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 |
|---|---|---|---|---|
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $709.01 – $7,373.00 | 17 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $9,291.29 | $15,485.48 | $155.76 – $11,614.11 | 26 |
| Blind interatrial shunt ide HCPCS C9758 | $14,874.00 | $24,790.00 | $2,974.80 – $45,501.30 | 26 |
| Blink reflex test CPT 95933 | $280.17 | $466.95 | $56.03 – $350.21 | 26 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $15,652.40 | $26,087.33 | $0.00 – $0.01 | 20 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $7,647.75 | $12,746.25 | $11.21 – $79.41 | 20 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,572.22 | $2,620.36 | $38.31 – $271.35 | 20 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,914.26 | $9,857.10 | $113.19 – $801.76 | 20 |
| Bln press regulation 71-80cm HCPCS C1815 | $13,796.54 | $22,994.24 | $1,055.63 – $7,037.55 | 19 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,792.59 | $7,987.65 | $64.32 – $428.82 | 19 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,394.61 | $2,324.35 | $340.77 – $2,257.97 | 26 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,576.68 | $2,627.80 | $443.63 – $2,257.97 | 26 |
| Block paracervical nrv CPT 64435 | $672.84 | $1,121.40 | $43.19 – $1,713.14 | 26 |
| Block plantar digital nerve CPT 64455 | $429.83 | $716.39 | $17.99 – $733.72 | 26 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,925.29 | $4,875.48 | $51.26 – $4,144.16 | 20 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,628.54 | $2,714.24 | $41.42 – $2,307.10 | 20 |
| Blood clot lysis time CPT 85175 | $47.06 | $78.44 | $10.00 – $58.83 | 26 |
| Blood Clotting (PT/INR) Test CPT 85610 | $84.55 | $140.91 | $3.60 – $12.41 | 26 |
| Blood Clotting (PTT) Test CPT 85730 | $87.67 | $146.11 | $5.05 – $17.42 | 26 |
| Blood component/product noc HCPCS P9099 | $0.01 | $0.01 | $0.00 – $81.22 | 26 |
| Blood Count (CBC) Test CPT 85025 | $110.18 | $183.63 | $6.53 – $137.72 | 26 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $89.90 | $149.84 | $5.43 – $112.38 | 26 |
| Blood count spun microhematocrit CPT 85013 | $5.02 | $8.36 | $3.93 – $16.80 | 26 |
| Blood Culture Test CPT 87040 | $204.31 | $340.52 | $8.67 – $255.39 | 26 |
| Blood draw capillary 36416 CPT 36416 | $24.00 | $40.00 | $4.80 – $34.00 | 19 |
| Blood Draw (Venipuncture) CPT 36415 | $28.65 | $47.75 | $5.73 – $35.81 | 26 |
| Blood gases o2 saturation direct measurement CPT 82805 | $308.92 | $514.86 | $10.00 – $386.14 | 26 |
| Blood gases ph venous CPT 82800 | $64.60 | $107.67 | $9.24 – $80.75 | 26 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $67.36 | $112.27 | $10.00 – $84.20 | 26 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $43.15 | $71.91 | $3.55 – $53.93 | 26 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $37.09 | $61.81 | $3.68 – $46.36 | 26 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $47.15 | $78.59 | $4.47 – $58.94 | 26 |
| Blood smear interpretation CPT 85060 | $248.70 | $414.50 | $10.00 – $89.17 | 20 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $56.14 | $93.56 | $3.19 – $70.17 | 26 |
| Blood split unit HCPCS P9011 | $114.57 | $190.95 | $22.91 – $387.58 | 26 |
| Blood Transfusion CPT 36430 | $1,098.91 | $1,831.52 | $30.73 – $1,373.64 | 26 |
| Blood typing abo CPT 86900 | $4,755.00 | $7,925.00 | $2.51 – $316.45 | 26 |
| Blood typing ag donor ea ag CPT 86902 | $214.33 | $357.21 | $5.33 – $890.45 | 26 |
| Blood typing patient serum CPT 86904 | $115.51 | $192.51 | $10.00 – $151.53 | 26 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $214.33 | $357.21 | $3.22 – $890.45 | 26 |
| Blood typing rh (d) CPT 86901 | $153.56 | $255.94 | $2.51 – $99.35 | 26 |
| Blood typing rh phenotype complete reference CPT 86906 | $153.07 | $255.11 | $6.51 – $116.68 | 26 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $33,945.00 | $56,575.00 | $25.49 – $268.77 | 25 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $175.04 | $291.73 | $26.06 – $272.35 | 26 |
| Bone biopsy open superficial CPT 20240 | $4,225.20 | $7,042.00 | $815.20 – $7,039.11 | 26 |
| Bone Density Scan (DEXA) CPT 77080 | $381.19 | $635.32 | $39.09 – $476.49 | 26 |
| Bone filler cerament 10cc HCPCS C1602 | $16,176.52 | $26,960.87 | $1,747.77 – $11,651.78 | 19 |
| Bone imaging (3d) CPT 78320 | $1,261.00 | $2,101.67 | $252.20 – $1,786.42 | 20 |
| Bone imaging multiple areas CPT 78305 | $446.03 | $743.39 | $247.59 – $1,021.72 | 26 |
| Bone/joint imaging ltd area CPT 78300 | $1,333.26 | $2,222.10 | $203.15 – $1,666.58 | 26 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,376.56 | $2,294.27 | $92.74 – $4,016.35 | 26 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,351.58 | $2,252.63 | $95.79 – $4,016.35 | 26 |
| Bone marrow harvest allogen CPT 38230 | $4,654.20 | $7,757.00 | $564.62 – $5,817.75 | 26 |
| Bone marrow imaging body CPT 78104 | $452.36 | $753.93 | $225.20 – $1,021.72 | 26 |
| Bone marrow imaging ltd CPT 78102 | $702.26 | $1,170.44 | $159.38 – $1,021.72 | 26 |
| Bone marrow imaging mult CPT 78103 | $367.06 | $611.77 | $169.08 – $1,021.72 | 26 |
| Bone marrow interpretation CPT 85097 | $542.03 | $903.39 | $10.00 – $2,130.15 | 26 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $5,017.44 – $15,671.95 | 15 |
| Bone survey-lead poisoning CPT 77074 | $298.33 | $497.21 | $65.49 – $372.91 | 26 |
| Boot j walker l HCPCS L4386 | $57.50 | $95.83 | $11.50 – $76.66 | 19 |
| Boot mlti podous univ xlg HCPCS L4396 | $195.92 | $326.53 | $26.28 – $175.18 | 19 |
| Boot softgait shrt m HCPCS L4387 | $139.20 | $232.00 | $15.10 – $100.67 | 19 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $552.60 | $921.00 | $20.82 – $138.83 | 19 |
| Borrelia antibody CPT 86619 | $150.94 | $251.56 | $10.00 – $188.67 | 26 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $140.84 | $234.74 | $10.00 – $103.37 | 26 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,915.40 | $4,859.00 | $1.98 – $4,130.15 | 21 |
| (both sides) donor search management CPT 38204 | $4,175.95 | $6,959.92 | $835.19 – $5,915.93 | 19 |
| (both sides) smear without diff wbc count CPT 85008 | $45.71 | $76.19 | $2.88 – $57.14 | 26 |
| Bowel imaging CPT 78290 | $1,417.03 | $2,361.72 | $295.70 – $1,771.29 | 26 |
| Brace afo lg left 6607 HCPCS L1930 | $480.69 | $801.15 | $11.88 – $79.18 | 19 |
| Brace afo spiral prefab HCPCS L1951 | $1,313.06 | $2,188.44 | $262.61 – $1,750.75 | 19 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $244.37 | $407.28 | $48.87 – $325.82 | 19 |
| Brace ank air stirrup univ HCPCS L4350 | $108.67 | $181.11 | $21.73 – $144.89 | 19 |
| Brace ankle joint dflxn assist HCPCS L2210 | $170.73 | $284.55 | $34.15 – $227.64 | 19 |
| Brace ankle stablizing lg HCPCS L1902 | $158.12 | $263.54 | $31.62 – $210.83 | 19 |
| Brace back epic lso 637 HCPCS L0650 | $462.72 | $771.20 | $86.84 – $578.91 | 19 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,632.87 | $4,388.11 | $138.94 – $926.26 | 19 |
| Brace back t-lso custom HCPCS L0486 | $3,159.48 | $5,265.80 | $631.90 – $4,212.64 | 19 |
| Brace cust back lso HCPCS L0631 | $2,265.81 | $3,776.35 | $453.16 – $3,021.08 | 19 |
| Brace halo bremer l2830 HCPCS L2830 | $225.00 | $375.00 | $45.00 – $300.00 | 19 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,256.06 | $2,093.44 | $251.21 – $1,674.75 | 19 |
| Brace knee hing pat open med HCPCS L1820 | $292.34 | $487.24 | $58.47 – $389.79 | 19 |
| Brace knee postop tscope xl HCPCS L1845 | $901.93 | $1,503.22 | $32.93 – $219.51 | 19 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $136.24 | $227.07 | $27.25 – $193.01 | 21 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $2,541.00 | $4,235.00 | $508.20 – $3,388.00 | 19 |
| Brace wrist classic lft sm HCPCS L3908 | $148.92 | $248.20 | $3.55 – $23.66 | 19 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,763.00 – $7,039.11 | 17 |
| Brach/thor cath 1st CPT 36215 | $2,885.69 | $4,809.48 | $577.14 – $4,088.06 | 20 |
| Brach/thor cath 2nd CPT 36216 | $2,667.65 | $4,446.09 | $533.53 – $3,779.18 | 20 |
| Brach/thor cath 3rd CPT 36217 | $3,367.97 | $5,613.29 | $673.59 – $4,771.30 | 20 |
| Brach/thor cath addl CPT 36218 | $1,482.14 | $2,470.24 | $296.43 – $2,099.70 | 20 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $790.89 | $1,318.15 | $158.18 – $1,054.52 | 23 |
| Brachytx isodose complex CPT 77318 | $705.45 | $1,175.75 | $141.09 – $915.33 | 26 |
| Brachytx isodose intermed CPT 77317 | $640.03 | $1,066.72 | $128.01 – $915.33 | 26 |
| Brachytx isodose plan simple CPT 77316 | $633.91 | $1,056.51 | $126.78 – $915.33 | 26 |
| Braf gene CPT 81210 | $487.22 | $812.04 | $10.00 – $420.96 | 26 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,465.47 – $7,038.00 | 3 |
| Brain flow imaging only CPT 78610 | $472.92 | $788.20 | $160.05 – $1,338.97 | 26 |
| Brain image w/flow < 4 views CPT 78601 | $1,063.48 | $1,772.47 | $196.80 – $1,329.35 | 26 |
| Brain image w/flow 4 + views CPT 78606 | $1,553.68 | $2,589.46 | $295.70 – $1,942.10 | 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.