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BAYLOR SCOTT AND WHITE ALL SAINTS MEDICAL CENTER

Acute Care Hospitals

4 out of 5 (CMS)

1400 EIGHTH AVE

FORT WORTH, TX, 76104

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Emergency Services: No
Voluntary non-profit - Private
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Procedure Prices at BAYLOR SCOTT AND WHITE ALL SAINTS MEDICAL CENTER

HC VENIPUNCTURE,COLLECTION OF BLOOD

CPT 36415

$5.03

HC VCD3 CBC AUTO DIFF WBC

CPT 85025

$13.03

HC COMPREHENSIVE METABOLIC PANEL

CPT 80053

$17.21

Mechanical Traction

CPT 97012

$79.69

Diagnostic Mammogram (unilateral)

CPT 77065

$91.46

Screening Mammogram (bilateral)

CPT 77067

$91.46

Therapeutic Activities

CPT 97530

$91.78

Therapeutic Exercises

CPT 97110

$93.63

Chest X-Ray (1 view)

CPT 71045

$103.5

Chest X-Ray (2 views)

CPT 71046

$138.98

EKG Tracing

CPT 93005

$204.33

OB Ultrasound

CPT 76805

$204.71

Diagnostic Mammogram (bilateral)

CPT 77066

$209.49

Thoracic Spine X-Ray

CPT 72072

$210.48

Retroperitoneal Ultrasound

CPT 76770

$302.49

Abdominal Ultrasound — Limited

CPT 76705

$315.25

Abdominal Ultrasound

CPT 76700

$444.66

ER Visit — Low-Moderate Complexity

CPT 99283

$503.85

ER Visit — Moderate Complexity

CPT 99284

$541.78

ER Visit — High Complexity

CPT 99285

$1,027.01

CT Chest

CPT 71250

$1,047.22

MRI Brain w/o Contrast

CPT 70551

$1,324.4

MRI Joint of Lower Extremity

CPT 73721

$1,445.77

Echocardiogram

CPT 93307

$1,476.78

Echocardiogram w/ Doppler

CPT 93306

$1,513.2

MRI Brain w/ Contrast

CPT 70553

$1,806.9

HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL

CPT 64483

$1,841.1

CT Abdomen & Pelvis

CPT 74177

$2,508.69

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.