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BAYLOR SCOTT AND WHITE HEART AND VASCULAR HOSPITAL

Hospital

621 NORTH HALL STREET

DALLAS, TX, 75226

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Procedure Prices at BAYLOR SCOTT AND WHITE HEART AND VASCULAR HOSPITAL

HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD

CPT 36415

$0.01

HC COMPLETE CBC W/AUTO WBC DIFF

CPT 85025

$13.03

HC COMPREHENSIVE METABOLIC PANEL

CPT 80053

$17.21

Mechanical Traction

CPT 97012

$54.08

Therapeutic Activities

CPT 97530

$64.6

HC VIDEO VISIT, E&M LEVEL 3

CPT 99213

$66

Therapeutic Exercises

CPT 97110

$74.27

Screening Mammogram (bilateral)

CPT 77067

$119.26

Diagnostic Mammogram (unilateral)

CPT 77065

$124.94

Chest X-Ray (1 view)

CPT 71045

$147.51

Diagnostic Mammogram (bilateral)

CPT 77066

$153.65

Chest X-Ray (2 views)

CPT 71046

$180.59

EKG Tracing

CPT 93005

$189.32

Thoracic Spine X-Ray

CPT 72072

$225.49

Echocardiogram

CPT 93307

$246.16

OB Ultrasound

CPT 76805

$319.64

CT Chest

CPT 71250

$355.26

Retroperitoneal Ultrasound

CPT 76770

$372.57

Abdominal Ultrasound — Limited

CPT 76705

$391.87

Abdominal Ultrasound

CPT 76700

$399.15

ER Visit — Low-Moderate Complexity

CPT 99283

$488.14

Echocardiogram w/ Doppler

CPT 93306

$488.8

MRI Brain w/ Contrast

CPT 70553

$624.36

ER Visit — Moderate Complexity

CPT 99284

$720.67

HC SNRB TRANS LUMB/SAC SNGL LV BI

CPT 64483

$727.26

MRI Joint of Lower Extremity

CPT 73721

$847.74

MRI Brain w/o Contrast

CPT 70551

$990.56

CT Abdomen & Pelvis

CPT 74177

$1,111.66

ER Visit — High Complexity

CPT 99285

$1,120.24

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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.