Visits & medical services prices at Baylor Scott and White Orthopedic and Spine Hospi

Arlington, TX · every code in this section with a posted price and a Medicare benchmark.

68 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$166.80–$240.60 $278–$401 varies
Analyze neurostim complex (95972) $283.80 $473 3.0×
Analyze neurostim no prog (95970) $261 $435 1.9×
Analyze Neurostim Simple (95971) $253.20 $422 2.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$634.20–$659.40 $1,057–$1,099 varies
Cbt 1st hour (94644)
range across 3 matching MRF lines
$180.60–$214.80 $301–$358 varies
Chest Wall Manipulation (94668) $36 $60 0.3×
Color/duplex Doppler, complete (93975) $730.20 $1,217 3.0×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$107.40–$238.20 $179–$397 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$118.20–$162.60 $197–$271 varies
Cpt initial (94667) $36 $60 0.3×
Critical care first hour (99291) $3,000.60 $5,001 3.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$184.20–$283.80 $307–$473 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $708 $1,180 6.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $661.20 $1,102 6.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$274.20–$285 $457–$475 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$681.60–$730.20 $1,136–$1,217 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$661.20–$730.20 $1,102–$1,217 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$661.20–$730.20 $1,102–$1,217 varies
Duplex Scan Hemodialysis Access (93990) $285 $475 2.7×
Duplex up extrem art unilat/ltd (93931) $730.20 $1,217 6.9×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$256.20–$633.60 $427–$1,056 varies
Emergency Dept Visit Level 2 (99282) $491.40 $819 3.2×
Emergency Dept Visit Level 3 (99283) $1,048.20 $1,747 3.8×
Emergency Dept Visit Level 4 (99284) $2,071.20 $3,452 4.9×
Er level 1 (99281) $280.20 $467 3.3×
Er level v (99285) $4,381.80 $7,303 7.3×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$36–$49.20 $60–$82 varies
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$373.80–$661.20 $623–$1,102 varies
Immunization administration (90471) $81 $135 1.1×
Irrig Drug Delivery Device (96523) $134.40 $224 2.3×
IV infusion hydration each additional hour (96361) $102.60 $171 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $213.60 $356 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $97.20 $162 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$102.60–$109.80 $171–$183 varies
IV push initial (96374)
range across 3 matching MRF lines
$207.60–$222.60 $346–$371 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $268.20 $447 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $145.80 $243 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$150.60–$154.20 $251–$257 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,146 $1,910 2.8×
Nerve Conduction Studies 1-2 Studies (95907) $520.20 $867 2.4×
Ot Eval Low Complex (97165) $130.80 $218 1.3×
Ot Eval Moderate Complexity (97166) $130.80 $218 1.3×
Ot Re-Eval Est Plan Care (97168) $88.80 $148 1.3×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$97.20–$127.80 $162–$213 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$97.20–$127.80 $162–$213 varies
Pt Eval Mod Complex (97162) $97.20 $162 1.0×
Pt gait training 15 min (97116)
range across 4 matching MRF lines
$63.60–$78 $106–$130 varies
Pt Re-Eval Est Plan Care (97164) $85.20 $142 1.3×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$61.80–$84 $103–$140 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$272.40–$283.20 $454–$472 varies
Self Care Mngment Training (97535) $58.20 $97 1.8×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$63.60–$66 $106–$110 varies
Spirometry (94010)
range across 2 matching MRF lines
$166.80–$229.80 $278–$383 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $63.60 $106 2.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$63.60–$66 $106–$110 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$213.60–$222.60 $356–$371 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$213.60–$228.60 $356–$381 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$63.60–$66 $106–$110 varies
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $376.20 $627 3.6×
Tte w/doppler, complete (93306) $944.40 $1,574 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$50.40–$52.20 $84–$87 varies
Upr/L Xtremity Art 2 Levels (93922) $404.40 $674 3.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $404.40 $674 1.9×
Vent Mgmt Inpat Init Day (94002) $255.60 $426 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $255.60 $426 0.4×
Vital capacity, total (94150) $85.20 $142 0.7×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$63.60–$66 $106–$110 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.