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 |
|---|---|---|---|---|
| Graft axiofill 1000mg HCPCS J3590 | $3,456.79 | $5,761.31 | $0.01 – $0.06 | 19 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $388.13 | $646.89 | $27.49 – $268.77 | 24 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,603.28 | $46,005.47 | $7.96 – $268.77 | 24 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $20,782.10 | $34,636.83 | $73.97 – $537.98 | 18 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $50,985.00 | $84,975.00 | $7.75 – $56.38 | 18 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,315.71 | $2,192.85 | $55.75 – $380.09 | 24 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $765.06 | $1,275.10 | $34.43 – $268.77 | 24 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,021.66 | $11,702.76 | $17.92 – $268.77 | 24 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $4,742.40 | $7,904.00 | $3.34 – $268.77 | 24 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $800.41 | $1,334.02 | $43.07 – $293.67 | 24 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $50,985.00 | $84,975.00 | $17.74 – $128.98 | 18 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,670.92 | $6,118.20 | $2.85 – $20.71 | 18 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,781.95 | $6,303.25 | $693.36 – $5,357.76 | 19 |
| Great toe with reduction 28495 CPT 28495 | $605.99 | $1,009.99 | $85.32 – $757.49 | 25 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $5,102.99 | $8,504.99 | $1,457.62 – $8,887.48 | 25 |
| Group health education CPT 99078 | $50.11 | $83.51 | $9.19 – $70.98 | 19 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $66.55 | $110.92 | $12.20 – $94.28 | 19 |
| Growth stimulation gene 2 CPT 83006 | $270.00 | $450.00 | $10.00 – $181.44 | 25 |
| Gstrst open wo constj tube CPT 43830 | $4,908.49 | $8,180.82 | $899.89 – $7,038.00 | 23 |
| G-tube reposition CPT 43761 | $1,291.62 | $2,152.70 | $110.15 – $1,614.53 | 25 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,525.20 | $2,542.00 | $119.63 – $5,045.72 | 25 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,270.09 | $3,783.48 | $257.60 – $2,837.61 | 25 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $23,453.10 | $39,088.50 | $0.00 – $0.01 | 19 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,541.00 | $4,235.00 | $0.00 – $0.01 | 19 |
| Guid loc target vol rad tx CPT 77387 | $620.91 | $1,034.85 | $113.83 – $879.62 | 19 |
| Gw stiffened micro access kit HCPCS C1894 | $9,177.30 | $15,295.50 | $0.00 – $0.01 | 19 |
| Halo cervical into body jack HCPCS L0820 | $3,051.31 | $5,085.52 | $559.41 – $4,068.42 | 18 |
| Halo cervical into jckt vest HCPCS L0810 | $3,617.20 | $6,028.67 | $663.15 – $4,822.94 | 18 |
| Halo cerv into milwaukee typ HCPCS L0830 | $5,529.64 | $9,216.06 | $1,013.77 – $7,372.85 | 18 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $139.00 | $231.66 | $2.64 – $20.40 | 20 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $74.29 | $123.81 | $0.58 – $4.49 | 20 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $30.36 | $50.60 | $5.57 – $43.01 | 19 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,628.05 | $11,046.75 | $1,215.14 – $9,389.74 | 19 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $136.53 | $227.55 | $25.03 – $193.42 | 20 |
| Hand X-ray CPT 73130 | $317.78 | $529.64 | $37.43 – $397.23 | 25 |
| Hand X-ray (2 views, both hands) CPT 73120 | $318.00 | $530.00 | $31.74 – $397.50 | 25 |
| Haptoglobin quantitative CPT 83010 | $119.07 | $198.45 | $10.00 – $46.88 | 25 |
| Harvest allogeneic stem cell CPT 38205 | $5,531.25 | $9,218.75 | $1,014.06 – $7,835.94 | 17 |
| Harvest auto stem cells CPT 38206 | $4,464.59 | $7,440.99 | $564.62 – $5,580.74 | 25 |
| Harvest cultured skin graft 15040 CPT 15040 | $1,829.30 | $3,048.84 | $784.87 – $4,517.58 | 25 |
| Harvest stem cell concentrte CPT 38215 | $1,429.77 | $2,382.95 | $262.12 – $1,787.21 | 24 |
| Hast w/i&r phys/qhp CPT 94452 | $569.72 | $949.53 | $104.45 – $712.15 | 25 |
| Hast w/oxygen titrate CPT 94453 | $458.17 | $763.61 | $84.00 – $572.71 | 25 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,101.45 | $1,835.75 | $35.00 – $1,440.00 | 25 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,140.22 | $1,900.36 | $35.00 – $600.00 | 25 |
| Hbb full gene sequence CPT 81364 | $1,350.00 | $2,250.00 | $10.00 – $809.84 | 25 |
| Hbot, full body chamber, 30m HCPCS G0277 | $717.11 | $1,195.19 | $131.33 – $896.39 | 25 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $290.91 | $484.85 | $167.39 – $455.16 | 25 |
| Hcg qualitative CPT 84703 | $137.41 | $229.02 | $6.32 – $171.76 | 25 |
| Hcg quantitative CPT 84702 | $181.31 | $302.19 | $10.00 – $36.12 | 25 |
| Hc metata joint dislocation anes CPT 28635 | $1,964.56 | $3,274.27 | $593.04 – $3,981.46 | 25 |
| Hc nm fusion spect CT unlisted CPT 78999 | $463.68 | $772.80 | $316.07 – $1,021.72 | 25 |
| Hc nm kidney imaging with flow CPT 78701 | $651.59 | $1,085.99 | $205.83 – $1,021.72 | 25 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,490.58 | $2,484.30 | $273.27 – $1,863.22 | 25 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,145.78 | $3,576.30 | $393.39 – $5,371.00 | 25 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $8,227.02 | $13,711.70 | $1,508.29 – $11,654.94 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,138.90 | $3,564.84 | $363.18 – $2,673.63 | 25 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,763.29 | $2,938.82 | $323.27 – $2,204.11 | 25 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,599.36 | $2,665.60 | $293.22 – $1,999.20 | 25 |
| Hdr rdncl skn surf brachytx CPT 77767 | $397.29 | $662.15 | $72.84 – $833.02 | 25 |
| Hdr rdncl skn surf brachytx CPT 77768 | $397.29 | $662.15 | $72.84 – $833.02 | 25 |
| Head CT scan (with and without contrast) CPT 70470 | $2,041.88 | $3,403.14 | $167.39 – $2,552.36 | 25 |
| Head CT scan (with contrast) CPT 70460 | $1,681.39 | $2,802.32 | $152.36 – $2,101.74 | 25 |
| Head CT scan (without contrast) CPT 70450 | $1,907.15 | $3,178.59 | $99.77 – $2,383.94 | 25 |
| Heart image spect CPT 78494 | $566.74 | $944.57 | $209.50 – $1,021.72 | 25 |
| Heart infarct image CPT 78466 | $840.74 | $1,401.23 | $160.05 – $1,050.92 | 25 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $121.09 | $201.81 | $28.74 – $225.11 | 25 |
| Heinz bodies induced CPT 85445 | $78.09 | $130.15 | $5.73 – $97.61 | 25 |
| Helicobacter pylori antibody igm CPT 86677 | $130.67 | $217.79 | $10.00 – $163.34 | 25 |
| Hemagglutination inhibition CPT 86280 | $73.26 | $122.10 | $6.88 – $91.58 | 25 |
| Hematocrit CPT 85014 | $45.98 | $76.63 | $1.99 – $57.47 | 25 |
| Hematopoietic nuclear tx CPT 79403 | $878.33 | $1,463.89 | $161.03 – $1,097.92 | 25 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $19,250.14 | $32,083.56 | $33.54 – $24,062.67 | 25 |
| Hemodialysis one evaluation CPT 90935 | $2,147.82 | $3,579.70 | $393.77 – $2,684.78 | 25 |
| Hemoglobin CPT 85018 | $43.41 | $72.35 | $1.99 – $54.26 | 25 |
| Hemoglobin fetal qualitative CPT 83033 | $71.04 | $118.40 | $6.72 – $88.80 | 25 |
| Hemoglobin f (fetal) chemical CPT 83030 | $75.07 | $125.12 | $9.02 – $93.84 | 25 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $74.06 | $123.43 | $6.89 – $88.03 | 25 |
| Hemoglobin-oxygen affinity CPT 82820 | $89.13 | $148.55 | $10.00 – $111.41 | 25 |
| Hemoglobin plasma CPT 83051 | $85.22 | $142.04 | $6.14 – $106.53 | 25 |
| Hemoglobin urine CPT 83069 | $26.10 | $43.50 | $3.32 – $32.62 | 25 |
| Hemolysin acid CPT 85475 | $136.34 | $227.23 | $7.45 – $170.42 | 25 |
| Hemolysins/agglutinins auto CPT 86940 | $108.23 | $180.38 | $7.37 – $118.12 | 25 |
| Hemolysins and agglutinins incubated CPT 86941 | $108.23 | $180.38 | $10.00 – $135.28 | 25 |
| Hemophilus influenza antibdy CPT 86684 | $107.84 | $179.74 | $10.00 – $52.22 | 25 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $254.60 | $424.33 | $163.62 – $3,693.00 | 23 |
| Heparin assay CPT 85520 | $205.45 | $342.42 | $10.00 – $79.24 | 25 |
| Heparin bolus from bag HCPCS J1644 | $77.14 | $128.56 | $0.24 – $25.13 | 20 |
| Heparin neutralization CPT 85525 | $77.57 | $129.28 | $9.95 – $96.96 | 25 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $45.78 | $76.30 | $0.02 – $24.79 | 20 |
| Heparin-protamine tolerance CPT 85530 | $88.18 | $146.97 | $10.00 – $110.23 | 25 |
| Hepatitis a antibody igm CPT 86709 | $126.88 | $211.47 | $9.46 – $158.60 | 25 |
| Hepatitis b core antibody igm CPT 86705 | $126.67 | $211.11 | $9.89 – $158.33 | 25 |
| Hepatitis b core antibody total CPT 86704 | $108.53 | $180.88 | $2.94 – $28.92 | 25 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $453.94 | $756.56 | $44.44 – $303.02 | 25 |
| Hepatitis b surface ag quan CPT 87467 | $99.31 | $165.52 | $10.00 – $124.14 | 24 |
| Hepatitis b surface antibody CPT 86706 | $118.25 | $197.09 | $9.02 – $25.78 | 25 |
| Hepatitis c antibody CPT 86803 | $152.98 | $254.96 | $2.94 – $34.25 | 25 |
| Hepatitis d quantification CPT 87523 | $214.70 | $357.84 | $10.00 – $268.38 | 25 |
| Hereditary colon ca dsordrs CPT 81435 | $3,118.50 | $5,197.50 | $35.00 – $2,803.49 | 25 |
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.