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 |
|---|---|---|---|---|
| Revision of bladder neck CPT 52500 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Revision of cervix CPT 59320 | $3,854.76 | $6,424.60 | $1,063.52 – $7,744.80 | 26 |
| Revision of eyelid CPT 67882 | $2,470.39 | $4,117.32 | $698.30 – $5,788.85 | 26 |
| Revision of eyelid CPT 67950 | not published | not published | $698.30 – $5,788.85 | 17 |
| Revision of heart chamber CPT 92992 | $7,684.33 | $12,807.21 | $1,536.87 – $10,886.13 | 19 |
| Revision of iris CPT 66761 | $1,722.25 | $2,870.42 | $153.38 – $2,152.82 | 26 |
| Revision of knee joint CPT 27443 | not published | not published | $3,879.00 – $32,603.53 | 17 |
| Revision of knee joint CPT 27446 | not published | not published | $7,038.00 – $32,603.53 | 17 |
| Revision of neck muscle CPT 21700 | $3,098.15 | $5,163.58 | $1,807.25 – $17,722.46 | 26 |
| Revision of nose CPT 30450 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Revision of penis CPT 54420 | $4,044.67 | $6,741.12 | $1,142.90 – $8,636.11 | 26 |
| Revision of penis CPT 54430 | $4,337.39 | $7,228.99 | $867.48 – $6,144.64 | 20 |
| Revision of penis CPT 54435 | $3,745.07 | $6,241.78 | $1,142.90 – $8,636.11 | 26 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $659.94 – $4,783.04 | 17 |
| Revision of scrotum CPT 55175 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Revision of testis CPT 54660 | not published | not published | $2,416.00 – $12,818.21 | 17 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Revision of urethra CPT 53450 | not published | not published | $1,142.90 – $8,636.11 | 17 |
| Revision open av fistula without thromb CPT 36832 | $10,714.76 | $17,857.94 | $1,939.15 – $13,613.39 | 26 |
| Revision tips CPT 37183 | $11,218.30 | $18,697.16 | $2,243.66 – $14,159.18 | 26 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $7,038.00 – $32,603.53 | 16 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $3,077.59 – $27,728.96 | 15 |
| Revita, per sq cm HCPCS Q4180 | $389.83 | $649.72 | $47.45 – $296.54 | 25 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $3,405.27 – $20,285.00 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,804.00 – $8,428.94 | 17 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,499.71 – $8,428.94 | 17 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,804.00 – $8,428.94 | 17 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $13,780.06 | $22,966.76 | $6,472.62 – $33,745.27 | 24 |
| Revsc opn/prq tib/pero stent CPT 37234 | $11,094.73 | $18,491.22 | $2,218.95 – $15,717.54 | 18 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,450.84 | $4,084.73 | $659.94 – $4,783.04 | 26 |
| Rheumatoid factor qualitative CPT 86430 | $99.07 | $165.11 | $5.16 – $123.83 | 26 |
| Rheumatoid factor quantitative CPT 86431 | $83.19 | $138.65 | $4.76 – $16.88 | 26 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $449.62 | $749.36 | $5.33 – $636.96 | 21 |
| Rho d immune globulin inj HCPCS J2790 | $154.05 | $256.75 | $30.81 – $218.24 | 21 |
| R hrt cath chd abnl nt cnj CPT 93594 | $9,114.35 | $15,190.59 | $1,822.87 – $11,392.94 | 25 |
| R hrt cath chd nml nt cnj CPT 93593 | $8,285.78 | $13,809.63 | $1,657.16 – $10,357.22 | 25 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $394.69 | $657.82 | $42.44 – $493.37 | 26 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $550.49 | $917.49 | $52.79 – $688.12 | 26 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,954.22 – $14,507.25 | 17 |
| Rib X-ray (3 views, both sides) CPT 71110 | $381.04 | $635.06 | $44.10 – $476.30 | 26 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $485.11 | $808.52 | $0.19 – $687.24 | 21 |
| Right heart cath congenital CPT 93530 | $8,522.51 | $14,204.19 | $1,704.50 – $16,180.00 | 19 |
| Right ventric recording CPT 93603 | $1,468.47 | $2,447.45 | $293.69 – $2,948.27 | 26 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,659.38 | $2,765.64 | $10.26 – $1,382.76 | 26 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $8,485.68 | $14,142.80 | $70.45 – $2,151.42 | 26 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $1,551.99 | $2,586.65 | $29.72 – $1,939.99 | 26 |
| R & l heart cath congenital CPT 93531 | $10,707.77 | $17,846.29 | $2,141.55 – $16,180.00 | 19 |
| R & l heart cath congenital CPT 93532 | $7,547.27 | $12,578.79 | $1,509.45 – $16,180.00 | 19 |
| R & l heart cath congenital CPT 93533 | $7,046.49 | $11,744.15 | $1,409.30 – $16,180.00 | 19 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $8,169.46 | $13,615.76 | $1,633.89 – $10,211.82 | 25 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $8,577.93 | $14,296.55 | $1,715.59 – $10,722.41 | 25 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,960.57 – $15,671.95 | 15 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $846.42 | $1,410.70 | $61.74 – $1,742.94 | 26 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,584.96 | $4,308.26 | $429.26 – $3,231.20 | 26 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,258.77 | $3,764.62 | $123.47 – $4,016.35 | 26 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,996.58 – $16,502.12 | 16 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | $6,981.14 | $11,635.24 | $1,396.23 – $9,728.21 | 26 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $43,926.37 | $73,210.62 | $16,336.46 – $58,392.49 | 26 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $44,390.75 | $73,984.58 | $19,034.00 – $81,499.55 | 26 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $38,067.53 | $63,445.88 | $16,178.06 – $58,392.49 | 26 |
| Rmvl icd pulse gen only CPT 33241 | $5,987.37 | $9,978.95 | $1,425.44 – $9,728.21 | 26 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $894.98 | $1,491.63 | $111.00 – $1,556.23 | 26 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $7,028.51 | $11,714.19 | $2,416.00 – $21,045.99 | 26 |
| Rmvl perq right heart vad CPT 33997 | $4,633.06 | $7,721.76 | $289.92 – $7,038.00 | 18 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $3,831.08 | $6,385.14 | $1,518.53 – $8,428.94 | 24 |
| Rmvl phrnc nrv stim sys CPT 33278 | $12,743.72 | $21,239.53 | $1,518.53 – $15,929.65 | 24 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $7,968.65 | $13,281.09 | $1,912.42 – $9,960.82 | 24 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $19,823.71 | $33,039.51 | $9,828.12 – $48,269.91 | 26 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $18,220.94 | $30,368.24 | $5,259.03 – $22,776.18 | 26 |
| Rmvl pq iabp CPT 33968 | $2,262.94 | $3,771.56 | $452.59 – $3,205.83 | 19 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,864.71 | $8,107.85 | $972.94 – $6,891.67 | 19 |
| Rmvl sq defib electrode CPT 33272 | $7,532.10 | $12,553.50 | $1,506.42 – $9,728.21 | 25 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,761.75 | $4,602.91 | $257.60 – $3,452.18 | 26 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $815.20 – $7,039.11 | 17 |
| Rmvl tv pm lead dual CPT 33235 | $5,661.48 | $9,435.80 | $1,870.58 – $9,728.21 | 26 |
| Rmvl tv pm lead sgl CPT 33234 | $6,786.41 | $11,310.69 | $1,906.80 – $9,728.21 | 26 |
| Rmv ntr oi implt skl prq esp CPT 69726 | $3,700.84 | $6,168.06 | $1,088.27 – $9,814.00 | 24 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $484.81 – $7,038.00 | 3 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $35,305.79 | $58,842.99 | $8,775.47 – $44,132.24 | 24 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $34,440.90 | $57,401.50 | $19,328.56 – $76,924.35 | 24 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $5,787.57 | $9,645.95 | $29.26 – $7,234.46 | 26 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,736.26 | $7,893.76 | $10.55 – $2,970.70 | 26 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $912.24 | $1,520.40 | $0.05 – $3.57 | 21 |
| Rotavirus antibody CPT 86759 | $125.01 | $208.35 | $10.00 – $156.26 | 26 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,590.19 | $4,316.99 | $605.62 – $3,967.42 | 26 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,603.09 | $2,671.81 | $244.59 – $2,003.86 | 26 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,006.39 | $5,010.65 | $436.04 – $3,757.99 | 26 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,814.88 | $6,358.14 | $823.96 – $4,768.60 | 26 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,617.94 | $4,363.24 | $446.27 – $3,967.42 | 26 |
| Rpl tun-cvad w subq port CPT 36582 | $5,219.37 | $8,698.95 | $1,118.22 – $7,896.23 | 26 |
| Rpl tun-cvad w subq pump CPT 36583 | $4,440.98 | $7,401.63 | $2,763.00 – $13,613.39 | 24 |
| Rpl tun cvc wo subq port CPT 36581 | $4,420.98 | $7,368.30 | $1,477.77 – $7,896.23 | 26 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,857.63 – $10,795.00 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,151.54 – $13,982.14 | 16 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $1,151.54 – $14,293.73 | 16 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $1,151.54 – $13,982.14 | 16 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $1,151.54 – $8,570.48 | 16 |
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.