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 |
|---|---|---|---|---|
| Nerve repair w/allograft CPT 64910 | not published | not published | $3,104.96 – $18,954.06 | 16 |
| Nerve teasing preparations CPT 88362 | $566.86 | $944.77 | $35.00 – $2,130.15 | 26 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Neurolysis celiac plexus CPT 64680 | $3,317.29 | $5,528.82 | $340.77 – $4,146.61 | 26 |
| Neurolysis trigeminal nerve CPT 64600 | $3,508.86 | $5,848.10 | $340.77 – $4,386.07 | 26 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $399.02 | $665.03 | $79.80 – $498.77 | 26 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $659.94 – $4,783.04 | 17 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $1,457.62 – $8,887.48 | 17 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $450.00 | $750.00 | $10.00 – $534.38 | 26 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $11.06 | $18.44 | $0.07 – $15.67 | 21 |
| Nintedanib 150 mg capsule HCPCS J8999 | $262.93 | $438.22 | $38.76 – $274.57 | 20 |
| N-invas est c ffr sw aly cta CPT 75580 | $5,133.32 | $8,555.53 | $819.52 – $6,416.65 | 26 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $963.66 – $9,442.65 | 17 |
| Nipple exploration CPT 19110 | not published | not published | $963.66 – $9,442.65 | 17 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $88.20 | $147.00 | $1.56 – $34.42 | 21 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $5,755.96 | $9,593.27 | $31.19 – $2,900.49 | 26 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $1,555.85 | $2,593.09 | $340.77 – $2,257.97 | 26 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $824.98 | $1,374.96 | $262.86 – $1,713.14 | 26 |
| Njx cath slct p angrph mapca CPT 93575 | $2,793.07 | $4,655.11 | $558.61 – $3,956.84 | 19 |
| Njx cath slct p-art angrp bi CPT 93573 | $2,932.72 | $4,887.87 | $586.54 – $4,154.69 | 19 |
| Njx cath slct pulm vn angrph CPT 93574 | $2,793.07 | $4,655.11 | $558.61 – $3,956.84 | 19 |
| Njx cth slct p-art angrp uni CPT 93569 | $2,793.07 | $4,655.11 | $558.61 – $3,956.84 | 19 |
| Njx interlaminar crv/thrc CPT 62324 | $1,586.71 | $2,644.52 | $340.77 – $2,257.97 | 26 |
| Njx interlaminar crv/thrc CPT 62325 | $1,908.87 | $3,181.45 | $340.77 – $2,386.09 | 26 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,493.92 | $2,489.87 | $340.77 – $2,257.97 | 26 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,105.75 | $3,509.58 | $340.77 – $2,632.18 | 26 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,532.18 | $2,553.64 | $306.44 – $6,093.00 | 19 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,588.83 | $2,648.05 | $206.83 – $1,986.04 | 26 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,360.55 | $2,267.59 | $313.08 – $1,700.69 | 26 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,698.91 | $2,831.51 | $176.09 – $2,123.63 | 26 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,381.40 | $3,969.00 | $297.04 – $2,976.75 | 26 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,459.04 | $2,431.74 | $218.19 – $1,823.81 | 26 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,514.24 | $2,523.73 | $101.64 – $1,892.80 | 26 |
| Non-card vasc flow imaging CPT 78445 | $367.06 | $611.77 | $171.74 – $1,021.72 | 26 |
| Noninv pace analysis CPT 93724 | $1,108.14 | $1,846.90 | $104.01 – $1,385.17 | 26 |
| Non-molded lacer HCPCS L2320 | $360.00 | $600.00 | $72.00 – $480.00 | 19 |
| Noonan spectrum disorders CPT 81442 | $357.79 | $596.31 | $35.00 – $5,144.64 | 26 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $257.89 | $429.82 | $37.76 – $322.37 | 26 |
| Npm1 gene CPT 81310 | $577.61 | $962.68 | $10.00 – $591.65 | 26 |
| Nps surg dilat eust tube bi CPT 69706 | $3,092.04 | $5,153.40 | $1,906.76 – $14,507.25 | 26 |
| Nps surg dilat eust tube uni CPT 69705 | $2,061.36 | $3,435.60 | $1,271.17 – $14,507.25 | 26 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $82.25 | $137.09 | $16.45 – $116.53 | 20 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $73.18 | $121.96 | $12.16 – $103.67 | 20 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $102.71 | $171.19 | $20.54 – $145.51 | 20 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $407.40 | $679.00 | $81.48 – $1,327.77 | 26 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $317.36 | $528.94 | $63.47 – $449.60 | 20 |
| Nras gene variants exon 2&3 CPT 81311 | $590.26 | $983.76 | $35.00 – $709.90 | 26 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $8,344.87 | $13,908.12 | $1,668.97 – $10,431.09 | 26 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $3,093.88 – $18,954.06 | 16 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $1,358.22 – $16,955.09 | 17 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $1,630.12 – $16,955.09 | 17 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $6,695.65 | $11,159.42 | $1,339.13 – $14,507.25 | 26 |
| Ntrk translocation analysis CPT 81194 | $1,200.00 | $2,000.00 | $35.00 – $1,500.00 | 26 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,594.96 | $4,324.94 | $518.99 – $3,676.20 | 21 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,594.96 | $4,324.94 | $518.99 – $3,676.20 | 21 |
| Nuclear localization/abscess CPT 78807 | $1,171.74 | $1,952.90 | $234.35 – $1,659.96 | 20 |
| Nuclear rx intra-arterial CPT 79445 | $1,172.68 | $1,954.46 | $222.68 – $1,465.85 | 26 |
| Nuclear rx intracav admin CPT 79200 | $749.55 | $1,249.25 | $105.96 – $936.94 | 26 |
| Nuclear rx IV admin CPT 79101 | $755.45 | $1,259.09 | $100.90 – $944.32 | 26 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,393.64 | $7,322.73 | $422.34 – $5,492.05 | 26 |
| Nudt15 gene common variants CPT 81306 | $277.50 | $462.50 | $35.00 – $699.26 | 26 |
| Nushield 1 square cm HCPCS Q4160 | $833.29 | $1,388.81 | $39.65 – $268.77 | 25 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | $1,625,690.40 | $2,709,484.00 | $264,337.50 – $2,032,113.00 | 25 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $14,865.31 | $24,775.52 | $77.72 – $18,581.64 | 26 |
| Observation direct referral from physician office for admission HCPCS G0379 | $554.33 | $923.88 | $110.87 – $1,591.17 | 26 |
| Observation per hour HCPCS G0378 | $107.81 | $179.69 | $21.56 – $390.57 | 19 |
| Obstetric panel inc HIV tstg CPT 80081 | $487.97 | $813.29 | $10.00 – $609.97 | 26 |
| Obstetrics panel CPT 80055 | $253.73 | $422.88 | $10.00 – $317.16 | 26 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $374.12 | $623.53 | $74.82 – $530.00 | 21 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $268.24 | $447.07 | $53.65 – $380.01 | 21 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $352.05 | $586.75 | $70.41 – $498.74 | 21 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $35,485.88 | $59,143.14 | $56.62 – $44,357.36 | 26 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $1,341.58 | $2,235.96 | $0.69 – $11.05 | 21 |
| Ocular function screen CPT 99172 | $16.22 | $27.04 | $3.24 – $22.98 | 16 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,440.03 | $2,400.05 | $244.98 – $1,633.23 | 19 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $135.70 | $226.17 | $0.78 – $143.16 | 21 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $624.29 – $7,038.00 | 3 |
| Onc breast mrna 58 genes CPT 81520 | $3,012.25 | $5,020.42 | $35.00 – $6,024.50 | 26 |
| Oncology lung CPT 81538 | $357.79 | $596.31 | $35.00 – $6,890.40 | 26 |
| Oncology prostate prob score CPT 81539 | $1,155.00 | $1,925.00 | $35.00 – $1,824.00 | 26 |
| Oncology thyroid CPT 81545 | $357.79 | $596.31 | $35.00 – $506.86 | 20 |
| Oncology tum unknown origin CPT 81540 | $5,700.00 | $9,500.00 | $35.00 – $9,000.00 | 26 |
| Onco (ovar) five proteins CPT 81503 | $682.50 | $1,137.50 | $35.00 – $2,152.80 | 26 |
| Oncoprotein dcp CPT 83951 | $159.60 | $266.00 | $10.00 – $189.38 | 26 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,320.00 | $7,200.00 | $35.00 – $8,640.00 | 26 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $28.30 | $47.16 | $0.10 – $3.06 | 21 |
| Oocyte identification CPT 89254 | $337.20 | $562.00 | $10.00 – $423.12 | 26 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,736.62 – $9,442.65 | 16 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $963.66 – $9,442.65 | 17 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,546.00 – $7,038.00 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $6,898.73 | $11,497.88 | $1,939.15 – $13,613.39 | 26 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $264.70 | $441.16 | $57.14 – $330.87 | 26 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,169.29 | $1,948.82 | $233.86 – $7,038.00 | 18 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $7,038.00 – $95,131.46 | 16 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,763.00 – $16,942.33 | 17 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $36,076.18 | $60,126.96 | $7,038.00 – $76,924.35 | 24 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $3,196.82 – $17,722.46 | 17 |
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.