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 |
|---|---|---|---|---|
| System recell skin grafting/harvesting HCPCS C1832 | $14,020.88 | $23,368.13 | $4.98 – $15,890.33 | 18 |
| System sealant biosentry tract HCPCS C2613 | $1,023.33 | $1,705.55 | $255.83 – $1,364.44 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $175.79 | $292.99 | $10.00 – $219.74 | 24 |
| T3 (triiodothyronine) total CPT 84480 | $141.20 | $235.34 | $10.00 – $176.50 | 24 |
| T4 (thyroxine) free CPT 84439 | $128.73 | $214.55 | $7.58 – $41.25 | 24 |
| T4 (thyroxine) total CPT 84436 | $102.22 | $170.37 | $5.77 – $127.78 | 24 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $32.80 | $54.66 | $1.54 – $8.71 | 19 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $43.10 | $71.84 | $0.10 – $3.43 | 19 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $668.52 | $1,114.20 | $167.13 – $835.65 | 24 |
| Tacrolimus therapeutic drug level CPT 80197 | $209.24 | $348.73 | $10.00 – $261.55 | 24 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,456.76 | $4,094.60 | $13.16 – $3,070.95 | 24 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $278.57 | $464.28 | $32.75 – $348.21 | 24 |
| Target gsa panel hmtlmph neop CPT 81450 | $8,967.00 | $14,945.00 | $10.00 – $1,822.87 | 24 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,560.00 | $12,600.00 | $35.00 – $7,007.04 | 24 |
| Target gsa panel organ neop CPT 81445 | $5,238.75 | $8,731.25 | $35.00 – $1,653.75 | 24 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $27,030.00 | $45,050.00 | $1,489.33 – $33,787.50 | 24 |
| Tas congenital car anomal CPT 33741 | $7,684.33 | $12,807.21 | $1,921.08 – $10,886.13 | 17 |
| Tavr perq femoral CPT 33361 | $32,560.45 | $54,267.42 | $2,404.57 – $46,127.31 | 18 |
| Tbs techl calculation only CPT 77091 | $99.13 | $165.22 | $24.78 – $225.11 | 24 |
| Tbs techl prep&transmis data CPT 77090 | $99.13 | $165.22 | $24.78 – $225.11 | 24 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $506.22 | $843.70 | $10.00 – $364.02 | 24 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $220.37 | $367.29 | $10.00 – $275.47 | 24 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $109.62 | $182.70 | $27.41 – $155.29 | 18 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,970.00 | $4,950.00 | $626.93 – $3,712.50 | 23 |
| Tc-99m sulfur colloid HCPCS A9541 | $205.55 | $342.59 | $51.39 – $291.20 | 18 |
| Tcd emboli detect w/inj CPT 93893 | $640.22 | $1,067.03 | $99.94 – $800.27 | 24 |
| Tcd emboli detect without inj CPT 93892 | $600.96 | $1,001.60 | $99.94 – $751.20 | 24 |
| Tcd vasoreactivity study CPT 93890 | $566.88 | $944.80 | $141.72 – $803.08 | 19 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $228.43 | $380.72 | $10.00 – $112.75 | 24 |
| T cells absolute cd 4 count CPT 86361 | $258.20 | $430.33 | $10.00 – $204.09 | 24 |
| T cells total count CPT 86359 | $363.75 | $606.25 | $10.00 – $90.55 | 24 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,344.96 | $2,241.60 | $336.24 – $7,038.00 | 16 |
| Team conf without pat by hc pro CPT 99368 | $141.89 | $236.48 | $35.47 – $201.01 | 19 |
| Team conf w/pat by hc prof CPT 99366 | $113.83 | $189.72 | $28.46 – $161.26 | 19 |
| Telehealth original site facility fee HCPCS Q3014 | $465.99 | $776.65 | $12.18 – $69.01 | 17 |
| Telethx isodose plan cplx CPT 77307 | $1,679.31 | $2,798.85 | $219.26 – $2,099.14 | 24 |
| Telethx isodose plan simple CPT 77306 | $620.10 | $1,033.50 | $121.43 – $915.33 | 24 |
| Temozolomide HCPCS J8700 | $64.37 | $107.28 | $0.43 – $14.67 | 19 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,031.44 | $15,052.40 | $28.58 – $11,289.30 | 24 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,951.87 | $24,919.78 | $187.57 – $14,013.43 | 24 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $593.04 – $6,093.00 | 17 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $203.76 – $7,038.00 | 16 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $73.32 | $122.20 | $3.26 – $103.87 | 19 |
| Tert gene targeted seq alys CPT 81345 | $1,650.00 | $2,750.00 | $35.00 – $2,062.50 | 24 |
| Testicular imaging w/vasc flow CPT 78761 | $449.57 | $749.28 | $195.14 – $1,021.72 | 24 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $29.90 | $49.84 | $7.48 – $151.53 | 24 |
| Test stress cardiovascular tracing only CPT 93017 | $1,251.88 | $2,086.47 | $206.40 – $1,564.85 | 24 |
| Tetanus immune globulin inj HCPCS J1670 | $1,172.11 | $1,953.51 | $293.03 – $1,465.13 | 24 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $3,450.00 | $5,750.00 | $35.00 – $1,822.87 | 24 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $5,025.00 | $8,375.00 | $35.00 – $7,007.04 | 24 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $5,536.50 | $9,227.50 | $35.00 – $1,653.75 | 24 |
| Theophylline therapeutic drug level CPT 80198 | $141.91 | $236.51 | $10.00 – $177.38 | 24 |
| Therapeutic procd strg endur HCPCS G0237 | $143.36 | $238.94 | $27.64 – $179.21 | 24 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $158.40 | $264.00 | $39.60 – $224.40 | 18 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $122.76 | $204.60 | $30.69 – $173.91 | 19 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $125.24 | $208.73 | $31.31 – $177.42 | 19 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $67.10 | $111.83 | $16.77 – $106.22 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.10 | $106.84 | $16.03 – $90.81 | 18 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $886.62 – $7,975.81 | 17 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $232.32 | $387.20 | $167.67 – $455.16 | 24 |
| Ther/proph/diag inj ia CPT 96373 | $247.33 | $412.22 | $58.64 – $530.97 | 24 |
| Ther radiology tx plng cplx CPT 77263 | $269.23 | $448.72 | $67.31 – $381.41 | 18 |
| Ther radiology tx plng intrm CPT 77262 | $213.06 | $355.10 | $53.27 – $301.83 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.82 | $59.70 | $1.71 – $32.64 | 19 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $290.44 | $484.07 | $35.75 – $363.05 | 24 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,410.82 | $2,351.37 | $223.75 – $1,763.53 | 24 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $2,461.82 – $7,038.00 | 3 |
| Thoracotomy w/expl CPT 32100 | $2,045.17 | $3,408.62 | $511.29 – $2,897.33 | 18 |
| Thoracotomy with cardiac massage CPT 32160 | $3,459.68 | $5,766.13 | $864.92 – $4,901.21 | 18 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,875.14 | $3,125.24 | $310.74 – $2,343.93 | 24 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,006.73 | $10,011.21 | $1,501.68 – $8,509.53 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,282.24 | $15,470.40 | $2,362.78 – $14,159.18 | 24 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $19,636.34 | $32,727.24 | $4,535.02 – $27,252.71 | 24 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $31,119.42 | $51,865.70 | $7,038.00 – $43,439.01 | 24 |
| Thrombin time CPT 85670 | $72.22 | $120.37 | $4.85 – $27.90 | 24 |
| Thromboendarterectomy common femoral CPT 35371 | $3,315.64 | $5,526.06 | $828.91 – $7,038.00 | 16 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $5,994.11 | $9,990.19 | $1,498.53 – $13,613.39 | 24 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $3,529.55 | $5,882.58 | $882.39 – $7,038.00 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $85.32 | $142.20 | $5.43 – $106.65 | 24 |
| Thyroglobulin antibody CPT 86800 | $115.79 | $192.99 | $10.00 – $144.74 | 24 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $2,402.13 – $7,038.00 | 3 |
| Thyroid imaging CPT 78013 | $673.01 | $1,121.69 | $171.74 – $1,021.72 | 24 |
| Thyroid mets imag whole body CPT 78018 | $1,724.28 | $2,873.80 | $280.00 – $2,155.35 | 24 |
| Thyroid met uptake CPT 78020 | $398.40 | $664.00 | $99.60 – $564.40 | 18 |
| Thyroid (TSH) Test CPT 84443 | $171.47 | $285.79 | $10.00 – $45.00 | 24 |
| Thyroid Ultrasound CPT 76536 | $630.55 | $1,050.92 | $99.94 – $788.19 | 24 |
| Thyroid uptake measurement CPT 78012 | $680.77 | $1,134.61 | $81.20 – $1,021.72 | 24 |
| Thyroxine binding globulin (tbg) CPT 84442 | $103.42 | $172.37 | $10.00 – $129.28 | 24 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $3,631.70 – $17,722.46 | 17 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $33,770.88 | $56,284.80 | $7,038.00 – $47,842.08 | 19 |
| Tib/per revasc stnt & ather CPT 37235 | $11,078.70 | $18,464.50 | $2,769.68 – $15,694.83 | 16 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $20,598.88 | $34,331.47 | $5,149.72 – $29,181.75 | 18 |
| Tilt table study CPT 93660 | $2,325.16 | $3,875.27 | $203.57 – $2,906.45 | 24 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $1,382,069.38 | $2,303,448.96 | $345,517.34 – $1,727,586.72 | 23 |
| Tis cgen car anomal 1st shnt CPT 33745 | $7,684.33 | $12,807.21 | $1,921.08 – $10,886.13 | 17 |
| Tis cgen car anomal ea addl CPT 33746 | $6,546.38 | $10,910.64 | $1,104.71 – $9,274.04 | 17 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $12,851.40 | $21,419.00 | $186.31 – $16,064.25 | 24 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $35.06 | $58.44 | $8.77 – $49.67 | 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.