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 |
|---|---|---|---|---|
| Male sling procedure CPT 53440 | not published | not published | $2,416.00 – $31,800.16 | 17 |
| Mammosite ced HCPCS C1728 | $2,000.16 | $3,333.60 | $0.00 – $0.01 | 19 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $17.82 | $29.70 | $3.56 – $25.25 | 20 |
| Man's shoe oxford brace HCPCS L3225 | $175.11 | $291.85 | $35.02 – $233.48 | 19 |
| Manual diff wbc count b-coat CPT 85009 | $44.14 | $73.56 | $4.26 – $55.17 | 26 |
| Mapping io sentinel lymph node CPT 38900 | $468.21 | $780.35 | $93.64 – $663.30 | 20 |
| Map tachycard site(s) CPT 93609 | $7,600.81 | $12,668.01 | $896.19 – $10,767.81 | 20 |
| Marker biop eviva buckle ss HCPCS A4648 | $6,369.00 | $10,615.00 | $7.97 – $53.11 | 19 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,753.29 | $2,922.15 | $350.66 – $2,696.10 | 22 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $9,442.65 | 17 |
| Mast mod rad CPT 19307 | not published | not published | $6,336.91 – $16,154.42 | 16 |
| Mastoids complete CPT 70130 | $238.14 | $396.90 | $62.15 – $297.68 | 26 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $16,154.42 | 17 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $16,154.42 | 17 |
| Matrion 1 sq cm HCPCS Q4201 | $361.00 | $601.66 | $11.17 – $451.25 | 25 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $6,522.00 | $10,870.00 | $2.91 – $268.77 | 25 |
| M.avium-intra dna amp prob CPT 87561 | $289.80 | $483.00 | $10.00 – $281.25 | 26 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $112.58 | $187.63 | $10.00 – $140.72 | 26 |
| Mayo aathr protein s free CPT 85306 | $200.93 | $334.89 | $10.00 – $50.62 | 26 |
| Mayo activated protein c resistance assay CPT 85307 | $164.66 | $274.43 | $10.00 – $128.21 | 26 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $645.00 | $1,075.00 | $10.00 – $806.25 | 26 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $152.13 | $253.55 | $10.00 – $194.40 | 19 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $84.63 | $141.05 | $9.42 – $47.60 | 19 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $106.69 | $177.81 | $10.00 – $35.47 | 26 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $83.43 | $139.05 | $10.00 – $42.50 | 19 |
| Mayo alpha 1 antitrypsin CPT 82103 | $115.67 | $192.78 | $10.00 – $144.59 | 26 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $122.94 | $204.90 | $10.00 – $153.68 | 26 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $156.82 | $261.36 | $10.00 – $65.88 | 19 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $144.00 | $240.00 | $3.92 – $9.10 | 19 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $953.69 | $1,589.49 | $35.00 – $375.00 | 26 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $481.34 | $802.23 | $10.00 – $234.38 | 26 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $476.25 | $793.75 | $35.00 – $595.31 | 26 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,214.83 | $3,691.39 | $10.00 – $2,784.00 | 26 |
| Mayo androstenedione CPT 82157 | $162.46 | $270.77 | $10.00 – $203.08 | 26 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $127.75 | $212.91 | $9.07 – $35.04 | 26 |
| Mayo antithrombin iii antigen CPT 85301 | $67.13 | $111.88 | $9.08 – $83.91 | 26 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $78.73 | $131.21 | $4.64 – $36.12 | 26 |
| Mayo avwpr vw factor activity CPT 85397 | $226.68 | $377.80 | $10.00 – $186.82 | 26 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $174.00 | $290.00 | $10.00 – $95.31 | 26 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $80.39 | $133.99 | $3.92 – $9.80 | 19 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $57.30 | $95.50 | $8.55 – $71.62 | 26 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $693.60 | $1,156.00 | $35.00 – $347.62 | 26 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $386.06 | $643.44 | $35.00 – $515.09 | 26 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $75.16 | $125.26 | $10.00 – $30.96 | 26 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $60.15 | $100.25 | $3.92 – $9.44 | 19 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $80.80 | $134.67 | $10.00 – $48.75 | 26 |
| Mayo brcmg brucella antibody igm CPT 86622 | $67.98 | $113.30 | $7.50 – $23.35 | 26 |
| Mayo c1 esterase inhibitor CPT 83883 | $135.42 | $225.70 | $10.00 – $46.88 | 26 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $4,339.50 | $7,232.50 | $10.00 – $82.88 | 19 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $180.00 | $300.00 | $10.00 – $191.26 | 26 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $212.33 | $353.88 | $10.00 – $64.27 | 26 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $223.54 | $372.57 | $10.00 – $293.33 | 26 |
| Mayo ceruloplasmin CPT 82390 | $100.02 | $166.70 | $9.02 – $31.54 | 26 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $351.07 | $585.11 | $10.00 – $60.88 | 26 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $423.68 | $706.13 | $10.00 – $41.31 | 26 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $101.28 | $168.80 | $9.93 – $28.37 | 26 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $96.45 | $160.75 | $9.93 – $30.43 | 26 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $585.00 | $975.00 | $10.00 – $290.62 | 26 |
| Mayo chromium CPT 82495 | $130.68 | $217.80 | $10.00 – $163.35 | 26 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $162.00 | $270.00 | $10.00 – $79.35 | 19 |
| Mayo coccidioides antibody CPT 86635 | $123.75 | $206.25 | $9.63 – $27.53 | 26 |
| Mayo cocou cortisone urine CPT 82542 | $587.08 | $978.47 | $10.00 – $57.82 | 26 |
| Mayo cortisol free CPT 82530 | $121.52 | $202.53 | $10.00 – $83.51 | 26 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $81.51 | $135.85 | $10.00 – $101.11 | 26 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $75.00 | $125.00 | $10.00 – $93.75 | 26 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $66.93 | $111.55 | $3.92 – $19.35 | 19 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $247.50 | $412.50 | $3.92 – $13.38 | 19 |
| Mayo cyanide CPT 82600 | $113.38 | $188.97 | $10.00 – $141.73 | 26 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $809.09 | $1,348.48 | $35.00 – $791.20 | 26 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $103.04 | $171.74 | $10.00 – $128.81 | 26 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $64.52 | $107.54 | $10.00 – $80.66 | 26 |
| Mayo dihydrotestosterone CPT 82642 | $160.74 | $267.90 | $10.00 – $70.27 | 26 |
| Mayo efpo chloride stool CPT 82438 | $56.99 | $94.99 | $4.20 – $16.37 | 26 |
| Mayo estriol CPT 82677 | $127.91 | $213.19 | $10.00 – $159.89 | 26 |
| Mayo estrone CPT 82679 | $116.75 | $194.59 | $10.00 – $145.94 | 26 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $121.91 | $203.18 | $10.00 – $152.38 | 26 |
| Mayo everolimus therapeutic drug level CPT 80169 | $168.26 | $280.44 | $10.00 – $151.37 | 26 |
| Mayo factor ii CPT 85210 | $158.25 | $263.75 | $10.00 – $197.81 | 26 |
| Mayo factor v CPT 85220 | $220.03 | $366.71 | $10.00 – $275.03 | 26 |
| Mayo factor vii CPT 85230 | $257.96 | $429.93 | $10.00 – $322.45 | 26 |
| Mayo factor viii vw factor antigen CPT 85246 | $193.57 | $322.62 | $10.00 – $55.06 | 26 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $202.90 | $338.16 | $10.00 – $253.62 | 26 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $216.77 | $361.28 | $10.00 – $55.06 | 26 |
| Mayo factor x CPT 85260 | $218.72 | $364.53 | $10.00 – $273.40 | 26 |
| Mayo factor xi CPT 85270 | $219.98 | $366.64 | $10.00 – $274.98 | 26 |
| Mayo fat/lipids feces quantitative CPT 82710 | $132.79 | $221.31 | $10.00 – $75.81 | 26 |
| Mayo fbl culture fungi blood CPT 87103 | $149.35 | $248.92 | $10.00 – $186.69 | 26 |
| Mayo ffspg allergen clam igg CPT 86001 | $98.45 | $164.08 | $6.57 – $33.28 | 26 |
| Mayo fibrinogen antigen CPT 85385 | $126.67 | $211.12 | $10.00 – $57.87 | 26 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $103.53 | $172.55 | $10.00 – $129.41 | 26 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,487.95 | $12,479.92 | $0.00 – $62.59 | 20 |
| Mayo hemosiderin qualitative urine CPT 83070 | $50.16 | $83.60 | $3.99 – $62.70 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $483.21 | $805.35 | $10.00 – $125.62 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $360.37 | $600.61 | $10.00 – $125.62 | 26 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $70.60 | $117.66 | $10.00 – $33.10 | 26 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $581.25 | $968.75 | $10.00 – $61.94 | 26 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $93.82 | $156.36 | $7.47 – $117.27 | 26 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $103.07 | $171.78 | $10.00 – $128.84 | 26 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $180.80 | $301.34 | $10.00 – $226.00 | 26 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,222.50 | $2,037.50 | $10.00 – $46.88 | 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.