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 |
|---|---|---|---|---|
| Knee MRI (without contrast) CPT 73721 | $2,209.22 | $3,682.04 | $208.84 – $2,761.53 | 24 |
| Knee X-ray CPT 73564 | $357.20 | $595.34 | $47.45 – $446.50 | 24 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $273.20 | $455.33 | $34.41 – $341.50 | 24 |
| Knee X-ray (3 views, both knees) CPT 73562 | $319.24 | $532.06 | $41.10 – $399.05 | 24 |
| Knee X-ray (standing, both knees) CPT 73565 | $299.78 | $499.64 | $40.10 – $374.73 | 24 |
| Kras gene addl variants CPT 81276 | $321.48 | $535.80 | $35.00 – $463.80 | 24 |
| Kras gene variants exon 2 CPT 81275 | $1,652.10 | $2,753.50 | $10.00 – $463.80 | 24 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | not published | 0 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $109.20 | $182.00 | $27.30 – $154.70 | 17 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $39.60 | $66.00 | $0.15 – $1.00 | 19 |
| Lab pathology consultation CPT 80502 | $403.70 | $672.84 | $10.00 – $571.91 | 18 |
| Lacer molded to patient mode HCPCS L2330 | $634.21 | $1,057.02 | $158.55 – $845.62 | 17 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $260.98 | $434.97 | $9.00 – $51.00 | 18 |
| Lactate dehydrogenase (ldh) CPT 83615 | $102.38 | $170.63 | $5.07 – $15.66 | 24 |
| Lactated ringers intravenous solution HCPCS J7120 | $27.00 | $45.00 | $2.86 – $31.88 | 19 |
| Lactation class HCPCS S9443 | $199.82 | $333.04 | $49.96 – $283.08 | 18 |
| Lactic acid CPT 83605 | $145.94 | $243.23 | $9.72 – $182.42 | 24 |
| Lactoferrin fecal qualitative CPT 83630 | $135.52 | $225.87 | $10.00 – $169.40 | 24 |
| Lactoferrin fecal quant CPT 83631 | $106.10 | $176.84 | $10.00 – $132.63 | 24 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $1,896.00 – $10,795.00 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,398.52 – $17,722.46 | 16 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,398.52 – $17,722.46 | 16 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $1,896.00 – $10,795.00 | 2 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,398.52 – $17,722.46 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $15,760.80 | $26,268.00 | $33.93 – $12,543.75 | 24 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $14.41 | $24.01 | $1.67 – $9.44 | 18 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $7,373.00 – $25,500.18 | 16 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparo cholecystectomy/explr CPT 47564 | $6,637.99 | $11,063.32 | $1,888.85 – $25,500.18 | 22 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,717.01 – $7,711.00 | 3 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $6,622.75 | $11,037.92 | $2,471.66 – $14,293.73 | 24 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $2,361.34 – $7,038.00 | 3 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $2,374.72 – $7,038.00 | 3 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopic proc CPT 45400 | not published | not published | $2,007.47 – $7,038.00 | 3 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,101.87 – $7,711.00 | 3 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopye procstom 43659 CPT 43659 | $9,122.07 | $15,203.45 | $915.90 – $14,293.73 | 22 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $7,373.00 – $25,500.18 | 16 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $3,110.01 – $25,500.18 | 17 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $7,373.00 – $25,500.18 | 16 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $7,373.00 – $25,500.18 | 16 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $2,594.39 – $14,293.73 | 17 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $3,110.01 – $25,500.18 | 16 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $3,110.01 – $25,500.18 | 16 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $2,360.73 – $7,038.00 | 3 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,444.16 – $7,711.00 | 3 |
| Lap enterolysis CPT 44180 | not published | not published | $5,778.93 – $14,293.73 | 16 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $280.17 – $7,038.00 | 3 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $3,274.92 – $20,285.00 | 4 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $3,059.91 – $20,285.00 | 4 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Lap jejunostomy 44186 CPT 44186 | $5,698.48 | $9,497.46 | $1,424.62 – $14,293.73 | 22 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Lap place gastr adj device CPT 43770 | not published | not published | $10,161.08 – $25,500.18 | 17 |
| Lap radical hyst CPT 58548 | not published | not published | $3,353.48 – $7,711.00 | 3 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,685.45 – $16,409.00 | 17 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,685.45 – $16,409.00 | 17 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,970.93 – $20,285.00 | 4 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $7,038.00 – $25,500.18 | 16 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $715.37 | $1,192.29 | $27.96 – $894.22 | 24 |
| Largsc w/laser dstrj les CPT 31572 | $7,420.68 | $12,367.80 | $1,062.24 – $9,276.93 | 24 |
| Largsc w/njx augmentation CPT 31574 | $3,482.74 | $5,804.56 | $525.71 – $4,353.42 | 24 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $800.06 | $1,333.44 | $155.59 – $1,011.53 | 24 |
| Largsc w/ther injection CPT 31573 | $3,682.54 | $6,137.56 | $160.85 – $4,603.17 | 24 |
| Laronidase injection HCPCS J1931 | $1,927.01 | $3,211.68 | $36.89 – $2,408.76 | 24 |
| Laryngoplasty medialization CPT 31591 | $5,832.68 | $9,721.13 | $1,954.22 – $14,507.25 | 24 |
| Laryngoscope w/vc inj CPT 31570 | $3,442.73 | $5,737.88 | $1,062.24 – $9,276.93 | 24 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,918.74 | $6,531.23 | $1,062.24 – $9,276.93 | 24 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,480.71 | $4,134.52 | $525.71 – $4,204.56 | 24 |
| Laryngoscopy telescopic CPT 31579 | $685.43 | $1,142.39 | $104.65 – $1,011.53 | 24 |
| Laryngoscopy w/biopsy CPT 31535 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 24 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 24 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Laryngoscopy w/fb removal CPT 31530 | $3,814.47 | $6,357.45 | $525.71 – $4,768.09 | 24 |
| Laryngoscopy with biopsy CPT 31576 | $3,336.26 | $5,560.44 | $525.71 – $4,204.56 | 24 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,560.37 | $5,933.95 | $1,062.24 – $9,276.93 | 24 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,062.24 – $9,276.93 | 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.