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 |
|---|---|---|---|---|
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $86.84 | $144.74 | $3.92 – $35.98 | 26 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $171.74 | $286.24 | $10.00 – $214.68 | 26 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $296.10 | $493.50 | $10.00 – $173.71 | 26 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $115.79 | $192.98 | $10.00 – $144.74 | 25 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $81.04 | $135.06 | $10.00 – $81.02 | 26 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $310.50 | $517.50 | $10.00 – $112.20 | 26 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $634.21 | $1,057.02 | $10.00 – $187.50 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $161.25 | $268.75 | $10.00 – $90.89 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $771.30 | $1,285.50 | $10.00 – $163.12 | 26 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $826.14 | $1,376.90 | $10.00 – $268.38 | 25 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $587.43 | $979.05 | $10.00 – $165.21 | 26 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $395.63 | $659.38 | $35.00 – $342.56 | 26 |
| Mayo infliximab therapeutic drug level CPT 80230 | $682.32 | $1,137.20 | $10.00 – $369.18 | 26 |
| Mayo inhab inhibin a CPT 86336 | $126.47 | $210.79 | $10.00 – $158.09 | 26 |
| Mayo insft insulin free CPT 83527 | $82.93 | $138.22 | $10.00 – $31.08 | 26 |
| Mayo insulin antibodies CPT 86337 | $138.41 | $230.68 | $10.00 – $173.01 | 26 |
| Mayo iodine CPT 83789 | $226.25 | $377.08 | $10.00 – $196.31 | 26 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $433.44 | $722.40 | $10.00 – $541.80 | 26 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $187.50 | $312.50 | $10.00 – $234.38 | 26 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $106.14 | $176.90 | $10.00 – $132.68 | 26 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $89.48 | $149.14 | $10.00 – $111.86 | 26 |
| Mayo legionella antibody CPT 86713 | $126.47 | $210.79 | $10.00 – $43.12 | 26 |
| Mayo leptospira antibody igm CPT 86720 | $121.25 | $202.08 | $10.00 – $151.56 | 26 |
| Mayo lipoprotein electrophoresis CPT 83700 | $72.73 | $121.21 | $9.46 – $34.56 | 26 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $112.42 | $187.37 | $10.00 – $37.18 | 26 |
| Mayo manganese CPT 83785 | $114.38 | $190.64 | $10.00 – $142.98 | 26 |
| Mayo metanephrines plasma CPT 83835 | $183.84 | $306.40 | $10.00 – $45.62 | 26 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $137.37 | $228.95 | $8.76 – $15.84 | 19 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $500.67 | $834.45 | $10.00 – $66.48 | 26 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $469.10 | $781.83 | $10.00 – $46.88 | 26 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $103.53 | $172.55 | $10.00 – $129.41 | 26 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $675.00 | $1,125.00 | $10.00 – $114.19 | 26 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,350.00 | $2,250.00 | $10.00 – $328.80 | 26 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $735.15 | $1,225.25 | $10.00 – $918.94 | 26 |
| Mayo muramidase CPT 85549 | $89.74 | $149.56 | $10.00 – $112.17 | 26 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $826.88 | $1,378.13 | $10.00 – $252.33 | 26 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $138.00 | $230.00 | $10.00 – $172.50 | 26 |
| Mayo myoglobin CPT 83874 | $136.97 | $228.29 | $10.00 – $171.22 | 26 |
| Mayo nickel CPT 83885 | $60.00 | $100.00 | $10.00 – $75.00 | 26 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $122.09 | $203.48 | $3.92 – $14.28 | 19 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $25.10 | $41.83 | $10.00 – $35.56 | 19 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $147.42 | $245.70 | $3.92 – $11.91 | 19 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $170.65 | $284.41 | $10.00 – $50.90 | 26 |
| Mayo organic acids qualitative each specimen CPT 83919 | $346.50 | $577.50 | $10.00 – $242.86 | 26 |
| Mayo oxalate 24 hour urine CPT 83945 | $96.16 | $160.26 | $10.00 – $34.68 | 26 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $235.08 | $391.80 | $9.69 – $293.85 | 26 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $108.35 | $180.58 | $10.00 – $135.44 | 26 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,372.80 | $2,288.00 | $4.86 – $28.92 | 26 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $333.40 | $555.66 | $10.00 – $129.38 | 26 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $111.00 | $185.00 | $10.00 – $99.38 | 26 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $99.71 | $166.19 | $10.00 – $124.64 | 26 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $83.36 | $138.94 | $7.09 – $61.37 | 26 |
| Mayo pregnenolone CPT 84140 | $110.43 | $184.05 | $10.00 – $138.04 | 26 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $92.19 | $153.65 | $10.00 – $115.24 | 26 |
| Mayo proinsulin CPT 84206 | $149.54 | $249.23 | $10.00 – $186.92 | 26 |
| Mayo psaft prostate specific antigen free CPT 84154 | $112.80 | $188.00 | $10.00 – $141.00 | 26 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,506.45 | $2,510.75 | $10.00 – $52.97 | 26 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $197.93 | $329.88 | $10.00 – $178.71 | 26 |
| Mayo receptor assay transferrin soluble CPT 84238 | $197.80 | $329.67 | $10.00 – $87.77 | 26 |
| Mayo renin CPT 84244 | $161.71 | $269.52 | $10.00 – $52.78 | 26 |
| Mayo repu protein electrophoresis urine CPT 84166 | $129.47 | $215.78 | $10.00 – $42.79 | 26 |
| Mayo selenium CPT 84255 | $127.00 | $211.67 | $10.00 – $158.75 | 26 |
| Mayo serotonin CPT 84260 | $193.54 | $322.57 | $10.00 – $241.93 | 26 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $116.75 | $194.59 | $10.00 – $46.44 | 26 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $162.75 | $271.25 | $10.00 – $203.44 | 26 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $105.53 | $175.88 | $10.00 – $197.86 | 25 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $63.96 | $106.60 | $3.59 – $11.25 | 26 |
| Mayo tau phosphorylated 217 each CPT 84393 | $750.00 | $1,250.00 | $10.00 – $515.80 | 25 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $814.05 | $1,356.75 | $10.00 – $501.41 | 26 |
| Mayo tgrp testosterone free CPT 84402 | $161.84 | $269.73 | $9.40 – $61.13 | 26 |
| Mayo tgrp testosterone total CPT 84403 | $184.68 | $307.80 | $9.40 – $61.94 | 26 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $504.15 | $840.25 | $10.00 – $159.38 | 26 |
| Mayo thyroglobulin CPT 84432 | $214.12 | $356.87 | $10.00 – $162.25 | 26 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $102.16 | $170.26 | $8.55 – $57.08 | 26 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $306.00 | $510.00 | $2.94 – $29.74 | 26 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $168.67 | $281.11 | $10.00 – $238.94 | 19 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $47.19 | $78.65 | $6.78 – $123.07 | 26 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $93.75 | $156.25 | $10.00 – $103.39 | 26 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $46.32 | $77.20 | $10.00 – $32.50 | 26 |
| Mayo vasoactive intestinal peptide CPT 84586 | $197.03 | $328.38 | $10.00 – $246.28 | 26 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $147.70 | $246.16 | $10.00 – $184.62 | 26 |
| Mayo vitamin b3 (niacin) CPT 84591 | $138.60 | $231.00 | $10.00 – $163.40 | 26 |
| Mayo vitamin k CPT 84597 | $150.26 | $250.44 | $10.00 – $187.83 | 26 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $126.58 | $210.96 | $10.00 – $158.22 | 26 |
| Md inr test revie inter mgmt HCPCS G0250 | $13.73 | $22.88 | $2.75 – $22.86 | 20 |
| Measure kidney pressure CPT 50396 | $803.99 | $1,339.98 | $238.15 – $1,692.24 | 26 |
| Measurement post void urine by ultrasound CPT 51798 | $192.63 | $321.05 | $38.53 – $240.79 | 26 |
| #mec-opiates CPT 80356 | $76.46 | $127.44 | $3.92 – $13.36 | 19 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $100.00 | $166.67 | $20.00 – $141.67 | 16 |
| Medical services after hrs CPT 99050 | $23.40 | $39.00 | $4.68 – $33.15 | 16 |
| Med physic dos eval rad exps CPT 76145 | $798.01 | $1,330.02 | $159.60 – $1,327.77 | 26 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $165.13 | $275.22 | $33.03 – $233.94 | 20 |
| Melphalan oral 2 mg HCPCS J8600 | $16.58 | $27.64 | $3.32 – $23.49 | 20 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,524.60 | $2,541.00 | $118.76 – $1,432.66 | 25 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $790.10 | $1,316.83 | $61.35 – $383.41 | 25 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $511.67 | $852.78 | $38.49 – $268.77 | 25 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $736.80 | $1,228.00 | $27.74 – $268.77 | 25 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $30.79 | $51.32 | $2.55 – $18.04 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $107.90 | $179.84 | $0.41 – $19.55 | 21 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $107.41 | $179.01 | $1.47 – $91.80 | 21 |
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.