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 |
|---|---|---|---|---|
| MRI w/cont, breast, uni HCPCS C8903 | $2,039.11 | $3,398.51 | $167.39 – $2,548.88 | 26 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,056.69 | $3,427.81 | $332.94 – $2,570.86 | 26 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,938.60 | $3,231.00 | $332.94 – $2,423.25 | 26 |
| Mr safety determination physician/other qhp CPT 76016 | $186.00 | $310.00 | $37.20 – $2,149.00 | 25 |
| Mr safety implant elec prepj CPT 76018 | $204.73 | $341.22 | $40.95 – $2,149.00 | 25 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.00 | $75.00 | $26.25 – $2,149.00 | 20 |
| Mr safety implt pos&/immoblj CPT 76019 | $137.25 | $228.75 | $27.45 – $2,149.00 | 25 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $50.40 | $84.00 | $24.49 – $2,149.00 | 25 |
| Mr sfty med physics xm cstmz CPT 76017 | $513.60 | $856.00 | $102.72 – $2,149.00 | 25 |
| Mr spectroscopy CPT 76390 | $1,322.36 | $2,203.93 | $83.05 – $2,149.00 | 26 |
| Msh2 gene full seq CPT 81295 | $163.88 | $273.13 | $35.00 – $916.08 | 26 |
| Msh6 gene full seq CPT 81298 | $275.58 | $459.30 | $35.00 – $1,540.44 | 26 |
| Mthfr gene analy common variants CPT 81291 | $286.88 | $478.13 | $10.00 – $156.82 | 26 |
| Mucopolysaccharides CPT 83864 | $270.00 | $450.00 | $10.00 – $241.50 | 26 |
| Multi family grp psychotherapy CPT 90849 | $543.60 | $906.00 | $72.48 – $453.00 | 26 |
| Multifocal erg w/i&r CPT 92274 | $574.20 | $957.00 | $114.84 – $717.75 | 26 |
| Multiple sleep latency test CPT 95805 | $2,763.80 | $4,606.33 | $552.76 – $3,454.75 | 26 |
| Mumps antibody igg CPT 86735 | $97.52 | $162.53 | $10.00 – $90.04 | 26 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,457.62 – $8,887.48 | 17 |
| Muscle test cran nerv unilat CPT 95867 | $385.07 | $641.78 | $77.01 – $777.56 | 26 |
| Muscle test hemidiaphragm CPT 95866 | $300.55 | $500.92 | $60.11 – $386.96 | 26 |
| Muscle test larynx CPT 95865 | $287.64 | $479.40 | $57.53 – $359.55 | 26 |
| Muscle test one fiber CPT 95872 | $497.35 | $828.91 | $99.47 – $621.68 | 26 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,457.62 – $10,795.00 | 16 |
| Mycobacteria dna amp probe CPT 87551 | $496.29 | $827.15 | $10.00 – $281.25 | 26 |
| Mycobacteria dna quant CPT 87552 | $288.75 | $481.25 | $10.00 – $281.25 | 26 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.79 | $17.99 | $0.05 – $3.06 | 21 |
| Mycophenolic acid HCPCS J7518 | $16.28 | $27.14 | $0.04 – $3.52 | 21 |
| Mycoplasma antibody igm CPT 86738 | $107.89 | $179.82 | $10.00 – $134.87 | 26 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,050.00 | $1,750.00 | $35.00 – $547.27 | 26 |
| Myelogphy 2/> spine regions CPT 72270 | $1,615.24 | $2,692.06 | $153.04 – $2,019.05 | 26 |
| Myelography l-s spine CPT 72265 | $1,350.68 | $2,251.14 | $109.26 – $1,983.49 | 26 |
| Myelography neck spine CPT 72240 | $875.40 | $1,459.00 | $112.26 – $1,983.49 | 26 |
| Myelography thoracic spine CPT 72255 | $1,014.13 | $1,690.21 | $107.93 – $1,983.49 | 26 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,421.26 | $4,035.44 | $484.25 – $3,026.58 | 26 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,629.67 | $2,716.11 | $325.93 – $2,037.08 | 26 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,923.03 | $3,205.05 | $384.61 – $2,403.79 | 26 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,218.31 | $3,697.18 | $443.66 – $2,772.89 | 26 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,007.00 | $1,678.33 | $9.69 – $27.67 | 26 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,584.32 | $2,640.54 | $316.86 – $5,371.00 | 26 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,731.60 | $2,886.00 | $170.82 – $5,371.00 | 26 |
| Myocrd img pet 2rtracer CPT 78432 | $2,700.60 | $4,501.00 | $201.10 – $5,371.00 | 26 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,300.60 | $5,501.00 | $219.84 – $5,371.00 | 26 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,700.60 | $4,501.00 | $188.84 – $5,851.30 | 26 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,731.60 | $2,886.00 | $162.18 – $5,371.00 | 26 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,982.49 – $7,038.00 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,594.52 – $7,038.00 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $84.00 | $140.00 | $0.05 – $63.81 | 21 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $141.23 | $235.38 | $3.21 – $22.74 | 21 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $118.80 | $198.00 | $0.07 – $51.00 | 21 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $469.58 | $782.64 | $68.14 – $586.98 | 26 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $4,141.64 | $6,902.73 | $116.34 – $605.10 | 26 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $1,923.97 | $3,206.62 | $525.71 – $4,204.56 | 26 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $456.46 | $760.76 | $155.59 – $1,011.53 | 26 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $351.67 | $586.12 | $70.33 – $490.70 | 26 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $15,367.89 | $25,613.15 | $23.10 – $19,209.86 | 26 |
| Natriuretic peptide CPT 83880 | $906.00 | $1,510.00 | $10.00 – $305.42 | 26 |
| Natural killer cells total count CPT 86357 | $431.25 | $718.75 | $10.00 – $90.55 | 26 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| N block inj common digit CPT 64632 | $454.74 | $757.90 | $36.82 – $733.72 | 26 |
| N block inj hypogas plxs CPT 64517 | $1,973.95 | $3,289.92 | $340.77 – $2,467.44 | 26 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $299.32 | $498.86 | $59.86 – $374.14 | 26 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $129.36 | $215.60 | $25.87 – $161.70 | 23 |
| Ndl insj without njx 3+ musc CPT 20561 | $131.95 | $219.91 | $26.39 – $164.93 | 23 |
| Nebulizer Breathing Treatment CPT 94640 | $203.49 | $339.15 | $40.70 – $528.37 | 26 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $191.89 | $319.82 | $31.41 – $239.87 | 26 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,061.80 | $5,103.00 | $167.39 – $3,827.25 | 26 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,304.59 | $3,840.99 | $173.41 – $2,880.74 | 26 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,042.26 | $3,403.77 | $99.77 – $2,552.83 | 26 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,946.32 | $6,577.20 | $329.79 – $4,932.90 | 26 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,231.16 | $3,718.60 | $284.01 – $2,788.95 | 26 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,266.09 | $3,776.81 | $196.48 – $2,832.61 | 26 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $325.79 | $542.99 | $39.76 – $407.24 | 26 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $453.04 | $755.07 | $53.80 – $566.30 | 26 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $477.64 | $796.06 | $62.81 – $597.04 | 26 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,341.59 | $5,569.31 | $332.94 – $4,176.98 | 26 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,951.65 | $4,919.42 | $253.60 – $3,689.57 | 26 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,510.57 | $4,184.28 | $222.54 – $3,138.21 | 26 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,311.02 | $3,851.70 | $167.39 – $2,888.78 | 26 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,984.18 | $3,306.97 | $167.39 – $2,480.23 | 26 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,539.67 | $2,566.11 | $99.77 – $1,924.58 | 26 |
| Neck spine disk surgery CPT 63020 | not published | not published | $2,398.52 – $17,722.46 | 16 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $6,924.82 – $17,722.46 | 17 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $180.86 | $301.44 | $36.17 – $256.22 | 20 |
| Nelarabine injection HCPCS J9261 | $975.00 | $1,625.00 | $50.07 – $1,218.75 | 26 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $68.50 | $114.16 | $13.70 – $97.04 | 20 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $465.99 | $776.65 | $93.20 – $777.56 | 26 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $373.22 | $622.04 | $74.64 – $528.73 | 20 |
| Nerve conduction 7-8 studies CPT 95910 | $418.67 | $697.79 | $83.73 – $805.95 | 26 |
| Nerve conduction studies 11-12 CPT 95912 | $895.29 | $1,492.15 | $179.06 – $1,327.77 | 26 |
| Nerve conduction studies 1-2 CPT 95907 | $352.31 | $587.19 | $70.46 – $466.36 | 26 |
| Nerve conduction studies 13+ CPT 95913 | $1,909.96 | $3,183.26 | $352.93 – $2,387.45 | 26 |
| Nerve conduction studies 3-4 CPT 95908 | $418.67 | $697.79 | $83.73 – $777.56 | 26 |
| Nerve conduction studies 5-6 CPT 95909 | $511.26 | $852.10 | $102.25 – $777.56 | 26 |
| Nerve conduction studies 9-10 CPT 95911 | $1,369.10 | $2,281.84 | $273.82 – $1,711.38 | 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.