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 |
|---|---|---|---|---|
| Cacna1a gen detc abnor allel CPT 81184 | $260.58 | $434.30 | $35.00 – $328.80 | 24 |
| Cad breast MRI w/r&i HCPCS C8937 | $136.08 | $226.80 | $34.02 – $2,149.00 | 18 |
| Cadd pump refill CPT 96521 | $386.60 | $644.33 | $96.65 – $530.97 | 24 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $112.07 | $186.79 | $9.34 – $52.92 | 18 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $5,637.78 | $9,396.30 | $1,409.44 – $7,986.85 | 19 |
| Calcium 24 hour urine CPT 82340 | $66.72 | $111.20 | $5.07 – $19.39 | 24 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $0.16 | $0.27 | $0.04 – $0.22 | 18 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $79.99 | $133.32 | $9.90 – $56.10 | 18 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $104.40 | $174.00 | $0.03 – $37.74 | 19 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $149.40 | $249.00 | $0.08 – $110.92 | 19 |
| Calcium ionized CPT 82330 | $139.21 | $232.01 | $10.00 – $174.01 | 24 |
| Calcium total CPT 82310 | $57.66 | $96.10 | $4.33 – $72.08 | 24 |
| Calculi urinary-sendout CPT 82360 | $132.60 | $221.00 | $10.00 – $165.75 | 24 |
| Calprotectin fecal CPT 83993 | $213.80 | $356.33 | $10.00 – $267.25 | 24 |
| Campylobacter antibody CPT 86625 | $77.83 | $129.72 | $10.00 – $97.29 | 24 |
| Candida dna CPT 87480 | $63.00 | $105.00 | $10.00 – $78.75 | 24 |
| Candida skin test CPT 86485 | $91.85 | $153.09 | $10.00 – $114.82 | 24 |
| Cannabinoid synthetic 7/more CPT 80352 | $115.50 | $192.50 | $10.00 – $163.62 | 17 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $11,216.70 | $18,694.50 | $91.37 – $5,778.30 | 18 |
| Canthotomy 67715 CPT 67715 | $3,437.05 | $5,728.42 | $698.30 – $5,788.85 | 24 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $192.67 | $321.12 | $0.03 – $42.08 | 24 |
| Cap nerve 2x15mm HCPCS C1763 | $30,101.54 | $50,169.24 | $13.74 – $73.29 | 17 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $1,776.02 – $15,697.77 | 15 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Cap trach decann 15mm HCPCS C1750 | $5,486.55 | $9,144.25 | $43.04 – $229.55 | 17 |
| Carbamazepine free CPT 80157 | $78.38 | $130.64 | $10.00 – $97.98 | 24 |
| Carbamazepine free -sendout CPT 80161 | $433.44 | $722.40 | $10.00 – $541.80 | 24 |
| Carbamazepine total therapeutic drug level CPT 80156 | $149.49 | $249.15 | $10.00 – $186.86 | 24 |
| Carbohydrate deficient transf - sendout CPT 82373 | $278.78 | $464.63 | $10.00 – $348.47 | 24 |
| Carbohydrate urine - sendout CPT 84377 | $96.66 | $161.10 | $4.62 – $120.83 | 24 |
| Carbon dioxide CPT 82374 | $48.08 | $80.13 | $4.10 – $60.10 | 24 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $205.45 | $342.41 | $3.23 – $110.84 | 19 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $378.00 | $630.00 | $14.78 – $472.50 | 23 |
| Carboxyhemoglobin quantitative CPT 82375 | $124.10 | $206.83 | $10.00 – $155.12 | 24 |
| Carcinoembryonic ag (cea) CPT 82378 | $340.80 | $568.00 | $10.00 – $200.47 | 24 |
| Cardiac MRI w/stress img CPT 75559 | $1,506.82 | $2,511.37 | $385.59 – $2,149.00 | 24 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,595.26 | $2,658.77 | $391.26 – $3,517.62 | 24 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,255.15 | $2,091.92 | $264.30 – $3,517.62 | 24 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,064.87 | $5,108.11 | $306.74 – $3,831.08 | 24 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $258.10 | $430.17 | $44.27 – $327.34 | 24 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $208.75 | $347.92 | $27.66 – $327.34 | 24 |
| Cardiac shunt imaging CPT 78428 | $1,354.80 | $2,258.00 | $171.08 – $1,693.50 | 24 |
| Cardioassist internal CPT 92970 | $4,363.56 | $7,272.60 | $610.75 – $6,181.71 | 17 |
| Cardiolipin antibody iga CPT 86147 | $145.43 | $242.38 | $10.00 – $61.08 | 24 |
| Cardiology hrt trnspl mrna CPT 81595 | $357.79 | $596.31 | $35.00 – $7,776.00 | 24 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,819.78 | $3,032.96 | $454.94 – $2,274.72 | 24 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,968.89 | $3,281.49 | $492.22 – $2,461.12 | 24 |
| Card MRI veloc flow mapping CPT 75565 | $715.68 | $1,192.80 | $83.62 – $2,149.00 | 18 |
| Caregiver health risk assmt CPT 96161 | $64.40 | $107.33 | $16.10 – $81.06 | 21 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $198.38 | $330.63 | $49.59 – $281.04 | 19 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $99.19 | $165.32 | $24.80 – $157.00 | 19 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $5,925.32 | $9,875.54 | $53.43 – $1,265.68 | 24 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $962.80 | $1,604.66 | $35.00 – $1,403.76 | 24 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $1,091.81 | $1,819.68 | $35.00 – $1,403.76 | 24 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $1,002.00 | $1,670.00 | $123.20 – $616.01 | 24 |
| Carotene CPT 82380 | $83.84 | $139.73 | $7.74 – $25.31 | 24 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,375.99 | $2,293.32 | $187.79 – $1,719.99 | 24 |
| Car outp meas drg cath chd CPT 93598 | $3,717.47 | $6,195.79 | $929.37 – $5,266.42 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $659.94 – $5,020.00 | 17 |
| Car seat/bed test 60 minutes CPT 94780 | $237.16 | $395.26 | $35.70 – $296.44 | 24 |
| Car seat/bed test additional 30 minutes CPT 94781 | $170.72 | $284.54 | $26.56 – $241.86 | 18 |
| Car-t admn autologous CPT 38228 | $2,819.12 | $4,698.54 | $315.74 – $3,523.91 | 23 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | $3,685.48 | $6,142.46 | $921.37 – $5,221.09 | 18 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | $3,682.27 | $6,137.11 | $920.57 – $5,216.54 | 18 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | $2,919.99 | $4,866.65 | $730.00 – $4,136.65 | 18 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $130.67 – $2,264.11 | 15 |
| Casiri and imdev repeat HCPCS M0240 | $540.00 | $900.00 | $135.00 – $1,381.50 | 19 |
| Casirivimab and imdevimab HCPCS Q0243 | $0.02 | $0.04 | $0.01 – $0.03 | 18 |
| Caspofungin acetate HCPCS J0637 | $950.38 | $1,583.96 | $3.93 – $1,346.37 | 19 |
| Catecholamines,fractionated, urine CPT 82382 | $156.26 | $260.43 | $10.00 – $195.32 | 24 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,461.90 | $2,436.50 | $58.97 – $334.15 | 18 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $9,801.00 | $16,335.00 | $43.95 – $249.08 | 18 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $3,161.07 | $5,268.45 | $233.20 – $1,321.48 | 18 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $6,933.96 | $11,556.60 | $790.50 – $4,479.50 | 18 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $11,410.45 | $19,017.41 | $0.00 – $0.01 | 18 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,341.84 | $12,236.40 | $454.20 – $2,573.83 | 18 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $29,571.30 | $49,285.50 | $0.00 – $0.01 | 18 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $48,945.60 | $81,576.00 | $25.41 – $143.96 | 18 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,055.63 | $13,426.05 | $31.66 – $179.41 | 18 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $7,341.84 | $12,236.40 | $12.49 – $70.81 | 18 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $16,367.53 | $27,279.22 | $3,098.97 – $20,459.42 | 23 |
| Cath council tip 16fr 5cc HCPCS A4344 | $25.06 | $41.77 | $6.27 – $35.50 | 18 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $5,904.07 | $9,840.11 | $16.04 – $174.25 | 18 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $4,476.49 | $7,460.81 | $17.84 – $101.08 | 18 |
| Catheter declot mechanical CPT 36596 | $1,405.26 | $2,342.10 | $446.27 – $3,967.42 | 24 |
| Catheter insert artery CPT 36625 | $360.68 | $601.13 | $90.17 – $510.96 | 18 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $95.03 | $158.39 | $8.87 – $118.79 | 24 |
| Catheter stripping venous CPT 36595 | $3,193.94 | $5,323.24 | $1,452.40 – $7,896.23 | 24 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $3,059.10 | $5,098.50 | $44.27 – $236.08 | 17 |
| Cath hawkone s directional HCPCS C1714 | $7,862.82 | $13,104.70 | $101.81 – $576.89 | 18 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $4,824.20 | $8,040.33 | $635.25 – $3,388.00 | 17 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $4,894.56 | $8,157.60 | $328.93 – $1,863.92 | 18 |
| Cath indw foley 3 way HCPCS A4346 | $12.18 | $20.30 | $3.04 – $30.17 | 18 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $681.19 | $1,135.31 | $170.30 – $965.01 | 18 |
| Cath left heart/lv gram CPT 93452 | $11,201.25 | $18,668.75 | $2,800.31 – $16,180.00 | 23 |
| Cath left heart transseptal punc CPT 93462 | $8,154.70 | $13,591.17 | $2,038.68 – $16,180.00 | 16 |
| Cath lt/rt pulm art CPT 36014 | $2,082.23 | $3,470.39 | $520.56 – $2,949.83 | 18 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,708.06 | $4,513.43 | $3.57 – $20.25 | 18 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $21,413.70 | $35,689.50 | $74.62 – $397.97 | 17 |
| Cath place 1st order venous 36011 CPT 36011 | $3,027.87 | $5,046.45 | $756.97 – $4,289.48 | 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.