Visits & medical services 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.
100 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$130.20–$376.20 | $217–$627 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $61.80 | $103 | 1.6× |
| Analyze neurostim complex (95972) | $1,699.20 | $2,832 | 17.8× |
| Analyze neurostim no prog (95970) | $1,699.20 | $2,832 | 12.7× |
| Analyze Neurostim Simple (95971) | $827.40 | $1,379 | 8.6× |
| Ant Sgm Imaging W/Fluoroscein Angio & I&R (92287) | $246 | $410 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $53.40 | $89 | 3.7× |
| Art pressure waveform analys (93050) | $65.40 | $109 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$235.20–$244.80 | $392–$408 | varies |
| Cardiopulmonary resuscitation (92950) | $753 | $1,255 | 3.5× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$129–$134.40 | $215–$224 | varies |
| Color/duplex Doppler, complete (93975) | $505.80 | $843 | 2.1× |
| Color/duplex Doppler, limited (93976) | $724.20 | $1,207 | 6.9× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$283.80–$295.20 | $473–$492 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$137.40–$376.20 | $229–$627 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$241.20–$250.80 | $402–$418 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $264 | $440 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $683.40 | $1,139 | 2.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $615.60 | $1,026 | 5.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $816 | $1,360 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$615.60–$640.20 | $1,026–$1,067 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$763.20–$793.80 | $1,272–$1,323 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$640.20–$659.40 | $1,067–$1,099 | varies |
| Duplex Scan Hemodialysis Access (93990) | $505.80 | $843 | 4.8× |
| Duplex up extrem art bilat (93930) | $855 | $1,425 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $640.20 | $1,067 | 6.1× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $1,699.20 | $2,832 | 17.8× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $1,699.20 | $2,832 | 45.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$64.20–$81 | $107–$135 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$247.20–$571.20 | $412–$952 | varies |
| Emergency Dept Visit Level 2 (99282) | $511.20 | $852 | 3.3× |
| Emergency Dept Visit Level 3 (99283) | $1,090.20 | $1,817 | 4.0× |
| Emergency Dept Visit Level 4 (99284) | $2,154 | $3,590 | 5.1× |
| Er level 1 (99281) | $291 | $485 | 3.4× |
| Er level v (99285) | $4,557 | $7,595 | 7.6× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$361.80–$376.20 | $603–$627 | varies |
| Evaluate Swallowing Function (92610) | $130.20 | $217 | 1.5× |
| Extracranial Bilat Study (93880) | $370.80 | $618 | 1.5× |
| Extracranial Uni/Ltd Study (93882) | $370.80 | $618 | 3.5× |
| Group Therapeutic Procedures (97150) | $25.80 | $43 | 1.4× |
| Immunization administration (90471) | $74.40 | $124 | 1.0× |
| Iontophoresis 15 min (97033) | $60.60 | $101 | 3.2× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$124.80–$129.60 | $208–$216 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$236.40–$246 | $394–$410 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$115.80–$120.60 | $193–$201 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$124.80–$130.20 | $208–$217 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$71.40–$76.20 | $119–$127 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $357 | $595 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$343.20–$357 | $572–$595 | varies |
| Nasopharyngoscopy (92511) | $543.60 | $906 | 2.7× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $906 | $1,510 | 4.2× |
| Needle electromyography larynx (95865) | $906 | $1,510 | 6.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $213.60 | $356 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $157.20 | $262 | 0.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $120 | $200 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $213.60 | $356 | 0.5× |
| Nerve Conduction Studies 1-2 Studies (95907) | $137.40 | $229 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $612 | $1,020 | 2.8× |
| Neuromuscular Reeducation (97112) | $60.60 | $101 | 1.9× |
| Oral Function Therapy (92526) | $153.60 | $256 | 1.8× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$73.80–$99 | $123–$165 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$73.80–$99 | $123–$165 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$73.80–$99 | $123–$165 | varies |
| Ot manual therapy 15 min (97140) | $60.60 | $101 | 2.2× |
| Ot paraffin bath (97018) | $36 | $60 | 6.0× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$67.80–$91.20 | $113–$152 | varies |
| Plethysmography (94726) | $283.80 | $473 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,420 | $5,700 | 4.0× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$80.40–$99 | $134–$165 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$80.40–$99 | $134–$165 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$80.40–$99 | $134–$165 | varies |
| Pt gait training 15 min (97116) | $60.60 | $101 | 2.1× |
| Pt mechanical traction (97012) | $42 | $70 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$67.80–$91.20 | $113–$152 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$283.80–$295.20 | $473–$492 | varies |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $677.40 | $1,129 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $81 | $135 | 0.4× |
| Sensory Integration Ea 15 Min (97533) | $72.60 | $121 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $677.40 | $1,129 | 2.2× |
| Spirometry (94010) | $295.20 | $492 | 1.4× |
| Ssep lower limbs (95926) | $771 | $1,285 | 3.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $45.60 | $76 | 2.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $40.80 | $68 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $53.40 | $89 | 1.8× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$115.80–$120.60 | $193–$201 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$114–$120.60 | $190–$201 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$115.80–$124.20 | $193–$207 | varies |
| Therapeutic Activities (97530) | $60.60 | $101 | 1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $70.80 | $118 | 1.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,159.20–$1,173.60 | $1,932–$1,956 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $138 | $230 | 1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$74.40–$126 | $124–$210 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $357 | $595 | 2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$343.20–$357 | $572–$595 | varies |
| Vasopneumatic device (97016) | $36 | $60 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$949.20–$987 | $1,582–$1,645 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,447.20 | $2,412 | 2.3× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$283.80–$295.20 | $473–$492 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $60.60 | $101 | 2.0× |
| Whirlpool Therapy (97022) | $55.20 | $92 | 3.5× |
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.