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 |
|---|---|---|---|---|
| Ghs musc tst done w/nerv tst lim CPT 95885 | $277.25 | $462.08 | $50.83 – $392.77 | 20 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $312.74 | $521.23 | $57.34 – $443.05 | 20 |
| Ghs myocardial strain img spckl track CPT 93356 | $564.48 | $940.80 | $28.05 – $799.68 | 20 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,010.84 | $1,684.74 | $105.20 – $1,596.25 | 27 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,445.51 | $2,409.18 | $340.77 – $2,257.97 | 27 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,232.23 | $2,053.71 | $262.86 – $1,713.14 | 27 |
| Ghs nerve block axillary nerve CPT 64417 | $1,125.57 | $1,875.95 | $340.77 – $2,257.97 | 27 |
| Ghs nerve block brachial plexus CPT 64415 | $1,789.51 | $2,982.52 | $340.77 – $2,257.97 | 27 |
| Ghs nerve block celiac plexus CPT 64530 | $2,215.57 | $3,692.62 | $340.77 – $2,769.47 | 27 |
| Ghs nerve block interscaline CPT 64510 | $1,526.09 | $2,543.49 | $340.77 – $2,257.97 | 27 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,079.21 | $3,465.35 | $340.77 – $2,599.01 | 27 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,922.03 | $3,203.39 | $73.64 – $2,402.54 | 27 |
| Ghs nerve block suprascapular CPT 64418 | $1,386.00 | $2,310.00 | $38.76 – $1,732.50 | 27 |
| Ghs ng placement w fluoro guidance CPT 43752 | $423.76 | $706.27 | $111.00 – $987.04 | 27 |
| Ghs o2 saturation CPT 82810 | $96.35 | $160.59 | $8.21 – $120.44 | 27 |
| Ghs o2 uptake rest & indirect CPT 94690 | $299.16 | $498.60 | $54.85 – $373.95 | 27 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $292.70 | $487.83 | $44.69 – $365.87 | 27 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,229.24 | $2,048.74 | $223.75 – $1,556.23 | 27 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,672.42 | $4,454.03 | $446.27 – $3,967.42 | 27 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $102.06 | $170.10 | $18.71 – $127.58 | 27 |
| Ghs ot group caregiver training CPT 97552 | $13.88 | $23.13 | $2.54 – $157.00 | 21 |
| Ghs ot prosthetic training/15 min CPT 97761 | $107.70 | $179.50 | $19.75 – $152.57 | 21 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $114.90 | $191.50 | $21.07 – $182.79 | 21 |
| Ghs pacing - transcutaneous CPT 92953 | $1,102.70 | $1,837.83 | $202.16 – $1,612.26 | 27 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,210.58 | $2,017.63 | $221.94 – $1,714.99 | 20 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $843.23 | $1,405.38 | $154.59 – $1,194.57 | 20 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $92.44 | $154.07 | $16.95 – $130.96 | 20 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,453.82 | $2,423.03 | $87.58 – $1,817.27 | 27 |
| Ghs phenylketonurid CPT 84030 | $86.44 | $144.07 | $4.62 – $108.05 | 27 |
| Ghs picc line insert < 5 CPT 36568 | $2,630.88 | $4,384.80 | $446.27 – $3,967.42 | 27 |
| Ghs plngl fx pm cl CPT 26725 | $713.14 | $1,188.57 | $85.32 – $891.43 | 27 |
| Ghs plt ct-manual CPT 85032 | $64.46 | $107.43 | $3.62 – $80.57 | 27 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,902.39 | $4,837.31 | $532.10 – $3,627.98 | 27 |
| Ghs ppd (tb intradermal) CPT 86580 | $60.68 | $101.13 | $6.11 – $73.76 | 27 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $67.83 | $113.05 | $8.11 – $84.79 | 27 |
| Ghs protein, misc fluid CPT 84160 | $24.60 | $41.00 | $4.71 – $30.75 | 27 |
| Ghs protoporphyrins fract CPT 84202 | $88.90 | $148.16 | $10.00 – $111.12 | 27 |
| Ghs pr without cont pulse ox CPT 94625 | $197.83 | $329.71 | $36.27 – $247.28 | 27 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $61.85 | $103.09 | $10.00 – $77.32 | 27 |
| Ghs quinidine CPT 80194 | $475.50 | $792.50 | $10.00 – $112.22 | 27 |
| Ghs refill of implantable pump CPT 95990 | $566.55 | $944.25 | $103.87 – $838.97 | 27 |
| Ghs removal intranasal foreign body CPT 30300 | $301.22 | $502.04 | $55.22 – $376.53 | 27 |
| Ghs removal pharyngeal foreign body CPT 42809 | $460.00 | $766.67 | $84.33 – $987.04 | 27 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,923.60 | $4,872.66 | $593.04 – $3,981.46 | 27 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $525.00 | $875.00 | $10.00 – $656.25 | 27 |
| Ghs reticulocyte count CPT 85044 | $58.09 | $96.81 | $3.62 – $72.61 | 27 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $139.81 | $233.02 | $10.00 – $174.76 | 27 |
| Ghs sedimentation rate CPT 85651 | $80.08 | $133.46 | $3.59 – $100.09 | 27 |
| Ghs semen analysis fert CPT 89320 | $129.00 | $215.00 | $10.00 – $161.25 | 27 |
| Ghs sensitivity (per antimicro) CPT 87184 | $79.31 | $132.19 | $6.28 – $99.14 | 27 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $744.69 | $1,241.15 | $143.08 – $987.79 | 27 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $875.44 | $1,459.07 | $143.08 – $1,094.30 | 27 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $974.17 | $1,623.61 | $143.08 – $1,217.71 | 27 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $564.61 | $941.02 | $143.08 – $987.79 | 27 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $644.19 | $1,073.65 | $118.10 – $805.24 | 27 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $569.06 | $948.43 | $104.33 – $711.32 | 27 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $593.27 | $988.78 | $74.34 – $741.59 | 27 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $980.75 | $1,634.59 | $74.34 – $1,225.94 | 27 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $589.18 | $981.96 | $74.34 – $736.47 | 27 |
| Ghs sleep study unattended CPT 95800 | $503.38 | $838.97 | $92.29 – $2,062.00 | 27 |
| Ghs somatosensory testing lower extremit CPT 95926 | $885.81 | $1,476.35 | $162.40 – $1,107.26 | 27 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,765.32 | $2,942.20 | $323.64 – $2,206.65 | 27 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $162.65 | $271.08 | $29.82 – $230.42 | 21 |
| Ghs sphenopalatine ganglion block CPT 64505 | $762.91 | $1,271.52 | $70.60 – $953.64 | 27 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $281.16 | $468.60 | $51.55 – $398.31 | 21 |
| Ghs strapping shoulder - 29240 CPT 29240 | $262.91 | $438.18 | $48.20 – $328.63 | 27 |
| Ghs st - re-eval for alt comm CPT 92597 | $407.74 | $679.57 | $74.75 – $577.63 | 21 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $99.98 | $166.63 | $18.33 – $124.97 | 27 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $393.99 | $656.65 | $72.23 – $530.97 | 27 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,665.04 | $2,775.07 | $216.80 – $2,081.30 | 27 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $901.36 | $1,502.27 | $143.08 – $1,126.70 | 27 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,634.36 | $4,390.60 | $420.64 – $3,777.93 | 27 |
| Ghs trypsin (fecal) CPT 84488 | $79.83 | $133.05 | $6.13 – $99.79 | 27 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $705.76 | $1,176.26 | $85.32 – $882.20 | 27 |
| Ghs urine, porphyrins quant CPT 84120 | $127.80 | $213.00 | $10.00 – $53.53 | 27 |
| Ghs vaginal delivery only CPT 59409 | $3,142.35 | $5,237.25 | $576.10 – $7,744.80 | 27 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,915.55 | $6,525.92 | $356.12 – $4,894.44 | 27 |
| Ghs windowing of cast CPT 29730 | $235.37 | $392.28 | $27.69 – $390.34 | 27 |
| Gi inhouse confirmation CPT 87045 | $153.28 | $255.47 | $7.93 – $191.60 | 27 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,418.92 | $4,031.53 | $732.90 – $3,023.65 | 25 |
| Gi trc img intral esophagus CPT 91111 | $1,897.82 | $3,163.03 | $865.56 – $2,372.27 | 25 |
| Gjb2 gene full sequence CPT 81252 | $628.20 | $1,047.00 | $10.00 – $785.25 | 27 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $682.24 | $1,137.06 | $84.94 – $579.15 | 27 |
| Glucagon plasma - sendout CPT 82943 | $93.45 | $155.75 | $10.00 – $116.81 | 27 |
| Glucose 1 hr post dose CPT 82950 | $68.98 | $114.97 | $3.99 – $86.23 | 27 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $67.13 | $111.88 | $5.08 – $83.91 | 27 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $33.96 | $56.60 | $3.12 – $42.45 | 27 |
| Glucose blood quantitative CPT 82947 | $59.87 | $99.79 | $3.30 – $64.69 | 27 |
| Glucose body fluid CPT 82945 | $76.34 | $127.23 | $3.30 – $67.11 | 27 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $151.93 | $253.21 | $10.00 – $189.91 | 27 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $45.82 | $76.36 | $3.29 – $57.27 | 27 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $49.20 | $82.00 | $0.40 – $16.66 | 21 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,598.55 | $5,997.58 | $10.73 – $4,498.19 | 27 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $162.51 | $270.85 | $10.00 – $44.59 | 27 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $316.50 | $527.50 | $10.00 – $44.45 | 27 |
| Goniotomy CPT 65820 | $3,945.62 | $6,576.03 | $1,533.49 – $10,072.14 | 27 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,010.53 | $8,350.89 | $327.63 – $2,531.69 | 21 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,733.71 | $7,889.52 | $18.69 – $268.77 | 26 |
| Graft axiofill 1000mg HCPCS J3590 | $3,456.79 | $5,761.31 | $0.01 – $0.06 | 20 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $388.13 | $646.89 | $27.49 – $268.77 | 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.