Lab & pathology prices at Baylor Scott and White Surgical Hospital Fortworth
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
251 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $16.80 | $28 | 0.4× |
| Acute hepatitis panel (80074) | $236.40 | $394 | 5.0× |
| Afb culture (87116) | $142.20 | $237 | 13.2× |
| Albumin Fluid (82042) | $99.60 | $166 | 12.8× |
| Albumin serum (82040) | $99.60 | $166 | 20.1× |
| Allergen specific ige (86003) | $16.20 | $27 | 3.1× |
| Alt (sgpt) (84460) | $91.20 | $152 | 17.2× |
| Ammonia (82140) | $59.40 | $99 | 4.1× |
| Amylase urine (82150) | $138 | $230 | 21.3× |
| Angiotensin i enzyme test (82164) | $21 | $35 | 1.4× |
| Antibody cytomegalovirus cmv (86644) | $142.20 | $237 | 9.9× |
| Antibody cytomegalovirus cmv igm (86645) | $142.20 | $237 | 8.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $104.40 | $174 | 8.0× |
| Antibody helicobacter pylori (86677) | $256.80 | $428 | 15.2× |
| Antibody identification leukocyte antibodies (86021) | $28.20 | $47 | 1.9× |
| Antibody screen (86850) | $91.20 | $152 | 9.3× |
| Antibody treponema pallidum (86780) | $37.80 | $63 | 2.9× |
| Antigen typing (86905) | $21 | $35 | 5.5× |
| Antinuclear antibodies (86038) | $60.60 | $101 | 5.0× |
| Assay of blood chloride (82435) | $53.40 | $89 | 11.6× |
| Assay of c-peptide (84681) | $81 | $135 | 3.9× |
| Assay of calcitonin (82308) | $81 | $135 | 3.0× |
| Assay of ceruloplasmin (82390) | $47.40 | $79 | 4.4× |
| Assay of ferritin (82728) | $99.60 | $166 | 7.3× |
| Assay of gammaglobulin igm (82784) | $109.80 | $183 | 11.8× |
| Assay of homocystine (83090) | $21.60 | $36 | 1.2× |
| Assay of parathormone (83970) | $55.20 | $92 | 1.3× |
| Assay of phenobarbital (80184) | $190.80 | $318 | 12.5× |
| Assay of prealbumin (84134) | $130.80 | $218 | 9.0× |
| Assay of volatiles (84600) | $21 | $35 | 1.2× |
| Assay Ph Body Fluid Nos (83986) | $81 | $135 | 22.6× |
| Ast (sgot) (84450) | $91.20 | $152 | 17.6× |
| Bile acids, total (82239) | $59.40 | $99 | 3.5× |
| Bilirubin direct (82248) | $21.60 | $36 | 4.3× |
| Bilirubin total (82247) | $39.60 | $66 | 7.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $322.80 | $538 | 1.9× |
| Bleeding time (85002) | $91.20 | $152 | 18.9× |
| Blood count reticulocyte automated (85045) | $60.60 | $101 | 15.2× |
| Blood gases (82803) | $166.80 | $278 | 6.4× |
| Blood gases w/02 saturation (82805) | $141.79 | $236.31 | 1.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $58.80 | $98 | 3.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $68.40 | $114 | 15.6× |
| Blood typing abo (86900) | $78 | $130 | 26.1× |
| Blood typing serologic rh (d) (86901) | $50.40 | $84 | 16.9× |
| Body fluid cell count (89051) | $109.20 | $182 | 19.5× |
| Bordetella antibody (86615) | $34.20 | $57 | 2.6× |
| C-reactive protein (86140) | $81 | $135 | 15.6× |
| Ca 125 (86304) | $60.60 | $101 | 2.9× |
| Calcium ionized (82330) | $21 | $35 | 1.5× |
| Calcium total (82310) | $81 | $135 | 15.7× |
| Calculus Qualitative Analysis (82355) | $52.20 | $87 | 4.5× |
| Calculus Quantitative Chemical (82360) | $78 | $130 | 6.1× |
| Calculus Spectroscopy (82365) | $72.60 | $121 | 5.6× |
| Carbamazepine (tegretol) total (80156) | $81 | $135 | 5.6× |
| Carbon dioxide (82374) | $72.60 | $121 | 14.9× |
| Carcinoembryonic antigen (82378) | $151.20 | $252 | 8.0× |
| Cardiolipin ab igg (86147) | $37.20 | $62 | 1.5× |
| Cell saver (86891) | $78 | $130 | 0.1× |
| Chloride urine (82436) | $60.60 | $101 | 10.5× |
| Cholesterol total (82465) | $72.60 | $121 | 16.7× |
| Chrmsm analysis addl cells counted each study (88285) | $58.20 | $97 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $152.10 | $253.50 | 4.3× |
| Ck isoenzymes (82552) | $99.60 | $166 | 7.4× |
| Ckmb (82553) | $171.60 | $286 | 14.9× |
| Cmv PCR (87496) | $187.80 | $313 | 5.4× |
| Coagulation time activated (85347) | $91.20 | $152 | 21.3× |
| Collagen cross links (82523) | $52.20 | $87 | 2.8× |
| Complement c3 (86160) | $65.40 | $109 | 5.5× |
| Complement total ch50 (86162) | $90 | $150 | 4.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $150.60 | $251 | 12.5× |
| Coombs direct (86880) | $99.60 | $166 | 18.5× |
| Cortisol total (82533) | $91.20 | $152 | 5.6× |
| Creatine kinase total (82550) | $120 | $200 | 18.4× |
| Creatinine blood (82565) | $90 | $150 | 17.6× |
| Creatinine other source (82570) | $60.60 | $101 | 11.7× |
| Crossmatch immediate spin (86920) | $138 | $230 | 0.8× |
| Cryoglobulin (82595) | $60.60 | $101 | 9.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $153.60 | $256 | 19.0× |
| Culture aerobic quant other (87071) | $133.80 | $223 | 13.5× |
| Culture anaerobic (87075) | $174 | $290 | 18.4× |
| Culture blood (87040) | $138 | $230 | 13.4× |
| Culture chlamydia (87110) | $91.20 | $152 | 4.7× |
| Culture fungus other (87102) | $120 | $200 | 14.3× |
| Culture genital (87070) | $133.80 | $223 | 15.5× |
| Culture screen only (87081) | $85.50 | $142.50 | 12.9× |
| Culture stool (87045) | $232.80 | $388 | 24.7× |
| Culture urine (87086) | $91.20 | $152 | 11.3× |
| Culture urine id ea isolate (87088) | $91.20 | $152 | 11.3× |
| Cyclic Citrullinated Peptide (86200) | $65.40 | $109 | 5.1× |
| Cytopath cell enhance tech (88112) | $105 | $175 | 2.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $157.20 | $262 | 4.2× |
| Cytp concentration smears & interpretation (88108) | $225 | $375 | 6.0× |
| Cytp fna eval dx 1st each site (88172) | $204.60 | $341 | 1.2× |
| D-Dimer (85379) | $211.80 | $353 | 20.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $133.80 | $223 | 8.1× |
| Detect agnt mult DNA ampli (87801) | $133.20 | $222 | 1.9× |
| Digoxin (80162) | $154.20 | $257 | 11.6× |
| Dilantin (80185) | $50.40 | $84 | 3.8× |
| Drug test prsmv chem anlyzr (80307) | $381.60 | $636 | 6.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $108.60 | $181 | 8.6× |
| Ebv viral capsid (86665) | $142.20 | $237 | 7.8× |
| Electrolyte panel (80051) | $120 | $200 | 17.1× |
| Electron microscopy diagnostic (88348) | $1,822.20 | $3,037 | 2.2× |
| Electronic crossmatch (86923) | $138.60 | $231 | 0.8× |
| Eosinophil count (85048) | $69 | $115 | 27.2× |
| Estradiol (82670) | $234 | $390 | 8.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $53.40 | $89 | 7.3× |
| Factor v activity (85220) | $37.80 | $63 | 2.1× |
| Fibrin degradation products (85362) | $60.60 | $101 | 8.8× |
| Flow cytometry first marker (88184) | $229.20 | $382 | 0.6× |
| Folate serum (82746) | $99.60 | $166 | 6.8× |
| Follicle Stimulating Hormone (83001) | $81 | $135 | 4.4× |
| Fresh frozen plasma thawing each unit (86927) | $91.20 | $152 | 0.5× |
| Frozen Section (88331) | $97.20 | $162 | 0.6× |
| Gastric Occult Blood (82271) | $60.60 | $101 | 11.4× |
| Ggt (82977) | $69 | $115 | 9.6× |
| Glucose (82947) | $34.50 | $57.50 | 8.8× |
| Glucose body fluid (82945) | $99.60 | $166 | 25.3× |
| Glucose post dose (82950) | $24.60 | $41 | 5.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $33.60 | $56 | 8.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $33.60 | $56 | 2.6× |
| Hcg qualitative (84703) | $109.20 | $182 | 14.5× |
| Hcg quant (84702) | $81 | $135 | 5.4× |
| Hdl Cholesterol (83718) | $81 | $135 | 9.9× |
| Hematocrit (85014) | $34.80 | $58 | 14.7× |
| Hemoglobin (85018) | $37.80 | $63 | 15.9× |
| Hemoglobin a1c (83036) | $120 | $200 | 12.4× |
| Hepatitis a antibody total (86708) | $133.80 | $223 | 10.8× |
| Hepatitis b core ab igm (86705) | $142.20 | $237 | 12.1× |
| Hepatitis B Surface Ab (86706) | $142.20 | $237 | 13.2× |
| Hepatitis B Surface Antigen (87340) | $37.20 | $62 | 3.6× |
| Hepatitis c antibody (86803) | $142.20 | $237 | 10.0× |
| Hepatitis C Genotype (87902) | $601.80 | $1,003 | 2.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $100.80 | $168 | 19.5× |
| HIV-1 antibody (86701) | $142.20 | $237 | 16.0× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $920.40 | $1,534 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $319.80 | $533 | 2.6× |
| Hormone receptor analysis (84235) | $85.20 | $142 | 1.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $133.50 | $222.50 | 3.8× |
| Human epididymis protein 4 (86305) | $97.20 | $162 | 4.7× |
| Iaad ia clostridium difficile toxin (87324) | $142.20 | $237 | 11.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $146.40 | $244 | 6.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $119.40 | $199 | 3.4× |
| Iaad Ia Streptococcus Group A (87430) | $37.20 | $62 | 2.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $97.80 | $163 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $90 | $150 | 2.6× |
| Iadna nos quantification each organism (87799) | $211.80 | $353 | 4.9× |
| If varicella-zoster antigen (87290) | $53.40 | $89 | 4.0× |
| Immunoassay nonantibody (83516) | $290.40 | $484 | 25.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $274.80 | $458 | 1.6× |
| Immunohisto Antibody Slide (88344) | $129.60 | $216 | 0.4× |
| Immunohistochemistry (88342) | $87.60 | $146 | 0.5× |
| Insitu hybridization (fish) (88365) | $219.60 | $366 | 1.3× |
| Insitu hybridization manual (88368) | $579.60 | $966 | 1.6× |
| Intraop cyto path consult 1 (88333) | $157.20 | $262 | 0.2× |
| Iron (83540) | $60.60 | $101 | 9.4× |
| Iron binding capacity (83550) | $60.60 | $101 | 6.9× |
| Lactic acid (83605) | $109.72 | $182.88 | 9.5× |
| Ldh (83615) | $60.60 | $101 | 10.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $37.80 | $63 | 8.9× |
| Level ii surg pathology grossµscopic exam (88302) | $229.20 | $382 | 6.1× |
| Level v surg pathology grossµscopic exam (88307) | $343.20 | $572 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $297.60 | $496 | 0.4× |
| Lh (83002) | $88.80 | $148 | 4.8× |
| Lipase (83690) | $91.20 | $152 | 13.2× |
| Lithium (80178) | $58.20 | $97 | 8.8× |
| Lyme disease antibody (86618) | $60.60 | $101 | 3.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $157.20 | $262 | 0.9× |
| Magnesium (83735) | $81 | $135 | 12.1× |
| Metabolic Panel Ionized Ca (80047) | $225.15 | $375.25 | 16.4× |
| Microalbumin urine (82043) | $37.20 | $62 | 6.4× |
| Mrsa amp probe (87641) | $333 | $555 | 9.5× |
| Natriuretic peptide (83880) | $142.20 | $237 | 3.6× |
| Nerve teasing preparations (88362) | $551.40 | $919 | 0.7× |
| Oligoclonal bands (83916) | $138 | $230 | 5.0× |
| Osmolality urine (83935) | $55.20 | $92 | 8.1× |
| Ova and parasite direct-id lca (87177) | $120 | $200 | 13.5× |
| Pancreatic polypeptide (83519) | $42 | $70 | 2.3× |
| Particle Agglutination Screen Each Antibody (86403) | $91.20 | $152 | 7.9× |
| Path Consult During Surgery (88329) | $47.40 | $79 | 0.8× |
| Phosphatase alkaline (84075) | $37.80 | $63 | 7.3× |
| Phosphorus blood (84100) | $81 | $135 | 17.1× |
| Platelet aggregation (85576) | $120 | $200 | 4.8× |
| Platelet count (85049) | $37.20 | $62 | 8.3× |
| Potassium (84132) | $72.60 | $121 | 15.3× |
| Potassium urine (84133) | $53.40 | $89 | 11.3× |
| Procalcitonin (pct) (84145) | $260.40 | $434 | 9.6× |
| Progesterone (84144) | $81 | $135 | 3.9× |
| Prolactin (84146) | $171.60 | $286 | 8.9× |
| Protein body fluid (84157) | $28.80 | $48 | 7.2× |
| Protein c activity (85303) | $21 | $35 | 1.5× |
| Protein electrophoresis serum (84165) | $171.60 | $286 | 16.0× |
| Protein S Functional (85306) | $162 | $270 | 10.6× |
| Protein s total (85305) | $144.60 | $241 | 12.5× |
| Protein Total Serum (84155) | $78 | $130 | 21.3× |
| Protein urine (84156) | $138.60 | $231 | 37.8× |
| Quantiferon tb gold (86480) | $124.20 | $207 | 2.0× |
| Rbc antibody elution (86860) | $45.60 | $76 | 0.3× |
| Reagent strip/blood glucose (82948) | $35.40 | $59 | 7.0× |
| Ref consult prep elsewhere (88321) | $46.80 | $78 | 1.2× |
| Reticulated platelet assay (85055) | $99.60 | $166 | 2.8× |
| Rheumatoid Factor Qual (86430) | $78.60 | $131 | 12.8× |
| Rheumatoid factor quant (86431) | $78.60 | $131 | 13.9× |
| Rsv (87807) | $63 | $105 | 4.8× |
| Rubella antibody (86762) | $32.40 | $54 | 2.3× |
| Russell viper venom time diluted (85613) | $21 | $35 | 2.2× |
| Salicylate (80179) | $108.60 | $181 | 5.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $119.40 | $199 | 2.3× |
| Sed rate automated (85652) | $21.60 | $36 | 8.0× |
| Sedimentation rate (85651) | $19.80 | $33 | 4.6× |
| Smear acid fast (87206) | $28.20 | $47 | 5.2× |
| Smear gram stain (87205) | $227.40 | $379 | 53.3× |
| Sodium (84295) | $53.40 | $89 | 11.1× |
| Sodium urine (84300) | $53.40 | $89 | 10.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $37.20 | $62 | 0.3× |
| Special stains group 1 (88312) | $147 | $245 | 2.8× |
| Spectrophotometry (84311) | $190.80 | $318 | 23.6× |
| Strep a assay w/optic (87880) | $81 | $135 | 4.9× |
| Surg path level iii (88304) | $269.40 | $449 | 5.1× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $84 | $140 | 2.9× |
| Surgical pathology level IV (88305) | $321.60 | $536 | 6.1× |
| T3 free (84481) | $53.40 | $89 | 3.2× |
| T3 total (84480) | $53.40 | $89 | 3.8× |
| T3 uptake (84479) | $21.60 | $36 | 3.3× |
| T4 Free (84439) | $171.60 | $286 | 19.0× |
| T4 total (84436) | $22.20 | $37 | 3.2× |
| Test for acetone/ketones (82009) | $22.80 | $38 | 5.0× |
| Testosterone free (84402) | $37.80 | $63 | 1.5× |
| Testosterone total (84403) | $37.80 | $63 | 1.5× |
| Thawing and expansion of frozen cells (88241) | $39.60 | $66 | 3.3× |
| Thyroglobulin (84432) | $28.80 | $48 | 1.8× |
| Thyroglobulin Ab (86800) | $45 | $75 | 2.8× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $150 | $250 | 1.1× |
| Touch prep (88161) | $100.80 | $168 | 3.5× |
| Toxin or antitoxin assay (87230) | $75 | $125 | 3.8× |
| Triglycerides (84478) | $171.60 | $286 | 29.9× |
| Troponin (84484) | $278.85 | $464.75 | 22.4× |
| Urea nitrogen (84520) | $72.60 | $121 | 18.4× |
| Uric acid blood (84550) | $68.40 | $114 | 15.1× |
| Uric acid other source (84560) | $81 | $135 | 15.9× |
| Urinalysis microscopic only (81015) | $37.80 | $63 | 12.4× |
| Urinalysis w/microscopic (81001) | $28.80 | $48 | 9.1× |
| Urine pregnancy test (81025) | $156.60 | $261 | 18.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $51 | $85 | 22.7× |
| Vancomycin trough (80202) | $187.20 | $312 | 13.8× |
| Vdrl csf (86592) | $53.40 | $89 | 12.5× |
| Vitamin A (84590) | $28.80 | $48 | 2.5× |
| Vitamin b-12 (82607) | $99.60 | $166 | 6.6× |
| Vitamin b1 (thiamine) (84425) | $28.80 | $48 | 1.4× |
| Vitamin D 25-Hydroxy (82306) | $90 | $150 | 3.0× |
| Zinc (84630) | $78.60 | $131 | 6.9× |