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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $166.80 $278 0.8×
Analyze Neurostim Complex (95972) $283.80 $473 3.0×
Analyze neurostim no prog (95970) $261 $435 1.9×
Cardiopulmonary resuscitation (92950) $634.20 $1,057 2.9×
Cbt 1st hour (94644) $214.80 $358 1.6×
Color/duplex Doppler, complete (93975) $730.20 $1,217 3.0×
Cpap initiation and management (94660) $125.40 $209 0.6×
Cpt initial (94667) $36 $60 0.3×
Critical care (99291) $3,000.60 $5,001 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $184.20 $307 0.9×
Demo &/or eval,pt use,aerosol device (94664) $36 $60 0.2×
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) $279.60 $466 1.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $730.20 $1,217 6.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $730.20 $1,217 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $695.70 $1,159.50 6.6×
Duplex hemodialysis access (93990) $285 $475 2.7×
Duplex scan extracranial art compl bi study (93880) $373.89 $623.15 1.6×
EKG (93005) $266.40 $444 4.5×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $253.20 $422 2.6×
Er level 1 (99281) $280.20 $467 3.3×
Er level ii (99282) $491.40 $819 3.2×
Er level iii (99283) $1,048.20 $1,747 3.8×
Er level IV (99284) $2,071.20 $3,452 4.9×
Er level v (99285) $4,381.80 $7,303 7.3×
Immunization Admin (90471) $81 $135 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $97.20 $162 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $221.40 $369 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $102.60 $171 2.2×
IV push initial (96374) $213.60 $356 1.0×
Massage 15 min (97124) $64.80 $108 2.2×
Neg press wnd tx </=50 sq cm (97607) $268.20 $447 0.7×
Neg press wound tx >50 cm (97608) $145.80 $243 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $152.40 $254 0.8×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $404.40 $674 3.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $404.40 $674 1.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $172.80 $288 1.3×
Ot eval low complex 30 min (97165) $130.80 $218 1.3×
Ot eval mod complex 45 min (97166) $130.80 $218 1.3×
Ot re-eval est plan care (97168) $88.80 $148 1.3×
Pt eval high complex 45 min (97163) $112.50 $187.50 1.1×
Pt eval low complex 20 min (97161) $112.50 $187.50 1.1×
Pt Gait Training Therapy (97116) $64.80 $108 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $97.20 $162 1.0×
Pt re-evaluation (97164) $85.20 $142 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $58.20 $97 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $283.20 $472 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $36 $60 0.3×
Sensory Integration Ea 15 Min (97533) $64.80 $108 1.1×
Spirometry (94010) $198.30 $330.50 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $63.60 $106 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $213.60 $356 2.9×
Therapeutic Activities (97530) $63.60 $106 1.8×
Transcranial Doppler Limited (93888) $376.20 $627 3.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $944.40 $1,574 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $51.30 $85.50 1.1×
Unlisted pulmonary service/procedure (94799) $61.80 $103 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $730.20 $1,217 3.0×
Ventilation assist & mgmt inpatient 1st 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) $64.80 $108 2.1×