BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
Hospital
Procedure Prices at BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD
CPT 36415
$5.18
HC COMPLETE CBC W/AUTO WBC DIFF
CPT 85025
$13.41
HC COMPREHENSIVE METABOLIC PANEL
CPT 80053
$18.22
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
OB Ultrasound
CPT 76805
$204.71
Diagnostic Mammogram (bilateral)
CPT 77066
$209.49
EKG Tracing
CPT 93005
$222.02
Chest X-Ray (2 views)
CPT 71046
$258.05
Thoracic Spine X-Ray
CPT 72072
$277.11
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 SNRB TRANS LUMB/SAC SNGL LV BI
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.