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 |
|---|---|---|---|---|
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,254.99 | $2,091.65 | $211.82 – $1,444.24 | 25 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,387.23 | $2,312.05 | $236.07 – $1,748.45 | 25 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $822.60 | $1,371.00 | $150.81 – $1,433.33 | 25 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,222.48 | $7,037.46 | $1,151.54 – $8,570.48 | 25 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,796.21 | $17,993.68 | $1,896.00 – $15,294.63 | 19 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,460.21 | $7,433.69 | $1,142.90 – $10,795.00 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,048.00 | $10,080.00 | $1,493.34 – $10,795.00 | 18 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,298.61 | $5,497.69 | $604.75 – $7,038.00 | 17 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,260.47 | $2,100.78 | $231.09 – $1,742.94 | 25 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $878.22 | $1,463.70 | $161.01 – $1,244.14 | 19 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,320.69 | $5,534.49 | $571.30 – $7,038.00 | 17 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $843.08 | $1,405.14 | $154.57 – $1,194.37 | 19 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $964.04 | $1,606.74 | $176.74 – $1,365.73 | 19 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,071.23 | $1,785.38 | $196.39 – $1,517.57 | 19 |
| Plerixafor injection HCPCS J2562 | $17,959.33 | $29,932.21 | $19.25 – $22,449.16 | 25 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $451.90 | $753.16 | $82.85 – $805.95 | 25 |
| Plmt access bil tree sm bwl CPT 47541 | $3,205.90 | $5,343.16 | $1,151.54 – $18,741.87 | 25 |
| Plmt biliary drainage cath CPT 47534 | $4,989.69 | $8,316.15 | $1,151.54 – $8,570.48 | 25 |
| Plmt nephroureteral catheter CPT 50433 | $3,820.82 | $6,368.04 | $1,142.90 – $8,636.11 | 25 |
| Plmt ureteral stent prq CPT 50694 | $4,709.76 | $7,849.60 | $1,142.90 – $10,795.00 | 18 |
| Pm device progr eval dual CPT 93280 | $252.07 | $420.12 | $35.62 – $315.09 | 25 |
| Pm device progr eval multi CPT 93281 | $225.60 | $376.00 | $35.62 – $282.00 | 25 |
| Pmp22 gene dup/delet CPT 81324 | $1,029.75 | $1,716.25 | $10.00 – $1,820.06 | 25 |
| Pms2 gene dup/delet variants CPT 81319 | $87.38 | $145.63 | $35.00 – $488.40 | 25 |
| Pms2 gene full seq analysis CPT 81317 | $290.46 | $484.10 | $35.00 – $1,623.60 | 25 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $811.82 | $1,353.04 | $148.83 – $1,556.23 | 25 |
| #pnh-flow cytometry interp CPT 88187 | $154.14 | $256.90 | $11.76 – $94.96 | 19 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $259.66 | $432.76 | $10.00 – $324.57 | 25 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $32,554.79 | $54,257.99 | $130.21 – $40,693.49 | 25 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,802.77 | $8,004.62 | $819.52 – $6,003.47 | 25 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,236.15 | $8,726.91 | $819.52 – $6,545.18 | 25 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $72.00 | $120.00 | $13.20 – $2,181.14 | 25 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $84.00 | $140.00 | $15.40 – $2,181.14 | 25 |
| Postop app non-wgt bear dsg HCPCS L5450 | $881.95 | $1,469.91 | $161.69 – $1,175.93 | 18 |
| Potassium 24 hour urine CPT 84133 | $58.91 | $98.18 | $3.97 – $73.64 | 25 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $97.20 | $162.00 | $0.14 – $20.45 | 20 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.87 | $99.79 | $4.00 – $74.84 | 25 |
| Pq biliary strict dil s&i CPT 74363 | $707.71 | $1,179.51 | $87.94 – $1,002.58 | 19 |
| Pq dr cath chg w cont s&i CPT 75984 | $633.97 | $1,056.61 | $116.23 – $898.12 | 19 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,430.78 | $17,384.64 | $2,398.52 – $17,722.46 | 25 |
| Pq thr inj ext pse CPT 36002 | $1,014.07 | $1,690.12 | $223.75 – $1,556.23 | 25 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,725.56 | $4,542.60 | $499.69 – $3,861.21 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,236.34 | $7,060.56 | $1,088.27 – $8,018.48 | 25 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,811.54 | $8,019.23 | $1,088.27 – $8,018.48 | 25 |
| Pralatrexate injection HCPCS J9307 | $24,465.07 | $40,775.12 | $325.97 – $30,581.34 | 25 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $234.09 | $390.15 | $42.92 – $331.63 | 19 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,865.99 | $6,443.32 | $1,088.27 – $8,018.48 | 25 |
| Pr application of long arm splint CPT 29105 | $388.52 | $647.54 | $40.14 – $485.65 | 25 |
| Pr application splint static short arm CPT 29125 | $370.91 | $618.19 | $68.00 – $463.64 | 25 |
| Pr biopsy skin punch single lesion CPT 11104 | $505.18 | $841.97 | $79.46 – $987.79 | 25 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.71 | $81.19 | $8.93 – $80.93 | 25 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,769.84 | $2,949.74 | $324.47 – $2,507.28 | 19 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,161.89 | $5,269.82 | $579.68 – $4,479.35 | 19 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $4,342.83 | $7,238.05 | $1,142.90 – $8,636.11 | 25 |
| Prealbumin CPT 84134 | $115.26 | $192.10 | $10.00 – $144.07 | 25 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $63.65 | $106.08 | $0.81 – $51.17 | 20 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.40 | $0.67 | $0.00 – $0.14 | 20 |
| Pregabalin - sendout CPT 80366 | $5.00 | $8.33 | $3.92 – $7.42 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $590.27 | $983.78 | $99.77 – $737.84 | 25 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $660.98 | $1,101.64 | $99.77 – $826.23 | 25 |
| Pregnancy Ultrasound (limited) CPT 76815 | $459.00 | $765.00 | $81.20 – $573.75 | 25 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $3,907.86 | $6,513.10 | $206.06 – $4,884.82 | 25 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $2,062.26 | $3,437.10 | $356.12 – $2,577.82 | 25 |
| Preparation for bladder xray CPT 51605 | $1,143.32 | $1,905.54 | $209.61 – $1,619.71 | 19 |
| Preparation palate mold CPT 42280 | $583.82 | $973.04 | $107.03 – $1,363.00 | 25 |
| Prep skin to 100cm2 other CPT 15004 | $1,198.40 | $1,997.34 | $262.63 – $1,555.84 | 25 |
| Pressure max expiratory/inspiratory CPT 94799 | $349.83 | $583.05 | $25.99 – $386.96 | 25 |
| Pressure treatment esophagus CPT 43460 | $2,587.56 | $4,312.60 | $474.39 – $3,665.71 | 19 |
| Pressure velocity wire add ves CPT 93572 | $2,208.05 | $3,680.08 | $404.81 – $3,128.07 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $107.65 | $179.42 | $10.00 – $423.12 | 25 |
| Pretreat rbc absorption reference CPT 86978 | $255.19 | $425.31 | $10.00 – $287.88 | 25 |
| Pretreat rbc density gradient separation reference CPT 86972 | $47.73 | $79.55 | $8.10 – $423.12 | 25 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $132.48 | $220.80 | $10.00 – $165.60 | 25 |
| Pretreat rbc w enzyme reference CPT 86971 | $214.33 | $357.21 | $10.00 – $423.12 | 25 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $328.28 | $547.13 | $60.18 – $410.35 | 25 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $178.57 | $297.62 | $32.74 – $327.47 | 22 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,015.52 | $1,692.54 | $84.71 – $1,269.40 | 25 |
| Prgrmg dev eval impltbl sys CPT 93260 | $210.00 | $350.00 | $35.62 – $262.50 | 25 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $194.40 | $324.00 | $35.62 – $243.00 | 25 |
| Prgrmg dev eval scrms ip CPT 93285 | $180.33 | $300.55 | $33.06 – $225.41 | 25 |
| Prgrmg eval implantable dfb CPT 93282 | $202.13 | $336.89 | $35.62 – $252.67 | 25 |
| Prgrmg eval implantable dfb CPT 93283 | $218.79 | $364.65 | $35.62 – $273.49 | 25 |
| Prgrmg eval implantable dfb CPT 93284 | $247.66 | $412.77 | $35.62 – $309.58 | 25 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,468.87 | $10,781.45 | $510.05 – $9,164.23 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,534.20 | $10,890.34 | $4,029.43 – $43,439.01 | 25 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,187.67 | $8,646.11 | $951.07 – $7,349.19 | 19 |
| Prin care mgmt staff 1st 30 CPT 99426 | $91.70 | $152.84 | $16.81 – $220.82 | 22 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $782.98 | $1,304.97 | $98.28 – $987.79 | 25 |
| Pr incision & drainage abscess simple/single CPT 10060 | $596.67 | $994.45 | $65.06 – $745.84 | 25 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $692.24 | $1,153.73 | $75.58 – $865.30 | 25 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $699.02 | $1,165.03 | $86.38 – $987.79 | 25 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $84.79 | $141.32 | $15.55 – $327.47 | 22 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $64.44 | $107.40 | $11.81 – $327.47 | 22 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $232.42 | $387.37 | $38.71 – $329.26 | 19 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $12,640.20 | $21,067.00 | $268.01 – $2,071.03 | 19 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $248.56 | $414.27 | $36.02 – $461.84 | 25 |
| Procalcitonin CPT 84145 | $194.93 | $324.88 | $10.00 – $243.66 | 25 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.86 | $38.10 | $2.48 – $19.12 | 20 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.97 | $1.62 | $0.06 – $0.48 | 19 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,650.30 | $2,750.50 | $82.50 – $2,264.11 | 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.