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 |
|---|---|---|---|---|
| Egd guide wire insertion CPT 43248 | not published | not published | $334.95 – $4,063.00 | 17 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd lesion ablation CPT 43270 | not published | not published | $564.97 – $7,373.00 | 16 |
| Egd remove foreign body CPT 43247 | not published | not published | $334.95 – $4,063.00 | 17 |
| Egd remove lesion snare CPT 43251 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $564.97 – $6,093.00 | 17 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $564.97 – $7,373.00 | 16 |
| Egd varices ligation CPT 43244 | not published | not published | $564.97 – $4,713.77 | 17 |
| Egd w/transmural drain cyst CPT 43240 | $700.80 | $1,168.00 | $548.96 – $14,118.49 | 24 |
| Egfr gene com variants CPT 81235 | $3,043.53 | $5,072.55 | $10.00 – $778.99 | 26 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $240.00 | $400.00 | $10.00 – $95.31 | 26 |
| EKG tracing for initial prev HCPCS G0404 | $82.25 | $137.08 | $16.45 – $102.81 | 26 |
| EKG (Tracing Only) CPT 93005 | $271.92 | $453.20 | $54.38 – $339.90 | 26 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $291.94 | $486.57 | $29.40 – $364.93 | 26 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $325.88 | $543.14 | $33.08 – $407.36 | 26 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $606.10 | $1,010.17 | $121.22 – $757.63 | 26 |
| Elec stim unattend for press HCPCS G0281 | $165.31 | $275.52 | $33.06 – $234.19 | 21 |
| Elect analysis of infusion pump 62367 CPT 62367 | $509.91 | $849.85 | $101.98 – $739.93 | 26 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $430.56 | $717.60 | $86.11 – $739.93 | 26 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,992.37 | $18,320.61 | $233.90 – $1,559.36 | 19 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $95.25 | $158.75 | $19.05 – $134.94 | 21 |
| Electrical stimulation/unattended 97014 CPT 97014 | $90.60 | $151.00 | $18.12 – $134.00 | 21 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,052.70 | $1,754.50 | $210.54 – $1,854.70 | 26 |
| Electrocorticography durng sx CPT 95829 | $1,660.52 | $2,767.54 | $235.14 – $4,864.84 | 20 |
| Electrode stimulation brain CPT 95961 | $1,031.09 | $1,718.48 | $206.22 – $2,590.07 | 26 |
| Electrolyte panel CPT 80051 | $131.96 | $219.93 | $5.89 – $164.95 | 26 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $121.23 | $202.05 | $24.25 – $171.74 | 20 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $121.23 | $202.05 | $24.25 – $239.80 | 26 |
| Electron microscopy diagnostic CPT 88348 | $1,817.00 | $3,028.33 | $35.00 – $2,130.15 | 26 |
| Electro-oculography w/i&r CPT 92270 | $369.67 | $616.12 | $73.93 – $462.09 | 26 |
| Electrophysiologic study CPT 93624 | $8,760.47 | $14,600.78 | $1,752.09 – $18,500.61 | 26 |
| Electrophysiology evaluation CPT 93619 | $10,778.39 | $17,963.98 | $2,155.68 – $18,500.61 | 26 |
| Electrophysiology evaluation CPT 93620 | $13,879.96 | $23,133.26 | $2,775.99 – $18,500.61 | 26 |
| Electrophysiology evaluation CPT 93621 | $8,605.71 | $14,342.85 | $375.06 – $12,191.42 | 20 |
| Electrophysiology evaluation CPT 93622 | $9,934.07 | $16,556.79 | $555.42 – $14,073.27 | 20 |
| Electrophysiology evaluation CPT 93641 | $3,726.39 | $6,210.65 | $745.28 – $5,279.05 | 20 |
| Electrophysiology evaluation CPT 93642 | $3,843.87 | $6,406.45 | $768.77 – $4,804.84 | 26 |
| Electrophysiology evaluation CPT 93644 | $1,869.13 | $3,115.22 | $162.65 – $2,647.94 | 20 |
| Electrophys map 3d add-on CPT 93613 | $8,280.85 | $13,801.41 | $954.83 – $11,731.20 | 20 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,384.44 | $8,974.07 | $7.29 – $5,057.34 | 26 |
| Embolization s&i CPT 75894 | $3,060.05 | $5,100.08 | $148.48 – $4,335.07 | 20 |
| Embo or occlude vascular arterial s&i CPT 37242 | $16,060.54 | $26,767.56 | $5,195.63 – $43,439.01 | 26 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,027.40 | $25,045.66 | $3,005.48 – $27,252.71 | 26 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $16,060.54 | $26,767.56 | $3,491.58 – $27,252.71 | 26 |
| Embo or occlude vascular venous s&i CPT 37241 | $16,905.91 | $28,176.51 | $4,545.56 – $27,252.71 | 26 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $8,189.20 | $13,648.66 | $1,637.84 – $13,613.39 | 26 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $6,719.96 | $11,199.93 | $1,343.99 – $13,613.39 | 26 |
| Emb without cervical dilation 58100 CPT 58100 | $397.66 | $662.77 | $45.96 – $493.64 | 26 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $651.34 | $1,085.56 | $126.97 – $814.17 | 26 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $545.38 | $908.96 | $109.08 – $681.72 | 26 |
| Emg cranial nerve bilateral CPT 95868 | $494.13 | $823.55 | $98.83 – $777.56 | 26 |
| Emg needle test 1-extremity CPT 95860 | $407.09 | $678.49 | $81.42 – $508.87 | 26 |
| Emg needle test 4-extremities CPT 95864 | $685.70 | $1,142.84 | $122.80 – $857.13 | 26 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $314.96 | $524.93 | $62.99 – $777.56 | 26 |
| Encephalitis, california igg/igm CPT 86651 | $91.46 | $152.44 | $10.00 – $35.22 | 26 |
| Encephalitis, st louis igg/igm CPT 86653 | $94.73 | $157.89 | $10.00 – $35.22 | 26 |
| Encephalitis, western equine igg/igm CPT 86654 | $94.46 | $157.44 | $10.00 – $35.22 | 26 |
| Endo cath bile duct s&i CPT 74328 | $663.62 | $1,106.03 | $72.80 – $940.13 | 20 |
| Endo cath panc duct s&i CPT 74329 | $645.00 | $1,075.00 | $72.80 – $913.75 | 20 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,119.26 – $9,487.30 | 17 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,119.26 – $9,487.30 | 17 |
| Endoluminal bx biliary tree CPT 47543 | $2,628.05 | $4,380.08 | $525.61 – $3,723.07 | 20 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,172.53 | $3,620.89 | $434.51 – $3,077.76 | 20 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,332.07 | $8,886.78 | $308.69 – $7,553.76 | 20 |
| Endoluminl ivus oct c ea CPT 92979 | $3,739.50 | $6,232.50 | $245.63 – $5,297.62 | 20 |
| Endo outlet restrict w/tube HCPCS C9785 | $11,332.91 | $18,888.18 | $2,266.58 – $25,500.18 | 24 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $1,561.68 – $8,636.11 | 17 |
| Endoscopic pancreatoscopy CPT 43273 | $3,134.00 | $5,223.33 | $626.80 – $10,795.00 | 17 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $564.97 – $4,713.77 | 17 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $328.50 – $3,693.00 | 17 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Endoscopy swallow (fees) vid CPT 92612 | $576.16 | $960.27 | $112.00 – $816.23 | 21 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,872.59 | $4,787.65 | $525.71 – $4,204.56 | 26 |
| Endo, single, pulmonary HCPCS C1601 | $1,052.57 | $1,754.28 | $73.10 – $517.76 | 20 |
| Endo sleeve gastro w/tube HCPCS C9784 | $11,332.91 | $18,888.18 | $2,266.58 – $25,500.18 | 19 |
| Endovasc prosth delayed 33886 CPT 33886 | $1,409.01 | $2,348.35 | $281.80 – $7,038.00 | 18 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $12,308.74 | $20,514.57 | $2,461.75 – $17,437.38 | 18 |
| Endovasc tempory vessel occl CPT 61623 | $12,535.92 | $20,893.20 | $2,507.18 – $27,252.71 | 26 |
| Endovasc visc aorta 1 graft CPT 34841 | $10,241.99 | $17,069.99 | $1,826.96 – $14,509.49 | 19 |
| Endovasc visc aorta 2 graft CPT 34842 | $13,442.62 | $22,404.36 | $1,826.96 – $19,043.71 | 19 |
| Endovasc visc aorta 3 graft CPT 34843 | $13,966.36 | $23,277.27 | $1,826.96 – $19,785.68 | 19 |
| Endovasc visc aorta 4 graft CPT 34844 | $16,294.08 | $27,156.80 | $1,826.96 – $23,083.28 | 19 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $8,309.10 | $13,848.50 | $1,661.82 – $13,613.39 | 26 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,771.35 | $7,952.25 | $954.27 – $6,759.41 | 20 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $7,614.30 | $12,690.50 | $32.44 – $6,357.75 | 26 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $195.00 | $325.00 | $0.60 – $37.93 | 21 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $167.36 | $278.93 | $10.00 – $139.09 | 26 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,160.95 – $7,038.00 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,321.74 – $7,038.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | $55.20 | $92.00 | $10.00 – $69.00 | 26 |
| Enzyme cell activity ra CPT 82658 | $255.00 | $425.00 | $10.00 – $318.75 | 26 |
| Enzyme histochemistry CPT 88319 | $514.38 | $857.30 | $35.00 – $2,130.15 | 26 |
| Ep & ablate supravent arrhyt CPT 93653 | $52,673.30 | $87,788.83 | $10,534.66 – $65,841.62 | 26 |
| Ep & ablate ventric tachy CPT 93654 | $46,556.12 | $77,593.53 | $9,311.22 – $58,835.89 | 26 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $28,542.65 | $47,571.08 | $25.01 – $156.30 | 26 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,357.46 | $2,262.44 | $709.01 – $4,517.58 | 26 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $614.72 | $1,024.54 | $122.94 – $870.86 | 16 |
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.