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 |
|---|---|---|---|---|
| Brace knee hing pat open med HCPCS L1820 | $292.34 | $487.24 | $73.09 – $389.79 | 17 |
| Brace knee postop tscope xl HCPCS L1845 | $901.93 | $1,503.22 | $41.16 – $219.51 | 17 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $136.24 | $227.07 | $34.06 – $193.01 | 19 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $2,541.00 | $4,235.00 | $635.25 – $3,388.00 | 17 |
| Brace wrist classic lft sm HCPCS L3908 | $148.92 | $248.20 | $4.44 – $23.66 | 17 |
| Brach/thor cath 1st CPT 36215 | $2,885.69 | $4,809.48 | $721.42 – $4,088.06 | 18 |
| Brach/thor cath 2nd CPT 36216 | $2,667.65 | $4,446.09 | $666.91 – $3,779.18 | 18 |
| Brach/thor cath 3rd CPT 36217 | $3,367.97 | $5,613.29 | $841.99 – $4,771.30 | 18 |
| Brach/thor cath addl CPT 36218 | $1,482.14 | $2,470.24 | $370.54 – $2,099.70 | 18 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $790.89 | $1,318.15 | $197.72 – $1,054.52 | 21 |
| Brachytx isodose complex CPT 77318 | $705.45 | $1,175.75 | $176.36 – $915.33 | 24 |
| Brachytx isodose intermed CPT 77317 | $640.03 | $1,066.72 | $160.01 – $915.33 | 24 |
| Brachytx isodose plan simple CPT 77316 | $633.91 | $1,056.51 | $158.48 – $915.33 | 24 |
| Braf gene CPT 81210 | $487.22 | $812.04 | $10.00 – $420.96 | 24 |
| Brain flow imaging only CPT 78610 | $472.92 | $788.20 | $160.05 – $1,338.97 | 24 |
| Brain image w/flow < 4 views CPT 78601 | $1,063.48 | $1,772.47 | $196.80 – $1,329.35 | 24 |
| Brain image w/flow 4 + views CPT 78606 | $1,553.68 | $2,589.46 | $295.70 – $1,942.10 | 24 |
| Brain imaging (3d) CPT 78607 | $1,255.15 | $2,091.92 | $313.79 – $1,778.13 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,061.80 | $5,103.00 | $333.49 – $3,827.25 | 24 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,753.94 | $2,923.24 | $234.23 – $2,192.43 | 24 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,674.86 | $4,458.10 | $222.20 – $3,343.57 | 24 |
| Brain MRI (with and without contrast) CPT 70553 | $3,149.11 | $5,248.52 | $328.11 – $3,936.39 | 24 |
| Brain MRI (with contrast) CPT 70552 | $2,224.96 | $3,708.26 | $278.66 – $2,781.20 | 24 |
| Brain MRI (without contrast) CPT 70551 | $2,189.86 | $3,649.76 | $202.15 – $2,737.32 | 24 |
| Brca1&2 gene full seq alys CPT 81163 | $2,100.00 | $3,500.00 | $35.00 – $1,404.00 | 24 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,462.23 | $5,770.38 | $35.00 – $4,379.71 | 24 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $2,281.73 – $23,352.21 | 17 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,092.06 | $5,153.43 | $486.45 – $4,016.35 | 24 |
| Breastbone (Sternum) X-ray CPT 71120 | $218.24 | $363.73 | $33.75 – $272.80 | 24 |
| Breast punct aspir cyst, bil CPT 19000 | $1,188.00 | $1,980.00 | $59.25 – $1,742.94 | 24 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $3,879.00 – $43,654.03 | 17 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Breast reduction CPT 19318 | not published | not published | $1,845.21 – $16,154.42 | 17 |
| Breath hydrogen test 91065 CPT 91065 | $548.19 | $913.65 | $137.05 – $685.24 | 22 |
| Breathing response hypoxia CPT 94450 | $169.23 | $282.05 | $42.31 – $386.96 | 24 |
| Breath test analysis c-14 CPT 78268 | $197.34 | $328.90 | $79.30 – $246.68 | 24 |
| Breath tst attain/anal c-14 CPT 78267 | $32.60 | $54.34 | $9.29 – $40.76 | 24 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $21,165.60 | $35,276.00 | $243.38 – $26,457.00 | 24 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,430,103.22 | $2,383,505.36 | $357,525.80 – $1,787,629.02 | 23 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,896.00 – $4,063.00 | 2 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $1,062.24 – $10,795.00 | 16 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $1,062.24 – $10,795.00 | 16 |
| Bronchial allergy tests CPT 95070 | $752.04 | $1,253.40 | $99.59 – $1,327.77 | 24 |
| Bronchial challenge CPT 94070 | $979.35 | $1,632.25 | $96.24 – $1,224.19 | 24 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $525.71 – $4,204.56 | 17 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,896.00 – $4,063.00 | 2 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,896.00 – $4,063.00 | 2 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $525.71 – $4,204.56 | 17 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,062.24 – $9,276.93 | 17 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $1,206.27 | $2,010.45 | $180.60 – $541.79 | 24 |
| Br punct aspir ea add, l CPT 19001 | $490.31 | $817.19 | $122.58 – $694.61 | 18 |
| Bundled special stain group 1 microorganisms CPT 88312 | $166.15 | $276.92 | $35.00 – $207.69 | 24 |
| Bundled special stain group 2 CPT 88313 | $306.90 | $511.50 | $35.00 – $287.82 | 24 |
| Bundle his recording CPT 93600 | $5,557.78 | $9,262.97 | $1,389.45 – $18,500.61 | 24 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $27.43 | $45.72 | $0.01 – $0.39 | 19 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $6.01 | $10.02 | $0.28 – $1.57 | 18 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $2.39 | $3.98 | $0.28 – $1.59 | 18 |
| Buprenorphine and metabolite - sendout CPT 80348 | $284.10 | $473.50 | $3.92 – $13.74 | 17 |
| Buprenorphine hydrochloride HCPCS J0592 | $54.61 | $91.02 | $4.58 – $77.37 | 19 |
| Buprenorphine oral 1mg HCPCS J0571 | $2.18 | $3.63 | $0.16 – $0.91 | 18 |
| Burr hole implant ventricular cath/other device CPT 61210 | $5,671.96 | $9,453.26 | $661.43 – $8,035.27 | 18 |
| Bur rotalink 2.15mm HCPCS C1724 | $10,186.81 | $16,978.01 | $377.97 – $2,141.86 | 18 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $46.00 | $76.66 | $1.44 – $8.14 | 19 |
| Bx bone trocar/ndl deep CPT 20225 | $2,264.77 | $3,774.62 | $486.45 – $4,016.35 | 24 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,231.90 | $5,386.50 | $486.45 – $4,039.88 | 24 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,742.20 | $6,237.00 | $486.45 – $4,677.75 | 24 |
| Bx breast add lesion mr imag CPT 19086 | $1,550.54 | $2,584.23 | $387.63 – $2,196.60 | 18 |
| Bx breast add lesion strtctc CPT 19082 | $1,339.34 | $2,232.24 | $334.84 – $1,897.40 | 18 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,041.20 | $3,402.00 | $510.30 – $2,891.70 | 18 |
| Bx breast perq without image 19100 CPT 19100 | $1,044.68 | $1,741.14 | $486.45 – $4,016.35 | 24 |
| Bx breast pq tomo guide CPT 19499 | $8,632.80 | $14,388.00 | $881.09 – $9,442.65 | 24 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $3,979.88 | $6,633.13 | $963.66 – $9,442.65 | 24 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $4,135.34 | $6,892.23 | $963.66 – $9,442.65 | 24 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $2,762.69 – $16,062.00 | 3 |
| Bx liver with other CPT 47001 | $2,354.72 | $3,924.54 | $588.68 – $3,335.86 | 18 |
| Bx of breast open 19101 CPT 19101 | $4,390.01 | $7,316.68 | $963.66 – $9,442.65 | 24 |
| Bx pancreas pq ndl CPT 48102 | $2,173.07 | $3,621.78 | $486.45 – $4,016.35 | 24 |
| Bx perianal mass CPT 46999 | $943.21 | $1,572.01 | $393.00 – $7,038.00 | 22 |
| Bx pleura pq ndl CPT 32400 | $2,167.90 | $3,613.17 | $486.45 – $4,016.35 | 24 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $2,627.06 | $4,378.44 | $1,378.42 – $7,625.79 | 23 |
| Bx shoulder tissues deep 23066 CPT 23066 | $3,018.43 | $5,030.72 | $815.20 – $7,039.11 | 24 |
| Bx shoulder tissues supf 23065 CPT 23065 | $1,624.45 | $2,707.42 | $114.62 – $4,016.35 | 24 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $199.94 | $333.23 | $49.98 – $283.25 | 18 |
| Bx skin punch ea sep/ addl les CPT 11105 | $227.13 | $378.55 | $56.78 – $321.77 | 18 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $236.14 | $393.56 | $59.03 – $334.53 | 18 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $486.45 – $4,016.35 | 17 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $3,322.67 | $5,537.79 | $486.45 – $4,153.34 | 24 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,284.31 | $2,140.51 | $42.63 – $1,742.94 | 24 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $1,723.48 | $2,872.47 | $47.06 – $2,154.35 | 24 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $813.53 | $1,355.89 | $44.85 – $1,992.56 | 24 |
| Bypass temp external fem-fem CPT 37799 | $17,761.46 | $29,602.43 | $74.08 – $1,556.23 | 24 |
| C-1 esterase, berinert HCPCS J0597 | $7,322.76 | $12,204.60 | $72.25 – $9,153.45 | 24 |
| C1 esterase inhibitor func - sendout CPT 86161 | $658.50 | $1,097.50 | $10.00 – $118.05 | 24 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $101,885.02 | $169,808.36 | $219.50 – $127,356.27 | 24 |
| Cable cath 22-pin diag HCPCS C1730 | $5,098.50 | $8,497.50 | $7.75 – $43.91 | 18 |
| Cable centrimag pressure HCPCS Q0508 | $41,087.79 | $68,479.65 | $18.45 – $15,300.93 | 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.