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 |
|---|---|---|---|---|
| Radiation treatment aid(s) CPT 77332 | $262.55 | $437.59 | $45.54 – $336.13 | 25 |
| Radiation treatment aid(s) CPT 77333 | $730.71 | $1,217.85 | $111.32 – $913.39 | 25 |
| Radiation treatment aid(s) CPT 77334 | $1,207.28 | $2,012.13 | $107.95 – $1,509.10 | 25 |
| Radiation treatment delivery CPT 77401 | $130.96 | $218.27 | $24.01 – $297.05 | 20 |
| Radiation treatment delivery CPT 77402 | $1,200.00 | $2,000.00 | $97.38 – $1,500.00 | 25 |
| Radiation treatment delivery CPT 77412 | $2,400.00 | $4,000.00 | $378.92 – $3,000.00 | 25 |
| Radiation tx management x5 CPT 77427 | $326.16 | $543.60 | $59.80 – $462.06 | 19 |
| Radiology port images(s) CPT 77417 | $230.29 | $383.81 | $17.99 – $326.24 | 19 |
| Radiotherapy dose plan imrt CPT 77301 | $5,996.41 | $9,994.01 | $1,099.34 – $7,495.51 | 25 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,175.81 | $3,626.35 | $275.66 – $3,517.62 | 25 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,357.46 | $5,595.76 | $518.17 – $4,196.82 | 25 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,731.46 | $4,552.43 | $652.23 – $3,517.62 | 25 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,723.06 | $4,538.43 | $338.81 – $3,517.62 | 25 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,494.49 | $2,490.81 | $228.55 – $1,868.11 | 25 |
| Radphm quant measure sgl area add-on CPT 78835 | $734.09 | $1,223.48 | $89.21 – $1,039.96 | 19 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $2,652.22 | $4,420.37 | $70.38 – $3,315.28 | 25 |
| Rapid desensitization CPT 95180 | $331.20 | $552.00 | $60.72 – $987.04 | 22 |
| Rapid Strep Test CPT 87880 | $259.93 | $433.21 | $10.00 – $324.91 | 25 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,934.13 | $3,223.55 | $354.59 – $2,417.66 | 25 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $42,296.39 | $70,493.98 | $206.22 – $14,446.50 | 25 |
| Rbc count only automated CPT 85041 | $11.85 | $19.75 | $2.54 – $14.81 | 25 |
| Rbc deglycerolized each unit HCPCS P9039 | $856.71 | $1,427.85 | $157.06 – $1,070.89 | 25 |
| Rbc depletion of harvest CPT 38212 | $1,803.18 | $3,005.30 | $35.00 – $2,253.97 | 25 |
| Rbc irradiated each unit HCPCS P9038 | $517.86 | $863.10 | $94.94 – $647.33 | 25 |
| Rbc osmotic fragility CPT 85555 | $151.80 | $253.00 | $6.27 – $189.75 | 25 |
| Recon, cta for surg plan HCPCS G0288 | $508.91 | $848.18 | $72.80 – $1,841.00 | 19 |
| Reconstruction of nail bed CPT 11762 | $2,066.10 | $3,443.50 | $148.94 – $4,517.58 | 25 |
| Reconstruction of urethra CPT 54312 | $3,456.60 | $5,761.00 | $1,142.90 – $8,636.11 | 25 |
| Rectal sensation test CPT 91120 | $651.44 | $1,085.73 | $119.43 – $1,273.47 | 18 |
| Red blood cells each unit HCPCS P9021 | $414.33 | $690.55 | $75.96 – $517.91 | 25 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $943.35 | $1,572.25 | $172.95 – $1,281.02 | 25 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $577.71 | $962.85 | $105.91 – $722.14 | 25 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $853.50 | $1,422.50 | $75.14 – $512.29 | 25 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $523.83 | $873.05 | $96.04 – $656.45 | 25 |
| Red blood cells washed each unit HCPCS P9022 | $583.68 | $972.80 | $107.01 – $1,032.51 | 25 |
| Red cell sequestration CPT 78140 | $445.14 | $741.90 | $109.60 – $1,021.72 | 25 |
| Redo endovas vena cava filtr CPT 37192 | $4,970.26 | $8,283.76 | $911.21 – $7,896.23 | 25 |
| Reduce testis torsion CPT 54600 | $5,379.04 | $8,965.07 | $1,142.90 – $8,636.11 | 25 |
| Reduction of procidentia 45900 CPT 45900 | $1,406.62 | $2,344.37 | $328.50 – $2,264.11 | 25 |
| Refill maint impl spine pump CPT 95991 | $229.80 | $383.00 | $42.13 – $733.72 | 25 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $695.95 | $1,159.92 | $3.19 – $985.93 | 20 |
| Release of midfoot joint CPT 28264 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 25 |
| Release palm contracture CPT 26040 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 25 |
| Relocation skin pocket aicd CPT 33223 | $4,586.26 | $7,643.76 | $709.01 – $5,732.82 | 25 |
| Relocation skin pocket pm CPT 33222 | $4,015.04 | $6,691.74 | $709.01 – $5,018.81 | 25 |
| Rem/biv cast full arm/leg CPT 29705 | $270.59 | $450.98 | $27.13 – $665.29 | 25 |
| Rem/biv cast shldr/hip spica CPT 29710 | $399.00 | $665.00 | $54.26 – $665.29 | 25 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $939.00 | $1,565.00 | $6.55 – $1,173.75 | 25 |
| Rem endovas vena cava filter CPT 37193 | $6,196.90 | $10,328.17 | $1,136.10 – $7,896.23 | 25 |
| Rem interrog dev eval icpms CPT 93297 | $236.38 | $393.97 | $35.62 – $295.48 | 25 |
| Rem interrog dev eval scrms CPT 93298 | $236.38 | $393.97 | $35.62 – $295.48 | 25 |
| Rem interrog evl pm/ids CPT 93296 | $191.33 | $318.89 | $35.08 – $239.17 | 25 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $42.73 | $71.22 | $7.83 – $93.42 | 22 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $136.67 | $227.78 | $25.06 – $327.47 | 22 |
| Removal biliary drg cath CPT 47537 | $1,380.82 | $2,301.36 | $334.95 – $2,245.59 | 25 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,078.07 | $3,463.45 | $223.75 – $2,597.59 | 25 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,599.13 | $4,331.88 | $446.27 – $3,967.42 | 25 |
| Removal cerclage w/anes CPT 59871 | $3,032.19 | $5,053.65 | $1,063.52 – $7,744.80 | 25 |
| Removal cerclage without anes CPT 59899 | $4,981.75 | $8,302.92 | $81.65 – $493.64 | 25 |
| Removal cerumen impacted (both sides) CPT 69210 | $196.31 | $327.18 | $35.99 – $245.38 | 25 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $7,161.04 | $11,935.06 | $1,939.15 – $13,613.39 | 25 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $336.29 | $560.49 | $61.65 – $495.95 | 25 |
| Removal duct glbldr calculi CPT 47544 | $1,989.65 | $3,316.09 | $364.77 – $2,818.68 | 16 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $692.00 | $1,153.33 | $126.87 – $2,245.59 | 25 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $2,290.22 | $3,817.04 | $486.45 – $4,016.35 | 25 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,386.08 | $2,310.13 | $138.98 – $1,742.94 | 25 |
| Removal foreign body mouth CPT 40805 | $1,755.60 | $2,926.00 | $150.61 – $2,194.50 | 25 |
| Removal implant superficial separate procedure CPT 20670 | $2,945.80 | $4,909.67 | $486.45 – $4,016.35 | 25 |
| Removal of artery clot 34101 CPT 34101 | $6,723.23 | $11,205.38 | $1,232.59 – $13,613.39 | 25 |
| Removal of breast lesion CPT 19120 | $4,920.97 | $8,201.62 | $963.66 – $9,442.65 | 25 |
| Removal of foreign body CPT 27372 | $4,149.00 | $6,915.00 | $815.20 – $7,039.11 | 25 |
| Removal of implant deep CPT 20680 | $3,050.06 | $5,083.43 | $815.20 – $7,039.11 | 25 |
| Removal of knee cartilage CPT 27332 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 25 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $18,707.76 | $31,179.60 | $6,289.66 – $26,452.82 | 25 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $318.58 | $530.97 | $58.41 – $495.95 | 25 |
| Removal sutr and stapl no anes CPT 15854 | $978.41 | $1,630.69 | $179.38 – $1,386.09 | 19 |
| Removal sutr or stapl no anes CPT 15853 | $869.70 | $1,449.50 | $159.44 – $1,232.08 | 19 |
| Removal sutr/staple req anes CPT 15851 | $862.80 | $1,438.00 | $62.29 – $4,517.58 | 25 |
| Removal tunnled intprtnl cath CPT 49422 | $4,430.01 | $7,383.35 | $1,118.22 – $7,896.23 | 23 |
| Remove brain canal fluid CPT 61050 | $1,018.32 | $1,697.20 | $108.15 – $1,272.90 | 25 |
| Remove cva lumen obstruct CPT 75902 | $649.85 | $1,083.08 | $119.14 – $920.62 | 19 |
| Remove foreign body from eye CPT 65235 | $3,121.81 | $5,203.01 | $849.94 – $5,772.91 | 25 |
| Remove hip foreign body 27086 CPT 27086 | $2,094.26 | $3,490.44 | $815.20 – $7,039.11 | 25 |
| Remove int/ext hem 1 group CPT 46255 | $5,235.05 | $8,725.08 | $939.93 – $6,955.62 | 25 |
| Remove jaw joint cartilage CPT 21060 | $5,224.98 | $8,708.30 | $1,954.22 – $14,507.25 | 25 |
| Remove nasal foreign body CPT 30320 | $4,388.27 | $7,313.78 | $420.64 – $5,485.34 | 25 |
| Remove renal tube w/fluoro CPT 50389 | $1,686.36 | $2,810.60 | $238.15 – $2,107.95 | 25 |
| Remove shoulder fb deep CPT 23333 | $1,624.45 | $2,707.42 | $815.20 – $7,039.11 | 25 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $2,273.11 | $3,788.52 | $257.60 – $4,016.35 | 25 |
| Remove spine lamina 1/2 scrl CPT 63011 | $6,731.17 | $11,218.62 | $1,234.05 – $17,722.46 | 25 |
| Remove ureter stent percut CPT 50384 | $2,311.81 | $3,853.02 | $652.80 – $5,045.72 | 18 |
| Remove vaginal foreign body 57415 CPT 57415 | $5,237.65 | $8,729.42 | $1,063.52 – $7,744.80 | 25 |
| Remove vagus n eltrd CPT 64570 | $6,663.02 | $11,105.04 | $1,996.58 – $16,502.12 | 25 |
| Remove wrist tendon lesion CPT 25111 | $1,551.05 | $2,585.08 | $593.04 – $3,981.46 | 25 |
| Renal function panel CPT 80069 | $177.37 | $295.62 | $7.29 – $221.72 | 25 |
| Renal venogram bil s&i CPT 75833 | $2,786.27 | $4,643.79 | $148.35 – $7,896.23 | 25 |
| Repair anal fistula CPT 46288 | $2,913.50 | $4,855.84 | $939.93 – $6,955.62 | 25 |
| Repair blood ves direct neck 35201 CPT 35201 | $4,702.12 | $7,836.86 | $862.05 – $13,613.39 | 25 |
| Repair blood vessel direct hand finger CPT 35207 | $4,219.68 | $7,032.80 | $1,118.22 – $7,896.23 | 25 |
| Repair blood vessel dir lower extr CPT 35226 | $1,834.36 | $3,057.26 | $336.30 – $2,292.95 | 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.