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 |
|---|---|---|---|---|
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,951.65 | $4,919.42 | $253.60 – $3,689.57 | 24 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,510.57 | $4,184.28 | $222.54 – $3,138.21 | 24 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,311.02 | $3,851.70 | $167.67 – $2,888.78 | 24 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,984.18 | $3,306.97 | $167.67 – $2,480.23 | 24 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,539.67 | $2,566.11 | $99.94 – $1,924.58 | 24 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $180.86 | $301.44 | $45.22 – $256.22 | 18 |
| Nelarabine injection HCPCS J9261 | $975.00 | $1,625.00 | $50.07 – $1,218.75 | 24 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $68.50 | $114.16 | $17.12 – $97.04 | 18 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $465.99 | $776.65 | $116.50 – $777.56 | 24 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $373.22 | $622.04 | $93.31 – $528.73 | 18 |
| Nerve conduction 7-8 studies CPT 95910 | $418.67 | $697.79 | $104.67 – $807.28 | 24 |
| Nerve conduction studies 11-12 CPT 95912 | $895.29 | $1,492.15 | $223.82 – $1,327.77 | 24 |
| Nerve conduction studies 1-2 CPT 95907 | $352.31 | $587.19 | $88.08 – $467.11 | 24 |
| Nerve conduction studies 13+ CPT 95913 | $1,909.96 | $3,183.26 | $352.93 – $2,387.45 | 24 |
| Nerve conduction studies 3-4 CPT 95908 | $418.67 | $697.79 | $104.67 – $777.56 | 24 |
| Nerve conduction studies 5-6 CPT 95909 | $511.26 | $852.10 | $127.81 – $777.56 | 24 |
| Nerve conduction studies 9-10 CPT 95911 | $1,369.10 | $2,281.84 | $308.69 – $1,711.38 | 24 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,996.58 – $18,985.30 | 17 |
| Nerve teasing preparations CPT 88362 | $566.86 | $944.77 | $35.00 – $2,130.15 | 24 |
| Neurolysis celiac plexus CPT 64680 | $3,317.29 | $5,528.82 | $340.77 – $4,146.61 | 24 |
| Neurolysis trigeminal nerve CPT 64600 | $3,508.86 | $5,848.10 | $340.77 – $4,386.07 | 24 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $399.02 | $665.03 | $99.75 – $498.77 | 24 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $659.94 – $4,783.04 | 17 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $450.00 | $750.00 | $10.00 – $534.38 | 24 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $11.06 | $18.44 | $0.07 – $15.67 | 19 |
| Nintedanib 150 mg capsule HCPCS J8999 | $262.93 | $438.22 | $48.45 – $274.57 | 18 |
| N-invas est c ffr sw aly cta CPT 75580 | $5,133.32 | $8,555.53 | $820.87 – $6,416.65 | 24 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $963.66 – $9,442.65 | 17 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $88.20 | $147.00 | $1.56 – $34.42 | 19 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $5,755.96 | $9,593.27 | $31.19 – $2,900.49 | 24 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $1,555.85 | $2,593.09 | $340.77 – $2,257.97 | 24 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $824.98 | $1,374.96 | $262.86 – $1,713.14 | 24 |
| Njx cath slct p angrph mapca CPT 93575 | $2,793.07 | $4,655.11 | $698.27 – $3,956.84 | 17 |
| Njx cath slct p-art angrp bi CPT 93573 | $2,932.72 | $4,887.87 | $733.18 – $4,154.69 | 17 |
| Njx cath slct pulm vn angrph CPT 93574 | $2,793.07 | $4,655.11 | $698.27 – $3,956.84 | 17 |
| Njx cth slct p-art angrp uni CPT 93569 | $2,793.07 | $4,655.11 | $698.27 – $3,956.84 | 17 |
| Njx interlaminar crv/thrc CPT 62324 | $1,586.71 | $2,644.52 | $340.77 – $2,257.97 | 24 |
| Njx interlaminar crv/thrc CPT 62325 | $1,908.87 | $3,181.45 | $340.77 – $2,386.09 | 24 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,493.92 | $2,489.87 | $340.77 – $2,257.97 | 24 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,105.75 | $3,509.58 | $340.77 – $2,632.18 | 24 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,532.18 | $2,553.64 | $383.05 – $6,093.00 | 17 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,588.83 | $2,648.05 | $206.83 – $1,986.04 | 24 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,360.55 | $2,267.59 | $313.08 – $1,700.69 | 24 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,698.91 | $2,831.51 | $176.09 – $2,123.63 | 24 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,381.40 | $3,969.00 | $297.04 – $2,976.75 | 24 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,459.04 | $2,431.74 | $218.19 – $1,823.81 | 24 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,514.24 | $2,523.73 | $101.64 – $1,892.80 | 24 |
| Non-card vasc flow imaging CPT 78445 | $367.06 | $611.77 | $171.74 – $1,021.72 | 24 |
| Noninv pace analysis CPT 93724 | $1,108.14 | $1,846.90 | $104.01 – $1,385.17 | 24 |
| Non-molded lacer HCPCS L2320 | $360.00 | $600.00 | $90.00 – $480.00 | 17 |
| Noonan spectrum disorders CPT 81442 | $357.79 | $596.31 | $35.00 – $5,144.64 | 24 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $257.89 | $429.82 | $37.76 – $322.37 | 24 |
| Npm1 gene CPT 81310 | $577.61 | $962.68 | $10.00 – $591.65 | 24 |
| Nps surg dilat eust tube bi CPT 69706 | $3,092.04 | $5,153.40 | $1,906.76 – $14,507.25 | 24 |
| Nps surg dilat eust tube uni CPT 69705 | $2,061.36 | $3,435.60 | $1,271.17 – $14,507.25 | 24 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $82.25 | $137.09 | $20.56 – $116.53 | 18 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $73.18 | $121.96 | $12.16 – $103.67 | 18 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $102.71 | $171.19 | $25.68 – $145.51 | 18 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $407.40 | $679.00 | $101.85 – $1,327.77 | 24 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $317.36 | $528.94 | $79.34 – $449.60 | 18 |
| Nras gene variants exon 2&3 CPT 81311 | $590.26 | $983.76 | $35.00 – $709.90 | 24 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $8,344.87 | $13,908.12 | $1,709.20 – $10,431.09 | 24 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,358.22 – $16,955.09 | 17 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $1,630.12 – $16,955.09 | 16 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $1,349.92 – $16,955.09 | 17 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $1,346.60 – $16,955.09 | 17 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $1,630.12 – $16,955.09 | 16 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,695.65 | $11,159.42 | $1,673.91 – $14,507.25 | 24 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,701.41 – $7,038.00 | 16 |
| Ntrk translocation analysis CPT 81194 | $1,200.00 | $2,000.00 | $35.00 – $1,500.00 | 24 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,594.96 | $4,324.94 | $648.74 – $3,676.20 | 19 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,594.96 | $4,324.94 | $648.74 – $3,676.20 | 19 |
| Nuclear localization/abscess CPT 78807 | $1,171.74 | $1,952.90 | $292.94 – $1,659.96 | 18 |
| Nuclear rx intra-arterial CPT 79445 | $1,172.68 | $1,954.46 | $223.05 – $1,465.85 | 24 |
| Nuclear rx intracav admin CPT 79200 | $749.55 | $1,249.25 | $105.96 – $936.94 | 24 |
| Nuclear rx IV admin CPT 79101 | $755.45 | $1,259.09 | $100.90 – $944.32 | 24 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,393.64 | $7,322.73 | $422.34 – $5,492.05 | 24 |
| Nudt15 gene common variants CPT 81306 | $277.50 | $462.50 | $35.00 – $699.26 | 24 |
| Nushield 1 square cm HCPCS Q4160 | $833.29 | $1,388.81 | $49.56 – $269.22 | 23 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | $1,625,690.40 | $2,709,484.00 | $264,337.50 – $2,032,113.00 | 23 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $14,865.31 | $24,775.52 | $77.72 – $18,581.64 | 24 |
| Observation direct referral from physician office for admission HCPCS G0379 | $554.33 | $923.88 | $138.58 – $1,591.17 | 24 |
| Observation per hour HCPCS G0378 | $107.81 | $179.69 | $26.95 – $390.57 | 17 |
| Obstetric panel inc HIV tstg CPT 80081 | $487.97 | $813.29 | $10.00 – $609.97 | 24 |
| Obstetrics panel CPT 80055 | $253.73 | $422.88 | $10.00 – $317.16 | 24 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $1,063.52 – $7,744.80 | 16 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $374.12 | $623.53 | $93.53 – $530.00 | 19 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $268.24 | $447.07 | $67.06 – $380.01 | 19 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $352.05 | $586.75 | $88.01 – $498.74 | 19 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $35,485.88 | $59,143.14 | $56.62 – $44,357.36 | 24 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $1,341.58 | $2,235.96 | $0.69 – $11.05 | 19 |
| Ocular function screen CPT 99172 | $16.22 | $27.04 | $4.06 – $22.98 | 14 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,440.03 | $2,400.05 | $306.23 – $1,633.23 | 17 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $135.70 | $226.17 | $0.78 – $143.16 | 19 |
| Onc breast mrna 58 genes CPT 81520 | $3,012.25 | $5,020.42 | $35.00 – $6,024.50 | 24 |
| Oncology lung CPT 81538 | $357.79 | $596.31 | $35.00 – $6,890.40 | 24 |
| Oncology prostate prob score CPT 81539 | $1,155.00 | $1,925.00 | $35.00 – $1,824.00 | 24 |
| Oncology thyroid CPT 81545 | $357.79 | $596.31 | $35.00 – $506.86 | 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.