SelfPayRates
Hospital Dallas-Fort Worth-Arlington, TX

Baylor Scott & White Medical Center - Lake Pointe

Baylor Scott & White Medical Center - Lake Pointe in Rowlett, 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.

6800 Scenic Drive, Rowlett, TX 75088 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/260194016_baylor-scott--white-medical-center--lake-pointe_standardcharges.csv