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 |
|---|---|---|---|---|
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $419.40 | $699.00 | $83.88 – $524.25 | 26 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,823.30 | $3,038.83 | $264.64 – $2,279.12 | 26 |
| Whole mitochondrial genome CPT 81460 | $2,175.00 | $3,625.00 | $95.76 – $3,088.80 | 26 |
| Whole mitochondrial genome CPT 81465 | $2,160.00 | $3,600.00 | $202.00 – $2,246.40 | 26 |
| Whole Skeleton X-ray Survey CPT 77075 | $826.19 | $1,376.99 | $99.77 – $1,032.74 | 26 |
| Wilate injection HCPCS J7183 | $22.81 | $38.02 | $1.25 – $28.52 | 26 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,056.41 | $1,760.69 | $71.00 – $1,496.59 | 20 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $504.50 | $840.83 | $71.00 – $630.62 | 26 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $37.35 – $7,441.00 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $632.77 | $1,054.62 | $70.76 – $987.79 | 26 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $663.39 | $1,105.65 | $71.00 – $987.79 | 26 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $426.82 | $711.37 | $71.00 – $533.53 | 26 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $534.93 | $891.55 | $71.00 – $987.79 | 26 |
| Wrist arthroscopy CPT 29840 | $4,006.52 | $6,677.54 | $71.00 – $8,018.48 | 26 |
| Wrist arthroscopy/surgery CPT 29844 | $4,171.26 | $6,952.10 | $71.00 – $8,018.48 | 26 |
| Wrist arthroscopy/surgery CPT 29845 | $4,022.93 | $6,704.88 | $71.00 – $8,018.48 | 26 |
| Wrist arthroscopy/surgery CPT 29846 | $4,303.70 | $7,172.83 | $71.00 – $8,018.48 | 26 |
| Wrist arthroscopy/surgery CPT 29847 | $6,010.63 | $10,017.72 | $71.00 – $17,722.46 | 26 |
| Wrist endoscopy/surgery CPT 29848 | $3,798.33 | $6,330.55 | $71.00 – $8,649.00 | 26 |
| Wrist X-ray CPT 73110 | $359.02 | $598.36 | $41.44 – $448.77 | 26 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $268.49 | $447.49 | $34.09 – $335.62 | 26 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $4,403.18 | $7,338.64 | $71.00 – $7,521.00 | 26 |
| Xcellistem, 1 mg HCPCS A2004 | $7.55 | $12.58 | $1.46 – $31.25 | 20 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $4,245.50 | $7,075.84 | $71.00 – $5,306.88 | 26 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $3,965.17 | $6,608.62 | $71.00 – $4,956.47 | 26 |
| X-linked intellectual dblt CPT 81470 | $6,600.00 | $11,000.00 | $868.30 – $8,250.00 | 26 |
| Xm archive tissue molec anal CPT 88363 | $45.01 | $75.01 | $9.00 – $73.76 | 26 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,234.27 | $3,723.78 | $339.48 – $5,388.00 | 18 |
| X-ray abdomen >=3 views CPT 74021 | $331.54 | $552.56 | $43.10 – $414.42 | 26 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $937.91 | $1,563.19 | $131.99 – $1,172.39 | 26 |
| X-ray assay calculus CPT 82370 | $72.61 | $121.02 | $10.52 – $90.77 | 26 |
| X-ray bone length studies CPT 77073 | $360.97 | $601.61 | $45.44 – $451.21 | 26 |
| X-ray bone survey infant CPT 77076 | $394.69 | $657.81 | $99.77 – $493.36 | 26 |
| Xray endovasc thor ao repr CPT 75956 | $1,525.88 | $2,543.13 | $305.18 – $2,161.66 | 20 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $560.57 | $934.29 | $79.53 – $700.72 | 26 |
| X-ray exam entire spi 6/> vw CPT 72084 | $591.21 | $985.35 | $98.90 – $739.01 | 26 |
| X-ray exam of arm infant CPT 73092 | $248.44 | $414.07 | $99.77 – $310.55 | 26 |
| X-ray exam of femur 1 CPT 73551 | $224.90 | $374.84 | $29.40 – $281.13 | 26 |
| X-ray exam of jaw joint CPT 70328 | $251.32 | $418.87 | $34.75 – $314.15 | 26 |
| X-ray exam of jaw joint CPT 70332 | $813.60 | $1,356.00 | $82.86 – $1,152.60 | 21 |
| X-ray exam of mastoids CPT 70120 | $279.82 | $466.36 | $38.43 – $349.77 | 26 |
| X-ray exam of middle ear CPT 70134 | $322.45 | $537.42 | $62.15 – $1,366.64 | 26 |
| X-ray exam of penis CPT 74445 | $565.20 | $942.00 | $99.77 – $706.50 | 26 |
| X-ray exam of perineum CPT 74775 | $603.14 | $1,005.24 | $227.71 – $753.93 | 26 |
| X-ray exam of salivary gland CPT 70380 | $184.20 | $307.00 | $37.76 – $230.25 | 26 |
| X-ray exam of tear duct CPT 70170 | $864.68 | $1,441.13 | $57.58 – $1,080.85 | 26 |
| X-ray exam of teeth CPT 70300 | $138.40 | $230.66 | $13.03 – $225.11 | 26 |
| X-ray exam of teeth CPT 70310 | $385.39 | $642.31 | $40.76 – $607.02 | 26 |
| X-ray exam si joints CPT 72200 | $246.16 | $410.27 | $33.41 – $307.70 | 26 |
| X-ray exam thorac spine4/>vw CPT 72074 | $369.36 | $615.60 | $44.78 – $461.70 | 26 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $183.98 | $306.63 | $32.75 – $229.97 | 26 |
| X-ray fallopian tube CPT 74742 | $501.00 | $835.00 | $100.20 – $709.75 | 20 |
| X-ray head for orthodontia CPT 70350 | $214.19 | $356.99 | $16.71 – $267.74 | 26 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $445.39 | $742.32 | $60.14 – $556.74 | 26 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $470.88 | $784.80 | $62.15 – $588.60 | 26 |
| X-ray joint survey 1 view CPT 77077 | $181.62 | $302.70 | $47.11 – $272.35 | 26 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $249.13 | $415.22 | $83.05 – $311.42 | 26 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $468.26 | $780.43 | $40.76 – $585.32 | 26 |
| X-ray male genital tract CPT 74440 | $817.69 | $1,362.82 | $97.56 – $1,022.12 | 26 |
| X-ray mandible ltd <4 views CPT 70100 | $261.13 | $435.22 | $39.09 – $326.42 | 26 |
| X-ray measurement of pelvis CPT 74710 | $267.52 | $445.87 | $53.50 – $378.99 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $212.88 | $354.80 | $83.05 – $266.10 | 26 |
| X-ray of mammary ducts CPT 77054 | $437.00 | $728.33 | $69.50 – $607.02 | 26 |
| X-ray optic foramina CPT 70190 | $200.74 | $334.56 | $37.76 – $250.92 | 26 |
| Xray place dist ext thor ao CPT 75959 | $2,496.60 | $4,161.00 | $409.00 – $3,536.85 | 20 |
| Xray place prox ext thor ao CPT 75958 | $874.93 | $1,458.22 | $174.99 – $1,239.49 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $849.37 | $1,415.61 | $78.19 – $1,061.71 | 26 |
| X-ray ribs 2 views left CPT 71100 | $362.86 | $604.77 | $36.75 – $453.58 | 26 |
| X-ray sella turcica CPT 70240 | $200.74 | $334.56 | $33.08 – $250.92 | 26 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $601.93 | $1,003.22 | $59.81 – $1,366.64 | 26 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $370.64 | $617.73 | $89.55 – $463.30 | 26 |
| X-ray small intestine follow-through study CPT 74248 | $1,224.58 | $2,040.96 | $82.53 – $1,734.82 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $218.48 | $364.13 | $41.44 – $273.10 | 26 |
| X-ray surgical specimen CPT 76098 | $638.62 | $1,064.37 | $42.78 – $1,366.64 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $162.11 | $270.19 | $42.78 – $225.11 | 26 |
| X-ray upper gi delay w/kub CPT 74241 | $533.99 | $889.99 | $106.80 – $756.49 | 20 |
| X-ray upper gi&small intest CPT 74245 | $590.21 | $983.68 | $118.04 – $836.13 | 20 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $256.03 | $426.72 | $94.89 – $455.16 | 26 |
| Xyntha inj HCPCS J7185 | $23.35 | $38.92 | $1.42 – $29.19 | 26 |
| Yersinia antibody CPT 86793 | $79.20 | $132.00 | $11.08 – $77.19 | 26 |
| Ziconotide injection HCPCS J2278 | $7,216.02 | $12,026.70 | $9.94 – $9,020.02 | 26 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $108.12 | $180.20 | $1.43 – $135.15 | 26 |
| Zika virus dna/rna amp probe CPT 87662 | $234.00 | $390.00 | $43.10 – $260.52 | 26 |
| Zika virus igm antibody CPT 86794 | $118.50 | $197.50 | $14.15 – $148.12 | 26 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $17.56 | $29.26 | $3.51 – $24.87 | 20 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $173.96 | $289.93 | $6.46 – $246.44 | 21 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $5,790.00 | $9,650.00 | $8.18 – $3,637.50 | 26 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,356.38 | $3,927.30 | $8.49 – $242.25 | 21 |
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.