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 |
|---|---|---|---|---|
| Warde growth hormone (hgh) CPT 83003 | $121.67 | $202.79 | $10.00 – $152.09 | 26 |
| Warde haloperidol therapeutic drug level CPT 80173 | $79.23 | $132.05 | $10.00 – $49.75 | 26 |
| Warde helminth antibody strongyloides igg CPT 86682 | $216.09 | $360.15 | $10.00 – $39.47 | 26 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $140.81 | $234.69 | $10.00 – $30.89 | 26 |
| Warde hepatitis a antibody CPT 86708 | $112.58 | $187.64 | $10.00 – $29.74 | 26 |
| Warde hepatitis be antibody CPT 86707 | $82.07 | $136.79 | $9.72 – $102.59 | 26 |
| Warde hepatitis delta agent antibody CPT 86692 | $112.58 | $187.64 | $10.00 – $140.73 | 26 |
| Warde immunofixation electrophoresis urine CPT 86335 | $193.78 | $322.97 | $10.00 – $70.44 | 26 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $98.64 | $164.40 | $9.69 – $123.30 | 26 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $823.27 | $1,372.12 | $10.00 – $617.88 | 26 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $923.10 | $1,538.50 | $10.00 – $56.57 | 26 |
| Warde lipoprotein (a) CPT 83695 | $106.43 | $177.39 | $10.00 – $112.85 | 26 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $187.39 | $312.32 | $10.00 – $131.25 | 26 |
| Warde mitochondrial antibody each CPT 86381 | $195.55 | $325.92 | $10.00 – $244.44 | 26 |
| Warde neutralization rabies CPT 86382 | $172.50 | $287.50 | $10.00 – $144.38 | 26 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $132.42 | $220.70 | $10.00 – $165.53 | 26 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $178.50 | $297.50 | $10.00 – $123.14 | 26 |
| Warde protein c antigen CPT 85302 | $177.65 | $296.08 | $10.00 – $222.06 | 26 |
| Warde sex hormone binding globulin CPT 84270 | $104.28 | $173.80 | $9.40 – $52.15 | 26 |
| Warde somatomedin CPT 84305 | $139.64 | $232.73 | $10.00 – $51.02 | 26 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $63.26 | $105.44 | $4.62 – $25.41 | 26 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $110.63 | $184.38 | $10.00 – $138.28 | 26 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $275.40 | $459.00 | $10.00 – $344.25 | 26 |
| Warde topiramate therapeutic drug level CPT 80201 | $124.52 | $207.54 | $10.00 – $155.66 | 26 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $235.31 | $392.18 | $10.00 – $112.50 | 26 |
| Warde viscosity CPT 85810 | $85.35 | $142.25 | $9.80 – $106.69 | 26 |
| Warde vitamin a CPT 84590 | $101.99 | $169.99 | $9.75 – $127.49 | 26 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $149.35 | $248.92 | $10.00 – $50.95 | 26 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $273.00 | $455.00 | $10.00 – $203.83 | 26 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $89.62 | $149.37 | $8.31 – $112.03 | 26 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $239.03 | $398.39 | $10.00 – $92.40 | 26 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $96.47 | $160.79 | $10.00 – $120.59 | 26 |
| Warde zinc CPT 84630 | $94.80 | $158.00 | $9.57 – $27.34 | 26 |
| Wbc automated CPT 85048 | $48.08 | $80.13 | $2.13 – $60.10 | 26 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $1,492.20 – $7,038.00 | 3 |
| Wedging of cast CPT 29740 | $251.98 | $419.97 | $42.91 – $665.29 | 26 |
| Wedging of clubfoot cast CPT 29750 | $278.22 | $463.70 | $55.64 – $665.29 | 26 |
| Western blot test CPT 84181 | $247.50 | $412.50 | $10.00 – $188.15 | 26 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $465.88 | $776.46 | $93.18 – $621.17 | 19 |
| Whole blood for transfusion HCPCS P9010 | $487.92 | $813.20 | $97.58 – $609.90 | 26 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $501.89 | $836.48 | $100.38 – $627.36 | 26 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,823.30 | $3,038.83 | $264.64 – $2,279.12 | 26 |
| Whole mitochondrial genome CPT 81460 | $2,913.78 | $4,856.30 | $35.00 – $3,088.80 | 26 |
| Whole mitochondrial genome CPT 81465 | $2,160.00 | $3,600.00 | $35.00 – $2,246.40 | 26 |
| Whole Skeleton X-ray Survey CPT 77075 | $810.79 | $1,351.31 | $99.77 – $1,013.48 | 26 |
| Wilate injection HCPCS J7183 | $22.81 | $38.02 | $1.25 – $28.52 | 26 |
| Woman's shoe oxford brace HCPCS L3224 | $149.37 | $248.95 | $29.87 – $199.16 | 19 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $350.98 | $584.97 | $70.20 – $495.95 | 26 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $632.77 | $1,054.62 | $71.93 – $987.79 | 26 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $663.39 | $1,105.65 | $132.68 – $987.79 | 26 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $316.82 | $528.03 | $63.36 – $495.95 | 26 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $496.18 | $826.97 | $99.24 – $987.79 | 26 |
| Wrist X-ray CPT 73110 | $309.46 | $515.76 | $41.44 – $386.82 | 26 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $292.17 | $486.95 | $34.09 – $365.21 | 26 |
| Xcellistem, 1 mg HCPCS A2004 | $7.55 | $12.58 | $1.46 – $14.77 | 20 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,830.00 | $4,716.67 | $709.01 – $4,517.58 | 26 |
| Xm archive tissue molec anal CPT 88363 | $41.66 | $69.44 | $8.33 – $73.76 | 26 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,742.24 | $2,903.73 | $348.45 – $7,038.00 | 18 |
| X-ray abdomen >=3 views CPT 74021 | $244.51 | $407.52 | $43.10 – $305.64 | 26 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $261.79 | $436.32 | $131.99 – $952.69 | 26 |
| X-ray bone length studies CPT 77073 | $312.91 | $521.51 | $45.44 – $391.13 | 26 |
| X-ray bone survey infant CPT 77076 | $233.11 | $388.52 | $99.77 – $291.39 | 26 |
| Xray endovasc thor ao repr CPT 75956 | $1,357.65 | $2,262.75 | $271.53 – $1,923.34 | 20 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $539.81 | $899.68 | $79.53 – $674.76 | 26 |
| X-ray exam entire spi 6/> vw CPT 72084 | $575.76 | $959.60 | $98.90 – $719.70 | 26 |
| X-ray exam of arm infant CPT 73092 | $113.43 | $189.05 | $88.85 – $272.35 | 26 |
| X-ray exam of femur 1 CPT 73551 | $158.96 | $264.93 | $29.40 – $225.11 | 26 |
| X-ray exam of jaw joint CPT 70328 | $115.69 | $192.82 | $34.75 – $225.11 | 26 |
| X-ray exam of jaw joint CPT 70332 | $255.35 | $425.58 | $82.86 – $607.02 | 21 |
| X-ray exam of mastoids CPT 70120 | $193.41 | $322.35 | $38.43 – $272.35 | 26 |
| X-ray exam of penis CPT 74445 | $565.20 | $942.00 | $99.77 – $706.50 | 26 |
| X-ray exam of salivary gland CPT 70380 | $124.24 | $207.07 | $37.76 – $225.11 | 26 |
| X-ray exam of teeth CPT 70300 | $69.80 | $116.34 | $13.03 – $225.11 | 26 |
| X-ray exam of teeth CPT 70310 | $152.17 | $253.62 | $40.76 – $607.02 | 26 |
| X-ray exam si joints CPT 72200 | $162.73 | $271.22 | $33.41 – $272.35 | 26 |
| X-ray exam thorac spine4/>vw CPT 72074 | $432.22 | $720.37 | $44.78 – $540.28 | 26 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $276.00 | $460.00 | $32.75 – $345.00 | 26 |
| X-ray fallopian tube CPT 74742 | $458.68 | $764.47 | $63.42 – $649.80 | 20 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $300.00 | $500.00 | $60.14 – $425.00 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $545.64 | $909.40 | $62.15 – $682.05 | 26 |
| X-ray joint survey 1 view CPT 77077 | $124.24 | $207.07 | $47.11 – $272.35 | 26 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $113.43 | $189.05 | $83.05 – $225.11 | 26 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $341.30 | $568.84 | $40.76 – $426.63 | 26 |
| X-ray mandible ltd <4 views CPT 70100 | $121.12 | $201.87 | $39.09 – $225.11 | 26 |
| X-ray measurement of pelvis CPT 74710 | $157.39 | $262.31 | $31.48 – $222.96 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $113.43 | $189.05 | $83.05 – $225.11 | 26 |
| X-ray optic foramina CPT 70190 | $138.73 | $231.21 | $37.76 – $225.11 | 21 |
| Xray place prox ext thor ao CPT 75958 | $1,005.84 | $1,676.40 | $201.17 – $1,424.94 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $719.37 | $1,198.95 | $78.19 – $952.69 | 26 |
| X-ray ribs 2 views left CPT 71100 | $296.32 | $493.87 | $36.75 – $370.40 | 26 |
| X-ray sella turcica CPT 70240 | $92.48 | $154.13 | $33.08 – $225.11 | 26 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $492.03 | $820.05 | $59.81 – $1,366.64 | 26 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $300.00 | $500.00 | $89.55 – $375.00 | 26 |
| X-ray small intestine follow-through study CPT 74248 | $1,234.59 | $2,057.65 | $82.53 – $1,749.00 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $218.48 | $364.13 | $41.44 – $273.10 | 26 |
| X-ray surgical specimen CPT 76098 | $458.88 | $764.80 | $42.78 – $1,366.64 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $187.70 | $312.83 | $42.78 – $234.62 | 26 |
| X-ray upper gi delay w/kub CPT 74241 | $231.32 | $385.54 | $46.26 – $327.71 | 20 |
| X-ray upper gi&small intest CPT 74245 | $721.42 | $1,202.37 | $144.28 – $1,022.01 | 20 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $200.39 | $333.99 | $94.89 – $455.16 | 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.