Home Dallas–Fort Worth, TX Baylor Scott & White Medical Center – Grapevine Baylor Scott & White Medical Center – Grapevine: cash prices and insurance rates Baylor Scott & White Health Dallas–Fort Worth, TX 45 plans in file
What Baylor Scott & White Medical Center – Grapevine (Baylor Scott & White Health) lists in its federally required price file for 39 common scans, tests and ER visits.
Hospital files dated June 29, 2026 · Data checked October 2, 2026 · How we read these files · Report an error
Price information, not medical advice. These are prices hospitals publish in their federally required price files. What you pay can differ: it depends on your plan, your deductible, the exact services you receive, and separate bills from doctors (for example, the radiologist who reads an image). Ask the hospital for a written estimate before you schedule. Independent site: not affiliated with any hospital or insurer. Full disclaimer .MRI
Baylor Scott & White Medical Center – Grapevine — MRI Procedure Published cash price Typical insured rate Lowest insured rate Brain MRI CPT 70551 · 45 plans in file Published cash price $2,190 Typical insured rate $2,007 29 plans Lowest insured rate $288
Brain MRI with contrast CPT 70553 · 45 plans in file Published cash price $3,149 Typical insured rate $2,429 29 plans Lowest insured rate $421
Neck MRI CPT 72141 · 45 plans in file Published cash price $2,266 Typical insured rate $2,077 29 plans Lowest insured rate $288
Lower back MRI CPT 72148 · 45 plans in file Published cash price $2,190 Typical insured rate $2,008 29 plans Lowest insured rate $288
Knee MRI CPT 73721 · 45 plans in file Published cash price $2,209 Typical insured rate $2,025 29 plans Lowest insured rate $288
Shoulder MRI CPT 73221 · 45 plans in file Published cash price $1,788 Typical insured rate $1,718 29 plans Lowest insured rate $288
Abdominal MRI CPT 74183 · 45 plans in file Published cash price $3,810 Typical insured rate $2,429 29 plans Lowest insured rate $421
Pelvic MRI CPT 72195 · 45 plans in file Published cash price $2,722 Typical insured rate $2,139 29 plans Lowest insured rate $288
Breast MRI CPT 77049 · 31 plans in file Published cash price $1,876 Typical insured rate $2,032 25 plans Lowest insured rate $958
CT scan
Baylor Scott & White Medical Center – Grapevine — CT scan Procedure Published cash price Typical insured rate Lowest insured rate Head CT CPT 70450 · 45 plans in file Published cash price $1,907 Typical insured rate $1,748 29 plans Lowest insured rate $126
Chest CT CPT 71250 · 45 plans in file Published cash price $1,680 Typical insured rate $1,540 29 plans Lowest insured rate $126
Chest CT with contrast CPT 71260 · 45 plans in file Published cash price $2,004 Typical insured rate $1,832 29 plans Lowest insured rate $212
Abdomen and pelvis CT CPT 74176 · 45 plans in file Published cash price $3,538 Typical insured rate $1,841 29 plans Lowest insured rate $288
Abdomen and pelvis CT with contrast CPT 74177 · 45 plans in file Published cash price $3,891 Typical insured rate $1,968 29 plans Lowest insured rate $421
X-ray
Baylor Scott & White Medical Center – Grapevine — X-ray Procedure Published cash price Typical insured rate Lowest insured rate Chest X-ray CPT 71046 · 45 plans in file Published cash price $394 Typical insured rate $361 29 plans Lowest insured rate $105
Knee X-ray CPT 73562 · 45 plans in file Published cash price $319 Typical insured rate $309 29 plans Lowest insured rate $105
Lower back X-ray CPT 72100 · 45 plans in file Published cash price $338 Typical insured rate $326 29 plans Lowest insured rate $126
Shoulder X-ray CPT 73030 · 45 plans in file Published cash price $307 Typical insured rate $297 29 plans Lowest insured rate $105
Ultrasound
Baylor Scott & White Medical Center – Grapevine — Ultrasound Procedure Published cash price Typical insured rate Lowest insured rate Abdominal ultrasound CPT 76700 · 45 plans in file Published cash price $863 Typical insured rate $791 29 plans Lowest insured rate $126
Pelvic ultrasound CPT 76856 · 45 plans in file Published cash price $761 Typical insured rate $698 29 plans Lowest insured rate $126
Transvaginal ultrasound CPT 76830 · 45 plans in file Published cash price $643 Typical insured rate $590 29 plans Lowest insured rate $126
Thyroid ultrasound CPT 76536 · 45 plans in file Published cash price $631 Typical insured rate $578 29 plans Lowest insured rate $126
Breast ultrasound CPT 76641 · 45 plans in file Published cash price $442 Typical insured rate $428 29 plans Lowest insured rate $126
Mammogram
Baylor Scott & White Medical Center – Grapevine — Mammogram Procedure Published cash price Typical insured rate Lowest insured rate Screening mammogram CPT 77067 · 31 plans in file Published cash price $227 Typical insured rate $220 25 plans Lowest insured rate $167
Diagnostic mammogram CPT 77066 · 31 plans in file Published cash price $340 Typical insured rate $329 25 plans Lowest insured rate $167
Bone density test (DEXA)
Baylor Scott & White Medical Center – Grapevine — Bone density test (DEXA) Procedure Published cash price Typical insured rate Lowest insured rate DEXA scan CPT 77080 · 45 plans in file Published cash price $381 Typical insured rate $349 29 plans Lowest insured rate $61.26
Lab tests
Baylor Scott & White Medical Center – Grapevine — Lab tests Procedure Published cash price Typical insured rate Lowest insured rate CMP CPT 80053 · 45 plans in file Published cash price $236 Typical insured rate $54.49 29 plans Lowest insured rate $10.00
BMP CPT 80048 · 45 plans in file Published cash price $150 Typical insured rate $43.65 29 plans Lowest insured rate $10.00
CBC CPT 85025 · 45 plans in file Published cash price $110 Typical insured rate $40.09 29 plans Lowest insured rate $9.32
Lipid panel CPT 80061 · 45 plans in file Published cash price $197 Typical insured rate $69.09 29 plans Lowest insured rate $10.00
TSH test CPT 84443 · 45 plans in file Published cash price $171 Typical insured rate $86.69 29 plans Lowest insured rate $10.00
A1c test CPT 83036 · 45 plans in file Published cash price $112 Typical insured rate $50.10 29 plans Lowest insured rate $10.00
Urinalysis CPT 81001 · 45 plans in file Published cash price $77.87 Typical insured rate $16.36 29 plans Lowest insured rate $3.80
Vitamin D test CPT 82306 · 45 plans in file Published cash price $237 Typical insured rate $153 29 plans Lowest insured rate $10.00
PSA test CPT 84153 · 45 plans in file Published cash price $150 Typical insured rate $94.89 29 plans Lowest insured rate $10.00
Urine culture CPT 87086 · 45 plans in file Published cash price $129 Typical insured rate $41.64 29 plans Lowest insured rate $9.68
ER visit
Baylor Scott & White Medical Center – Grapevine — ER visit Procedure Published cash price Typical insured rate Lowest insured rate ER visit level 3 CPT 99283 · 39 plans in file Published cash price $770 Typical insured rate $898 23 plans Lowest insured rate $330
ER visit level 4 CPT 99284 · 39 plans in file Published cash price $1,274 Typical insured rate $1,420 23 plans Lowest insured rate $504
ER visit level 5 CPT 99285 · 39 plans in file Published cash price $2,328 Typical insured rate $2,716 23 plans Lowest insured rate $719
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About this price file File: 751777119_baylor-scott--white-medical-center--grapevine_standardcharges.csv, last updated June 29, 2026 (hospital's price transparency page ). Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office. Other hospitals in Dallas–Fort Worth