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 |
|---|---|---|---|---|
| H pylori drug admin CPT 83014 | $46.00 | $76.66 | $6.60 – $57.49 | 24 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $2,250.00 | $3,750.00 | $35.00 – $2,803.49 | 24 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | $357.79 | $596.31 | $35.00 – $1,070.99 | 19 |
| Hrdtry cardmypy gene panel CPT 81439 | $4,646.25 | $7,743.75 | $35.00 – $1,403.76 | 24 |
| Hrdtry perph neurphy panel CPT 81448 | $4,500.00 | $7,500.00 | $35.00 – $1,403.76 | 24 |
| Htt gene detc abnor alleles CPT 81271 | $600.00 | $1,000.00 | $35.00 – $750.00 | 24 |
| Human epididymis protein 4 (he4) CPT 86305 | $225.79 | $376.31 | $10.00 – $135.82 | 24 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $57.60 | $96.00 | $4.95 – $34.70 | 19 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $326.23 | $543.72 | $81.56 – $462.16 | 18 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $150.66 | $251.10 | $0.40 – $213.44 | 19 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $152.86 | $254.76 | $3.46 – $19.64 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $428.14 | $713.57 | $6.43 – $36.47 | 19 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $279.00 | $465.00 | $0.11 – $5.87 | 19 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $294.92 | $491.54 | $73.73 – $417.81 | 18 |
| Hydromorphone injection HCPCS J1170 | $85.79 | $142.98 | $21.45 – $121.53 | 18 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $111.13 | $185.22 | $0.41 – $16.68 | 19 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $76.13 | $126.88 | $10.00 – $95.16 | 24 |
| Hyperthermia ext gen supfc CPT 77600 | $893.86 | $1,489.76 | $223.46 – $1,117.32 | 24 |
| Hypothermia ill neonate CPT 99184 | $1,633.46 | $2,722.44 | $408.37 – $2,314.07 | 18 |
| Hysterosalpingography s&i CPT 74740 | $702.41 | $1,170.68 | $66.83 – $878.01 | 24 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,526.99 – $12,321.66 | 17 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,526.99 – $12,321.66 | 17 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,063.52 – $8,732.00 | 17 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $12,321.66 | 17 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $12,321.66 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $151.66 | $252.77 | $10.00 – $189.58 | 24 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $85.80 | $143.00 | $10.00 – $107.25 | 24 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $949.32 | $1,582.20 | $9.96 – $1,344.87 | 19 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $9,377.40 | $15,629.00 | $35.00 – $6,377.81 | 24 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $987.93 | $1,646.55 | $201.35 – $1,006.76 | 24 |
| Icatibant injection HCPCS J1744 | $20,065.49 | $33,442.49 | $326.17 – $28,426.10 | 19 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $29,402.10 | $49,003.50 | $43.97 – $234.52 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $35,622.20 | $59,370.33 | $4,145.08 – $22,107.10 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $50,985.00 | $84,975.00 | $65.35 – $21,668.62 | 18 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,584.49 | $17,640.81 | $285.07 – $1,520.38 | 17 |
| Icg angiography i&r uni/bi CPT 92240 | $788.39 | $1,313.98 | $197.10 – $985.49 | 24 |
| Icut allergy test drug/bug CPT 95024 | $57.42 | $95.70 | $14.36 – $151.53 | 24 |
| Idarubicin hcl injection HCPCS J9211 | $474.69 | $791.15 | $43.73 – $357.49 | 19 |
| I&d/bursa/foot 28001 CPT 28001 | $1,814.47 | $3,024.12 | $82.50 – $4,016.35 | 24 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,543,957.19 | $2,573,261.98 | $385,989.30 – $1,929,946.49 | 23 |
| Idh1 common variants CPT 81120 | $641.36 | $1,068.93 | $35.00 – $463.80 | 24 |
| Idh2 common variants CPT 81121 | $981.65 | $1,636.08 | $35.00 – $709.90 | 24 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $939.93 – $6,955.62 | 17 |
| I&d lacrimal gland CPT 68400 | $953.40 | $1,589.00 | $238.35 – $2,508.06 | 24 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,101.64 | $10,169.40 | $815.20 – $7,627.05 | 24 |
| Ifnl3 gene CPT 81283 | $90.53 | $150.88 | $22.63 – $176.09 | 24 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $320.36 | $533.93 | $27.15 – $229.87 | 19 |
| Igh gene rearrange amp meth CPT 81261 | $549.35 | $915.58 | $10.00 – $475.18 | 24 |
| Igh@ var region somatic mutation analy CPT 81263 | $795.25 | $1,325.41 | $35.00 – $843.75 | 24 |
| Igk rearrangeabn clonal pop CPT 81264 | $648.88 | $1,081.47 | $10.00 – $414.55 | 24 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $217.04 | $361.74 | $24.71 – $157.40 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $311.59 | $519.32 | $35.00 – $890.45 | 24 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $259.51 | $432.52 | $28.12 – $423.12 | 24 |
| Ikbkap gene CPT 81260 | $476.25 | $793.75 | $33.02 – $595.31 | 24 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,370.91 | $3,951.51 | $592.73 – $3,358.78 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $10,433.75 | $17,389.59 | $2,608.44 – $14,781.15 | 18 |
| Img rta detcj/mntr ds staff CPT 92227 | $51.17 | $85.28 | $12.79 – $151.53 | 21 |
| Img rta detc/mntr ds poc aly CPT 92229 | $66.79 | $111.32 | $16.70 – $151.53 | 21 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $382.08 | $636.80 | $19.87 – $105.96 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $299.33 | $498.89 | $8.65 – $46.13 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,845.21 – $17,681.94 | 17 |
| Immune complex assay CPT 86332 | $141.71 | $236.18 | $10.00 – $155.05 | 24 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,106.32 | $10,177.20 | $46.63 – $576.63 | 24 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,040.28 | $6,733.80 | $76.38 – $2,527.43 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $190.18 | $316.97 | $10.00 – $93.75 | 24 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $166.57 | $277.62 | $10.00 – $208.22 | 24 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $130.73 | $217.88 | $4.64 – $28.75 | 24 |
| Immunodiffusion nes CPT 86329 | $142.83 | $238.05 | $10.00 – $178.54 | 24 |
| Immunofixation electrophoresis serum CPT 86334 | $346.24 | $577.07 | $10.00 – $168.07 | 24 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $1,007.00 | $1,678.33 | $12.18 – $118.71 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $1,007.00 | $1,678.33 | $12.18 – $423.12 | 24 |
| Immunoglobulin assay CPT 86023 | $1,036.73 | $1,727.88 | $10.00 – $53.96 | 24 |
| Immunology procedure CPT 86849 | $289.39 | $482.31 | $10.00 – $107.96 | 18 |
| Impact tooth remov part bony HCPCS D7230 | $656.56 | $1,094.27 | $164.14 – $2,181.14 | 22 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $5,098.50 | $8,497.50 | $337.50 – $2,289.44 | 18 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,811.60 | $19,686.00 | $68.16 – $363.53 | 17 |
| Implant cochlear device CPT 69930 | not published | not published | $5,384.00 – $83,073.64 | 17 |
| Implant cochlear osia osi300 HCPCS L8690 | $21,892.96 | $36,488.27 | $677.28 – $3,612.18 | 17 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $10,795.00 – $54,191.38 | 16 |
| Implant neuroelectrodes CPT 64555 | $5,629.40 | $9,382.33 | $3,471.46 – $16,942.33 | 24 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,763.00 – $16,942.33 | 17 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $10,095.03 | $16,825.05 | $219.15 – $1,168.80 | 17 |
| Implant pulse generator remede el HCPCS C1823 | $50,985.00 | $84,975.00 | $12,746.25 – $67,980.00 | 17 |
| Implant single ventricular device 33975 CPT 33975 | $7,266.13 | $12,110.21 | $1,816.53 – $10,293.68 | 17 |
| Implant tcat pulm vlv perq CPT 33477 | $29,995.46 | $49,992.44 | $2,419.18 – $42,493.57 | 16 |
| Implant ureth bulk agent HCPCS L8606 | $4,507.67 | $7,512.78 | $130.26 – $694.70 | 17 |
| Impl neurostim electr perc CPT 63650 | $7,546.20 | $12,577.00 | $2,416.00 – $16,942.33 | 24 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,448.30 | $5,747.17 | $2,126.45 – $18,985.30 | 24 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $6,263.30 – $32,603.53 | 16 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,038.00 – $32,603.53 | 17 |
| Implt neurostim elctr each HCPCS L8680 | $7,137.90 | $11,896.50 | $546.32 – $2,913.68 | 17 |
| Impres&prep intrm obt prosth CPT 21079 | $2,803.51 | $4,672.51 | $504.98 – $7,975.81 | 24 |
| Impres&prep paltl aug prosth CPT 21082 | $3,115.01 | $5,191.68 | $519.92 – $7,975.81 | 21 |
| Impres&prep paltl lft prosth CPT 21083 | $2,429.71 | $4,049.51 | $607.43 – $7,975.81 | 21 |
| Impres&prep sp aid prosth CPT 21084 | $2,709.12 | $4,515.20 | $677.28 – $7,975.81 | 24 |
| Incise flexor carpi radialis CPT 25001 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 24 |
| Incise nerve back of head CPT 64744 | not published | not published | $659.94 – $4,783.04 | 17 |
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.