BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
100 Hillcrest Medical Blvd., Waco, TX · Baylor Scott & White Health · · NPI 1891882833
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 |
|---|---|---|---|---|
| Determination venous press CPT 93770 | $167.73 | $279.55 | $25.04 – $237.62 | 20 |
| Determine refractive state CPT 92015 | $6.09 | $10.15 | $1.22 – $59.86 | 20 |
| Devel tst phys/qhp 1st hr CPT 96112 | $105.91 | $176.51 | $21.18 – $386.96 | 26 |
| Device ablt adv novasure HCPCS C1886 | $9,177.30 | $15,295.50 | $193.56 – $1,371.02 | 20 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,098.50 | $8,497.50 | $39.57 – $7,222.88 | 20 |
| Device intraute mirena HCPCS J7298 | $2,082.22 | $3,470.37 | $416.44 – $2,949.81 | 20 |
| Device tiss remov myosure reach HCPCS C1782 | $2,541.00 | $4,235.00 | $135.83 – $962.12 | 20 |
| Dev interrog remote 1/2/mlt CPT 93295 | $272.69 | $454.49 | $54.54 – $917.00 | 20 |
| Devlopment test interpt&rep HCPCS G0451 | $112.13 | $186.88 | $22.43 – $220.82 | 26 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $223.51 | $372.52 | $44.70 – $316.64 | 20 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $372.51 | $620.85 | $31.74 – $465.64 | 26 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $85.86 | $143.10 | $0.03 – $0.29 | 21 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $27.00 | $45.00 | $0.12 – $9.95 | 21 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,268.38 | $2,113.97 | $47.25 – $792.72 | 26 |
| Dextran 40 infusion HCPCS J7100 | $151.20 | $252.00 | $30.24 – $214.20 | 20 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $28.80 | $48.00 | $0.90 – $6.38 | 21 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $28.80 | $48.00 | $5.04 – $35.70 | 20 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $31.32 | $52.20 | $1.69 – $11.98 | 21 |
| Dextrose 5 % IV bolus HCPCS J7070 | $35.74 | $59.57 | $2.99 – $21.16 | 21 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $153.80 | $256.33 | $18.67 – $192.25 | 26 |
| Diabetes (HbA1c) Test CPT 83036 | $92.09 | $153.48 | $8.16 – $107.87 | 26 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $35.43 | $59.05 | $7.09 – $71.08 | 23 |
| Diab manage trn ind/group HCPCS G0109 | $63.45 | $105.75 | $12.69 – $89.89 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | $7,144.88 | $11,908.13 | $71.00 – $14,293.73 | 26 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $134.55 | $224.25 | $26.91 – $316.45 | 26 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $117.94 | $196.56 | $23.59 – $316.04 | 20 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $75.93 | $126.55 | $15.19 – $316.04 | 20 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $242.14 | $403.56 | $56.20 – $490.70 | 26 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $374.65 | $624.42 | $68.14 – $490.70 | 26 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $340.20 | $567.00 | $68.04 – $481.95 | 20 |
| Diagnostic Mammogram (one breast) CPT 77065 | $272.16 | $453.60 | $54.43 – $385.56 | 20 |
| Diagnostic radio unlisted proc CPT 76499 | $6,139.57 | $10,232.61 | $83.05 – $2,773.98 | 26 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,978.93 | $4,964.89 | $71.00 – $4,220.16 | 20 |
| Dialysis one evaluation CPT 90945 | $1,775.84 | $2,959.74 | $265.00 – $2,219.80 | 26 |
| Dialysis repeated eval CPT 90947 | $1,523.40 | $2,539.00 | $276.00 – $2,158.15 | 20 |
| Dialysis training complete CPT 90989 | $783.36 | $1,305.60 | $156.67 – $1,109.76 | 20 |
| Dialysis training incompl CPT 90993 | $391.67 | $652.78 | $78.33 – $554.86 | 20 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $149.04 | $248.40 | $0.08 – $165.24 | 21 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $135.30 | $225.50 | $2.60 – $18.40 | 21 |
| Dicyclomine injection HCPCS J0500 | $229.36 | $382.26 | $0.14 – $10.30 | 21 |
| Diffusing capacity CPT 94729 | $434.72 | $724.54 | $86.94 – $615.86 | 20 |
| Digital analysis of eeg CPT 95957 | $641.56 | $1,069.26 | $128.31 – $908.87 | 20 |
| Digit nerve surgery add-on CPT 64778 | $1,832.59 | $3,054.32 | $71.00 – $2,596.17 | 20 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $371.87 | $619.79 | $2.07 – $14.70 | 21 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,613.00 | $14,355.00 | $1,722.60 – $10,766.25 | 26 |
| Digoxin total therapeutic drug level CPT 80162 | $102.07 | $170.12 | $11.16 – $127.59 | 26 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $357.05 | $595.08 | $41.41 – $293.29 | 21 |
| Dilate biliary duct/ampulla CPT 47542 | $2,316.61 | $3,861.01 | $71.00 – $3,281.86 | 20 |
| Dilate esophagus CPT 43453 | $1,053.98 | $1,756.63 | $564.97 – $4,713.77 | 24 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,349.05 | $2,248.42 | $334.95 – $2,975.00 | 24 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,932.13 | $4,886.89 | $556.75 – $4,153.86 | 18 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,190.10 | $1,983.50 | $238.02 – $3,421.00 | 18 |
| Dilate ic vasospasm init CPT 61640 | $4,627.52 | $7,712.54 | $792.71 – $6,555.66 | 18 |
| Dilate tear duct opening CPT 68801 | $351.48 | $585.80 | $70.30 – $987.04 | 26 |
| Dilate urethra stricture CPT 53600 | $910.83 | $1,518.05 | $34.88 – $1,138.54 | 26 |
| Dilate urethra stricture CPT 53601 | $208.22 | $347.04 | $39.07 – $2,975.00 | 26 |
| Dilate urethra stricture CPT 53605 | $3,424.84 | $5,708.06 | $71.00 – $8,636.11 | 26 |
| Dilate urethra stricture CPT 53621 | $450.25 | $750.42 | $71.00 – $2,975.00 | 26 |
| Dilation/female urethra/initial 53660 CPT 53660 | $277.58 | $462.63 | $39.59 – $386.96 | 26 |
| Dilation of anal sphincter CPT 45905 | $2,166.04 | $3,610.06 | $429.26 – $2,975.00 | 24 |
| Dilation of cervical canal 57800 CPT 57800 | $4,096.04 | $6,826.74 | $39.86 – $7,744.80 | 26 |
| Dilation of rectal stricture 45910 CPT 45910 | $2,263.80 | $3,773.00 | $429.26 – $2,975.00 | 24 |
| Dilation of salivary duct CPT 42660 | $551.84 | $919.74 | $57.03 – $1,363.00 | 26 |
| Dilation of urethra CPT 53661 | $275.49 | $459.15 | $29.60 – $344.36 | 26 |
| Dilation of urethra CPT 53665 | $3,636.97 | $6,061.62 | $71.00 – $5,045.72 | 26 |
| Dilation of vagina CPT 57400 | $2,643.08 | $4,405.13 | $71.00 – $7,744.80 | 26 |
| Dilation salivary duct 42650 CPT 42650 | $2,498.32 | $4,163.87 | $37.38 – $3,777.93 | 26 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,796.96 | $4,661.60 | $71.00 – $3,496.20 | 26 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,277.43 | $2,129.05 | $11.86 – $84.00 | 20 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,914.70 | $13,191.16 | $71.00 – $9,893.37 | 26 |
| Dilat xst trc new access rcs CPT 50437 | $8,147.48 | $13,579.14 | $71.00 – $10,184.35 | 26 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $138.24 | $230.40 | $0.04 – $195.84 | 21 |
| Dimecaprol injection HCPCS J0470 | $457.03 | $761.72 | $91.41 – $647.46 | 21 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,258.20 | $2,097.00 | $251.64 – $1,572.75 | 26 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.84 | $18.06 | $0.76 – $5.98 | 21 |
| Disability dlco CPT 94727 | $356.06 | $593.43 | $71.21 – $445.07 | 26 |
| Disaccharidases CPT 82657 | $338.63 | $564.38 | $18.62 – $87.19 | 26 |
| Disarticulation sho sec clsr CPT 23921 | $1,793.59 | $2,989.32 | $71.00 – $4,517.58 | 26 |
| Discography cerv/thor spine CPT 72285 | $5,350.69 | $8,917.82 | $132.31 – $6,688.36 | 26 |
| Dise eval slp do brth flx dx CPT 42975 | $212.03 | $353.38 | $68.14 – $4,204.56 | 24 |
| Dissolve clot heart vessel CPT 92975 | $861.55 | $1,435.92 | $172.31 – $1,220.53 | 20 |
| Dist revas ligation hemo CPT 36838 | $7,440.08 | $12,400.13 | $71.00 – $13,613.39 | 26 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $7,348.20 | $12,247.00 | $71.00 – $14,507.25 | 26 |
| #d/lmeth-l-methamphetamine CPT 80374 | $52.50 | $87.50 | $9.91 – $74.38 | 19 |
| Dmd dup/delet analysis CPT 81161 | $1,806.96 | $3,011.60 | $234.36 – $2,258.70 | 26 |
| Dmpk gene detc abnor allele CPT 81234 | $7,487.95 | $12,479.92 | $130.15 – $1,453.12 | 26 |
| Dna antibody native/double stranded CPT 86225 | $142.25 | $237.08 | $8.66 – $32.98 | 26 |
| Dna probe chlamydia CPT 87490 | $99.55 | $165.91 | $19.11 – $124.43 | 26 |
| Dna probe gc CPT 87590 | $88.67 | $147.78 | $22.58 – $110.83 | 26 |
| Dna trichomonas CPT 87660 | $85.78 | $142.96 | $16.84 – $107.22 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $146.40 | $244.00 | $5.48 – $38.79 | 21 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,290.00 | $2,150.00 | $0.61 – $309.41 | 21 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $76.20 | $127.00 | $0.88 – $19.87 | 21 |
| Doppler echo complete CPT 93320 | $823.00 | $1,371.66 | $107.75 – $1,165.91 | 20 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,026.62 | $5,044.36 | $605.32 – $4,287.71 | 18 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $857.57 | $1,429.29 | $129.98 – $1,117.00 | 26 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $539.59 | $899.31 | $107.92 – $1,117.00 | 26 |
| Dornase alfa non-comp unit HCPCS J7639 | $350.67 | $584.45 | $51.69 – $496.78 | 21 |
| Dornhoffer fixed part w/window HCPCS L8614 | $50,985.00 | $84,975.00 | $65.90 – $439.30 | 18 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $76.80 | $128.00 | $15.36 – $102.40 | 19 |
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.