BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO
4700 Alliance Blvd., Plano, TX · Baylor Scott & White Health · · NPI 1649273434
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 |
|---|---|---|---|---|
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $709.01 – $4,517.58 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $88.15 | $146.91 | $6.79 – $90.53 | 26 |
| Culture afb any source CPT 87116 | $155.04 | $258.40 | $9.07 – $193.80 | 26 |
| Culture anaerobic additional method definitive id each CPT 87076 | $136.81 | $228.01 | $6.79 – $130.61 | 26 |
| Culture anaerobic except blood CPT 87075 | $208.06 | $346.77 | $7.95 – $56.66 | 26 |
| Culture bact stool aero addl path ea CPT 87046 | $70.01 | $116.69 | $7.93 – $87.52 | 26 |
| Culture body fluid CPT 87070 | $171.29 | $285.48 | $7.24 – $43.83 | 26 |
| Culture fungi definitive id mold CPT 87107 | $100.46 | $167.43 | $8.67 – $86.14 | 26 |
| Culture fungi definitive id yeast CPT 87106 | $103.40 | $172.34 | $8.67 – $95.86 | 26 |
| Culture fungi other (except blood) CPT 87102 | $163.16 | $271.93 | $7.06 – $203.95 | 26 |
| Culture fungi skin/hair/nail CPT 87101 | $100.96 | $168.27 | $6.48 – $126.20 | 26 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $103.70 | $172.83 | $10.00 – $129.62 | 26 |
| Culture mycoplasma any source CPT 87109 | $121.34 | $202.24 | $10.00 – $151.68 | 26 |
| Culture quantitative aerobic other source CPT 87071 | $134.31 | $223.85 | $8.31 – $167.89 | 26 |
| Culture screening strep group a CPT 87081 | $107.77 | $179.61 | $5.57 – $87.66 | 26 |
| Culture typing glc/hplc CPT 87143 | $82.73 | $137.88 | $10.00 – $103.41 | 26 |
| Culture typing immunologic CPT 87147 | $86.63 | $144.38 | $4.35 – $65.23 | 26 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $146.48 | $244.13 | $10.00 – $523.34 | 26 |
| Culture urine each isolate CPT 87088 | $85.65 | $142.75 | $6.80 – $107.06 | 26 |
| Culture virus isolation CPT 87250 | $205.97 | $343.29 | $10.00 – $257.47 | 26 |
| Cutter lead HCPCS C1773 | $3,568.95 | $5,948.25 | $193.56 – $1,371.02 | 20 |
| Cv line/pic reposition CPT 36597 | $1,521.69 | $2,536.15 | $446.27 – $3,967.42 | 26 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.16 | $41.94 | $0.73 – $35.24 | 21 |
| Cyclic citrullinated peptide antibody CPT 86200 | $104.07 | $173.45 | $10.00 – $31.08 | 26 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,348.50 | $2,247.50 | $0.73 – $983.14 | 26 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.49 | $32.49 | $1.30 – $9.23 | 21 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $140.78 | $234.63 | $28.16 – $199.44 | 21 |
| Cyclosporine 2 hour CPT 80158 | $195.70 | $326.16 | $10.00 – $244.62 | 26 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.34 | $8.90 | $0.18 – $1.31 | 21 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,002.60 | $1,671.00 | $1.05 – $7.47 | 21 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $376.44 | $627.40 | $15.96 – $302.80 | 25 |
| Cygnus, per sq cm HCPCS Q4170 | $356.54 | $594.24 | $35.56 – $268.77 | 25 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $36,554.21 | $60,923.68 | $0.00 – $0.01 | 19 |
| Cyp2c19 gene com variants CPT 81225 | $1,052.85 | $1,754.75 | $31.98 – $699.26 | 26 |
| Cyp2c9 gene com variants CPT 81227 | $134.22 | $223.70 | $28.93 – $419.54 | 26 |
| Cyp2d6 gene com variants CPT 81226 | $683.87 | $1,139.79 | $35.00 – $1,082.18 | 26 |
| Cyp3a4 gene common variants CPT 81230 | $134.22 | $223.70 | $7.56 – $419.54 | 26 |
| Cyp3a5 gene common variants CPT 81231 | $134.22 | $223.70 | $7.56 – $419.54 | 26 |
| Cystatin c CPT 82610 | $93.16 | $155.26 | $10.00 – $44.45 | 26 |
| Cystic fibrosis cftr CPT 81223 | $2,245.28 | $3,742.14 | $35.00 – $1,197.60 | 26 |
| Cystine urine quantitative CPT 82131 | $385.97 | $643.29 | $10.00 – $224.73 | 26 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $326.08 | $543.46 | $41.44 – $952.69 | 26 |
| Cysto impl 4 or more HCPCS C9740 | $6,571.50 | $10,952.50 | $4,052.43 – $22,821.27 | 26 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,302.00 – $22,821.27 | 16 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,302.00 – $12,818.21 | 15 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $652.80 – $6,093.00 | 17 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $652.80 – $5,045.72 | 17 |
| Cystoscopy and treatment CPT 52310 | $2,659.14 | $4,431.90 | $652.80 – $5,045.72 | 26 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,671.23 | $2,785.38 | $238.15 – $2,089.03 | 26 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $652.80 – $7,373.00 | 16 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $5,741.40 | $9,569.00 | $2,780.78 – $12,818.21 | 26 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,142.90 – $8,636.11 | 16 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $652.80 – $5,045.72 | 17 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $652.80 – $5,045.72 | 17 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,747.01 | $7,911.69 | $652.80 – $5,933.77 | 26 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Cysto/uretero w/lithotripsy CPT 52356 | $4,748.22 | $7,913.70 | $1,689.43 – $12,818.21 | 26 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,763.00 – $8,636.11 | 17 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,398.11 | $5,663.52 | $652.80 – $5,045.72 | 26 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $652.80 – $5,045.72 | 17 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $132.06 | $220.10 | $0.88 – $74.86 | 21 |
| Cytogenetics 25-99 CPT 88274 | $246.56 | $410.94 | $35.00 – $308.20 | 26 |
| Cytogenetics 3-5 CPT 88272 | $170.27 | $283.78 | $34.19 – $212.84 | 26 |
| Cytogenomic neo microra alys CPT 81277 | $3,975.00 | $6,625.00 | $35.00 – $2,878.12 | 26 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $142.50 | $237.50 | $2.94 – $34.54 | 26 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $132.75 | $221.25 | $10.00 – $40.44 | 26 |
| Cytomegalovirus dfa CPT 87271 | $165.40 | $275.67 | $10.00 – $206.75 | 26 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,670.12 | $4,450.20 | $534.02 – $3,888.51 | 26 |
| Cytomeg dna dir probe CPT 87495 | $256.92 | $428.20 | $10.00 – $321.15 | 26 |
| Cyto/molecular report CPT 88291 | $1,178.85 | $1,964.75 | $12.46 – $88.26 | 20 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $640.93 | $1,068.22 | $35.00 – $248.85 | 26 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $101.64 | $169.40 | $22.35 – $127.05 | 26 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $102.95 | $171.58 | $17.02 – $128.69 | 26 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $142.94 | $238.24 | $28.59 – $178.68 | 26 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $179.62 | $299.37 | $10.00 – $224.53 | 26 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $109.27 | $182.12 | $17.59 – $154.80 | 20 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $191.66 | $319.43 | $35.00 – $423.12 | 26 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $262.49 | $437.49 | $35.00 – $328.12 | 26 |
| Cytopath smear other source CPT 88160 | $85.80 | $143.00 | $17.16 – $107.25 | 26 |
| Cytopath smear other source CPT 88162 | $145.31 | $242.18 | $29.06 – $181.63 | 26 |
| Cytopath smear oth prep screen & interp CPT 88161 | $100.34 | $167.23 | $20.07 – $125.42 | 26 |
| Cytopath tbs c/v manual CPT 88164 | $57.94 | $96.57 | $15.28 – $72.43 | 26 |
| Cytotoxic antibody screening CPT 86807 | $363.33 | $605.55 | $10.00 – $454.16 | 26 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $73.20 | $122.00 | $4.24 – $103.70 | 21 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $4,905.37 | $8,175.62 | $320.79 – $6,131.72 | 26 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,205.80 | $2,009.66 | $0.04 – $131.75 | 21 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,070.73 | $30,117.88 | $52.28 – $22,588.41 | 26 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,410.00 | $2,350.00 | $2.92 – $674.06 | 26 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $18,849.00 | $31,415.00 | $240.67 – $20,343.75 | 26 |
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.