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 |
|---|---|---|---|---|
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $12,321.66 | 18 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $12,321.66 | 18 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $151.66 | $252.77 | $10.00 – $189.58 | 27 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $85.80 | $143.00 | $10.00 – $107.25 | 27 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $949.32 | $1,582.20 | $9.96 – $1,344.87 | 21 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $9,377.40 | $15,629.00 | $35.00 – $6,377.81 | 27 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $987.93 | $1,646.55 | $147.66 – $1,006.76 | 27 |
| Icatibant injection HCPCS J1744 | $20,065.49 | $33,442.49 | $326.17 – $28,426.10 | 21 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $29,402.10 | $49,003.50 | $32.25 – $234.52 | 19 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $35,622.20 | $59,370.33 | $3,039.73 – $22,107.10 | 19 |
| Icd crtp serena MRI HCPCS C2621 | $50,985.00 | $84,975.00 | $47.92 – $21,668.62 | 20 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,584.49 | $17,640.81 | $209.05 – $1,520.38 | 19 |
| Icg angiography i&r uni/bi CPT 92240 | $788.39 | $1,313.98 | $144.54 – $985.49 | 27 |
| Icut allergy test drug/bug CPT 95024 | $57.42 | $95.70 | $10.53 – $151.53 | 27 |
| Idarubicin hcl injection HCPCS J9211 | $474.69 | $791.15 | $43.73 – $357.49 | 21 |
| I&d/bursa/foot 28001 CPT 28001 | $1,814.47 | $3,024.12 | $82.50 – $4,016.35 | 27 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,543,957.19 | $2,573,261.98 | $283,058.82 – $1,929,946.49 | 26 |
| Idh1 common variants CPT 81120 | $641.36 | $1,068.93 | $35.00 – $463.80 | 27 |
| Idh2 common variants CPT 81121 | $981.65 | $1,636.08 | $35.00 – $709.90 | 27 |
| I&d lacrimal gland CPT 68400 | $953.40 | $1,589.00 | $174.79 – $2,508.06 | 27 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,101.64 | $10,169.40 | $815.20 – $7,627.05 | 27 |
| Ifnl3 gene CPT 81283 | $90.53 | $150.88 | $16.60 – $176.09 | 27 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $320.36 | $533.93 | $27.15 – $229.87 | 21 |
| Igh gene rearrange amp meth CPT 81261 | $549.35 | $915.58 | $10.00 – $475.18 | 27 |
| Igh@ var region somatic mutation analy CPT 81263 | $795.25 | $1,325.41 | $35.00 – $843.75 | 27 |
| Igk rearrangeabn clonal pop CPT 81264 | $648.88 | $1,081.47 | $10.00 – $414.55 | 27 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $217.04 | $361.74 | $18.12 – $234.82 | 20 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $311.59 | $519.32 | $35.00 – $890.45 | 27 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $259.51 | $432.52 | $20.62 – $423.12 | 27 |
| Ikbkap gene CPT 81260 | $476.25 | $793.75 | $33.02 – $595.31 | 27 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,370.91 | $3,951.51 | $434.67 – $3,358.78 | 18 |
| Iliac revasc add-on 37222 CPT 37222 | $10,433.75 | $17,389.59 | $1,912.85 – $14,781.15 | 20 |
| Img rta detcj/mntr ds staff CPT 92227 | $51.17 | $85.28 | $9.38 – $151.53 | 24 |
| Img rta detc/mntr ds poc aly CPT 92229 | $66.79 | $111.32 | $12.25 – $151.53 | 24 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $382.08 | $636.80 | $14.57 – $105.96 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $299.33 | $498.89 | $6.34 – $46.13 | 19 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,845.21 – $17,652.85 | 18 |
| Immune complex assay CPT 86332 | $141.71 | $236.18 | $10.00 – $155.05 | 27 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,106.32 | $10,177.20 | $46.63 – $576.63 | 27 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,040.28 | $6,733.80 | $76.38 – $2,527.43 | 27 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $190.18 | $316.97 | $10.00 – $93.75 | 27 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $166.57 | $277.62 | $10.00 – $208.22 | 27 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $130.73 | $217.88 | $4.64 – $28.75 | 27 |
| Immunodiffusion nes CPT 86329 | $142.83 | $238.05 | $10.00 – $178.54 | 27 |
| Immunofixation electrophoresis serum CPT 86334 | $346.24 | $577.07 | $10.00 – $168.07 | 27 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $1,007.00 | $1,678.33 | $8.93 – $177.09 | 20 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $1,007.00 | $1,678.33 | $8.93 – $423.12 | 27 |
| Immunoglobulin assay CPT 86023 | $1,036.73 | $1,727.88 | $10.00 – $53.96 | 27 |
| Immunology procedure CPT 86849 | $289.39 | $482.31 | $10.00 – $107.96 | 20 |
| Impact tooth remov part bony HCPCS D7230 | $656.56 | $1,094.27 | $120.37 – $2,181.14 | 25 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $511.24 – $7,038.00 | 3 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $5,098.50 | $8,497.50 | $247.50 – $2,289.44 | 20 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,811.60 | $19,686.00 | $49.99 – $363.53 | 19 |
| Implant cochlear osia osi300 HCPCS L8690 | $21,892.96 | $36,488.27 | $496.68 – $3,612.18 | 19 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $10,795.00 – $54,191.38 | 17 |
| Implant neuroelectrodes CPT 64555 | $5,629.40 | $9,382.33 | $3,471.46 – $16,942.33 | 27 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,763.00 – $16,942.33 | 18 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $10,095.03 | $16,825.05 | $160.71 – $1,168.80 | 19 |
| Implant pulse generator remede el HCPCS C1823 | $50,985.00 | $84,975.00 | $9,347.25 – $67,980.00 | 19 |
| Implant single ventricular device 33975 CPT 33975 | $7,266.13 | $12,110.21 | $1,332.12 – $10,293.68 | 19 |
| Implant spinal canal cath CPT 62351 | not published | not published | $6,924.82 – $17,722.46 | 17 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,416.00 – $44,180.19 | 18 |
| Implant tcat pulm vlv perq CPT 33477 | $29,995.46 | $49,992.44 | $1,775.02 – $42,493.57 | 18 |
| Implant ureth bulk agent HCPCS L8606 | $4,507.67 | $7,512.78 | $95.52 – $694.70 | 19 |
| Impl neurostim electr perc CPT 63650 | $7,546.20 | $12,577.00 | $2,416.00 – $16,942.33 | 27 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,896.00 – $1,896.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,448.30 | $5,747.17 | $2,126.45 – $18,954.06 | 27 |
| Implt neurostim elctr each HCPCS L8680 | $7,137.90 | $11,896.50 | $400.63 – $2,913.68 | 19 |
| Impres&prep intrm obt prosth CPT 21079 | $2,803.51 | $4,672.51 | $504.98 – $7,975.81 | 27 |
| Impres&prep paltl aug prosth CPT 21082 | $3,115.01 | $5,191.68 | $519.92 – $7,975.81 | 24 |
| Impres&prep paltl lft prosth CPT 21083 | $2,429.71 | $4,049.51 | $445.45 – $7,975.81 | 24 |
| Impres&prep sp aid prosth CPT 21084 | $2,709.12 | $4,515.20 | $496.67 – $7,975.81 | 27 |
| Incise flexor carpi radialis CPT 25001 | $3,098.15 | $5,163.58 | $1,088.27 – $8,018.48 | 27 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,051.89 | $5,086.48 | $90.81 – $4,016.35 | 27 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Incision of anal sphincter CPT 46080 | not published | not published | $939.93 – $6,955.62 | 18 |
| Incision of breast lesion CPT 19020 | $3,030.26 | $5,050.44 | $486.45 – $4,016.35 | 27 |
| Incision of burn scab initi CPT 16035 | $693.60 | $1,156.00 | $143.08 – $987.79 | 27 |
| Incision of eardrum CPT 69421 | not published | not published | $886.62 – $7,975.81 | 18 |
| Incision of foot fascia CPT 28008 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $593.04 – $4,063.00 | 18 |
| Incision of heel bone CPT 28300 | not published | not published | $2,416.00 – $17,722.46 | 18 |
| Incision of metatarsal CPT 28306 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,088.27 – $8,018.48 | 18 |
| Incision of midfoot bones CPT 28304 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Incision of prostate CPT 52450 | not published | not published | $1,142.90 – $8,636.11 | 18 |
| Incision of rectal abscess CPT 46060 | $5,159.16 | $8,598.60 | $939.93 – $6,955.62 | 27 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $659.94 – $4,783.04 | 18 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $2,398.52 – $17,722.46 | 18 |
| Incision of tibia CPT 27705 | not published | not published | $2,416.00 – $17,722.46 | 18 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $593.04 – $6,093.00 | 18 |
| Incision of tongue fold CPT 41010 | $1,163.78 | $1,939.64 | $420.64 – $3,777.93 | 27 |
| Incision of urethra CPT 53020 | not published | not published | $652.80 – $5,045.72 | 18 |
| Incision tendon sheath CPT 26055 | not published | not published | $593.04 – $4,063.00 | 18 |
| Incisn of toe tndn CPT 28010 | $2,298.99 | $3,831.65 | $100.50 – $3,981.46 | 27 |
| Incisn windpipe CPT 31600 | $5,256.07 | $8,760.12 | $963.61 – $7,975.81 | 27 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,080.00 | $1,800.00 | $4.75 – $32.40 | 26 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $1,997.99 | $3,329.99 | $366.30 – $2,830.49 | 20 |
| Induced abortion d&c CPT 59840 | $3,645.12 | $6,075.20 | $1,063.52 – $7,744.80 | 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.