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 |
|---|---|---|---|---|
| Stress tte complete CPT 93351 | $2,721.33 | $4,535.55 | $459.15 – $3,401.66 | 26 |
| Str markers spec anal addl CPT 81266 | $479.17 | $798.61 | $35.00 – $731.54 | 26 |
| Str markers specimen anal CPT 81265 | $984.41 | $1,640.68 | $35.00 – $1,230.51 | 26 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $72.13 | $120.22 | $4.80 – $34.00 | 20 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,763.00 – $8,887.48 | 17 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,763.00 – $8,887.48 | 17 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,969.05 – $6,093.00 | 17 |
| Sugars single quant CPT 84378 | $77.40 | $129.00 | $9.69 – $96.75 | 26 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $1,979,710.86 | $3,299,518.10 | $1.69 – $102.00 | 20 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $138.43 | $230.72 | $0.04 – $68.20 | 21 |
| Sulfonylurea screen qn-sendout CPT 80377 | $241.66 | $402.76 | $6.53 – $110.45 | 19 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $237.70 | $396.16 | $47.54 – $336.74 | 20 |
| Support clav 29.6-40.5in med HCPCS L3650 | $175.89 | $293.15 | $29.52 – $196.80 | 19 |
| Surgical pathology level 1 gross examination only CPT 88300 | $110.02 | $183.37 | $22.00 – $137.53 | 26 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $176.63 | $294.38 | $35.00 – $220.78 | 26 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $239.50 | $399.16 | $35.00 – $299.37 | 26 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $474.00 | $790.00 | $35.00 – $371.42 | 26 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $476.75 | $794.58 | $35.00 – $890.45 | 26 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $657.12 | $1,095.20 | $35.00 – $2,130.15 | 26 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,892.34 – $7,038.00 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $54.62 | $91.04 | $3.99 – $68.28 | 26 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $88.04 | $146.73 | $3.99 – $58.78 | 26 |
| Susceptibility mic per plate CPT 87186 | $169.46 | $282.44 | $7.27 – $211.83 | 26 |
| Suscept studies macrobroth dilution ea CPT 87188 | $59.71 | $99.52 | $5.58 – $74.64 | 26 |
| Svc venogram s&i CPT 75827 | $1,934.62 | $3,224.36 | $118.95 – $3,967.42 | 26 |
| Swallowing Evaluation (Bedside) CPT 92610 | $340.13 | $566.88 | $68.03 – $481.85 | 21 |
| Swallowing Therapy Session CPT 92526 | $297.77 | $496.28 | $59.55 – $421.84 | 21 |
| Synvisc or synvisc-one HCPCS J7325 | $1,232.66 | $2,054.43 | $6.61 – $1,540.82 | 26 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $69.79 | $116.31 | $3.70 – $41.93 | 26 |
| System cardiomems hosp electronics HCPCS C2624 | $45,886.50 | $76,477.50 | $9,177.30 – $61,182.00 | 19 |
| System pacing micra av HCPCS C1786 | $32,426.46 | $54,044.10 | $513.93 – $3,426.19 | 19 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $8,861.20 | $14,768.66 | $592.80 – $3,952.00 | 19 |
| System recell skin grafting/harvesting HCPCS C1832 | $14,020.88 | $23,368.13 | $4.98 – $15,890.33 | 20 |
| System sealant biosentry tract HCPCS C2613 | $1,023.33 | $1,705.55 | $204.67 – $1,364.44 | 19 |
| T3 (triiodothyronine) free CPT 84481 | $175.79 | $292.99 | $10.00 – $219.74 | 26 |
| T3 (triiodothyronine) total CPT 84480 | $141.20 | $235.34 | $10.00 – $176.50 | 26 |
| T4 (thyroxine) free CPT 84439 | $128.73 | $214.55 | $7.58 – $41.25 | 26 |
| T4 (thyroxine) total CPT 84436 | $102.22 | $170.37 | $5.77 – $127.78 | 26 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $32.80 | $54.66 | $1.23 – $8.71 | 21 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $43.10 | $71.84 | $0.08 – $3.43 | 21 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $668.52 | $1,114.20 | $133.70 – $835.65 | 26 |
| Tacrolimus therapeutic drug level CPT 80197 | $209.24 | $348.73 | $10.00 – $261.55 | 26 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,456.76 | $4,094.60 | $13.16 – $3,070.95 | 26 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $278.57 | $464.28 | $32.75 – $348.21 | 26 |
| Target gsa panel hmtlmph neop CPT 81450 | $8,967.00 | $14,945.00 | $10.00 – $1,822.87 | 26 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,560.00 | $12,600.00 | $35.00 – $7,007.04 | 26 |
| Target gsa panel organ neop CPT 81445 | $5,238.75 | $8,731.25 | $35.00 – $1,653.75 | 26 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $27,030.00 | $45,050.00 | $1,489.33 – $33,787.50 | 26 |
| Tas congenital car anomal CPT 33741 | $7,684.33 | $12,807.21 | $1,536.87 – $10,886.13 | 19 |
| Tavr perq femoral CPT 33361 | $32,560.45 | $54,267.42 | $2,404.57 – $46,127.31 | 20 |
| Tbs techl calculation only CPT 77091 | $99.13 | $165.22 | $19.83 – $225.11 | 26 |
| Tbs techl prep&transmis data CPT 77090 | $99.13 | $165.22 | $19.83 – $225.11 | 26 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $506.22 | $843.70 | $10.00 – $364.02 | 26 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $220.37 | $367.29 | $10.00 – $275.47 | 26 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $109.62 | $182.70 | $21.92 – $155.29 | 20 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,970.00 | $4,950.00 | $594.00 – $3,712.50 | 25 |
| Tc-99m sulfur colloid HCPCS A9541 | $205.55 | $342.59 | $41.11 – $291.20 | 20 |
| Tcd emboli detect w/inj CPT 93893 | $640.22 | $1,067.03 | $99.77 – $800.27 | 26 |
| Tcd emboli detect without inj CPT 93892 | $600.96 | $1,001.60 | $99.77 – $751.20 | 26 |
| Tcd vasoreactivity study CPT 93890 | $566.88 | $944.80 | $113.38 – $803.08 | 21 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $228.43 | $380.72 | $10.00 – $112.75 | 26 |
| T cells absolute cd 4 count CPT 86361 | $258.20 | $430.33 | $10.00 – $204.09 | 26 |
| T cells total count CPT 86359 | $363.75 | $606.25 | $10.00 – $90.55 | 26 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,344.96 | $2,241.60 | $268.99 – $7,038.00 | 18 |
| Team conf without pat by hc pro CPT 99368 | $141.89 | $236.48 | $28.38 – $201.01 | 21 |
| Team conf w/pat by hc prof CPT 99366 | $113.83 | $189.72 | $22.77 – $161.26 | 21 |
| Telehealth original site facility fee HCPCS Q3014 | $465.99 | $776.65 | $9.74 – $69.01 | 19 |
| Telethx isodose plan cplx CPT 77307 | $1,679.31 | $2,798.85 | $219.26 – $2,099.14 | 26 |
| Telethx isodose plan simple CPT 77306 | $620.10 | $1,033.50 | $121.43 – $915.33 | 26 |
| Temozolomide HCPCS J8700 | $64.37 | $107.28 | $0.43 – $14.67 | 21 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,031.44 | $15,052.40 | $28.58 – $11,289.30 | 26 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,951.87 | $24,919.78 | $187.57 – $14,013.43 | 26 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,398.52 – $17,722.46 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $73.32 | $122.20 | $3.26 – $103.87 | 21 |
| Tert gene targeted seq alys CPT 81345 | $1,650.00 | $2,750.00 | $35.00 – $2,062.50 | 26 |
| Testicular imaging w/vasc flow CPT 78761 | $449.57 | $749.28 | $195.14 – $1,021.72 | 26 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $29.90 | $49.84 | $5.98 – $151.53 | 26 |
| Test stress cardiovascular tracing only CPT 93017 | $1,251.88 | $2,086.47 | $206.06 – $1,564.85 | 26 |
| Tetanus immune globulin inj HCPCS J1670 | $1,172.11 | $1,953.51 | $234.42 – $1,465.13 | 26 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $3,450.00 | $5,750.00 | $35.00 – $1,822.87 | 26 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $5,025.00 | $8,375.00 | $35.00 – $7,007.04 | 26 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $5,536.50 | $9,227.50 | $35.00 – $1,653.75 | 26 |
| Theophylline therapeutic drug level CPT 80198 | $141.91 | $236.51 | $10.00 – $177.38 | 26 |
| Therapeutic procd strg endur HCPCS G0237 | $143.36 | $238.94 | $27.61 – $179.21 | 26 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $158.40 | $264.00 | $31.68 – $224.40 | 20 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $122.76 | $204.60 | $24.55 – $173.91 | 21 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $125.24 | $208.73 | $25.05 – $177.42 | 21 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $67.10 | $111.83 | $13.42 – $106.22 | 20 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.10 | $106.84 | $12.82 – $90.81 | 20 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $232.32 | $387.20 | $167.39 – $455.16 | 26 |
| Ther/proph/diag inj ia CPT 96373 | $247.33 | $412.22 | $49.47 – $530.97 | 26 |
| Ther radiology tx plng cplx CPT 77263 | $269.23 | $448.72 | $53.85 – $381.41 | 20 |
| Ther radiology tx plng intrm CPT 77262 | $213.06 | $355.10 | $42.61 – $301.83 | 20 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.82 | $59.70 | $1.71 – $32.64 | 21 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $290.44 | $484.07 | $35.75 – $363.05 | 26 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,410.82 | $2,351.37 | $223.75 – $1,763.53 | 26 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $380.05 – $7,038.00 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,924.64 – $16,062.00 | 3 |
| Thoracotomy w/expl CPT 32100 | $2,045.17 | $3,408.62 | $409.03 – $2,897.33 | 20 |
| Thoracotomy with cardiac massage CPT 32160 | $3,459.68 | $5,766.13 | $691.94 – $4,901.21 | 20 |
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.