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 |
|---|---|---|---|---|
| Xray endovasc thor ao repr CPT 75956 | $1,357.65 | $2,262.75 | $248.90 – $1,923.34 | 19 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $539.81 | $899.68 | $79.53 – $674.76 | 25 |
| X-ray exam entire spi 6/> vw CPT 72084 | $575.76 | $959.60 | $98.90 – $719.70 | 25 |
| X-ray exam of arm infant CPT 73092 | $113.43 | $189.05 | $88.85 – $272.35 | 25 |
| X-ray exam of femur 1 CPT 73551 | $158.96 | $264.93 | $29.40 – $225.11 | 25 |
| X-ray exam of jaw joint CPT 70328 | $115.69 | $192.82 | $34.75 – $225.11 | 25 |
| X-ray exam of jaw joint CPT 70332 | $255.35 | $425.58 | $82.86 – $607.02 | 20 |
| X-ray exam of mastoids CPT 70120 | $193.41 | $322.35 | $38.43 – $272.35 | 25 |
| X-ray exam of penis CPT 74445 | $565.20 | $942.00 | $99.77 – $706.50 | 25 |
| X-ray exam of salivary gland CPT 70380 | $124.24 | $207.07 | $37.76 – $225.11 | 25 |
| X-ray exam of teeth CPT 70300 | $69.80 | $116.34 | $13.03 – $225.11 | 25 |
| X-ray exam of teeth CPT 70310 | $152.17 | $253.62 | $40.76 – $607.02 | 25 |
| X-ray exam si joints CPT 72200 | $162.73 | $271.22 | $33.41 – $272.35 | 25 |
| X-ray exam thorac spine4/>vw CPT 72074 | $432.22 | $720.37 | $44.78 – $540.28 | 25 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $276.00 | $460.00 | $32.75 – $345.00 | 25 |
| X-ray fallopian tube CPT 74742 | $458.68 | $764.47 | $63.42 – $649.80 | 19 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $300.00 | $500.00 | $60.14 – $425.00 | 20 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $545.64 | $909.40 | $62.15 – $682.05 | 25 |
| X-ray joint survey 1 view CPT 77077 | $124.24 | $207.07 | $47.11 – $272.35 | 25 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $113.43 | $189.05 | $83.05 – $225.11 | 25 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $341.30 | $568.84 | $40.76 – $426.63 | 25 |
| X-ray mandible ltd <4 views CPT 70100 | $121.12 | $201.87 | $39.09 – $225.11 | 25 |
| X-ray measurement of pelvis CPT 74710 | $157.39 | $262.31 | $28.85 – $222.96 | 19 |
| X-ray nose to rectum for foreign body child CPT 76010 | $113.43 | $189.05 | $83.05 – $225.11 | 25 |
| X-ray optic foramina CPT 70190 | $138.73 | $231.21 | $37.76 – $225.11 | 20 |
| Xray place prox ext thor ao CPT 75958 | $1,005.84 | $1,676.40 | $184.40 – $1,424.94 | 19 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $719.37 | $1,198.95 | $78.19 – $952.69 | 25 |
| X-ray ribs 2 views left CPT 71100 | $296.32 | $493.87 | $36.75 – $370.40 | 25 |
| X-ray sella turcica CPT 70240 | $92.48 | $154.13 | $33.08 – $225.11 | 25 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $492.03 | $820.05 | $59.81 – $1,366.64 | 25 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $300.00 | $500.00 | $89.55 – $375.00 | 25 |
| X-ray small intestine follow-through study CPT 74248 | $1,234.59 | $2,057.65 | $82.53 – $1,749.00 | 19 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $218.48 | $364.13 | $41.44 – $273.10 | 25 |
| X-ray surgical specimen CPT 76098 | $458.88 | $764.80 | $42.78 – $1,366.64 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $187.70 | $312.83 | $42.78 – $234.62 | 25 |
| X-ray upper gi delay w/kub CPT 74241 | $231.32 | $385.54 | $42.41 – $327.71 | 19 |
| X-ray upper gi&small intest CPT 74245 | $721.42 | $1,202.37 | $132.26 – $1,022.01 | 19 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $200.39 | $333.99 | $94.89 – $455.16 | 25 |
| Xylose absorption test blood &/or urine CPT 84620 | $99.89 | $166.48 | $10.00 – $124.86 | 25 |
| Xyntha inj HCPCS J7185 | $23.35 | $38.92 | $1.42 – $29.19 | 25 |
| Yersinia antibody CPT 86793 | $124.80 | $208.00 | $10.00 – $77.19 | 25 |
| Ziconotide injection HCPCS J2278 | $7,216.02 | $12,026.70 | $9.94 – $9,020.02 | 25 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $108.12 | $180.20 | $1.43 – $135.15 | 25 |
| Zika virus dna/rna amp probe CPT 87662 | $387.70 | $646.17 | $10.00 – $145.43 | 25 |
| Zika virus igm antibody CPT 86794 | $146.60 | $244.33 | $10.00 – $183.25 | 25 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $173.96 | $289.93 | $6.46 – $246.44 | 20 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $5,790.00 | $9,650.00 | $8.18 – $3,637.50 | 25 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,356.38 | $3,927.30 | $8.49 – $242.25 | 20 |
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.