BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE
6800 Scenic Drive, Rowlett, TX · Baylor Scott & White Health · · NPI 1205018439
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 |
|---|---|---|---|---|
| Flow cytometry interp 16 or more CPT 88189 | $300.00 | $500.00 | $26.61 – $321.41 | 20 |
| Flow cytometry marker each additional CPT 88185 | $541.20 | $902.00 | $4.90 – $90.53 | 20 |
| Flow cytometry one marker technical component CPT 88184 | $1,230.08 | $2,050.13 | $4.90 – $890.45 | 27 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | $407.88 | $679.80 | $51.41 – $397.26 | 20 |
| #flow interp 9 - 15 markers CPT 88188 | $564.24 | $940.40 | $9.88 – $240.06 | 20 |
| Flt3 gene CPT 81245 | $484.98 | $808.30 | $10.00 – $397.22 | 27 |
| Flt3 gene analysis CPT 81246 | $183.75 | $306.25 | $10.00 – $208.13 | 27 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $70.32 | $117.20 | $3.85 – $29.75 | 21 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $764.08 | $1,273.46 | $140.08 – $1,082.44 | 21 |
| Fluid pressure muscle 20950 CPT 20950 | $738.87 | $1,231.45 | $257.60 – $1,742.94 | 27 |
| Fluorescent antibody titer dna CPT 86256 | $315.00 | $525.00 | $10.00 – $43.12 | 27 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $766.31 | $1,277.18 | $140.49 – $1,085.60 | 20 |
| Fluoroguide needle placement CPT 77002 | $567.67 | $946.11 | $104.07 – $804.19 | 20 |
| Fluoro polarize fetal lung CPT 83663 | $190.72 | $317.86 | $10.00 – $238.40 | 27 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $463.80 | $773.00 | $42.78 – $607.02 | 27 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $136.92 | $228.20 | $2.26 – $70.81 | 21 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $41.84 | $69.74 | $6.14 – $59.28 | 21 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $5,265.00 | $8,775.00 | $965.25 – $6,581.25 | 26 |
| Fmri brain by tech CPT 70554 | $987.52 | $1,645.86 | $227.71 – $2,149.00 | 27 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,727.84 | $2,879.73 | $257.60 – $2,159.80 | 27 |
| Fna bx w/ct gdn ea addl CPT 10010 | $579.00 | $965.00 | $106.15 – $820.25 | 20 |
| Folic acid CPT 82746 | $143.70 | $239.50 | $10.00 – $35.28 | 27 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $151.39 | $252.32 | $0.06 – $136.17 | 21 |
| Follow-up angiography CPT 75898 | $1,939.14 | $3,231.90 | $133.71 – $7,896.23 | 27 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,928.54 | $3,214.23 | $6.21 – $2,218.50 | 27 |
| Fondaparinux sodium HCPCS J1652 | $174.74 | $291.24 | $0.88 – $141.51 | 21 |
| Foot insert plastazote or eq HCPCS L3002 | $365.48 | $609.13 | $64.68 – $470.43 | 19 |
| Foot plate molded stirrup at HCPCS L2250 | $541.52 | $902.54 | $99.28 – $722.03 | 19 |
| Foot X-ray CPT 73630 | $365.31 | $608.85 | $34.41 – $456.64 | 27 |
| Foot X-ray (2 views, both feet) CPT 73620 | $287.92 | $479.87 | $28.74 – $359.90 | 27 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $42.66 | $71.10 | $7.32 – $53.21 | 19 |
| Forearm X-ray (both sides) CPT 73090 | $317.62 | $529.37 | $29.40 – $397.03 | 27 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $740.71 | $1,234.52 | $110.15 – $925.89 | 27 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $221.89 | $369.81 | $0.12 – $153.00 | 21 |
| Foscarnet sodium injection HCPCS J1455 | $1,299.00 | $2,165.00 | $9.19 – $1,840.25 | 21 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $86.40 | $144.00 | $1.26 – $101.25 | 27 |
| Fracture assessment via dxa CPT 77086 | $267.91 | $446.52 | $33.75 – $334.89 | 27 |
| _fragile x methylation-sendout CPT 81244 | $391.65 | $652.75 | $35.00 – $489.56 | 27 |
| Fragmenting of kidney stone CPT 50590 | $13,091.90 | $21,819.84 | $1,142.90 – $12,306.00 | 26 |
| Frenectomy 41115 CPT 41115 | not published | not published | $162.23 – $3,777.93 | 17 |
| Frenotomy 40806 CPT 40806 | not published | not published | $72.81 – $1,363.00 | 17 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $162.45 | $270.75 | $29.78 – $203.06 | 27 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $164.16 | $273.60 | $30.10 – $207.90 | 27 |
| Fresh frozen plasma thawing ea un CPT 86927 | $114.35 | $190.58 | $10.00 – $423.12 | 27 |
| Fructosamine glycated protein CPT 82985 | $78.73 | $131.22 | $10.00 – $98.42 | 27 |
| Ftl cgen abnor four anal CPT 81511 | $119.34 | $198.90 | $21.88 – $368.40 | 27 |
| Full field erg w/i&r CPT 92273 | $574.20 | $957.00 | $105.27 – $777.56 | 27 |
| Full mouth x-ray of teeth CPT 70320 | $204.53 | $340.89 | $53.46 – $607.02 | 27 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $464.96 | $774.93 | $70.50 – $581.20 | 27 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,873.67 | $6,456.12 | $709.01 – $4,842.09 | 27 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,003.75 | $1,672.92 | $585.52 – $4,517.58 | 27 |
| Fundus photography with i&r 92250 CPT 92250 | $209.46 | $349.10 | $38.40 – $316.45 | 27 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $43.20 | $72.00 | $0.02 – $15.30 | 21 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $3,410.00 – $32,603.53 | 18 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,410.00 – $17,722.46 | 18 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,410.00 – $32,603.53 | 18 |
| Fusion of foot bones CPT 28735 | not published | not published | $3,410.00 – $32,603.53 | 18 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,410.00 – $17,722.46 | 18 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $3,410.00 – $32,603.53 | 18 |
| G0180 home health certification HCPCS G0180 | $128.18 | $213.64 | $23.50 – $181.59 | 20 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $35.00 – $1,440.00 | 27 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $35.00 – $419.54 | 27 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $7,875.00 | 26 |
| Gabapentin non-blood CPT 80355 | $125.07 | $208.45 | $3.92 – $8.25 | 19 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $222.46 | 21 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $135.08 | $225.14 | $10.00 – $168.85 | 27 |
| Galactokinase - sendout CPT 82759 | $204.97 | $341.62 | $10.00 – $256.21 | 27 |
| Galectin-3 CPT 82777 | $132.87 | $221.45 | $10.00 – $166.09 | 27 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,760.38 | $2,933.97 | $290.70 – $2,200.48 | 27 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,900.64 | $3,167.73 | $390.26 – $2,375.80 | 27 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $14,293.73 | 17 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,243.58 | $2,072.63 | $46.50 – $1,554.47 | 27 |
| Gammaglobulin iga CPT 82784 | $109.53 | $182.55 | $7.81 – $22.32 | 27 |
| Gammaglobulin ige CPT 82785 | $127.31 | $212.18 | $6.00 – $39.50 | 27 |
| Gamma glutamyltransferase CPT 82977 | $82.46 | $137.44 | $6.05 – $46.88 | 27 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $197.40 | $329.00 | $36.19 – $279.65 | 21 |
| Gardner vag dna quant CPT 87512 | $65.33 | $108.88 | $10.00 – $100.22 | 27 |
| Gastric analy w/ph ea spec CPT 82930 | $23.01 | $38.35 | $5.64 – $28.76 | 27 |
| Gastric emptying imag study CPT 78265 | $2,536.50 | $4,227.50 | $353.51 – $3,170.62 | 27 |
| Gastrin test CPT 82938 | $61.80 | $103.00 | $10.00 – $77.25 | 27 |
| Gastroesophageal reflux study CPT 78262 | $493.75 | $822.91 | $223.20 – $1,021.72 | 27 |
| Gastroesophageal reflux test CPT 91034 | $1,393.53 | $2,322.55 | $255.48 – $1,741.91 | 25 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $336.40 | $560.66 | $3.56 – $99.21 | 21 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $17,843.81 | $29,739.68 | $215.63 – $22,304.76 | 27 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,677.39 | $91,128.98 | $2,929.74 – $21,307.20 | 19 |
| Generator emblem MRI sicd subq HCPCS C1722 | $40,788.00 | $67,980.00 | $1,018.60 – $7,408.00 | 19 |
| Genetic counseling 30 min CPT 96040 | $100.00 | $166.67 | $18.33 – $141.67 | 16 |
| Genetic tstg severe inh cond CPT 81443 | $8,289.90 | $13,816.50 | $10.00 – $5,876.54 | 27 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $50,985.00 | $84,975.00 | $7,477.80 – $54,384.00 | 19 |
| Genome sequence analysis CPT 81425 | $7,500.00 | $12,500.00 | $35.00 – $12,074.88 | 27 |
| Genome sequence analysis CPT 81426 | $3,900.00 | $6,500.00 | $35.00 – $6,503.88 | 27 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $122.95 | $204.92 | $2.12 – $24.65 | 21 |
| Gentamicin peak therapeutic drug level CPT 80170 | $166.14 | $276.90 | $10.00 – $207.68 | 27 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,886.71 | $3,144.52 | $345.90 – $2,358.39 | 25 |
| Ghs abscess perianal iandd CPT 46050 | $1,569.82 | $2,616.36 | $328.50 – $2,264.11 | 27 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,846.29 | $6,410.49 | $815.20 – $7,039.11 | 27 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $68.59 | $114.31 | $8.24 – $28.23 | 27 |
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.