BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH — price list

← Hospital overviewVerified from BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

193 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution Outpatient	63600001 CDM	$65.40	$39.24	$10.46 – $49.05	—
acetaZOLAMIDE 500 mg solution for injection Outpatient	63600001 CDM	$189	$113	$30.24 – $142	—
agalsidase beta 35 mg intravenous solution Outpatient	63600001 CDM	$21,713	$13,028	$212 – $16,285	—
ALfentanil 500 mcg/mL injection solution Outpatient	63600001 CDM	$27.72	$16.63	$4.44 – $20.79	—
alglucosidase alfa 50 mg intravenous solution Outpatient	63600001 CDM	$2,809	$1,685	$192 – $2,107	—
alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution Outpatient	63600001 CDM	$3.36	$2.02	$0.54 – $10.22	—
alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution Outpatient	63600001 CDM	$31.20	$18.72	$4.69 – $23.40	—
aminophylline 250 mg/10 mL intravenous solution Outpatient	63600001 CDM	$85.86	$51.52	$13.74 – $64.39	—
aminophylline 500 mg/20 mL intravenous solution Outpatient	63600001 CDM	$4.32	$2.59	$0.69 – $3.24	—
amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution Outpatient	63600001 CDM	$540	$324	$86.40 – $405	—
amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution Outpatient	63600001 CDM	$540	$324	$86.40 – $405	—
amobarbitaL 500 mg solution for injection Outpatient	63600001 CDM	$2,199	$1,319	$109 – $1,649	—
aprepitant 125 mg capsule Outpatient	63600001 CDM	$684	$410	$109 – $513	—
aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion Outpatient	63600001 CDM	$1,890	$1,134	$302 – $1,417	—
aprepitant 40 mg capsule Outpatient	63600001 CDM	$236	$142	$37.77 – $177	—
aprepitant 80 mg capsule Outpatient	63600001 CDM	$438	$263	$70.01 – $328	—
atezolizumab 840 mg/14 mL (60 mg/mL) intravenous solution Outpatient	63600001 CDM	$21,779	$13,067	$3,485 – $16,334	—
atropine 0.1 mg/mL injection syringe Outpatient	63600001 CDM	$54.94	$32.96	$8.79 – $41.20	—
atropine 0.4 mg/mL injection solution Outpatient	63600001 CDM	$52.00	$31.20	$8.32 – $39.00	—
atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution Outpatient	63600001 CDM	$52.00	$31.20	$8.32 – $39.00	—
atropine 0.4 mg/mL intravenous solution Outpatient	63600001 CDM	$68.80	$41.28	$11.01 – $51.60	—
benztropine 1 mg/mL injection solution Outpatient	63600001 CDM	$270	$162	$43.20 – $203	—
betamethasone acetate and sodium phos 6 mg/mL suspension for injection Outpatient	63600001 CDM	$248	$149	$39.62 – $186	—
bevacizumab 25 mg/mL intravenous solution Outpatient	63600001 CDM	$106	$63.38	$16.90 – $79.23	—
BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution Outpatient	63600001 CDM	$10.80	$6.48	$1.73 – $8.10	—
BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution Outpatient	63600001 CDM	$12.60	$7.56	$2.02 – $9.45	—
BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection Outpatient	63600001 CDM	$27.19	$16.31	$4.35 – $20.39	—
BUPivacaine (PF) 0.75 % (7.5 mg/mL) injection solution Outpatient	63600001 CDM	$41.58	$24.95	$6.65 – $31.18	—
BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution Outpatient	63600001 CDM	$1.20	$0.72	$0.19 – $0.90	—
BUPivacaine HCl 0.5 % (5 mg/mL) injection solution Outpatient	63600001 CDM	$0.68	$0.41	$0.11 – $0.51	—