SelfPayRates
Hospital Dallas-Fort Worth-Arlington, TX

Baylor Scott & White Medical Center - Frisco at PGA Parkway

Baylor Scott & White Medical Center - Frisco at PGA Parkway in Frisco, TX publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Jun 29, 2026. Click a procedure to compare it with other hospitals nearby.

7600 Better Way, Frisco, TX 75033-3797 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST $3,890.61 $6,484.35 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST $3,890.61 $6,484.35 40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST $1,907.15 $3,178.59 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST $1,907.15 $3,178.59 40%
CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS CT SCAN,W/CONTRAST $2,199.47 $3,665.78 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PELVIS CT SCAN,W/CONTRAST $2,199.47 $3,665.78 40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $340.20 $567.00 40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL $340.20 $567.00 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $340.20 $567.00 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL $340.20 $567.00 40%
Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL $272.16 $453.60 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL $272.16 $453.60 40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI EXT LOWER JNT W/O CON $2,209.22 $3,682.04 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI EXT LOWER JNT W/O CON $2,209.22 $3,682.04 40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI EXT LOWER JNT W/O&W C $3,690.46 $6,150.76 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI EXT LOWER JNT W/O&W C $3,690.46 $6,150.76 40%
MRI of the brain, no contrast dye CPT 70551 HC BRAIN W/O DYE, MRI $2,189.86 $3,649.76 40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC BRAIN W/O DYE, MRI $2,189.86 $3,649.76 40%
MRI of the brain, with and without contrast dye CPT 70553 HC BRAIN W/O&W DYE, MRI $3,149.11 $5,248.52 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC BRAIN W/O&W DYE, MRI $3,149.11 $5,248.52 40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA $2,190.02 $3,650.03 40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA $2,190.02 $3,650.03 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS $590.27 $983.78 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS $590.27 $983.78 40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT $227.22 $378.70 40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL $227.22 $378.70 40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT $227.22 $378.70 40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT $227.22 $378.70 40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL $227.22 $378.70 40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT $227.22 $378.70 40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH $4,658.81 $7,764.68 40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD $4,658.81 $7,764.68 40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD $4,658.81 $7,764.68 40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH $4,658.81 $7,764.68 40%
Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND, TRANSVAGINAL $643.21 $1,072.02 40%
Transvaginal pelvic ultrasound CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL $643.21 $1,072.02 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL $643.21 $1,072.02 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ULTRASOUND, TRANSVAGINAL $643.21 $1,072.02 40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE $862.90 $1,438.16 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE $862.90 $1,438.16 40%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS $475.04 $791.73 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS $475.04 $791.73 40%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM $149.84 $249.74 40%
Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CALCIUM $149.84 $249.74 40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM $149.84 $249.74 40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CALCIUM $149.84 $249.74 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 $24.00 $40.00 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR $28.08 $46.80 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 $106.43 $177.39 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE $196.84 $328.07 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL $196.84 $328.07 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 $24.00 $40.00 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR $28.08 $46.80 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 $106.43 $177.39 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL $196.84 $328.07 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE $196.84 $328.07 40%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF $110.18 $183.63 40%
Complete blood count (CBC) with differential CPT 85025 HC CBC,COMPLTE/AUTO&AUTO DIFFERTI $110.18 $183.63 40%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIFF WBC $110.18 $183.63 40%
Complete blood count (CBC) with differential CPT 85025 HC VCD3 CBC AUTO DIFF WBC $110.18 $183.63 40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF $110.18 $183.63 40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC,COMPLTE/AUTO&AUTO DIFFERTI $110.18 $183.63 40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO DIFF WBC $110.18 $183.63 40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC VCD3 CBC AUTO DIFF WBC $110.18 $183.63 40%
Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM $89.90 $149.84 40%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF $89.90 $149.84 40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM $89.90 $149.84 40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF $89.90 $149.84 40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL $235.72 $392.86 40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION $235.72 $392.86 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION $235.72 $392.86 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL $235.72 $392.86 40%
Kidney function blood test panel CPT 80069 HC PANEL RENAL FUNCTION $177.37 $295.62 40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL $177.37 $295.62 40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL $177.37 $295.62 40%
Kidney function blood test panel inpatient CPT 80069 HC PANEL RENAL FUNCTION $177.37 $295.62 40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL $193.52 $322.54 40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL POC $193.52 $322.54 40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL $193.52 $322.54 40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL POC $193.52 $322.54 40%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL $253.73 $422.88 40%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL $253.73 $422.88 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA - FREE $112.80 $188.00 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA - FREE $112.80 $188.00 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S $37.83 $63.05 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA,TOTAL $150.44 $250.73 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE $150.44 $250.73 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL $150.44 $250.73 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S $37.83 $63.05 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL $150.44 $250.73 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE $150.44 $250.73 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA,TOTAL $150.44 $250.73 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 $13.94 $23.23 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 $40.25 $67.08 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP APROL CPT 85730 $67.77 $112.95 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 $13.94 $23.23 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 $40.25 $67.08 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP APROL CPT 85730 $67.77 $112.95 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL $87.67 $146.11 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) $87.67 $146.11 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 $9.93 $16.55 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 $30.14 $50.24 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP APROL CPT 85610 $48.39 $80.65 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME W/INR $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 $9.93 $16.55 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 $30.14 $50.24 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP APROL CPT 85610 $48.39 $80.65 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME W/INR $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME $84.55 $140.91 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $84.55 $140.91 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 $36.00 $60.00 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE $171.47 $285.79 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE $171.47 $285.79 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX $171.47 $285.79 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 $36.00 $60.00 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE $171.47 $285.79 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE $171.47 $285.79 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX $171.47 $285.79 40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE $77.87 $129.78 40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE $77.87 $129.78 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE $77.87 $129.78 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE $77.87 $129.78 40%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE $39.33 $65.55 40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE $39.33 $65.55 40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY $50.15 $83.58 40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY $50.15 $83.58 40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $50.15 $83.58 40%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, KETONES $50.15 $83.58 40%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS $50.15 $83.58 40%
Urinalysis without microscope exam, automated CPT 81003 HC REF MAYO SKETC KETONE QL, U $96.30 $160.50 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS $50.15 $83.58 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $50.15 $83.58 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY $50.15 $83.58 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY $50.15 $83.58 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, KETONES $50.15 $83.58 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC REF MAYO SKETC KETONE QL, U $96.30 $160.50 40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE, PH URINE $35.80 $59.67 40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, REAGENT STRIP $35.80 $59.67 40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE $35.80 $59.67 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE $35.80 $59.67 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, REAGENT STRIP $35.80 $59.67 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE, PH URINE $35.80 $59.67 40%

Surgery and procedures

ProcedureCash price List priceOff list
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDU $6,210.72 $10,351.20 40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDU $6,210.72 $10,351.20 40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER $1,373.11 $2,288.51 40%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER $1,373.11 $2,288.51 40%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETER $11,201.25 $18,668.75 40%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATHETER $11,201.25 $18,668.75 40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID $1,882.52 $3,137.53 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID $1,882.52 $3,137.53 40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE $1,450.84 $2,418.06 40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE $1,450.84 $2,418.06 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION EPI L/S 1 LEVEL $2,251.00 $3,751.66 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL $2,251.00 $3,751.66 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL $2,251.00 $3,751.66 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION EPI L/S 1 LEVEL $2,251.00 $3,751.66 40%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE $2,627.06 $4,378.44 40%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE $2,627.06 $4,378.44 40%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LE $4,920.97 $8,201.62 40%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LE $4,920.97 $8,201.62 40%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT $181.20 $302.00 40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT $181.20 $302.00 40%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY $160.80 $268.00 40%
Group psychotherapy session CPT 90853 HC GROUP CD INTENSIVE OP (IOP) $160.80 $268.00 40%
Group psychotherapy session CPT 90853 HC PSYCHIATRIC HALF DAY IOP $160.80 $268.00 40%
Group psychotherapy session CPT 90853 HC PHP-CD (FULL DAY) $643.20 $1,072.00 40%
Group psychotherapy session CPT 90853 HC PHP PSYCH (FULL DAY) $643.20 $1,072.00 40%
Group psychotherapy session inpatient CPT 90853 HC GROUP CD INTENSIVE OP (IOP) $160.80 $268.00 40%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY $160.80 $268.00 40%
Group psychotherapy session inpatient CPT 90853 HC PSYCHIATRIC HALF DAY IOP $160.80 $268.00 40%
Group psychotherapy session inpatient CPT 90853 HC PHP-CD (FULL DAY) $643.20 $1,072.00 40%
Group psychotherapy session inpatient CPT 90853 HC PHP PSYCH (FULL DAY) $643.20 $1,072.00 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPUETIC EXERCISES $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC EXERCISE EA 15 MIN $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC EXERCISE EA 15 MIN $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPUETIC EXERCISES $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) $125.24 $208.73 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) $125.24 $208.73 40%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT $200.43 $334.05 40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT $200.43 $334.05 40%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT $274.50 $457.50 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT $274.50 $457.50 40%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT $287.47 $479.11 40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT $287.47 $479.11 40%

Source file: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/751037591_baylor-scott--white-medical-center--frisco-at-pga-parkway_standardcharges.csv