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 |
|---|---|---|---|---|
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,089.73 | $3,482.89 | $709.01 – $4,517.58 | 26 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,113.83 | $1,856.39 | $222.77 – $1,577.93 | 16 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,341.04 | $2,235.06 | $268.21 – $1,899.80 | 20 |
| Epidural lysis on single day 62264 CPT 62264 | $2,174.23 | $3,623.71 | $340.77 – $2,717.78 | 26 |
| Epidurography CPT 72275 | $589.04 | $981.74 | $117.81 – $834.48 | 20 |
| Epilepsy gen seq alys panel CPT 81419 | $4,315.50 | $7,192.50 | $35.00 – $5,876.54 | 26 |
| Ep induct arrhy by elect pacing CPT 93618 | $6,074.47 | $10,124.12 | $1,161.94 – $7,593.09 | 26 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $37.86 | $63.10 | $3.16 – $53.63 | 21 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $678.91 | $1,131.52 | $0.96 – $79.70 | 21 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.00 | $70.00 | $0.35 – $14.11 | 21 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.00 | $70.00 | $0.92 – $59.50 | 21 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 26 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $203.16 | $338.60 | $1.94 – $280.67 | 21 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,778.57 | $6,297.62 | $189.08 – $7,744.80 | 26 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,941.00 | $3,235.00 | $6.94 – $201.43 | 26 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $160.20 | $267.00 | $16.36 – $132.96 | 21 |
| Epstein barr early antigen antibody CPT 86663 | $17.92 | $29.86 | $10.00 – $31.49 | 26 |
| Epstein barr nuclear antigen antibody CPT 86664 | $107.78 | $179.63 | $10.00 – $134.72 | 26 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $132.49 | $220.82 | $9.40 – $43.54 | 26 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,723.82 | $4,539.70 | $3.10 – $607.71 | 26 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,290.09 | $5,483.49 | $19.52 – $4,112.62 | 26 |
| Ercp biliary & pancreas CPT 74330 | $967.04 | $1,611.73 | $92.98 – $1,369.97 | 20 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,216.50 – $14,118.49 | 16 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,686.17 – $14,118.49 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,119.26 – $9,487.30 | 17 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,119.26 – $10,795.00 | 16 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,250.66 – $14,118.49 | 16 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,119.26 – $9,487.30 | 17 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,568.00 | $4,280.00 | $72.92 – $3,210.00 | 26 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $350.38 | $583.97 | $7.94 – $496.37 | 21 |
| ER Visit (level 1, minor) CPT 99281 | $286.94 | $478.23 | $57.39 – $600.00 | 24 |
| ER Visit (level 2) CPT 99282 | $469.39 | $782.31 | $93.88 – $1,185.00 | 24 |
| ER Visit (level 3) CPT 99283 | $770.04 | $1,283.40 | $154.01 – $2,410.00 | 24 |
| ER Visit (level 4) CPT 99284 | $1,273.68 | $2,122.80 | $254.74 – $3,780.00 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $2,327.80 | $3,879.67 | $465.56 – $5,475.00 | 24 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $248.39 | $413.98 | $49.68 – $351.88 | 21 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $349.65 | $582.75 | $0.22 – $495.34 | 21 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $907.02 | $1,511.70 | $0.26 – $35.70 | 21 |
| Esophageal dilat s&i CPT 74360 | $330.65 | $551.09 | $57.66 – $468.43 | 20 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,667.54 – $14,118.49 | 16 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $334.95 – $3,693.00 | 17 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,954.22 – $14,507.25 | 16 |
| Esophagus motility study CPT 91010 | $1,257.17 | $2,095.29 | $251.43 – $1,571.47 | 24 |
| Esoph balloon distension tst CPT 91040 | $1,330.72 | $2,217.87 | $266.14 – $1,663.40 | 24 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $564.97 – $4,713.77 | 17 |
| Esoph imped function test CPT 91037 | $800.22 | $1,333.70 | $160.04 – $1,000.27 | 24 |
| Esoph imped funct test > 1hr CPT 91038 | $1,543.64 | $2,572.74 | $308.73 – $1,929.56 | 26 |
| Establish access to aorta CPT 36160 | $1,560.95 | $2,601.58 | $312.19 – $2,211.34 | 20 |
| Establish access to artery CPT 36100 | $973.08 | $1,621.80 | $194.62 – $1,378.53 | 20 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,849.11 – $7,038.00 | 3 |
| Establish brain cavity shunt CPT 62180 | $2,425.63 | $4,042.71 | $485.13 – $3,436.30 | 20 |
| Estradiol total CPT 82670 | $366.74 | $611.23 | $10.00 – $67.06 | 26 |
| Estrogens total-sendout CPT 82672 | $161.24 | $268.73 | $10.00 – $201.55 | 26 |
| Ethylene glycol -sendout CPT 82693 | $138.70 | $231.16 | $10.00 – $173.37 | 26 |
| Etonogestrel implant system HCPCS J7307 | $2,081.30 | $3,468.84 | $371.03 – $2,628.13 | 20 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $235.20 | $392.00 | $0.88 – $95.03 | 21 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $350.99 | $584.98 | $70.20 – $438.74 | 26 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $442.57 | $737.61 | $88.51 – $626.97 | 21 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $223.43 | $372.39 | $10.00 – $279.29 | 26 |
| Evaluation heart device CPT 93640 | $3,469.10 | $5,781.83 | $575.32 – $4,914.56 | 20 |
| Evaluation of speech fluency 92521 CPT 92521 | $407.48 | $679.14 | $81.50 – $577.27 | 21 |
| Evaluation psychiatric diagnostic CPT 90791 | $384.35 | $640.58 | $76.87 – $480.44 | 26 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $7,201.60 | $12,002.66 | $1,440.32 – $10,202.26 | 20 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,803.24 | $4,672.06 | $560.65 – $3,971.25 | 20 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $5,234.05 | $8,723.42 | $1,046.81 – $7,414.91 | 20 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $4,979.34 | $8,298.90 | $995.87 – $7,054.06 | 18 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $4,169.50 | $6,949.17 | $833.90 – $7,038.00 | 18 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $6,331.42 | $10,552.36 | $1,266.28 – $8,969.51 | 18 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,846.34 | $8,077.24 | $969.27 – $6,865.65 | 20 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,245.02 | $5,408.37 | $649.00 – $7,038.00 | 18 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $2,667.85 | $4,446.41 | $533.57 – $7,038.00 | 18 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $8,412.85 | $14,021.41 | $1,682.57 – $11,918.20 | 20 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $8,996.13 | $14,993.55 | $1,799.23 – $12,744.52 | 18 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $22,386.00 | $37,310.00 | $1,380.14 – $31,713.50 | 18 |
| Evoked auditory tst complete CPT 92588 | $374.62 | $624.37 | $14.40 – $805.95 | 26 |
| Evoked oa emissions ltd CPT 92587 | $234.32 | $390.54 | $11.05 – $777.56 | 26 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $359.72 | $599.53 | $71.94 – $509.60 | 20 |
| Evoked potentials upper limbs CPT 95925 | $908.54 | $1,514.23 | $181.71 – $1,135.67 | 26 |
| Evoked potential visual not glaucoma CPT 95930 | $1,041.27 | $1,735.45 | $154.88 – $1,301.59 | 26 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $1,069.67 | $1,782.78 | $659.63 – $7,744.80 | 26 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $815.20 – $7,039.11 | 17 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $815.20 – $10,795.00 | 16 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $815.20 – $10,795.00 | 16 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $815.20 – $7,039.11 | 17 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $815.20 – $10,795.00 | 16 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,113.45 – $7,038.00 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $815.20 – $10,795.00 | 16 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $486.45 – $4,063.00 | 17 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $486.45 – $4,063.00 | 17 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $815.20 – $10,795.00 | 16 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,063.52 – $7,744.80 | 17 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $486.45 – $4,016.35 | 17 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $815.20 – $7,039.11 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $486.45 – $4,063.00 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $77.79 – $3,693.00 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,358.40 | $2,264.00 | $103.82 – $1,742.94 | 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.