 24 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $540.00 | $900.00 | $135.00 – $1,381.50 | 19 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $540.00 | $900.00 | $135.00 – $1,381.50 | 19 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $540.00 | $900.00 | $135.00 – $1,381.50 | 19 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,019.74 | $1,699.57 | $254.94 – $1,274.68 | 24 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $586.06 | $976.76 | $146.51 – $987.04 | 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.