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 |
|---|---|---|---|---|
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $90.52 | $150.86 | $22.63 – $134.00 | 19 |
| Aquatic exercise - group charge CPT 97150 | $117.76 | $196.26 | $29.44 – $166.82 | 19 |
| Arformoterol non-comp unit HCPCS J7605 | $24.24 | $40.40 | $0.80 – $7.94 | 19 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $934.80 | $1,558.00 | $1.11 – $693.17 | 19 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,394.81 | $3,991.35 | $206.49 – $2,993.51 | 24 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,847.32 | $3,078.86 | $99.94 – $2,309.14 | 24 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $316.25 | $527.09 | $30.35 – $395.32 | 24 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,129.92 | $3,549.87 | $7.09 – $652.58 | 19 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $3,542.40 | $5,904.00 | $885.60 – $5,018.40 | 17 |
| Arterial blood draw/perc 36620 CPT 36620 | $696.03 | $1,160.05 | $174.01 – $986.04 | 18 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $1,939.15 – $13,613.39 | 17 |
| Artery xray each vessel 7577426 CPT 75774 | $1,964.64 | $3,274.40 | $132.62 – $2,783.24 | 18 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,658.99 | $7,764.98 | $170.08 – $13,613.39 | 24 |
| Artery x-rays adrenal gland CPT 75731 | $2,001.74 | $3,336.24 | $153.70 – $7,896.23 | 24 |
| Artery x-rays adrenals CPT 75733 | $2,924.46 | $4,874.10 | $172.75 – $7,896.23 | 24 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,144.82 | $5,241.37 | $150.36 – $7,896.23 | 24 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,570.38 | $5,950.63 | $163.05 – $7,896.23 | 24 |
| Artery x-rays chest CPT 75756 | $1,629.33 | $2,715.55 | $165.40 – $7,896.23 | 24 |
| Artery x-rays lung CPT 75741 | $3,150.00 | $5,250.00 | $129.98 – $7,896.23 | 24 |
| Artery x-rays lung CPT 75746 | $1,704.33 | $2,840.55 | $134.99 – $7,896.23 | 24 |
| Artery x-rays lungs CPT 75743 | $3,535.57 | $5,892.62 | $147.69 – $7,896.23 | 24 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,993.41 | $6,655.69 | $143.68 – $13,613.39 | 24 |
| Artery x-rays spine CPT 75705 | $4,094.60 | $6,824.33 | $250.94 – $13,613.39 | 24 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $2,709.71 – $58,700.55 | 15 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $6,994.58 – $32,603.53 | 16 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $7,038.00 – $58,700.55 | 16 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $2,789.50 – $58,700.55 | 16 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $7,038.00 – $46,166.33 | 16 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $3,282.53 – $17,722.46 | 17 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $3,282.76 – $17,722.46 | 17 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $3,879.00 – $32,603.53 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $588.53 | $980.89 | $23.54 – $735.67 | 24 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,107.19 | $1,845.32 | $42.36 – $1,713.14 | 24 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,123.56 | $1,872.60 | $47.34 – $1,404.45 | 24 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $602.98 | $1,004.97 | $22.70 – $753.73 | 24 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $807.56 | $1,345.94 | $39.86 – $1,009.46 | 24 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $7,711.00 – $7,711.00 | 1 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $3,122.54 – $17,722.46 | 17 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $3,410.00 – $32,603.53 | 17 |
| Arthrodesis triple CPT 28715 | not published | not published | $3,410.00 – $32,603.53 | 17 |
| Arthroplasty finger joint 26535 CPT 26535 | $4,858.65 | $8,097.75 | $1,088.27 – $8,018.48 | 24 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $1,088.27 – $12,343.00 | 17 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 24 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Arthrp w/prostc dst rds&crps CPT 25446 | $18,190.19 | $30,316.98 | $5,384.00 – $46,166.33 | 24 |
| Arthrt elbw synovial bx only CPT 24100 | $3,719.72 | $6,199.54 | $1,088.27 – $8,018.48 | 22 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,896.00 – $12,343.00 | 3 |
| Artificial larynx HCPCS L8500 | $76.20 | $127.00 | $19.05 – $101.60 | 17 |
| Ascenda two piece catheter HCPCS C1772 | $24,064.92 | $40,108.20 | $4,095.00 – $21,840.00 | 17 |
| Ashkenazi jewish assoc dis CPT 81412 | $357.79 | $596.31 | $35.00 – $5,876.54 | 24 |
| Asp core fat pad CPT 17999 | $6,123.65 | $10,206.08 | $160.53 – $802.63 | 24 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $111.00 – $1,742.94 | 16 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $6,577.60 | $10,962.67 | $599.64 – $2,124.19 | 24 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,872.67 | $6,454.45 | $652.80 – $5,045.72 | 24 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $433.07 | $721.78 | $30.46 – $733.72 | 24 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,347.27 | $2,245.45 | $223.75 – $1,684.09 | 24 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,526.97 | $2,544.95 | $126.87 – $1,908.71 | 24 |
| Aspiration peritonsillar abscess CPT 42999 | $4,889.81 | $8,149.68 | $226.40 – $2,402.53 | 24 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $833.29 | $1,388.81 | $59.52 – $1,742.94 | 24 |
| Assay acid phosphatase CPT 84060 | $214.20 | $357.00 | $6.42 – $267.75 | 24 |
| Assay dir meas fr estradiol CPT 82681 | $304.50 | $507.50 | $10.00 – $128.06 | 24 |
| Assay myeloperoxidase CPT 83876 | $15.36 | $25.60 | $3.84 – $122.06 | 24 |
| Assay neurflmnt light chain CPT 83884 | $897.75 | $1,496.25 | $10.00 – $1,047.83 | 23 |
| Assay of adp & amp CPT 82030 | $231.17 | $385.29 | $10.00 – $288.97 | 24 |
| Assay of androsterone CPT 82160 | $382.72 | $637.87 | $10.00 – $478.40 | 24 |
| Assay of breath ethanol CPT 82075 | $52.62 | $87.70 | $10.00 – $72.00 | 24 |
| Assay of chloramphenicol CPT 82415 | $120.60 | $201.00 | $10.00 – $150.75 | 24 |
| Assay of digoxin free CPT 80163 | $318.98 | $531.63 | $10.00 – $369.19 | 24 |
| Assay of estrogen CPT 84233 | $184.34 | $307.24 | $35.00 – $230.43 | 24 |
| Assay of feces porphyrins CPT 84126 | $198.46 | $330.77 | $10.00 – $230.53 | 24 |
| Assay of fluoride CPT 82735 | $115.83 | $193.05 | $10.00 – $144.79 | 24 |
| Assay of galactose CPT 82760 | $47.26 | $78.77 | $9.41 – $59.08 | 24 |
| Assay of glucosidase CPT 82963 | $161.58 | $269.30 | $10.00 – $201.97 | 24 |
| Assay of glutathione CPT 82978 | $484.34 | $807.23 | $10.00 – $210.75 | 24 |
| Assay of interleukin-6 (il-6) CPT 83529 | $126.88 | $211.46 | $10.00 – $46.99 | 24 |
| Assay of lap enzyme CPT 83670 | $82.20 | $137.00 | $8.24 – $102.75 | 24 |
| Assay of leflunomide CPT 80193 | $112.70 | $187.83 | $10.00 – $140.87 | 24 |
| Assay of lrh hormone CPT 83727 | $260.95 | $434.92 | $10.00 – $326.19 | 24 |
| Assay of neonatal thyroxine CPT 84437 | $13.33 | $22.22 | $5.43 – $16.66 | 24 |
| Assay of osteocalcin CPT 83937 | $147.42 | $245.70 | $10.00 – $184.28 | 24 |
| Assay of procainamide CPT 80190 | $139.90 | $233.16 | $10.00 – $174.87 | 24 |
| Assay of procainamide w/metab CPT 80192 | $160.85 | $268.08 | $10.00 – $201.06 | 24 |
| Assay of progesterone CPT 84234 | $285.19 | $475.32 | $35.00 – $356.49 | 24 |
| Assay of prostaglandin CPT 84150 | $738.90 | $1,231.50 | $10.00 – $100.25 | 24 |
| Assay of salicylate CPT 80179 | $117.01 | $195.02 | $10.00 – $146.26 | 24 |
| Assay of somatostatin CPT 84307 | $200.04 | $333.40 | $10.00 – $250.05 | 24 |
| Assay of thiocyanate CPT 84430 | $92.40 | $154.00 | $9.77 – $115.50 | 24 |
| Assay of urine sulfate CPT 84392 | $40.73 | $67.88 | $4.61 – $50.91 | 24 |
| Assay of urine urobilinogen CPT 84583 | $7.45 | $12.42 | $5.08 – $14.52 | 24 |
| Assay phosphatidylglycerol CPT 84081 | $195.13 | $325.22 | $10.00 – $243.91 | 24 |
| Assay phosphohexose enzymes CPT 84087 | $336.38 | $560.63 | $9.01 – $146.36 | 24 |
| Assay toxin or antitoxin CPT 87230 | $286.55 | $477.58 | $10.00 – $358.19 | 24 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $361.80 | $603.00 | $90.45 – $512.55 | 19 |
| Assess cyst contrast inject CPT 49424 | $698.47 | $1,164.12 | $174.62 – $989.50 | 18 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $69.08 | $115.13 | $3.59 – $86.35 | 24 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,896.00 – $10,795.00 | 2 |
| Assistive tech assessment, ot CPT 97755 | $96.08 | $160.14 | $24.02 – $136.12 | 19 |
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.