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 |
|---|---|---|---|---|
| Kidney imaging (3d) CPT 78710 | $472.92 | $788.20 | $86.70 – $669.97 | 19 |
| Kidney imaging morphology CPT 78700 | $539.97 | $899.95 | $157.04 – $1,021.72 | 25 |
| Kidney imag w/bld flow multi CPT 78709 | $1,193.73 | $1,989.55 | $332.13 – $1,492.16 | 25 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,468.04 | $2,446.73 | $212.84 – $1,835.05 | 25 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $691.73 | $1,152.88 | $99.77 – $864.66 | 25 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $518.80 | $864.66 | $59.81 – $648.50 | 25 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,585.18 | $15,975.30 | $1,757.28 – $13,579.00 | 18 |
| Kit gene analys d816 variant CPT 81273 | $598.36 | $997.27 | $35.00 – $508.16 | 25 |
| Kit hfx iq ipg bundle HCPCS C1822 | $50,985.00 | $84,975.00 | $6,530.36 – $47,493.54 | 18 |
| Kit lead specify 5-6-5 HCPCS C1778 | $20,394.00 | $33,990.00 | $0.00 – $0.01 | 18 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,867.64 | $3,112.73 | $139.92 – $1,017.63 | 18 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $288.32 | $480.54 | $12.97 – $268.77 | 24 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,541.00 | $4,235.00 | $461.71 – $3,357.91 | 18 |
| Knee joint drop lock ea jnt HCPCS L2405 | $225.00 | $375.00 | $41.25 – $300.00 | 18 |
| Knee MRI (with and without contrast) CPT 73723 | $3,690.46 | $6,150.76 | $332.94 – $4,613.07 | 25 |
| Knee MRI (with contrast) CPT 73722 | $2,394.58 | $3,990.96 | $323.44 – $2,993.22 | 25 |
| Knee MRI (without contrast) CPT 73721 | $2,209.22 | $3,682.04 | $208.84 – $2,761.53 | 25 |
| Knee X-ray CPT 73564 | $357.20 | $595.34 | $47.45 – $446.50 | 25 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $273.20 | $455.33 | $34.41 – $341.50 | 25 |
| Knee X-ray (3 views, both knees) CPT 73562 | $319.24 | $532.06 | $41.10 – $399.05 | 25 |
| Knee X-ray (standing, both knees) CPT 73565 | $299.78 | $499.64 | $40.10 – $374.73 | 25 |
| Kras gene addl variants CPT 81276 | $321.48 | $535.80 | $35.00 – $463.80 | 25 |
| Kras gene variants exon 2 CPT 81275 | $1,652.10 | $2,753.50 | $10.00 – $463.80 | 25 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $109.20 | $182.00 | $20.02 – $154.70 | 18 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $39.60 | $66.00 | $0.13 – $1.00 | 20 |
| Lab pathology consultation CPT 80502 | $403.70 | $672.84 | $10.00 – $571.91 | 19 |
| Lacer molded to patient mode HCPCS L2330 | $634.21 | $1,057.02 | $116.27 – $845.62 | 18 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $260.98 | $434.97 | $6.60 – $51.00 | 19 |
| Lactate dehydrogenase (ldh) CPT 83615 | $102.38 | $170.63 | $5.07 – $15.66 | 25 |
| Lactated ringers intravenous solution HCPCS J7120 | $27.00 | $45.00 | $2.86 – $31.88 | 20 |
| Lactation class HCPCS S9443 | $199.82 | $333.04 | $36.63 – $283.08 | 19 |
| Lactic acid CPT 83605 | $145.94 | $243.23 | $9.72 – $182.42 | 25 |
| Lactoferrin fecal qualitative CPT 83630 | $135.52 | $225.87 | $10.00 – $169.40 | 25 |
| Lactoferrin fecal quant CPT 83631 | $106.10 | $176.84 | $10.00 – $132.63 | 25 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $15,760.80 | $26,268.00 | $33.93 – $12,543.75 | 25 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $14.41 | $24.01 | $1.22 – $9.44 | 19 |
| Laparo cholecystectomy/explr CPT 47564 | $6,637.99 | $11,063.32 | $1,888.85 – $25,500.18 | 23 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $6,622.75 | $11,037.92 | $2,471.66 – $14,293.73 | 25 |
| Laparoscopye procstom 43659 CPT 43659 | $9,122.07 | $15,203.45 | $671.66 – $14,293.73 | 23 |
| Lap jejunostomy 44186 CPT 44186 | $5,698.48 | $9,497.46 | $1,044.72 – $14,293.73 | 23 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $715.37 | $1,192.29 | $27.96 – $894.22 | 25 |
| Largsc w/laser dstrj les CPT 31572 | $7,420.68 | $12,367.80 | $1,062.24 – $9,276.93 | 25 |
| Largsc w/njx augmentation CPT 31574 | $3,482.74 | $5,804.56 | $525.71 – $4,353.42 | 25 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $800.06 | $1,333.44 | $155.59 – $1,011.53 | 25 |
| Largsc w/ther injection CPT 31573 | $3,682.54 | $6,137.56 | $160.85 – $4,603.17 | 25 |
| Laronidase injection HCPCS J1931 | $1,927.01 | $3,211.68 | $36.89 – $2,408.76 | 25 |
| Laryngoplasty medialization CPT 31591 | $5,832.68 | $9,721.13 | $1,954.22 – $14,507.25 | 25 |
| Laryngoscope w/vc inj CPT 31570 | $3,442.73 | $5,737.88 | $1,062.24 – $9,276.93 | 25 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,918.74 | $6,531.23 | $1,062.24 – $9,276.93 | 25 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,480.71 | $4,134.52 | $525.71 – $4,204.56 | 25 |
| Laryngoscopy telescopic CPT 31579 | $685.43 | $1,142.39 | $104.65 – $1,011.53 | 25 |
| Laryngoscopy w/biopsy CPT 31535 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 25 |
| Laryngoscopy w/bx & op scope CPT 31536 | $3,236.70 | $5,394.50 | $1,062.24 – $9,276.93 | 25 |
| Laryngoscopy w/fb removal CPT 31530 | $3,814.47 | $6,357.45 | $525.71 – $4,768.09 | 25 |
| Laryngoscopy with biopsy CPT 31576 | $3,336.26 | $5,560.44 | $525.71 – $4,204.56 | 25 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,560.37 | $5,933.95 | $1,062.24 – $9,276.93 | 25 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $50,985.00 | $84,975.00 | $268.01 – $1,949.20 | 18 |
| Lead capillary CPT 83655 | $81.29 | $135.49 | $10.00 – $29.06 | 25 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,843.58 | $8,072.63 | $29.02 – $211.07 | 18 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,186.81 | $16,978.01 | $209.05 – $1,520.38 | 18 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,177.09 | $1,961.81 | $227.71 – $1,471.36 | 25 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,399.92 | $3,999.86 | $167.39 – $2,999.89 | 25 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,715.36 | $2,858.93 | $99.77 – $2,144.20 | 25 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,200.85 | $2,001.42 | $184.78 – $1,501.07 | 25 |
| Leishmania antibody CPT 86717 | $82.71 | $137.85 | $10.00 – $103.39 | 25 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,528.30 | $4,213.83 | $49.99 – $340.81 | 18 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,498.89 | $5,831.49 | $32.25 – $219.86 | 18 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $229.50 | $382.50 | $3.95 – $44.88 | 20 |
| Leukocyte phagocytosis CPT 86344 | $92.88 | $154.80 | $8.73 – $116.10 | 25 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,106.55 | $36,844.25 | $167.39 – $4,599.23 | 25 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $119.59 | $199.32 | $0.04 – $15.30 | 20 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.12 | $230.20 | $10.00 – $172.65 | 25 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $49.98 | $83.30 | $2.38 – $34.85 | 20 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,452.60 | $12,421.00 | $1,366.31 – $9,315.75 | 24 |
| Liberta rc ipg HCPCS C1820 | $50,985.00 | $84,975.00 | $0.53 – $3.87 | 18 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.44 | $70.74 | $1.04 – $8.06 | 19 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.80 | $48.00 | $0.00 – $35.70 | 20 |
| Lidocaine therapeutic drug level CPT 80176 | $129.40 | $215.67 | $10.00 – $161.75 | 25 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3.30 | $5.50 | $0.61 – $4.67 | 19 |
| Lift heel adj small gl60404sm HCPCS L3332 | $201.42 | $335.70 | $36.93 – $268.56 | 18 |
| Lifts elevation metal extens HCPCS L3330 | $927.30 | $1,545.50 | $170.00 – $1,236.40 | 18 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,356.15 | $2,260.25 | $248.63 – $7,896.23 | 25 |
| Ligation/major artery/extremity 37618 CPT 37618 | $11,489.80 | $19,149.66 | $2,106.46 – $16,277.21 | 19 |
| Ligation major artery neck CPT 37615 | $3,608.40 | $6,014.00 | $661.54 – $7,896.23 | 25 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,200.20 | $3,667.00 | $403.37 – $12,018.16 | 24 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,182.01 | $5,303.35 | $1,118.22 – $7,896.23 | 25 |
| Lig/band angioaccess av fistula CPT 37607 | $6,365.14 | $10,608.57 | $1,118.22 – $7,956.43 | 25 |
| Limited ankle motion ea jnt HCPCS L2200 | $160.99 | $268.32 | $29.52 – $214.66 | 18 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $335.91 | $559.85 | $2.73 – $172.55 | 20 |
| Lipase CPT 83690 | $130.62 | $217.70 | $5.79 – $16.54 | 25 |
| Lipoprotein blood high res frac & quant CPT 83701 | $112.29 | $187.15 | $10.00 – $140.36 | 25 |
| Lipoprotein blood quant CPT 83704 | $106.43 | $177.39 | $10.00 – $82.06 | 25 |
| Lipoprotein direct measurement hdl CPT 83718 | $113.88 | $189.80 | $6.88 – $25.15 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | $79.81 | $133.02 | $8.82 – $80.62 | 25 |
| Lip surgery procedure CPT 40799 | $433.65 | $722.75 | $180.69 – $605.10 | 25 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,578,304.84 | $2,630,508.07 | $289,355.89 – $1,972,881.05 | 24 |
| Listeria monocytogenes CPT 86723 | $159.53 | $265.88 | $10.00 – $199.41 | 25 |
| Lithium therapeutic drug level CPT 80178 | $95.88 | $159.80 | $5.55 – $119.85 | 25 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,380.88 | $20,634.80 | $2,269.83 – $17,539.58 | 18 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $660.00 | $1,100.00 | $35.00 – $751.09 | 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.