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 |
|---|---|---|---|---|
| Oncology tum unknown origin CPT 81540 | $5,700.00 | $9,500.00 | $35.00 – $9,000.00 | 24 |
| Onco (ovar) five proteins CPT 81503 | $682.50 | $1,137.50 | $35.00 – $2,152.80 | 24 |
| Oncoprotein dcp CPT 83951 | $159.60 | $266.00 | $10.00 – $189.38 | 24 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,320.00 | $7,200.00 | $35.00 – $8,640.00 | 24 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $28.30 | $47.16 | $0.10 – $3.06 | 19 |
| Oocyte identification CPT 89254 | $337.20 | $562.00 | $10.00 – $423.12 | 24 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,742.77 – $9,442.65 | 16 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $963.66 – $9,442.65 | 17 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $6,898.73 | $11,497.88 | $1,939.15 – $13,613.39 | 24 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $4,302.00 – $17,722.46 | 16 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $264.70 | $441.16 | $57.14 – $330.87 | 24 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,169.29 | $1,948.82 | $292.32 – $7,038.00 | 16 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $36,076.18 | $60,126.96 | $7,038.00 – $76,924.35 | 22 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $3,196.82 – $17,722.46 | 17 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $3,122.54 – $17,722.46 | 17 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,620.26 – $14,507.25 | 17 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,640.42 – $14,507.25 | 17 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,155.39 – $14,507.25 | 16 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,122.54 – $17,722.46 | 16 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $3,410.00 – $32,603.53 | 17 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $3,410.00 – $46,166.33 | 17 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $3,161.54 – $17,722.46 | 17 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $3,122.54 – $17,722.46 | 17 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,763.00 – $32,603.53 | 17 |
| Optx tmprmand dislocation CPT 21490 | $2,635.12 | $4,391.86 | $886.62 – $7,975.81 | 24 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,121.14 – $17,722.46 | 16 |
| Oral aprepitant HCPCS J8501 | $410.20 | $683.66 | $2.63 – $200.67 | 19 |
| Oral everolimus HCPCS J7527 | $25.34 | $42.24 | $1.37 – $35.84 | 19 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,151.54 – $8,570.48 | 17 |
| Organic acids total quant ea spec CPT 83918 | $231.47 | $385.79 | $10.00 – $289.34 | 24 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,698.19 | $2,830.32 | $85.54 – $3,777.93 | 24 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $348.29 | $580.48 | $87.07 – $493.41 | 18 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $881.50 | $1,469.16 | $220.37 – $1,175.33 | 17 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $225.00 | $375.00 | $56.25 – $300.00 | 17 |
| Orthopantogram CPT 70355 | $219.22 | $365.36 | $18.38 – $274.02 | 24 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $678.20 | $1,130.34 | $169.55 – $904.27 | 17 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $420.76 | $701.26 | $105.19 – $561.01 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | $333.90 | $556.50 | $83.47 – $528.37 | 24 |
| Osmolality blood CPT 83930 | $91.31 | $152.18 | $5.55 – $114.14 | 24 |
| Osmolality urine CPT 83935 | $88.31 | $147.19 | $5.73 – $44.29 | 24 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $7,038.00 – $32,603.53 | 16 |
| Osteochondral talus autogrft CPT 28446 | $6,731.17 | $11,218.62 | $3,122.54 – $17,722.46 | 24 |
| Other immunoelectrophoresis CPT 86325 | $173.50 | $289.17 | $10.00 – $216.88 | 24 |
| Oth resp proc, group HCPCS G0239 | $173.23 | $288.71 | $35.70 – $216.53 | 24 |
| Oth resp proc, indiv HCPCS G0238 | $119.59 | $199.31 | $27.64 – $149.48 | 24 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $124.35 | $207.25 | $31.09 – $176.16 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $227.06 | $378.44 | $56.77 – $321.67 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $115.19 | $191.98 | $28.80 – $163.18 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.69 | $191.15 | $28.67 – $162.48 | 19 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $4,781.84 – $12,321.66 | 16 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $289.20 | $482.00 | $0.09 – $287.30 | 19 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $50.40 | $84.00 | $0.38 – $2.14 | 18 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $48,945.60 | $81,576.00 | $12,236.40 – $65,260.80 | 17 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $222.51 | $370.85 | $0.16 – $315.22 | 19 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,874.11 | $4,790.18 | $5.72 – $3,592.64 | 24 |
| Palb2 gene full gene seq CPT 81307 | $290.46 | $484.10 | $35.00 – $1,623.60 | 24 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $6,191.26 | $10,318.76 | $414.91 – $4,100.23 | 24 |
| Palonosetron hcl HCPCS J2469 | $540.00 | $900.00 | $0.71 – $127.50 | 19 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $50.47 | $84.12 | $12.62 – $71.50 | 19 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,452.74 | $20,754.56 | $165.67 – $3,919.61 | 24 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $18.27 | $30.45 | $4.57 – $25.88 | 18 |
| Papaverin hcl injection HCPCS J2440 | $149.08 | $248.46 | $18.00 – $102.00 | 18 |
| Parathormone (pth) intact CPT 83970 | $269.44 | $449.06 | $10.00 – $336.80 | 24 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,254.06 | $3,756.76 | $519.02 – $2,817.57 | 24 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,522.84 | $2,538.06 | $265.30 – $1,903.55 | 24 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,873.69 | $3,122.81 | $314.75 – $2,342.11 | 24 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,845.21 – $16,154.42 | 17 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $285.93 | $476.55 | $71.48 – $495.95 | 24 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Partial excision of lip CPT 40500 | not published | not published | $886.62 – $7,975.81 | 17 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,668.22 – $7,038.00 | 3 |
| Partial removal finger bone CPT 26236 | $2,374.87 | $3,958.11 | $593.04 – $3,981.46 | 24 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $10.10 | $16.83 | $2.13 – $12.05 | 18 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Passy muir valve metal trach HCPCS L8501 | $339.37 | $565.61 | $65.85 – $351.20 | 17 |
| Path clin consltj high 41-60 CPT 80505 | $177.88 | $296.46 | $10.00 – $423.12 | 24 |
| Path clin consltj mod 21-40 CPT 80504 | $177.88 | $296.46 | $10.00 – $423.12 | 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.