BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING — price list

← Hospital overviewVerified from BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING’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.

72 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
acetic acid 0.25 % irrigation solution Outpatient	25000001 CDM	$42.00	$25.20	$4.62 – $31.50	—
acetylcholine chloride 1 % (10 mg/mL) intraocular kit Outpatient	25000001 CDM	$546	$328	$60.07 – $410	—
amino acid 10 % intravenous solution Outpatient	25000001 CDM	$225	$135	$24.75 – $169	—
amino acids 5 % with lytes and calcium in D25W intravenous solution Outpatient	25000001 CDM	$183	$110	$20.13 – $137	—
ammonia aromatic 15 % (w/v) solution for inhalation Outpatient	25000001 CDM	$2.63	$1.58	$0.29 – $1.97	—
ascorbic acid (vitamin C) 500 mg/mL injection solution Outpatient	25000001 CDM	$407	$244	$44.80 – $305	—
ascorbic acid (vitamin C) 500 mg/mL intravenous solution Outpatient	25000001 CDM	$1,218	$731	$134 – $913	—
atracurium 10 mg/mL intravenous solution Outpatient	25000001 CDM	$46.21	$27.73	$5.08 – $34.66	—
balanced salt solution combination no.1 intraocular irrigation Outpatient	25000001 CDM	$423	$254	$46.53 – $317	—
balanced salt solution combination no.2 intraocular irrigation Outpatient	25000001 CDM	$68.85	$41.31	$7.57 – $51.64	—
beractant 25 mg/mL in 0.9 % sodium chloride intratracheal suspension Outpatient	25000001 CDM	$1,724	$1,034	$190 – $1,293	—
brivaracetam 10 mg/mL oral solution Outpatient	25000001 CDM	$53.51	$32.11	$5.89 – $40.13	—
bupivacaine (PF) 0.25 % (2.5 mg/mL) Injection Outpatient	25000001 CDM	$154	$92.23	$16.91 – $115	—
bupivacaine (PF) 0.5 % (5 mg/mL) Injection Outpatient	25000001 CDM	$12.60	$7.56	$1.39 – $9.45	—
bupivacaine (PF) 0.5 % (5 mg/mL) Injection,bupivacaine 0.5 % (5 mg/mL) Injection Outpatient	25000001 CDM	$402	$241	$44.25 – $302	—
BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution Outpatient	25000001 CDM	$25.26	$15.16	$2.78 – $18.95	—
BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution Outpatient	25000001 CDM	$15.90	$9.54	$1.75 – $11.93	—
BUPivacaine-EPINEPHrine 0.25 %-1:200,000 injection solution Outpatient	25000001 CDM	$1.33	$0.80	$0.15 – $1.00	—
BUPivacaine-EPINEPHrine 0.5 %-1:200,000 injection solution Outpatient	25000001 CDM	$89.10	$53.46	$9.80 – $66.83	—
caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln Outpatient	25000001 CDM	$34.68	$20.81	$3.81 – $26.01	—
calcium chloride 100 mg/mL (10 %) intravenous solution Outpatient	25000001 CDM	$133	$79.99	$14.67 – $99.99	—
calcium chloride 100 mg/mL (10 %) intravenous syringe Outpatient	25000001 CDM	$96.78	$58.07	$10.65 – $72.58	—
carbachoL 0.01 % intraocular solution Outpatient	25000001 CDM	$253	$152	$27.82 – $190	—
carboprost tromethamine 250 mcg/mL intramuscular solution Outpatient	25000001 CDM	$630	$378	$69.30 – $473	—
cardioplegic soln #17(induct 4:1) 50 mEq/500 mL (potassium) perfusion Outpatient	25000001 CDM	$426	$256	$46.86 – $320	—
cardioplegic solution no.16 26 mEq/1,052.8 mL(potassium) for perfusion Outpatient	25000001 CDM	$246	$148	$27.06 – $185	—
cardioplegic solution no.19 (maint 4:1) 40mEq/L (potassium) perfusion Outpatient	25000001 CDM	$597	$358	$65.67 – $448	—
cardioplegic solution no.25 29 mmol/L (potassium) for perfusion Outpatient	25000001 CDM	$363	$218	$39.93 – $272	—
cardioplegic-organ preservation solution no.1 9 mmol-198 mmol-2 mmol/L Outpatient	25000001 CDM	$993	$596	$109 – $745	—
chondroitin sulf-sodium hyaluronate 40 mg-17 mg/mL intraocular syringe Outpatient	25000001 CDM	$1,349	$809	$148 – $1,012	—