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 |
|---|---|---|---|---|
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $470.69 | $784.49 | $86.50 – $666.82 | 19 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $362.59 | $604.32 | $43.96 – $513.67 | 19 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $690.48 | $1,150.80 | $169.38 – $863.10 | 25 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $393.32 | $655.54 | $99.77 – $491.65 | 25 |
| Ultrasound prostate/transrectal CPT 76872 | $545.16 | $908.60 | $99.77 – $681.45 | 25 |
| Ultrasound spinal canal and contents CPT 76800 | $450.60 | $751.00 | $99.77 – $563.25 | 25 |
| Ultrasound transabd ea addl gest CPT 76812 | $397.03 | $661.72 | $192.13 – $562.46 | 19 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $622.88 | $1,038.14 | $175.06 – $778.61 | 25 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $294.97 | $491.62 | $143.01 – $417.88 | 19 |
| Umbilical artery cath newborn 36660 CPT 36660 | $973.63 | $1,622.72 | $178.50 – $1,379.31 | 19 |
| Unit mobile power mpu HCPCS Q0479 | $16,315.20 | $27,192.00 | $2,991.12 – $21,753.60 | 18 |
| Unlistd noninvas vasc dx std CPT 93998 | $1,012.44 | $1,687.40 | $27.61 – $632.77 | 25 |
| Unlisted chemotherapy px CPT 96549 | $507.17 | $845.28 | $44.69 – $314.46 | 25 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $6,289.53 | $10,482.55 | $226.03 – $7,861.91 | 25 |
| Unlisted CT procedure CPT 76497 | $3,852.68 | $6,421.14 | $83.05 – $396.15 | 25 |
| Unlisted cytogenetic study CPT 88299 | $310.46 | $517.44 | $35.00 – $388.08 | 25 |
| Unlisted dialysis procedure CPT 90999 | $3,148.74 | $5,247.90 | $321.52 – $2,484.44 | 19 |
| Unlisted fetal invas px w/us CPT 59897 | $492.81 | $821.35 | $192.94 – $616.01 | 25 |
| Unlisted fluoroscopic px CPT 76496 | $3,433.99 | $5,723.32 | $83.05 – $450.00 | 25 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $3,495.74 | $5,826.24 | $1,456.56 – $14,293.73 | 25 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $6,838.32 | $11,397.20 | $2,373.55 – $14,293.73 | 25 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $9,492.80 | $15,821.34 | $3,955.34 – $14,293.73 | 23 |
| Unlisted laps px appendix CPT 44979 | $2,890.09 | $4,816.81 | $1,204.20 – $14,293.73 | 25 |
| Unlisted laps px endoc sys CPT 60659 | $6,548.98 | $10,914.97 | $2,728.74 – $14,293.73 | 25 |
| Unlisted laps px lymphtc sys CPT 38589 | $10,488.59 | $17,480.98 | $4,370.24 – $14,293.73 | 25 |
| Unlisted laps px renal CPT 50549 | $3,891.34 | $6,485.56 | $713.41 – $14,293.73 | 25 |
| Unlisted maxlfcl prosth px CPT 21089 | $1,607.44 | $2,679.06 | $226.03 – $2,009.30 | 25 |
| Unlisted misc path test CPT 89240 | $89.40 | $149.00 | $10.00 – $134.24 | 25 |
| Unlisted mr procedure CPT 76498 | $1,728.00 | $2,880.00 | $83.05 – $2,160.00 | 25 |
| Unlisted orl service/px CPT 92700 | $343.84 | $573.07 | $27.61 – $429.80 | 25 |
| Unlisted procedure colon CPT 45399 | $1,569.10 | $2,615.17 | $589.71 – $2,264.11 | 25 |
| Unlisted procedure esophagus CPT 43499 | $442.53 | $737.55 | $184.39 – $7,038.00 | 23 |
| Unlisted procedure larynx CPT 31599 | $5,107.38 | $8,512.30 | $226.03 – $4,898.42 | 25 |
| Unlisted procedure liver CPT 47399 | $3,003.11 | $5,005.19 | $563.23 – $1,742.94 | 25 |
| Unlisted procedure microbiology CPT 87999 | $1,069.61 | $1,782.68 | $10.00 – $140.20 | 19 |
| Unlisted procedure orbit CPT 67599 | $334.84 | $558.06 | $139.51 – $721.66 | 25 |
| Unlisted procedure pancreas CPT 48999 | $6,597.79 | $10,996.31 | $675.79 – $2,485.84 | 25 |
| Unlisted procedure rectum CPT 45999 | $1,603.06 | $2,671.77 | $404.60 – $2,264.11 | 25 |
| Unlisted procedure spine CPT 22899 | $8,245.45 | $13,742.41 | $235.40 – $3,483.94 | 25 |
| Unlisted px abdomen muscskel CPT 22999 | $11,582.59 | $19,304.31 | $235.40 – $842.65 | 25 |
| Unlisted px ant segment eye CPT 66999 | $2,264.15 | $3,773.58 | $458.65 – $5,772.91 | 25 |
| Unlisted px arthroscopy CPT 29999 | $13,708.47 | $22,847.45 | $235.40 – $3,982.83 | 25 |
| Unlisted px biliary tract CPT 47999 | $15,692.77 | $26,154.62 | $865.56 – $7,311.94 | 25 |
| Unlisted px casting/strpg CPT 29799 | $442.48 | $737.46 | $155.08 – $553.10 | 25 |
| Unlisted px diaphragm CPT 39599 | $6,547.57 | $10,912.61 | $2,728.15 – $9,275.72 | 17 |
| Unlisted px external ear CPT 69399 | $433.65 | $722.75 | $180.69 – $605.10 | 25 |
| Unlisted px foot/toes CPT 28899 | $7,763.00 | $12,938.34 | $235.40 – $3,471.87 | 25 |
| Unlisted px forearm/wrist CPT 25999 | $6,515.57 | $10,859.29 | $235.40 – $8,144.47 | 25 |
| Unlisted px hands/fingers CPT 26989 | $7,183.52 | $11,972.54 | $125.60 – $584.19 | 25 |
| Unlisted px inner ear CPT 69949 | $17,114.99 | $28,524.99 | $226.03 – $21,393.74 | 25 |
| Unlisted px leg/ankle CPT 27899 | $6,818.24 | $11,363.73 | $235.40 – $2,878.71 | 25 |
| Unlisted px male genital sys CPT 55899 | $6,664.68 | $11,107.80 | $238.44 – $2,437.54 | 25 |
| Unlisted px med radj physics CPT 77399 | $376.03 | $626.72 | $68.94 – $470.04 | 25 |
| Unlisted px neck/thorax CPT 21899 | $3,385.58 | $5,642.64 | $226.03 – $3,051.39 | 25 |
| Unlisted px palate uvula CPT 42299 | $243.44 | $405.74 | $101.44 – $605.10 | 25 |
| Unlisted px pelvis/hip joint CPT 27299 | $10,031.98 | $16,719.97 | $235.40 – $4,094.53 | 25 |
| Unlisted px salivry glnd/dux CPT 42699 | $2,838.66 | $4,731.10 | $110.92 – $605.10 | 25 |
| Unlisted px small intestine CPT 44799 | $3,029.95 | $5,049.91 | $59.84 – $2,245.59 | 25 |
| Unlisted px tongue flr mouth CPT 41599 | $243.44 | $405.74 | $98.77 – $605.10 | 25 |
| Unlisted special svc px/rprt CPT 99199 | $210.00 | $350.00 | $16.50 – $127.50 | 19 |
| Unlisted ultrasound procedure CPT 76999 | $2,231.09 | $3,718.48 | $83.05 – $225.11 | 25 |
| Unlstd laps px sprmatic cord CPT 55559 | $3,961.44 | $6,602.40 | $1,650.60 – $14,293.73 | 25 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,951.63 | $3,252.71 | $357.80 – $2,439.53 | 25 |
| Upgrade pm system CPT 33214 | $13,940.67 | $23,234.45 | $6,346.73 – $26,452.82 | 25 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $309.31 | $515.52 | $32.08 – $386.64 | 25 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,274.17 | $3,790.29 | $167.39 – $2,842.72 | 25 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,890.44 | $3,150.74 | $99.77 – $2,363.05 | 25 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,957.73 | $6,596.21 | $330.45 – $4,947.16 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,853.47 | $3,089.11 | $281.34 – $2,316.83 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,034.41 | $3,390.69 | $196.14 – $2,543.02 | 25 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $312.80 | $521.34 | $33.08 – $391.00 | 25 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $395.95 | $659.91 | $39.76 – $494.93 | 25 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $619.49 | $1,032.48 | $113.57 – $825.98 | 18 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $657.77 | $1,096.29 | $139.34 – $822.22 | 25 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $555.04 | $925.06 | $122.96 – $693.79 | 25 |
| Urea nitrogen CPT 84520 | $63.28 | $105.46 | $3.32 – $56.25 | 25 |
| Urea nitrogen 24 hour urine CPT 84540 | $71.51 | $119.19 | $4.67 – $89.39 | 25 |
| Urea nitrogen clearance CPT 84545 | $20.07 | $33.45 | $6.05 – $25.09 | 25 |
| Ureteral embolization/occl CPT 50705 | $3,689.40 | $6,149.00 | $676.39 – $5,226.65 | 19 |
| Ureteral reflux study CPT 78740 | $432.89 | $721.49 | $209.50 – $1,021.72 | 25 |
| Ureter endoscopy & biopsy CPT 50955 | $5,696.72 | $9,494.54 | $1,689.43 – $12,818.21 | 25 |
| Ureteroureterostomy 50760 CPT 50760 | $2,999.40 | $4,999.00 | $549.89 – $7,038.00 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $615.08 | $1,025.14 | $81.38 – $768.86 | 25 |
| Urethrocystography void s&i CPT 74455 | $702.97 | $1,171.61 | $104.25 – $878.71 | 25 |
| Uric acid blood CPT 84550 | $70.34 | $117.24 | $3.80 – $87.93 | 25 |
| Uric acid urine CPT 84560 | $69.30 | $115.50 | $4.27 – $19.39 | 25 |
| Urinalysis microscopic only CPT 81015 | $31.75 | $52.92 | $2.56 – $39.69 | 25 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.86 | $78.10 | $1.82 – $42.75 | 25 |
| Urinalysis (with microscopy) CPT 81001 | $77.87 | $129.78 | $2.66 – $97.33 | 25 |
| Urinalysis (without microscopy) CPT 81003 | $96.30 | $160.50 | $1.89 – $62.69 | 25 |
| Urinary bldr retent nuc study CPT 78730 | $309.22 | $515.37 | $56.69 – $438.06 | 19 |
| Urine Culture Test CPT 87086 | $129.30 | $215.50 | $6.78 – $161.62 | 25 |
| Urine pregnancy test CPT 81025 | $97.30 | $162.16 | $7.23 – $112.61 | 25 |
| Urography, antegrade CPT 74425 | $593.37 | $988.95 | $135.99 – $952.69 | 25 |
| Urography inf drip &/or bolus CPT 74410 | $690.85 | $1,151.41 | $142.00 – $863.56 | 25 |
| Use 1st target lesion CPT 76982 | $355.91 | $593.18 | $93.56 – $444.88 | 25 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,644.13 | $6,073.55 | $11.04 – $4,555.16 | 25 |
| Vaccine Administration (one shot) CPT 90471 | $77.72 | $129.54 | $14.25 – $174.51 | 25 |
| Vaccine dtap < 7 years im CPT 90700 | $101.02 | $168.37 | $16.54 – $127.80 | 19 |
| Vaccine dtap-ipv/hib im CPT 90698 | $280.15 | $466.92 | $51.36 – $396.88 | 19 |
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.