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 |
|---|---|---|---|---|
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $46.99 | $78.32 | $8.62 – $66.57 | 19 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $225.31 | $375.52 | $41.31 – $319.19 | 20 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $179.89 | $299.81 | $32.98 – $254.84 | 20 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $402.20 | $670.34 | $73.74 – $569.79 | 20 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $103.22 | $172.03 | $18.58 – $143.60 | 20 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $81.00 | $135.00 | $14.85 – $114.75 | 20 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $81.00 | $135.00 | $14.85 – $114.75 | 20 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $27.00 | $45.00 | $4.95 – $38.25 | 20 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $605.69 | $1,009.48 | $111.04 – $858.06 | 19 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $426.43 | $710.71 | $65.01 – $502.35 | 19 |
| Vaccine mmr live subcutaneous CPT 90707 | $254.57 | $424.28 | $45.33 – $350.29 | 19 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $729.93 | $1,216.55 | $133.82 – $1,034.07 | 20 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,134.58 | $1,890.96 | $208.01 – $1,607.32 | 19 |
| Vaccine rabies im CPT 90675 | $1,174.89 | $1,958.15 | $188.28 – $1,283.76 | 25 |
| Vaccine tdap >=7 years im CPT 90715 | $167.69 | $279.48 | $30.45 – $235.32 | 20 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $131.77 | $219.61 | $24.16 – $186.66 | 20 |
| Vaccine varicella live subcutaneous CPT 90716 | $495.68 | $826.13 | $90.87 – $702.21 | 19 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $1,617.00 | $2,695.00 | $7.46 – $57.68 | 19 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,541.00 | $4,235.00 | $268.01 – $1,949.20 | 18 |
| Vad cable power module dc input HCPCS Q0478 | $2,808.00 | $4,680.00 | $120.61 – $877.14 | 18 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $15,793.12 | $26,321.86 | $466.40 – $22,373.58 | 19 |
| Vaginal bx CPT 58999 | $3,859.51 | $6,432.52 | $192.94 – $1,585.67 | 25 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,170.07 | $6,950.12 | $764.51 – $7,744.80 | 25 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $24.12 | $40.20 | $0.04 – $34.17 | 20 |
| Valproic acid total therapeutic drug level CPT 80164 | $173.37 | $288.95 | $10.00 – $57.88 | 25 |
| Valvuloplasty aortic CPT 92986 | $16,030.65 | $26,717.75 | $2,938.95 – $20,038.31 | 24 |
| Valvuloplasty mitral CPT 92987 | $17,175.83 | $28,626.39 | $3,148.90 – $27,252.71 | 24 |
| Valvuloplasty pulmonary CPT 92990 | $12,700.66 | $21,167.77 | $2,328.45 – $27,252.71 | 24 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $15,523.12 | $25,871.87 | $2,546.00 – $21,991.09 | 17 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $246.70 | $411.17 | $0.03 – $19.55 | 20 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $89.83 | $149.72 | $0.11 – $86.05 | 20 |
| Vancomycin hcl injection HCPCS J3370 | $589.52 | $982.54 | $5.94 – $45.87 | 19 |
| Vancomycin peak therapeutic drug level CPT 80202 | $182.61 | $304.35 | $10.00 – $228.26 | 25 |
| Vanomycin dna amp probe CPT 87500 | $174.24 | $290.40 | $10.00 – $217.80 | 25 |
| Varicella zoster antibody igg CPT 86787 | $108.99 | $181.65 | $10.00 – $30.91 | 25 |
| Varus/valgus strap padded/li HCPCS L2270 | $136.41 | $227.35 | $25.01 – $181.88 | 18 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $16,060.54 | $26,767.56 | $2,944.43 – $43,439.01 | 23 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,458.00 | $2,430.00 | $0.46 – $309.82 | 20 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $15,599.84 | $25,999.74 | $19.93 – $19,499.81 | 25 |
| Veeg cont 2-12 hrs CPT 95713 | $1,868.14 | $3,113.57 | $342.49 – $2,335.18 | 25 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,212.17 | $7,020.29 | $772.23 – $5,265.22 | 25 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $2,338.10 | $3,896.83 | $356.12 – $2,922.62 | 25 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,826.33 | $4,710.55 | $356.12 – $3,532.91 | 25 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,889.94 | $3,149.90 | $206.06 – $2,362.43 | 25 |
| Vein x-ray adrenal gland CPT 75840 | $2,833.34 | $4,722.24 | $128.64 – $7,896.23 | 25 |
| Vein x-ray adrenal glands CPT 75842 | $3,353.84 | $5,589.74 | $614.87 – $13,613.39 | 20 |
| Vein x-ray eye socket CPT 75880 | $1,128.41 | $1,880.69 | $107.93 – $1,556.23 | 25 |
| Vein x-ray kidney CPT 75831 | $2,571.95 | $4,286.58 | $119.63 – $7,896.23 | 25 |
| Vein x-ray liver CPT 75891 | $2,563.49 | $4,272.48 | $124.30 – $7,896.23 | 25 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,376.74 | $3,961.24 | $136.66 – $7,896.23 | 25 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,368.95 | $5,614.92 | $123.63 – $7,896.23 | 25 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,869.20 | $3,115.34 | $137.66 – $7,896.23 | 25 |
| Vein x-ray skull CPT 75870 | $2,122.85 | $3,538.08 | $155.70 – $7,896.23 | 25 |
| Vein x-ray skull epidural CPT 75872 | $1,006.40 | $1,677.34 | $128.64 – $1,556.23 | 25 |
| Vein x-ray spleen/liver CPT 75810 | $2,320.33 | $3,867.22 | $612.59 – $7,896.23 | 25 |
| Vemp test i&r cervical CPT 92517 | $167.46 | $279.10 | $30.70 – $386.96 | 25 |
| Vemp test i&r ocular CPT 92518 | $167.46 | $279.10 | $30.70 – $386.96 | 25 |
| Vemp tst i&r cervical&ocular CPT 92519 | $317.34 | $528.90 | $58.18 – $777.56 | 25 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,385.30 | $2,308.84 | $253.97 – $1,962.51 | 19 |
| Venipuncture <3 yrs other vein CPT 36406 | $1,634.26 | $2,723.76 | $299.61 – $2,315.20 | 19 |
| Venogram ext bil s&i CPT 75822 | $1,438.01 | $2,396.69 | $133.65 – $3,967.42 | 25 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,200.91 | $2,001.51 | $107.93 – $3,967.42 | 25 |
| Venous mech thrombectomy CPT 37187 | $7,107.92 | $11,846.54 | $4,383.22 – $27,252.71 | 25 |
| Venous m-thrombectomy add-on CPT 37188 | $4,671.21 | $7,785.35 | $1,544.74 – $7,896.23 | 25 |
| Venous sampling s&i CPT 75893 | $4,762.80 | $7,938.00 | $105.25 – $13,613.39 | 25 |
| Ven thrombosis images bilat CPT 78458 | $609.73 | $1,016.22 | $190.79 – $1,021.72 | 25 |
| Ventilator each subsequent day CPT 94003 | $1,572.08 | $2,620.14 | $288.22 – $1,965.11 | 25 |
| Ventilator Management (first day) CPT 94002 | $2,002.58 | $3,337.64 | $367.14 – $2,503.23 | 25 |
| Version cephalic external CPT 59412 | $3,131.78 | $5,219.63 | $574.16 – $7,744.80 | 25 |
| Verteporfin injection HCPCS J3396 | $3,077.48 | $5,129.13 | $10.53 – $3,846.85 | 25 |
| Very long chain fatty acids CPT 82726 | $295.97 | $493.29 | $10.00 – $369.97 | 25 |
| Vest large holster HCPCS Q0498 | $1,154.90 | $1,924.84 | $117.10 – $851.62 | 18 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $505.08 | $841.80 | $124.96 – $631.35 | 25 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $175.15 | $291.92 | $5.67 – $248.13 | 20 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $93.90 | $156.50 | $8.92 – $121.04 | 20 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $259.50 | $432.50 | $5.47 – $195.50 | 20 |
| Viper venom prothrombin time CPT 85612 | $115.21 | $192.02 | $10.00 – $144.01 | 25 |
| Virus isolation addl studies ea CPT 87253 | $235.31 | $392.18 | $10.00 – $294.13 | 25 |
| Visc & infraren abd 1 prosth CPT 34845 | $11,190.99 | $18,651.65 | $2,051.68 – $15,853.90 | 18 |
| Visc & infraren abd 2 prosth CPT 34846 | $14,123.24 | $23,538.74 | $1,826.96 – $20,007.93 | 18 |
| Visc & infraren abd 3 prosth CPT 34847 | $16,560.51 | $27,600.85 | $1,826.96 – $23,460.72 | 18 |
| Visc & infraren abd 4+ prost CPT 34848 | $19,584.23 | $32,640.38 | $1,826.96 – $27,744.32 | 18 |
| Visit esketamine, > 56m HCPCS G2083 | $1,109.94 | $1,849.90 | $203.49 – $4,811.30 | 22 |
| Visit esketamine 56m or less HCPCS G2082 | $780.60 | $1,301.00 | $143.11 – $2,991.30 | 22 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $195.00 | $325.00 | $20.66 – $287.54 | 24 |
| Vital capacity test CPT 94150 | $200.99 | $334.99 | $36.85 – $386.96 | 25 |
| Vitamin b-12 CPT 82607 | $144.45 | $240.75 | $10.00 – $36.19 | 25 |
| Vitamin D Test CPT 82306 | $236.58 | $394.30 | $10.00 – $71.04 | 25 |
| Vkorc1 gene CPT 81355 | $262.50 | $437.50 | $10.00 – $211.68 | 25 |
| Vol reduction of blood/prod CPT 86960 | $130.01 | $216.69 | $10.00 – $423.12 | 25 |
| Volume deplete of harvest CPT 38214 | $1,443.33 | $2,405.55 | $35.00 – $1,804.16 | 25 |
| Volume measurement urine timed CPT 81050 | $23.33 | $38.88 | $3.06 – $29.16 | 25 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $165.81 | $276.35 | $0.72 – $234.90 | 20 |
| Vsrctv std tcd icr art compl CPT 93896 | $566.88 | $944.80 | $103.93 – $803.08 | 19 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $116.03 | $193.39 | $21.27 – $164.38 | 20 |
| Warde 1003990 aldosterone CPT 82088 | $219.25 | $365.41 | $10.00 – $97.80 | 25 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $173.48 | $289.13 | $10.00 – $66.72 | 25 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $614.25 | $1,023.75 | $10.00 – $30.96 | 25 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $160.79 | $267.98 | $10.00 – $60.60 | 25 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $110.50 | $184.17 | $10.00 – $37.20 | 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.