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 |
|---|---|---|---|---|
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $14,507.25 | 16 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,687.70 – $58,700.55 | 16 |
| Reconstruct head of radius CPT 24365 | not published | not published | $3,879.00 – $32,603.53 | 17 |
| Reconstruct head of radius CPT 24366 | not published | not published | $3,879.00 – $32,603.53 | 17 |
| Reconstruction knee CPT 27427 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,384.00 – $14,507.25 | 17 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $3,879.00 – $58,700.55 | 17 |
| Reconstruction of nail bed CPT 11762 | $2,066.10 | $3,443.50 | $148.94 – $4,517.58 | 24 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Reconstruction of urethra CPT 54312 | $3,456.60 | $5,761.00 | $1,142.90 – $8,636.11 | 24 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $7,038.00 – $32,603.53 | 16 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,553.79 – $46,166.33 | 16 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $3,136.09 – $17,722.46 | 17 |
| Rectal sensation test CPT 91120 | $651.44 | $1,085.73 | $162.86 – $1,273.47 | 17 |
| Red blood cells each unit HCPCS P9021 | $414.33 | $690.55 | $103.58 – $517.91 | 24 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $943.35 | $1,572.25 | $235.84 – $1,281.02 | 24 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $577.71 | $962.85 | $144.43 – $722.14 | 24 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $853.50 | $1,422.50 | $102.46 – $512.29 | 24 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $523.83 | $873.05 | $130.96 – $656.45 | 24 |
| Red blood cells washed each unit HCPCS P9022 | $583.68 | $972.80 | $145.92 – $1,032.51 | 24 |
| Red cell sequestration CPT 78140 | $445.14 | $741.90 | $109.60 – $1,021.72 | 24 |
| Redo endovas vena cava filtr CPT 37192 | $4,970.26 | $8,283.76 | $1,242.56 – $7,896.23 | 24 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,651.77 – $7,038.00 | 3 |
| Reduce testis torsion CPT 54600 | $5,379.04 | $8,965.07 | $1,142.90 – $8,636.11 | 24 |
| Reduction of procidentia 45900 CPT 45900 | $1,406.62 | $2,344.37 | $328.50 – $2,264.11 | 24 |
| Re-explore parathyroids CPT 60502 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Refill maint impl spine pump CPT 95991 | $229.80 | $383.00 | $57.45 – $733.72 | 24 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $695.95 | $1,159.92 | $3.19 – $985.93 | 19 |
| Release facial nerve CPT 69720 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Release of midfoot joint CPT 28264 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 24 |
| Release palm contracture CPT 26040 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 24 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Release palm/finger tendon CPT 26440 | not published | not published | $593.04 – $6,093.00 | 17 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Relocation skin pocket aicd CPT 33223 | $4,586.26 | $7,643.76 | $709.01 – $5,732.82 | 24 |
| Relocation skin pocket pm CPT 33222 | $4,015.04 | $6,691.74 | $709.01 – $5,018.81 | 24 |
| Rem/biv cast full arm/leg CPT 29705 | $270.59 | $450.98 | $27.13 – $665.29 | 24 |
| Rem/biv cast shldr/hip spica CPT 29710 | $399.00 | $665.00 | $54.26 – $665.29 | 24 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $939.00 | $1,565.00 | $6.55 – $1,173.75 | 24 |
| Rem endovas vena cava filter CPT 37193 | $6,196.90 | $10,328.17 | $1,549.23 – $7,896.23 | 24 |
| Rem interrog dev eval icpms CPT 93297 | $236.38 | $393.97 | $35.67 – $295.48 | 24 |
| Rem interrog dev eval scrms CPT 93298 | $236.38 | $393.97 | $35.67 – $295.48 | 24 |
| Rem interrog evl pm/ids CPT 93296 | $191.33 | $318.89 | $35.67 – $239.17 | 24 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $42.73 | $71.22 | $10.68 – $93.42 | 21 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $136.67 | $227.78 | $34.17 – $327.47 | 21 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $429.26 – $3,693.00 | 16 |
| Removal biliary drg cath CPT 47537 | $1,380.82 | $2,301.36 | $334.95 – $2,245.59 | 24 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,078.07 | $3,463.45 | $223.75 – $2,597.59 | 24 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,599.13 | $4,331.88 | $446.27 – $3,967.42 | 24 |
| Removal cerclage w/anes CPT 59871 | $3,032.19 | $5,053.65 | $1,063.52 – $7,744.80 | 24 |
| Removal cerclage without anes CPT 59899 | $4,981.75 | $8,302.92 | $81.65 – $493.64 | 24 |
| Removal cerumen impacted (both sides) CPT 69210 | $196.31 | $327.18 | $49.08 – $245.38 | 24 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $7,161.04 | $11,935.06 | $1,939.15 – $13,613.39 | 24 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $336.29 | $560.49 | $84.07 – $495.95 | 24 |
| Removal duct glbldr calculi CPT 47544 | $1,989.65 | $3,316.09 | $497.41 – $2,818.68 | 15 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $692.00 | $1,153.33 | $173.00 – $2,245.59 | 24 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $2,290.22 | $3,817.04 | $486.45 – $4,016.35 | 24 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,386.08 | $2,310.13 | $138.98 – $1,742.94 | 24 |
| Removal foreign body mouth CPT 40805 | $1,755.60 | $2,926.00 | $150.61 – $2,194.50 | 24 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $486.45 – $4,063.00 | 17 |
| Removal implant superficial separate procedure CPT 20670 | $2,945.80 | $4,909.67 | $486.45 – $4,016.35 | 24 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $963.66 – $9,442.65 | 17 |
| Removal of anal fissure CPT 46200 | not published | not published | $939.93 – $6,955.62 | 17 |
| Removal of artery clot 34101 CPT 34101 | $6,723.23 | $11,205.38 | $1,680.81 – $13,613.39 | 24 |
| Removal of bladder stone CPT 51050 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Removal of bone for graft CPT 20900 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Removal of bone for graft CPT 20902 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Removal of bone lesion CPT 23140 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal of breast lesion CPT 19120 | $4,920.97 | $8,201.62 | $963.66 – $9,442.65 | 24 |
| Removal of esophagus pouch CPT 43135 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Removal of foot lesion CPT 28080 | not published | not published | $593.04 – $6,093.00 | 17 |
| Removal of foot lesion CPT 28090 | not published | not published | $593.04 – $6,093.00 | 17 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $709.01 – $6,093.00 | 17 |
| Removal of foreign body CPT 27372 | $4,149.00 | $6,915.00 | $815.20 – $7,039.11 | 24 |
| Removal of heel bone CPT 28118 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal of heel spur CPT 28119 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal of hip joint lining CPT 27054 | not published | not published | $1,202.28 – $7,078.51 | 15 |
| Removal of hydrocele CPT 55040 | not published | not published | $1,151.54 – $8,570.48 | 17 |
| Removal of hydrocele CPT 55500 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Removal of hydroceles CPT 55041 | not published | not published | $1,151.54 – $8,570.48 | 17 |
| Removal of implant deep CPT 20680 | $3,050.06 | $5,083.43 | $815.20 – $7,039.11 | 24 |
| Removal of knee cartilage CPT 27332 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 24 |
| Removal of knee cyst CPT 27345 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $1,845.21 – $16,154.42 | 16 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $2,537.96 – $7,038.00 | 3 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $932.47 – $7,038.00 | 3 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $1,298.51 – $7,711.00 | 3 |
| Removal of rib CPT 21615 | not published | not published | $1,070.73 – $15,697.77 | 15 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $652.80 – $5,045.72 | 17 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Removal of testis CPT 54520 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Removal of testis CPT 54530 | not published | not published | $1,151.54 – $8,570.48 | 17 |
| Removal of thyroid CPT 60240 | not published | not published | $1,888.85 – $14,293.73 | 16 |
| Removal of thyroid CPT 60252 | not published | not published | $5,658.77 – $14,507.25 | 16 |
| Removal of thyroid CPT 60271 | not published | not published | $5,658.77 – $14,507.25 | 16 |
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.