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Baylor Scott & White Medical Center Grapevine

1650 W College St, Grapevine, TX 76051 · (817) 481-1588

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Dallas, TX metroWebsite ↗

Price file

Prices published

File dated 2026-06-29

12,586 price rows for 63 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $255

$150
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $3,920

$3,807
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $1,907

$1,655
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $2,293

$2,177
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines · metro median $2,352

$2,352
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $4,156

$4,156
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 20 lines · metro median $39

$45
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 10 lines · metro median $135

$90
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 8 lines · metro median $243

$160
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines · metro median $348

$340
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $201

$143
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $181

$181
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $377

$245
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 18 lines · metro median $49

$45
cash
Group psychotherapy

CPT 90853 · lowest of 16 lines · metro median $161

$158
cash
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cash
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cash
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cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 4 lines · metro median $6,211

$6,211
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $5,896

$5,896
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 4 lines · metro median $1,327

$1,324
cash
Left heart catheterization

CPT 93452 · lowest of 4 lines · metro median $9,316

$11,201
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 20 lines · metro median $148

$24
cash
Liver function panel

CPT 80076 · lowest of 8 lines · metro median $288

$150
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $2,830

$3,149
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $2,427

$2,159
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $2,394

$2,190
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $2,394

$2,266
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $1,482

$2,251
cash
PSA test (prostate)

CPT 84153 · lowest of 16 lines · metro median $26

$38
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 32 lines · metro median $21

$14
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $124

$125
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $382

$590
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines · metro median $2,627

$2,627
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 28 lines · metro median $14

$10
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines · metro median $189

$189
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 6 lines · metro median $275

$248
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines · metro median $287

$275
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $4,921

$4,921
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $227

$227
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $3,803

$3,803
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 10 lines · metro median $4,659

$4,659
cash
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cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,001

$1,451
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $1,001

$1,883
cash
TSH test (thyroid)

CPT 84443 · lowest of 18 lines · metro median $130

$36
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $4,784

$4,784
cash
Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $590

$605
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $786

$715
cash
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cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 8 lines · metro median $108

$78
cash
Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $7,971

$7,971
cash
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cash
Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $2,680

$2,680
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $531

$475
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.