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 |
|---|---|---|---|---|
| Chloroprocaine hcl injection HCPCS J2401 | $80.57 | $134.28 | $0.04 – $108.73 | 20 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $810.99 | $1,351.65 | $51.61 – $1,148.90 | 20 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $119.17 | $198.61 | $19.07 – $147.33 | 20 |
| Cholangiogram percutaneous compl CPT 47532 | $4,072.78 | $6,787.97 | $746.68 – $8,570.48 | 25 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $666.01 | $1,110.02 | $37.48 – $943.52 | 19 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,562.92 | $5,938.20 | $653.20 – $8,570.48 | 25 |
| Cholesterol CPT 82465 | $58.93 | $98.22 | $3.65 – $13.35 | 25 |
| Cholesterol body fluid CPT 84999 | $3,015.00 | $5,025.00 | $2.05 – $15.88 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $196.84 | $328.07 | $10.00 – $32.14 | 25 |
| Cholinesterase CPT 82480 | $66.15 | $110.25 | $6.61 – $28.23 | 25 |
| Chrom analysis CPT 88273 | $243.71 | $406.18 | $27.67 – $83.54 | 25 |
| Chromatography CPT 83021 | $197.07 | $328.45 | $10.00 – $43.34 | 25 |
| Chromogenic substrate assay CPT 85130 | $714.03 | $1,190.05 | $9.99 – $174.38 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $572.26 | $953.76 | $10.00 – $715.32 | 25 |
| Chromosome analys amniotic CPT 88269 | $812.28 | $1,353.80 | $35.00 – $416.78 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $765.37 | $1,275.61 | $10.00 – $301.18 | 25 |
| Chromosome analysis 20-25 CPT 88245 | $617.31 | $1,028.85 | $35.00 – $771.64 | 25 |
| Chromosome analysis 45 CPT 88263 | $735.51 | $1,225.85 | $35.00 – $438.29 | 25 |
| Chromosome analysis 5 CPT 88261 | $847.58 | $1,412.64 | $35.00 – $1,059.48 | 25 |
| Chromosome analys placenta CPT 88267 | $878.54 | $1,464.24 | $35.00 – $1,098.18 | 25 |
| Chromosome banding study CPT 88283 | $272.21 | $453.68 | $35.00 – $340.26 | 25 |
| Chromosome count additional CPT 88285 | $146.36 | $243.94 | $22.60 – $182.96 | 25 |
| Chromosome karyotype study CPT 88280 | $395.05 | $658.41 | $28.11 – $493.81 | 25 |
| Chromosome study additional CPT 88289 | $297.75 | $496.25 | $28.92 – $246.44 | 25 |
| Chronic urticaria - sendout CPT 86343 | $202.85 | $338.08 | $10.00 – $253.56 | 25 |
| Chylomicron screen, bf - sendout CPT 82664 | $136.09 | $226.82 | $10.00 – $170.12 | 25 |
| Cidofovir injection HCPCS J0740 | $1,782.70 | $2,971.16 | $244.75 – $1,668.75 | 25 |
| Cilastatin sodium injection HCPCS J0743 | $120.55 | $200.91 | $6.96 – $157.15 | 20 |
| Ciltacabtagene car-pos t HCPCS Q2056 | $1,573,072.37 | $2,621,787.28 | $288,396.60 – $1,966,340.46 | 25 |
| Cine/video x-rays CPT 76120 | $424.92 | $708.20 | $99.77 – $531.15 | 25 |
| Cine/video x-rays add-on CPT 76125 | $347.56 | $579.27 | $28.84 – $492.38 | 19 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $15.24 | $25.40 | $0.83 – $18.53 | 20 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $2,265.58 | $3,775.96 | $238.15 – $2,831.97 | 25 |
| Circumcision (newborn) CPT 54150 | $1,422.04 | $2,370.06 | $652.80 – $5,045.72 | 25 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $175.08 | $291.80 | $2.38 – $248.03 | 20 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,367.97 | $2,279.95 | $35.00 – $790.82 | 25 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,204.50 | $2,007.50 | $8.29 – $1,505.62 | 25 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $22,433.40 | $37,389.00 | $23.22 – $179.41 | 19 |
| Clearance of airways CPT 31720 | $278.30 | $463.83 | $51.02 – $528.37 | 25 |
| Clearance of airways CPT 31725 | $944.31 | $1,573.85 | $139.48 – $7,038.00 | 17 |
| C-lens fitg corneosclrl lens CPT 92313 | $147.78 | $246.30 | $27.09 – $316.45 | 25 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $55.20 | $92.00 | $0.75 – $19.26 | 20 |
| Clip ligating vesolock lg HCPCS C1760 | $5,000.40 | $8,334.00 | $0.00 – $0.01 | 19 |
| Cllr miami j sm HCPCS L0174 | $648.79 | $1,081.32 | $9.48 – $919.12 | 19 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $438.75 | $731.25 | $19.71 – $159.83 | 20 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $718.72 | $1,197.86 | $85.32 – $898.39 | 25 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,806.01 | $3,010.01 | $593.04 – $3,981.46 | 25 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,966.30 | $3,277.16 | $360.49 – $3,472.94 | 24 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,855.92 | $4,759.86 | $593.04 – $3,981.46 | 25 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $487.48 | $812.46 | $85.32 – $609.35 | 25 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,549.52 | $2,582.54 | $593.04 – $3,981.46 | 25 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $536.15 | $893.58 | $70.60 – $670.18 | 25 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,283.70 | $5,472.83 | $593.04 – $4,104.62 | 25 |
| Closed tx septal&nose fx CPT 21337 | $3,540.97 | $5,901.62 | $886.62 – $7,975.81 | 25 |
| Closed tx sesamoid fx 28530 CPT 28530 | $245.81 | $409.68 | $45.06 – $584.19 | 25 |
| Closed tx vert fx w/manj CPT 22315 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 25 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $523.20 | $872.00 | $87.58 – $654.00 | 25 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,833.15 | $4,721.91 | $420.64 – $3,777.93 | 25 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,503.55 | $2,505.92 | $187.22 – $1,879.44 | 25 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,200.72 | $5,334.54 | $886.62 – $7,975.81 | 25 |
| Closure paravalvlr leak pq CPT 33999 | $54,125.45 | $90,209.08 | $320.18 – $1,556.23 | 25 |
| Clot factor fletcher fact CPT 85292 | $224.97 | $374.95 | $10.00 – $215.87 | 25 |
| Clot factor wght kininogen CPT 85293 | $188.63 | $314.38 | $10.00 – $235.78 | 25 |
| Clot factor xii hageman CPT 85280 | $225.00 | $375.00 | $10.00 – $281.25 | 25 |
| Clot factor xiii fibrin scrn CPT 85291 | $114.06 | $190.10 | $7.65 – $142.57 | 25 |
| Clot factor xiii fibrin stab CPT 85290 | $146.47 | $244.12 | $10.00 – $183.09 | 25 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $909.08 | $1,515.14 | $85.32 – $1,136.36 | 25 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $719.35 | $1,198.92 | $85.32 – $899.19 | 25 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $610.55 | $1,017.59 | $85.32 – $763.19 | 25 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,725.70 | $2,876.17 | $593.04 – $3,981.46 | 25 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $417.82 | $696.36 | $85.32 – $584.19 | 25 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,642.32 | $4,403.86 | $593.04 – $3,981.46 | 25 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $426.82 | $711.36 | $85.32 – $584.19 | 25 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $971.32 | $1,618.87 | $85.32 – $1,214.15 | 25 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $627.36 | $1,045.60 | $49.00 – $784.20 | 25 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,136.82 | $5,228.04 | $593.04 – $3,981.46 | 25 |
| Clsd tx fracture of radius 25500 CPT 25500 | $537.73 | $896.21 | $85.32 – $672.16 | 25 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $439.01 | $731.69 | $79.18 – $584.19 | 25 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $798.36 | $1,330.60 | $85.32 – $997.95 | 25 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $674.18 | $1,123.63 | $85.32 – $842.72 | 25 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,053.56 | $3,422.60 | $593.04 – $3,981.46 | 25 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $715.30 | $1,192.17 | $85.32 – $894.13 | 25 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,827.71 | $3,046.19 | $593.04 – $3,981.46 | 25 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $889.94 | $1,483.23 | $85.32 – $1,112.42 | 25 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $623.93 | $1,039.88 | $85.32 – $779.91 | 25 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $466.10 | $776.83 | $85.32 – $584.19 | 25 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,226.22 | $3,710.36 | $99.86 – $2,782.77 | 25 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $519.12 | $865.20 | $85.32 – $648.90 | 25 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $908.24 | $1,513.74 | $85.32 – $1,135.31 | 25 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $580.30 | $967.16 | $85.32 – $725.37 | 25 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,678.17 | $6,130.29 | $886.62 – $7,975.81 | 25 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,843.91 | $3,073.18 | $593.04 – $3,981.46 | 25 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $814.21 | $1,357.02 | $85.32 – $1,017.76 | 25 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $600.60 | $1,001.00 | $85.32 – $750.75 | 25 |
| Clsd tx pelvic ring fx CPT 27197 | $241.88 | $403.14 | $85.32 – $584.19 | 25 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,028.68 | $5,047.80 | $593.04 – $3,981.46 | 25 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $491.88 | $819.80 | $85.32 – $614.85 | 25 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,782.86 | $2,971.43 | $593.04 – $3,981.46 | 25 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $658.00 | $1,096.66 | $85.32 – $822.50 | 25 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,066.17 | $3,443.62 | $593.04 – $3,981.46 | 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.