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 |
|---|---|---|---|---|
| Removal of toe lesions CPT 28092 | not published | not published | $593.04 – $6,093.00 | 17 |
| Removal of urethra gland CPT 53270 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Removal of urethra lesion CPT 53230 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Removal of wrist bone CPT 25210 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $18,707.76 | $31,179.60 | $6,289.66 – $26,452.82 | 24 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $318.58 | $530.97 | $79.65 – $495.95 | 24 |
| Removal sutr and stapl no anes CPT 15854 | $978.41 | $1,630.69 | $244.60 – $1,386.09 | 18 |
| Removal sutr or stapl no anes CPT 15853 | $869.70 | $1,449.50 | $217.43 – $1,232.08 | 18 |
| Removal sutr/staple req anes CPT 15851 | $862.80 | $1,438.00 | $62.29 – $4,517.58 | 24 |
| Removal tunnled intprtnl cath CPT 49422 | $4,430.01 | $7,383.35 | $1,118.22 – $7,896.23 | 22 |
| Remove anal fist complex CPT 46280 | not published | not published | $939.93 – $6,955.62 | 17 |
| Remove anal fist inter CPT 46275 | not published | not published | $939.93 – $6,955.62 | 17 |
| Remove anal fist subq CPT 46270 | not published | not published | $939.93 – $6,955.62 | 17 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Remove bladder stone CPT 52317 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Remove bladder stone CPT 52318 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Remove brain canal fluid CPT 61050 | $1,018.32 | $1,697.20 | $108.15 – $1,272.90 | 24 |
| Remove cva lumen obstruct CPT 75902 | $649.85 | $1,083.08 | $121.10 – $920.62 | 18 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $815.20 – $7,039.11 | 17 |
| Remove epididymis lesion CPT 54840 | not published | not published | $652.80 – $6,703.00 | 17 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $939.93 – $6,955.62 | 17 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Remove foreign body from eye CPT 65235 | $3,121.81 | $5,203.01 | $849.94 – $5,772.91 | 24 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $709.01 – $16,409.00 | 16 |
| Remove hip foreign body 27086 CPT 27086 | $2,094.26 | $3,490.44 | $815.20 – $7,039.11 | 24 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $815.20 – $7,039.11 | 17 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $939.93 – $6,955.62 | 17 |
| Remove intact mammary implant CPT 19328 | not published | not published | $963.66 – $9,442.65 | 17 |
| Remove int/ext hem 1 group CPT 46255 | $5,235.05 | $8,725.08 | $939.93 – $6,955.62 | 24 |
| Remove jaw joint cartilage CPT 21060 | $5,224.98 | $8,708.30 | $1,954.22 – $14,507.25 | 24 |
| Remove knee joint lining CPT 27334 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Remove nasal foreign body CPT 30320 | $4,388.27 | $7,313.78 | $420.64 – $5,485.34 | 24 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $815.20 – $7,039.11 | 17 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $815.20 – $7,039.11 | 17 |
| Remove prostate regrowth CPT 52630 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Remove renal tube w/fluoro CPT 50389 | $1,686.36 | $2,810.60 | $238.15 – $2,107.95 | 24 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $2,763.00 – $49,970.70 | 17 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,996.58 – $16,502.12 | 17 |
| Remove shoulder fb deep CPT 23333 | $1,624.45 | $2,707.42 | $815.20 – $7,039.11 | 24 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $2,273.11 | $3,788.52 | $257.60 – $4,016.35 | 24 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $659.94 – $4,783.04 | 17 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $659.94 – $6,093.00 | 17 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $1,896.00 – $10,795.00 | 2 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $659.94 – $8,921.00 | 16 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $1,499.71 – $8,921.00 | 16 |
| Remove spine fixation device CPT 22850 | not published | not published | $1,281.46 – $15,697.77 | 15 |
| Remove spine fixation device CPT 22852 | not published | not published | $1,230.91 – $15,697.77 | 15 |
| Remove spine lamina 1/2 scrl CPT 63011 | $6,731.17 | $11,218.62 | $1,682.79 – $17,722.46 | 24 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $1,088.27 – $8,018.48 | 16 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $886.62 – $7,975.81 | 17 |
| Remove ureter stent percut CPT 50384 | $2,311.81 | $3,853.02 | $652.80 – $5,045.72 | 17 |
| Remove vaginal foreign body 57415 CPT 57415 | $5,237.65 | $8,729.42 | $1,063.52 – $7,744.80 | 24 |
| Remove vagus n eltrd CPT 64570 | $6,663.02 | $11,105.04 | $1,996.58 – $16,502.12 | 24 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $593.04 – $6,703.00 | 17 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Remove wrist joint lining CPT 25105 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Remove wrist tendon lesion CPT 25111 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 24 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $1,151.54 – $8,570.48 | 17 |
| Renal function panel CPT 80069 | $177.37 | $295.62 | $7.29 – $221.72 | 24 |
| Renal venogram bil s&i CPT 75833 | $2,786.27 | $4,643.79 | $148.35 – $7,896.23 | 24 |
| Reopen fallopian tube CPT 58350 | not published | not published | $4,781.84 – $12,321.66 | 17 |
| Repair achilles tendon CPT 27650 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Repair anal fistula CPT 46288 | $2,913.50 | $4,855.84 | $939.93 – $6,955.62 | 24 |
| Repair arm/leg nerve CPT 64857 | not published | not published | $1,996.58 – $16,502.12 | 17 |
| Repair biceps tendon CPT 23430 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Repair bladder defect CPT 57288 | not published | not published | $2,067.78 – $12,321.66 | 17 |
| Repair blood ves direct neck 35201 CPT 35201 | $4,702.12 | $7,836.86 | $1,175.53 – $13,613.39 | 24 |
| Repair blood vessel direct hand finger CPT 35207 | $4,219.68 | $7,032.80 | $1,118.22 – $7,896.23 | 24 |
| Repair blood vessel dir lower extr CPT 35226 | $1,834.36 | $3,057.26 | $458.59 – $2,292.95 | 24 |
| Repair blood vessel dir upper extr CPT 35206 | $5,713.67 | $9,522.78 | $1,428.42 – $7,896.23 | 24 |
| Repair bowel fistula 44650 CPT 44650 | $1,456.75 | $2,427.92 | $364.19 – $7,038.00 | 16 |
| Repair cardiac wound without bypass CPT 33300 | $11,967.57 | $19,945.95 | $2,991.89 – $16,954.06 | 18 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,284.68 | $2,141.13 | $216.80 – $1,605.85 | 24 |
| Repair corporeal tear CPT 54437 | not published | not published | $1,142.90 – $8,921.00 | 16 |
| Repair defect of artery CPT 35131 | $2,168.66 | $3,614.43 | $542.16 – $7,038.00 | 16 |
| Repair defect of artery 35011 CPT 35011 | $6,305.95 | $10,509.92 | $1,576.49 – $13,613.39 | 24 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Repair dental ellis ii fx CPT 41899 | $442.48 | $737.46 | $110.62 – $605.10 | 24 |
| Repair dura CPT 61618 | not published | not published | $2,287.63 – $7,038.00 | 3 |
| Repair eardrum structures CPT 69631 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $1,088.27 – $10,795.00 | 16 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $1,088.27 – $10,795.00 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | $3,606.52 | $6,010.86 | $593.04 – $4,508.15 | 24 |
| Repair eyelid wound CPT 67935 | $2,323.22 | $3,872.04 | $698.30 – $5,788.85 | 24 |
| Repair fibula nonunion CPT 27726 | not published | not published | $3,238.15 – $17,722.46 | 16 |
| Repair finger/hand tendon CPT 26350 | $4,956.90 | $8,261.50 | $1,088.27 – $8,018.48 | 24 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Repair finger tendon CPT 26433 | $3,541.20 | $5,902.00 | $1,088.27 – $8,018.48 | 24 |
| Repair foot dislocation CPT 28585 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Repair foot dislocation CPT 28615 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $2,763.00 – $17,722.46 | 17 |
| Repair/graft of thigh CPT 27472 | not published | not published | $2,218.19 – $15,697.77 | 15 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $2,398.52 – $17,722.46 | 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.