BAYLOR SCOTT AND WHITE MEDICAL CENTER IRVING
Hospital
Procedure Prices at BAYLOR SCOTT AND WHITE MEDICAL CENTER IRVING
HC VENIPUNCTURE,COLLECTION OF BLOOD
CPT 36415
$5.03
HC COMPLETE CBC W/AUTO WBC DIFF
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
$93.97
Therapeutic Exercises
CPT 97110
$95.87
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
Thoracic Spine X-Ray
CPT 72072
$210.48
Diagnostic Mammogram (bilateral)
CPT 77066
$214.5
Abdominal Ultrasound
CPT 76700
$444.66
ER Visit — Low-Moderate Complexity
CPT 99283
$503.85
Abdominal Ultrasound — Limited
CPT 76705
$510.06
ER Visit — Moderate Complexity
CPT 99284
$541.78
Retroperitoneal Ultrasound
CPT 76770
$560.56
CT Chest
CPT 71250
$1,047.22
HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL
CPT 64483
$1,275.72
MRI Brain w/o Contrast
CPT 70551
$1,324.4
ER Visit — High Complexity
CPT 99285
$1,362.64
Echocardiogram
CPT 93307
$1,476.78
Echocardiogram w/ Doppler
CPT 93306
$1,513.2
MRI Joint of Lower Extremity
CPT 73721
$1,688.25
MRI Brain w/ Contrast
CPT 70553
$1,806.9
CT Abdomen & Pelvis
CPT 74177
$2,473.55
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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.