BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER
1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $665.04 | $1,108.40 | $4.04 – $997.56 | 29 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $81.08 | $135.13 | $1.55 – $27.52 | 23 |
| Ceftazidime and avibactam HCPCS J0714 | $1,071.08 | $1,785.14 | $99.51 – $1,606.63 | 29 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $103.80 | $173.00 | $0.47 – $8.61 | 23 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $24.05 | $40.08 | $2.19 – $20.29 | 23 |
| #celiac hla-dq2 CPT 81377 | $226.87 | $378.12 | $36.00 – $340.31 | 29 |
| #celiac hla-dq8 CPT 81383 | $393.77 | $656.29 | $12.00 – $590.66 | 29 |
| Cell count body fluid CPT 89050 | $68.38 | $113.97 | $3.96 – $102.57 | 29 |
| Cell count w differential body fluid CPT 89051 | $109.77 | $182.95 | $4.70 – $64.75 | 29 |
| Cell cryopreserve/storage CPT 88240 | $101.18 | $168.64 | $10.98 – $151.78 | 29 |
| Cell enumeration & id CPT 86152 | $109.79 | $182.99 | $12.00 – $601.87 | 29 |
| Cell enumeration phys interp CPT 86153 | $109.79 | $182.99 | $12.00 – $182.60 | 22 |
| Cell function assay w/stim CPT 86352 | $492.41 | $820.68 | $12.00 – $450.00 | 29 |
| Cell marker study CPT 88182 | $825.00 | $1,375.00 | $36.00 – $411.73 | 29 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $19,122.16 | $31,870.27 | $28.27 – $28,683.24 | 29 |
| Centralization wrist on ulna CPT 25335 | $5,545.94 | $9,243.23 | $71.00 – $8,318.91 | 29 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $393.80 – $7,441.00 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $2,386.41 | $3,977.35 | $71.00 – $7,744.80 | 29 |
| Cerebrospinal fld flw imag CPT 78645 | $907.45 | $1,512.41 | $290.70 – $1,361.17 | 29 |
| Cerebrospinal fluid scan CPT 78647 | $1,028.10 | $1,713.50 | $257.02 – $1,542.15 | 22 |
| Cer post col occ/man sup adj HCPCS L0180 | $291.48 | $485.80 | $72.87 – $437.22 | 21 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $5,147.27 | $8,578.79 | $3.60 – $7,720.91 | 29 |
| Cervical collar molded to pt HCPCS L0170 | $598.80 | $998.00 | $149.70 – $898.20 | 21 |
| Cervical lymphadenectomy 38720 CPT 38720 | $5,638.71 | $9,397.85 | $71.00 – $16,154.42 | 29 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $125.36 | $208.93 | $31.34 – $220.82 | 29 |
| Cesarean section delivery only 59514 CPT 59514 | $4,806.00 | $8,010.00 | $1,201.50 – $7,209.00 | 22 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,924.76 | $4,874.60 | $76.44 – $2,216.07 | 29 |
| #cf-97variants CPT 81220 | $855.82 | $1,426.37 | $12.00 – $1,335.84 | 29 |
| Cftr gene dup/delet variants CPT 81222 | $1,305.00 | $2,175.00 | $36.00 – $1,203.75 | 29 |
| Cftr gene intron poly t CPT 81224 | $951.72 | $1,586.20 | $36.00 – $1,427.58 | 29 |
| Cftr gene known fam variants CPT 81221 | $116.66 | $194.44 | $36.00 – $233.33 | 29 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,124.91 | $1,874.85 | $71.00 – $1,692.24 | 29 |
| Change cystostomy tube simple CPT 51705 | $426.63 | $711.05 | $51.77 – $639.95 | 29 |
| Change gastric port open CPT 43888 | $3,094.13 | $5,156.89 | $1,457.62 – $11,649.00 | 27 |
| Change g-tube to g-j perc CPT 49446 | $2,198.81 | $3,664.69 | $71.00 – $4,713.77 | 29 |
| Change nephroureteral cath CPT 50387 | $2,564.12 | $4,273.53 | $71.00 – $5,045.72 | 29 |
| Change of ureter tube/stent CPT 50688 | $2,790.55 | $4,650.92 | $71.00 – $5,045.72 | 29 |
| Change of windpipe airway 31502 CPT 31502 | $422.65 | $704.42 | $71.00 – $633.98 | 29 |
| Change stent via transureth CPT 50385 | $3,290.24 | $5,483.73 | $71.00 – $5,645.00 | 29 |
| Change ureter stent percut CPT 50382 | $3,219.94 | $5,366.56 | $71.00 – $5,045.72 | 29 |
| Chct for mal hyperthermia CPT 89049 | $152.73 | $254.55 | $12.00 – $423.12 | 29 |
| Chemical exfoliation acne 17360 CPT 17360 | $194.38 | $323.96 | $48.59 – $495.95 | 29 |
| Chemical peel face epiderm 15788 CPT 15788 | $356.72 | $594.53 | $71.00 – $987.79 | 29 |
| Chemical peel nonfacial 15793 CPT 15793 | $442.84 | $738.07 | $71.00 – $987.79 | 29 |
| Chemical peel nonfacial; epidermal CPT 15792 | $275.68 | $459.46 | $68.92 – $1,555.84 | 29 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,085.14 | $1,808.57 | $247.07 – $1,627.71 | 29 |
| Chemodener muscle larynx emg CPT 64617 | $765.43 | $1,275.72 | $71.00 – $1,713.14 | 29 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $104.51 | $174.18 | $26.13 – $156.76 | 22 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $127.92 | $213.20 | $31.98 – $191.88 | 22 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,033.63 | $1,722.72 | $71.00 – $1,713.14 | 29 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,021.41 | $1,702.35 | $68.66 – $1,713.14 | 29 |
| Chemodenervation anal musc CPT 46505 | $2,462.82 | $4,104.70 | $429.26 – $3,694.23 | 27 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $548.37 | $913.95 | $64.78 – $2,975.00 | 29 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $717.07 | $1,195.12 | $71.00 – $2,975.00 | 29 |
| Chemodenerv eccrine glands CPT 64653 | $424.40 | $707.33 | $57.86 – $2,975.00 | 29 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $578.98 | $964.97 | $50.66 – $2,975.00 | 29 |
| Chemodenerv musc migraine 64615 CPT 64615 | $423.90 | $706.50 | $59.25 – $733.72 | 29 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $698.60 | $1,164.33 | $57.30 – $1,047.90 | 29 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $613.16 | $1,021.93 | $67.55 – $919.74 | 29 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,074.77 | $1,791.28 | $68.66 – $1,713.14 | 29 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $904.25 | $1,507.08 | $71.00 – $1,713.14 | 29 |
| Chemo extend IV infus w/pump HCPCS G0498 | $851.01 | $1,418.35 | $71.00 – $1,276.52 | 29 |
| Chemo ia infuse each addl hr CPT 96423 | $234.68 | $391.14 | $44.69 – $801.00 | 29 |
| Chemo ia infusion up to 1 hr CPT 96422 | $775.43 | $1,292.39 | $193.86 – $1,163.15 | 29 |
| Chemo ia push tecnique CPT 96420 | $440.28 | $733.80 | $110.07 – $838.97 | 29 |
| Chemo intralesional over 7 CPT 96406 | $246.74 | $411.24 | $61.69 – $801.00 | 29 |
| Chemo intralesional up to 7 96405 CPT 96405 | $149.15 | $248.59 | $37.29 – $801.00 | 29 |
| Chemotaxis assay CPT 86155 | $21.31 | $35.52 | $12.00 – $38.38 | 29 |
| Chemotherapy injection 96542 CPT 96542 | $281.62 | $469.37 | $70.41 – $838.97 | 29 |
| Chemotx admn pertl cav impl CPT 96446 | $475.70 | $792.84 | $71.00 – $838.97 | 29 |
| Chest 2 vws w oblique CPT 71048 | $377.06 | $628.43 | $45.78 – $565.59 | 29 |
| Chest apical lordotic proj CPT 71047 | $270.06 | $450.10 | $42.44 – $405.09 | 29 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,366.31 | $3,943.85 | $167.39 – $3,549.47 | 29 |
| Chest CT scan (with contrast) CPT 71260 | $2,167.00 | $3,611.66 | $167.39 – $3,250.49 | 29 |
| Chest CT scan (without contrast) CPT 71250 | $1,473.52 | $2,455.87 | $99.77 – $2,210.28 | 29 |
| Chest Physiotherapy (first session) CPT 94667 | $216.95 | $361.59 | $54.24 – $325.43 | 29 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $156.60 | $261.00 | $39.15 – $316.45 | 29 |
| Chest Ultrasound CPT 76604 | $444.12 | $740.20 | $57.14 – $666.18 | 29 |
| Chest X-ray CPT 71046 | $341.32 | $568.86 | $33.75 – $511.97 | 29 |
| Chest X-ray (single view) CPT 71045 | $327.08 | $545.13 | $25.73 – $490.62 | 29 |
| Chg pr pul rehab for copd patients CPT 94626 | $150.40 | $250.67 | $37.60 – $225.60 | 29 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $579.55 | $965.91 | $109.93 – $869.32 | 29 |
| Chimerism anal no cell selec CPT 81267 | $378.62 | $631.03 | $36.00 – $567.93 | 29 |
| Chimerism anal w/cell select CPT 81268 | $447.95 | $746.59 | $36.00 – $671.93 | 29 |
| Chiropractic manj 5 regions CPT 98942 | $56.99 | $94.98 | $14.25 – $85.48 | 29 |
| Chiropract manj 1-2 regions CPT 98940 | $56.99 | $94.98 | $14.25 – $85.48 | 29 |
| Chiropract manj 3-4 regions CPT 98941 | $56.99 | $94.98 | $14.25 – $85.48 | 29 |
| Chlamydia culture CPT 87110 | $147.60 | $246.00 | $12.00 – $221.40 | 29 |
| Chlamydia type CPT 87140 | $51.67 | $86.11 | $4.68 – $77.50 | 29 |
| Chlnggrphy intraop addl s&i CPT 74301 | $322.25 | $537.09 | $36.32 – $483.38 | 22 |
| Chloride CPT 82435 | $57.75 | $96.25 | $3.86 – $86.62 | 29 |
| Chloride 24 hour urine CPT 82436 | $45.91 | $76.51 | $4.83 – $68.86 | 29 |
| Chloroprocaine hcl injection HCPCS J2401 | $80.57 | $134.28 | $0.04 – $115.13 | 23 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $810.99 | $1,351.65 | $51.61 – $1,216.48 | 23 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $119.17 | $198.61 | $23.05 – $156.00 | 23 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $393.54 | $655.90 | $98.39 – $838.97 | 29 |
| Cholangiogram percutaneous compl CPT 47532 | $3,747.56 | $6,245.94 | $71.00 – $8,649.00 | 29 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $546.01 | $910.01 | $62.97 – $819.01 | 22 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,997.29 | $4,995.48 | $71.00 – $8,570.48 | 29 |
| Cholesterol CPT 82465 | $61.91 | $103.19 | $3.65 – $16.02 | 29 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.