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 |
|---|---|---|---|---|
| Incision of thigh tendon CPT 27390 | not published | not published | $1,088.27 – $8,018.48 | 17 |
| Incision of tongue fold CPT 41010 | $1,163.78 | $1,939.64 | $420.64 – $3,777.93 | 26 |
| Incision of urethra CPT 53010 | not published | not published | $1,689.43 – $12,818.21 | 17 |
| Incision of urethra CPT 53020 | not published | not published | $652.80 – $5,045.72 | 17 |
| Incisn of toe tndn CPT 28010 | $2,298.99 | $3,831.65 | $100.50 – $3,981.46 | 26 |
| Incisn windpipe CPT 31600 | $5,256.07 | $8,760.12 | $1,051.21 – $7,975.81 | 26 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,080.00 | $1,800.00 | $5.18 – $32.40 | 25 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $1,997.99 | $3,329.99 | $399.60 – $2,830.49 | 20 |
| Induced abortion d&c CPT 59840 | $3,645.12 | $6,075.20 | $1,063.52 – $7,744.80 | 26 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $121.73 | $202.88 | $10.00 – $152.16 | 25 |
| Infec agen detec ampli probe HCPCS U0005 | $34.02 | $56.70 | $6.80 – $48.20 | 20 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,208.07 | $2,013.45 | $10.00 – $312.84 | 26 |
| Infect ag eia influenza a or b ea CPT 87400 | $121.93 | $203.21 | $10.00 – $152.41 | 26 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,328.66 | $2,214.43 | $10.00 – $773.44 | 26 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $727.04 | $1,211.74 | $10.00 – $908.80 | 26 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $669.30 | $1,115.50 | $10.00 – $308.95 | 26 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $828.32 | $1,380.53 | $10.00 – $617.88 | 26 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $175.15 | $291.92 | $10.00 – $218.94 | 26 |
| Infect ag ia optc obs influenza CPT 87804 | $93.18 | $155.30 | $10.00 – $116.47 | 26 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $83.03 | $138.39 | $10.00 – $103.79 | 26 |
| Infect ag if hep delta agent CPT 87380 | $219.64 | $366.07 | $10.00 – $274.55 | 26 |
| Infect ag if influenza a CPT 87276 | $82.46 | $137.43 | $10.00 – $103.07 | 26 |
| Infect ag if influenza b CPT 87275 | $80.74 | $134.56 | $10.00 – $100.92 | 26 |
| Infect ag if legionella pneumophila CPT 87278 | $126.02 | $210.04 | $10.00 – $157.53 | 26 |
| Infect ag if pneumocystis carinii CPT 87281 | $154.04 | $256.74 | $10.00 – $28.75 | 26 |
| Infect ag if varicella zoster CPT 87290 | $92.78 | $154.63 | $10.00 – $115.97 | 26 |
| Infect ag na hep b amp CPT 87516 | $108.44 | $180.73 | $10.00 – $135.55 | 26 |
| Infect ag na herpes simplex quant CPT 87530 | $284.06 | $473.43 | $10.00 – $261.85 | 26 |
| Infect ag na hpv high-risk types CPT 87624 | $615.00 | $1,025.00 | $10.00 – $164.33 | 26 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $390.44 | $650.73 | $10.00 – $488.05 | 26 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $158.06 | $263.44 | $10.00 – $197.58 | 26 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $127.50 | $212.50 | $10.00 – $110.32 | 25 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,078.16 | $1,796.94 | $10.00 – $1,347.70 | 26 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $843.26 | $1,405.43 | $10.00 – $1,172.78 | 26 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $199.73 | $332.88 | $10.00 – $85.16 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $127.01 | $211.69 | $10.00 – $158.77 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $86.83 | $144.71 | $10.00 – $108.53 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $80.05 | $133.41 | $10.00 – $100.06 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $93.89 | $156.49 | $10.00 – $28.84 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $140.84 | $234.74 | $10.00 – $75.00 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $118.25 | $197.09 | $2.94 – $24.79 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $93.38 | $155.64 | $8.68 – $116.73 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $145.09 | $241.82 | $10.00 – $181.37 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $324.45 | $540.75 | $10.00 – $56.66 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $153.61 | $256.01 | $10.00 – $192.01 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $68.11 | $113.52 | $10.00 – $85.14 | 26 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $849.00 | $1,415.00 | $2.94 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $165.34 | $275.56 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $215.18 | $358.64 | $10.00 – $268.98 | 26 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $855.45 | $1,425.75 | $10.00 – $1,000.27 | 26 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $652.67 | $1,087.78 | $10.00 – $154.69 | 26 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $168.42 | $280.70 | $10.00 – $210.53 | 26 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $345.17 | $575.28 | $10.00 – $299.01 | 26 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $162.62 | $271.03 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $900.00 | $1,500.00 | $10.00 – $129.38 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $61.45 | $102.41 | $10.00 – $342.31 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $104.93 | $174.88 | $10.00 – $342.31 | 26 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $126.60 | $211.00 | $10.00 – $158.25 | 26 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $162.85 | $271.42 | $10.00 – $84.22 | 26 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $327.95 | $546.59 | $10.00 – $409.94 | 25 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $248.18 | $413.64 | $10.00 – $310.23 | 25 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,069.61 | $1,782.68 | $10.00 – $1,461.51 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $727.50 | $1,212.50 | $10.00 – $1,000.27 | 26 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $375.00 | $625.00 | $10.00 – $468.75 | 26 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $515.40 | $859.00 | $10.00 – $644.25 | 26 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,105.50 | $1,842.50 | $10.00 – $102.82 | 26 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $331.97 | $553.28 | $10.00 – $184.69 | 26 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $381.92 | $636.53 | $10.00 – $150.00 | 26 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $448.31 | $747.18 | $10.00 – $560.38 | 26 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $345.55 | $575.91 | $10.00 – $342.31 | 26 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,102.08 | $3,503.46 | $29.49 – $2,627.59 | 26 |
| Influenza dna amp prob addl CPT 87503 | $94.30 | $157.16 | $10.00 – $117.87 | 26 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,321.38 | $2,202.30 | $264.28 – $1,871.95 | 20 |
| Infuse radioactive materials CPT 77750 | $600.89 | $1,001.49 | $120.18 – $833.02 | 26 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $394.10 | $656.83 | $78.82 – $528.37 | 26 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $89.84 | $149.74 | $17.97 – $220.82 | 26 |
| Inj acetaminophen -fresenius HCPCS J0134 | $34.56 | $57.60 | $0.06 – $48.96 | 21 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $16.63 | $27.72 | $3.33 – $23.56 | 20 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,176.71 | $11,961.18 | $3.62 – $8,775.00 | 26 |
| Inj alymsys 10 mg HCPCS Q5126 | $676.74 | $1,127.90 | $49.01 – $845.92 | 26 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $20.40 | $34.00 | $0.17 – $28.90 | 21 |
| Inj, bupivacaine liposome HCPCS J0666 | $507.76 | $846.27 | $1.32 – $634.70 | 26 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $35.82 | $59.70 | $5.40 – $38.26 | 20 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $34.59 | $57.65 | $0.94 – $49.00 | 21 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $24.24 | $40.40 | $0.81 – $34.34 | 21 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $596.08 | $993.47 | $2.28 – $745.10 | 26 |
| Inj ceftolozane tazobactam HCPCS J0695 | $431.36 | $718.93 | $8.40 – $539.20 | 26 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $571.31 | $952.18 | $114.26 – $809.35 | 20 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,584.60 | $2,641.00 | $316.92 – $2,746.61 | 21 |
| Inj disk cerv-thor ea lev CPT 62291 | $875.28 | $1,458.80 | $175.06 – $1,239.98 | 20 |
| Inj dx for sinogram CPT 20501 | $700.52 | $1,167.54 | $140.10 – $992.41 | 20 |
| Inject for sacroiliac joint HCPCS G0259 | $836.40 | $1,394.00 | $167.28 – $1,841.00 | 19 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,030.57 | $1,717.62 | $139.81 – $1,713.14 | 26 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $609.20 | $1,015.34 | $121.84 – $863.04 | 20 |
| Injection, belinostat, 10mg HCPCS J9032 | $3,631.78 | $6,052.97 | $47.46 – $4,539.73 | 26 |
| Injection, cangrelor HCPCS C9460 | $1,734.77 | $2,891.29 | $19.02 – $2,168.47 | 26 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $421.33 | $702.21 | $36.54 – $733.72 | 26 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,324.34 | $8,873.90 | $67.23 – $1,691.99 | 26 |
| Injection during cath supravalvular aortography CPT 93567 | $2,449.14 | $4,081.90 | $489.83 – $13,331.00 | 18 |
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.