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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $361.80 $603 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×
Art pressure waveform analys (93050) $65.40 $109 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $240 $400 0.6×
Cardiopulmonary resuscitation (92950) $753 $1,255 3.5×
Color/duplex Doppler, complete (93975) $505.80 $843 2.1×
Color/duplex Doppler, limited (93976) $724.20 $1,207 6.9×
Cpap initiation and management (94660) $256.80 $428 1.2×
Cpt initial (94667) $241.20 $402 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $264 $440 1.3×
Demo &/or eval,pt use,aerosol device (94664) $369 $615 1.7×
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) $640.20 $1,067 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $855 $1,425 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $640.20 $1,067 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $640.20 $1,067 6.1×
Duplex hemodialysis access (93990) $505.80 $843 4.8×
Duplex scan extracranial art compl bi study (93880) $370.80 $618 1.5×
Ed special anterior segment photography with interpretation and report; with fluorescein angiography (92287) $246 $410 1.8×
EKG (93005) $313.80 $523 5.3×
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×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $827.40 $1,379 8.6×
EMG cranial nerve unilat (95867) $906 $1,510 4.2×
Er level 1 (99281) $291 $485 3.4×
Er level ii (99282) $511.20 $852 3.3×
Er level iii (99283) $1,090.20 $1,817 4.0×
Er level IV (99284) $2,154 $3,590 5.1×
Er level v (99285) $4,557 $7,595 7.6×
Evaluation of swallowing function (92610) $130.20 $217 1.5×
Group Therapeutic Procedures (97150) $25.80 $43 1.4×
Immunization Admin (90471) $74.40 $124 1.0×
Injection intra arterial (96373) $118.20 $197 0.6×
IV infusion hydration each additional hour (96361) $127.20 $212 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $241.20 $402 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $118.20 $197 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $120.60 $201 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $127.50 $212.50 2.7×
IV push initial (96374) $74.40 $124 0.3×
Maintenance of spinal canal or brain drug infusion pump (95990) $677.40 $1,129 2.0×
Manual therapy 15 min (97140) $60.60 $101 2.2×
Massage 15 min (97124) $53.40 $89 1.8×
Mechanical traction (97012) $42 $70 2.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $350.10 $583.50 3.8×
Nasopharyngoscopy (92511) $543.60 $906 2.7×
Needle electromyography larynx (95865) $906 $1,510 6.8×
Neg press wnd tx </=50 sq cm (97607) $213.60 $356 0.5×
Neg press wound tx >50 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 3-4 Studies (95908) $612 $1,020 2.8×
Nerve conduction studies; 1-2 studies (95907) $137.40 $229 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $357 $595 2.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $350.10 $583.50 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $283.80 $473 2.2×
Ot eval high complex 60 min (97167) $86.40 $144 0.9×
Ot eval low complex 30 min (97165) $86.40 $144 0.9×
Ot eval mod complex 45 min (97166) $86.40 $144 0.9×
Ot re-eval est plan care (97168) $79.50 $132.50 1.2×
Paraffin bath (97018) $36 $60 6.0×
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 Electric Current Therapy (97033) $60.60 $101 3.2×
Pt Electrical Stimulation (97032) $80.10 $133.50 5.4×
Pt eval high complex 45 min (97163) $89.70 $149.50 0.9×
Pt eval low complex 20 min (97161) $89.70 $149.50 0.9×
Pt Gait Training Therapy (97116) $60.60 $101 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $60.60 $101 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $89.70 $149.50 0.9×
Pt re-evaluation (97164) $79.50 $132.50 1.2×
Pt Ultrasound Therapy (97035) $53.40 $89 3.7×
Pt Whirlpool Therapy (97022) $55.20 $92 3.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $677.40 $1,129 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $81 $135 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $129 $215 1.0×
Sensory Integration Ea 15 Min (97533) $72.60 $121 1.2×
Short-latency somatosens ep std lwr limbs (95926) $771 $1,285 3.5×
Smoking cessation > 10 min (99407) $70.80 $118 1.9×
Spirometry (94010) $295.20 $492 1.4×
Test for allergy using combination of methods with drug or biological (95018) $61.80 $103 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $45.60 $76 2.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $40.80 $68 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $115.80 $193 1.6×
Therapeutic Activities (97530) $60.60 $101 1.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,166.40 $1,944 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $138 $230 1.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $153.60 $256 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $100.20 $167 2.1×
Unlisted pulmonary service/procedure (94799) $289.50 $482.50 2.2×
Vasc Duplex Extrem Venous,Bilat (93970) $793.80 $1,323 3.3×
Vasc Duplex Scan Extracranial,Limited (93882) $370.80 $618 3.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $357 $595 1.6×
Vasopneumatic device (97016) $36 $60 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $968.10 $1,613.50 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,447.20 $2,412 2.3×
Vital capacity total (94150) $289.50 $482.50 2.2×
Wheelchair Mgmt Ea 15 Min (97542) $60.60 $101 2.0×