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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,732.48 | $11,220.80 | $1,346.50 – $8,415.60 | 26 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,181.35 | $15,302.25 | $1,836.27 – $13,613.39 | 26 |
| Place slctv cath subclavian art CPT 36225 | $6,732.48 | $11,220.80 | $1,346.50 – $8,415.60 | 26 |
| Place slctv cath vertebral art uni CPT 36226 | $10,750.82 | $17,918.04 | $2,150.16 – $13,613.39 | 26 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $172.78 | $287.96 | $34.56 – $279.16 | 26 |
| Platelet aggregation each agent teg CPT 85576 | $192.99 | $321.65 | $10.00 – $241.24 | 26 |
| Platelet automated CPT 85049 | $73.34 | $122.23 | $3.76 – $91.67 | 26 |
| Platelet deplete of harvest CPT 38213 | $1,427.12 | $2,378.53 | $35.00 – $1,783.90 | 26 |
| Platelet pheresis each unit HCPCS P9034 | $1,260.36 | $2,100.60 | $252.07 – $1,575.45 | 26 |
| Platelets each unit HCPCS P9019 | $240.25 | $400.41 | $48.05 – $300.31 | 26 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $284.43 | $474.05 | $56.89 – $355.54 | 26 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $373.92 | $623.20 | $74.78 – $599.64 | 26 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,109.28 | $1,848.80 | $221.86 – $1,386.60 | 26 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,214.64 | $2,024.40 | $242.93 – $1,518.30 | 26 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,254.99 | $2,091.65 | $231.08 – $1,444.24 | 26 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,387.23 | $2,312.05 | $257.53 – $1,748.45 | 26 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $822.60 | $1,371.00 | $164.52 – $1,433.33 | 26 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,222.48 | $7,037.46 | $1,151.54 – $8,570.48 | 26 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,796.21 | $17,993.68 | $1,896.00 – $15,294.63 | 20 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,460.21 | $7,433.69 | $1,142.90 – $10,795.00 | 19 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,048.00 | $10,080.00 | $1,493.34 – $10,795.00 | 19 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,298.61 | $5,497.69 | $659.72 – $7,038.00 | 18 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,260.47 | $2,100.78 | $252.09 – $1,742.94 | 26 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $878.22 | $1,463.70 | $175.64 – $1,244.14 | 20 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,320.69 | $5,534.49 | $571.30 – $7,038.00 | 18 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $843.08 | $1,405.14 | $168.62 – $1,194.37 | 20 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $964.04 | $1,606.74 | $192.81 – $1,365.73 | 20 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,071.23 | $1,785.38 | $214.25 – $1,517.57 | 20 |
| Plerixafor injection HCPCS J2562 | $17,959.33 | $29,932.21 | $19.25 – $22,449.16 | 26 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $451.90 | $753.16 | $90.38 – $805.95 | 26 |
| Plmt access bil tree sm bwl CPT 47541 | $3,205.90 | $5,343.16 | $1,151.54 – $18,741.87 | 26 |
| Plmt biliary drainage cath CPT 47534 | $4,989.69 | $8,316.15 | $1,151.54 – $8,570.48 | 26 |
| Plmt nephroureteral catheter CPT 50433 | $3,820.82 | $6,368.04 | $1,142.90 – $8,636.11 | 26 |
| Plmt ureteral stent prq CPT 50694 | $4,709.76 | $7,849.60 | $1,142.90 – $10,795.00 | 19 |
| Pm device progr eval dual CPT 93280 | $252.07 | $420.12 | $35.62 – $315.09 | 26 |
| Pm device progr eval multi CPT 93281 | $225.60 | $376.00 | $35.62 – $282.00 | 26 |
| Pmp22 gene dup/delet CPT 81324 | $1,029.75 | $1,716.25 | $10.00 – $1,820.06 | 26 |
| Pms2 gene dup/delet variants CPT 81319 | $87.38 | $145.63 | $35.00 – $488.40 | 26 |
| Pms2 gene full seq analysis CPT 81317 | $290.46 | $484.10 | $35.00 – $1,623.60 | 26 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $811.82 | $1,353.04 | $162.36 – $1,556.23 | 26 |
| #pnh-flow cytometry interp CPT 88187 | $154.14 | $256.90 | $12.83 – $94.96 | 20 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $259.66 | $432.76 | $10.00 – $324.57 | 26 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $32,554.79 | $54,257.99 | $130.21 – $40,693.49 | 26 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,802.77 | $8,004.62 | $819.52 – $6,003.47 | 26 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,236.15 | $8,726.91 | $819.52 – $6,545.18 | 26 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $72.00 | $120.00 | $14.40 – $2,181.14 | 26 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $84.00 | $140.00 | $16.80 – $2,181.14 | 26 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $881.95 | $1,469.91 | $176.39 – $1,175.93 | 19 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $58.91 | $98.18 | $3.97 – $73.64 | 26 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $97.20 | $162.00 | $0.14 – $20.45 | 21 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.87 | $99.79 | $4.00 – $74.84 | 26 |
| Pq biliary strict dil s&i CPT 74363 | $707.71 | $1,179.51 | $87.94 – $1,002.58 | 20 |
| Pq dr cath chg w cont s&i CPT 75984 | $633.97 | $1,056.61 | $126.79 – $898.12 | 20 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,430.78 | $17,384.64 | $2,398.52 – $17,722.46 | 26 |
| Pq thr inj ext pse CPT 36002 | $1,014.07 | $1,690.12 | $223.75 – $1,556.23 | 26 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,725.56 | $4,542.60 | $545.11 – $3,861.21 | 20 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,236.34 | $7,060.56 | $1,088.27 – $8,018.48 | 26 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,811.54 | $8,019.23 | $1,088.27 – $8,018.48 | 26 |
| Pralatrexate injection HCPCS J9307 | $24,465.07 | $40,775.12 | $325.97 – $30,581.34 | 26 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $234.09 | $390.15 | $46.82 – $331.63 | 20 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,865.99 | $6,443.32 | $1,088.27 – $8,018.48 | 26 |
| Pr application of long arm splint CPT 29105 | $388.52 | $647.54 | $40.14 – $485.65 | 26 |
| Pr application splint static short arm CPT 29125 | $370.91 | $618.19 | $74.18 – $463.64 | 26 |
| Pr biopsy skin punch single lesion CPT 11104 | $505.18 | $841.97 | $79.46 – $987.79 | 26 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $3,508.38 – $27,728.96 | 17 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,088.27 – $10,032.00 | 18 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.71 | $81.19 | $9.74 – $80.93 | 26 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,769.84 | $2,949.74 | $353.97 – $2,507.28 | 20 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,161.89 | $5,269.82 | $632.38 – $4,479.35 | 20 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $4,342.83 | $7,238.05 | $1,142.90 – $8,636.11 | 26 |
| Prealbumin CPT 84134 | $115.26 | $192.10 | $10.00 – $144.07 | 26 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $63.65 | $106.08 | $0.81 – $51.17 | 21 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.40 | $0.67 | $0.00 – $0.14 | 21 |
| Pregabalin - sendout CPT 80366 | $5.00 | $8.33 | $3.92 – $7.42 | 19 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $564.97 – $4,713.77 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $590.27 | $983.78 | $99.77 – $737.84 | 26 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $660.98 | $1,101.64 | $99.77 – $826.23 | 26 |
| Pregnancy Ultrasound (limited) CPT 76815 | $459.00 | $765.00 | $81.20 – $573.75 | 26 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $3,907.86 | $6,513.10 | $206.06 – $4,884.82 | 26 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $2,062.26 | $3,437.10 | $356.12 – $2,577.82 | 26 |
| Preparation for bladder xray CPT 51605 | $1,143.32 | $1,905.54 | $228.66 – $1,619.71 | 20 |
| Preparation palate mold CPT 42280 | $583.82 | $973.04 | $116.76 – $1,363.00 | 26 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $131.55 – $131.55 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $1,198.40 | $1,997.34 | $262.63 – $1,555.84 | 26 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $705.32 – $4,517.58 | 16 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $349.83 | $583.05 | $28.35 – $386.96 | 26 |
| Pressure treatment esophagus CPT 43460 | $2,587.56 | $4,312.60 | $517.51 – $3,665.71 | 20 |
| Pressure velocity wire add ves CPT 93572 | $2,208.05 | $3,680.08 | $441.61 – $3,128.07 | 18 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $107.65 | $179.42 | $10.00 – $423.12 | 26 |
| Pretreat rbc absorption reference CPT 86978 | $255.19 | $425.31 | $10.00 – $287.88 | 26 |
| Pretreat rbc density gradient separation reference CPT 86972 | $47.73 | $79.55 | $8.84 – $423.12 | 26 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $132.48 | $220.80 | $10.00 – $165.60 | 26 |
| Pretreat rbc w enzyme reference CPT 86971 | $214.33 | $357.21 | $10.00 – $423.12 | 26 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $328.28 | $547.13 | $65.66 – $410.35 | 26 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $178.57 | $297.62 | $35.71 – $327.47 | 23 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $74.19 – $4,016.35 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $486.45 – $4,016.35 | 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.