BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
1901 N. MacArthur Blvd., Irving, TX · Baylor Scott & White Health · · NPI 1992700983
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 |
|---|---|---|---|---|
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $8,127.00 | $13,545.00 | $1,208.99 – $11,513.25 | 17 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $235.79 | $392.99 | $43.23 – $528.37 | 25 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,913.85 | $9,856.41 | $28.03 – $4,018.77 | 25 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $488.60 | $814.34 | $89.58 – $610.75 | 25 |
| Dermapure 1 square cm HCPCS Q4152 | $266.63 | $444.39 | $21.28 – $268.77 | 24 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $8,684.65 | $14,474.42 | $1,592.19 – $12,303.26 | 17 |
| Design mlc device for imrt CPT 77338 | $1,980.92 | $3,301.54 | $357.33 – $2,476.16 | 25 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,071.36 | $1,785.60 | $3.75 – $52.43 | 20 |
| Desoxycorticosterone CPT 82633 | $202.78 | $337.97 | $10.00 – $253.48 | 25 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $2,025.15 | $3,375.25 | $371.28 – $2,868.96 | 18 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,591.05 | $4,318.41 | $475.03 – $7,038.00 | 17 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $1,831.72 | $3,052.86 | $335.81 – $2,594.93 | 18 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,520.05 | $4,200.08 | $659.94 – $4,783.04 | 25 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,573.93 | $2,623.22 | $288.55 – $2,229.74 | 19 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $159.78 | $266.30 | $29.29 – $495.95 | 25 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $406.42 | $677.36 | $143.08 – $987.79 | 25 |
| Destruction 2-14 lesions 17003 CPT 17003 | $52.72 | $87.86 | $9.66 – $74.68 | 15 |
| Destruction benign lesions < 14 lesions CPT 17110 | $210.98 | $351.64 | $38.68 – $495.95 | 25 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,313.66 | $2,189.43 | $240.84 – $1,861.02 | 19 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,101.88 | $5,169.80 | $659.94 – $4,783.04 | 25 |
| Destruction vag lesions simple 57061 CPT 57061 | $3,504.00 | $5,840.00 | $98.83 – $7,744.80 | 25 |
| Detect agent nos dna dir CPT 87797 | $186.00 | $310.00 | $10.00 – $149.54 | 25 |
| Determination venous press CPT 93770 | $246.34 | $410.57 | $25.45 – $348.98 | 19 |
| Device ablt adv novasure HCPCS C1886 | $9,177.30 | $15,295.50 | $177.43 – $1,371.02 | 19 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,098.50 | $8,497.50 | $18.70 – $7,222.88 | 19 |
| Device intraute mirena HCPCS J7298 | $2,082.22 | $3,470.37 | $381.74 – $2,949.81 | 19 |
| Device tiss remov myosure reach HCPCS C1782 | $2,541.00 | $4,235.00 | $124.51 – $962.12 | 19 |
| Dev interrog remote 1/2/mlt CPT 93295 | $127.80 | $213.00 | $23.43 – $181.05 | 19 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $203.19 | $338.65 | $37.25 – $287.85 | 19 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $220.43 | $367.38 | $31.74 – $275.54 | 25 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $85.86 | $143.10 | $0.03 – $0.29 | 20 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $27.00 | $45.00 | $0.12 – $9.95 | 20 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,268.38 | $2,113.97 | $47.25 – $792.72 | 25 |
| Dextran 40 infusion HCPCS J7100 | $151.20 | $252.00 | $27.72 – $214.20 | 19 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $28.80 | $48.00 | $0.83 – $6.38 | 20 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $28.80 | $48.00 | $4.62 – $35.70 | 19 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $31.32 | $52.20 | $1.55 – $11.98 | 20 |
| Dextrose 5 % IV bolus HCPCS J7070 | $28.80 | $48.00 | $2.74 – $21.16 | 20 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $157.70 | $262.84 | $10.00 – $197.13 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $111.51 | $185.85 | $8.16 – $115.11 | 25 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $32.81 | $54.68 | $6.01 – $80.93 | 22 |
| Diab manage trn ind/group HCPCS G0109 | $59.36 | $98.94 | $10.88 – $84.10 | 19 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $358.84 | $598.07 | $65.79 – $448.55 | 25 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $117.94 | $196.56 | $21.62 – $188.12 | 19 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $75.93 | $126.55 | $13.92 – $188.12 | 19 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $325.51 | $542.52 | $56.20 – $490.70 | 25 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $450.28 | $750.46 | $68.14 – $562.85 | 25 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $340.20 | $567.00 | $62.37 – $481.95 | 19 |
| Diagnostic Mammogram (one breast) CPT 77065 | $272.16 | $453.60 | $49.90 – $385.56 | 19 |
| Diagnostic radio unlisted proc CPT 76499 | $2,679.11 | $4,465.19 | $83.05 – $1,197.31 | 25 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,842.14 | $18,070.23 | $1,987.73 – $15,359.70 | 19 |
| Dialysis one evaluation CPT 90945 | $1,775.84 | $2,959.74 | $325.57 – $2,219.80 | 25 |
| Dialysis repeated eval CPT 90947 | $1,087.50 | $1,812.50 | $199.38 – $1,540.62 | 19 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $149.04 | $248.40 | $0.08 – $165.24 | 20 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $135.30 | $225.50 | $9.36 – $125.53 | 20 |
| Dicyclomine injection HCPCS J0500 | $229.36 | $382.26 | $0.13 – $10.30 | 20 |
| Diffusing capacity CPT 94729 | $395.37 | $658.95 | $72.48 – $560.11 | 19 |
| Digital analysis of eeg CPT 95957 | $744.70 | $1,241.17 | $136.53 – $1,054.99 | 19 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $371.87 | $619.79 | $3.63 – $28.05 | 20 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,613.00 | $14,355.00 | $1,579.05 – $11,109.03 | 25 |
| Digoxin total therapeutic drug level CPT 80162 | $140.84 | $234.74 | $10.00 – $176.06 | 25 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $357.05 | $595.08 | $37.96 – $293.29 | 20 |
| Dilate biliary duct/ampulla CPT 47542 | $1,866.73 | $3,111.21 | $342.23 – $2,644.53 | 19 |
| Dilate esophagus CPT 43453 | $1,641.50 | $2,735.83 | $564.97 – $4,713.77 | 23 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,484.17 | $2,473.61 | $334.95 – $3,693.00 | 23 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $4,322.56 | $7,204.26 | $599.31 – $6,123.62 | 17 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,670.90 | $2,784.83 | $299.65 – $4,063.00 | 17 |
| Dilate ic vasospasm init CPT 61640 | $9,260.60 | $15,434.33 | $853.30 – $13,119.18 | 17 |
| Dilate urethra stricture CPT 53600 | $514.79 | $857.98 | $34.88 – $643.49 | 25 |
| Dilate urethra stricture CPT 53605 | $3,745.07 | $6,241.78 | $1,142.90 – $8,636.11 | 25 |
| Dilation/female urethra/initial 53660 CPT 53660 | $204.60 | $341.00 | $39.59 – $386.96 | 25 |
| Dilation of cervical canal 57800 CPT 57800 | $4,715.67 | $7,859.45 | $39.86 – $7,744.80 | 25 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,386.89 | $2,311.48 | $92.46 – $1,733.61 | 25 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,277.43 | $2,129.05 | $13.68 – $99.46 | 18 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,694.84 | $12,824.74 | $1,142.90 – $9,618.56 | 25 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $138.24 | $230.40 | $0.04 – $195.84 | 20 |
| Dimecaprol injection HCPCS J0470 | $457.03 | $761.72 | $83.79 – $647.46 | 20 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,258.20 | $2,097.00 | $230.67 – $1,610.31 | 25 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.84 | $18.06 | $0.76 – $5.98 | 20 |
| Disability dlco CPT 94727 | $356.06 | $593.43 | $65.28 – $466.36 | 25 |
| Disaccharidases CPT 82657 | $338.63 | $564.38 | $10.00 – $87.19 | 25 |
| Discography cerv/thor spine CPT 72285 | $2,050.91 | $3,418.19 | $132.31 – $4,783.04 | 25 |
| Dise eval slp do brth flx dx CPT 42975 | $244.89 | $408.15 | $68.14 – $4,204.56 | 23 |
| Dissolve clot heart vessel CPT 92975 | $2,604.47 | $4,340.79 | $477.49 – $3,689.67 | 19 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,380.35 | $2,300.59 | $253.06 – $7,038.00 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $7,487.95 | $12,479.92 | $35.00 – $1,453.12 | 25 |
| Dna antibody native/double stranded CPT 86225 | $141.17 | $235.29 | $10.00 – $32.98 | 25 |
| Dna gardnerella CPT 87510 | $61.20 | $102.00 | $10.00 – $76.50 | 25 |
| Dna probe chlamydia CPT 87490 | $114.48 | $190.80 | $10.00 – $143.10 | 25 |
| Dna probe gc CPT 87590 | $101.97 | $169.95 | $10.00 – $127.46 | 25 |
| Dna trichomonas CPT 87660 | $63.00 | $105.00 | $10.00 – $78.75 | 25 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $146.40 | $244.00 | $5.02 – $38.79 | 20 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,290.00 | $2,150.00 | $0.61 – $309.41 | 20 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $76.20 | $127.00 | $0.88 – $19.87 | 20 |
| Doppler echo complete CPT 93320 | $938.80 | $1,564.66 | $109.54 – $1,329.96 | 19 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,563.60 | $5,939.34 | $653.33 – $5,048.44 | 17 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $881.26 | $1,468.77 | $129.98 – $1,101.58 | 25 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $608.33 | $1,013.88 | $111.53 – $760.41 | 25 |
| Dornase alfa non-comp unit HCPCS J7639 | $350.67 | $584.45 | $50.93 – $496.78 | 20 |
| Dornhoffer fixed part w/window HCPCS L8614 | $50,985.00 | $84,975.00 | $60.40 – $439.30 | 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.