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 |
|---|---|---|---|---|
| Cholesterol body fluid CPT 84999 | $4,132.03 | $6,886.72 | $2.80 – $16.81 | 21 |
| Cholesterol (Lipid) Test CPT 80061 | $146.45 | $244.08 | $11.25 – $36.00 | 29 |
| Cholinesterase CPT 82480 | $63.00 | $105.00 | $6.61 – $33.88 | 29 |
| Cholinesterase challenge CPT 95857 | $284.59 | $474.32 | $71.15 – $777.56 | 29 |
| Chorion biopsy CPT 59015 | $736.99 | $1,228.32 | $49.83 – $1,991.50 | 29 |
| Chrom analysis CPT 88273 | $220.96 | $368.26 | $20.61 – $83.54 | 29 |
| Chromatography CPT 83021 | $197.07 | $328.45 | $12.00 – $51.42 | 29 |
| Chromogenic substrate assay CPT 85130 | $532.80 | $888.00 | $9.99 – $227.55 | 29 |
| Chromo high res and frag x - sendout CPT 81243 | $722.80 | $1,204.66 | $12.00 – $1,084.19 | 29 |
| Chromosome analys amniotic CPT 88269 | $742.49 | $1,237.48 | $36.00 – $416.78 | 29 |
| Chromosome analysis 100 CPT 88249 | $776.35 | $1,293.92 | $36.00 – $1,164.53 | 29 |
| Chromosome analysis 15-20 cell count CPT 88262 | $479.38 | $798.97 | $12.00 – $348.75 | 29 |
| Chromosome analysis 20-25 CPT 88245 | $277.09 | $461.81 | $36.00 – $415.63 | 29 |
| Chromosome analysis 45 CPT 88263 | $350.63 | $584.38 | $36.00 – $360.70 | 29 |
| Chromosome analysis 5 CPT 88261 | $1,146.11 | $1,910.19 | $36.00 – $1,719.17 | 29 |
| Chromosome analysis 50-100 CPT 88248 | $256.56 | $427.60 | $36.00 – $415.61 | 29 |
| Chromosome analys placenta CPT 88267 | $266.34 | $443.90 | $36.00 – $452.57 | 29 |
| Chromosome banding study CPT 88283 | $293.03 | $488.39 | $36.00 – $439.55 | 29 |
| Chromosome count additional CPT 88285 | $120.11 | $200.18 | $22.60 – $180.16 | 29 |
| Chromosome karyotype study CPT 88280 | $119.87 | $199.78 | $28.11 – $179.80 | 29 |
| Chromosome study additional CPT 88289 | $297.75 | $496.25 | $28.92 – $172.34 | 29 |
| Chronic urticaria - sendout CPT 86343 | $126.69 | $211.15 | $10.47 – $190.03 | 29 |
| Chylomicron screen, bf - sendout CPT 82664 | $156.29 | $260.48 | $12.00 – $234.43 | 29 |
| Cid ext controller repl HCPCS L8628 | $3,194.70 | $5,324.50 | $798.67 – $4,792.05 | 21 |
| Cid ext speech process repl HCPCS L8627 | $17,894.96 | $29,824.93 | $4,473.74 – $26,842.44 | 21 |
| Cidofovir injection HCPCS J0740 | $1,782.70 | $2,971.16 | $333.75 – $2,002.50 | 29 |
| Cid transmit coil and cable HCPCS L8629 | $292.46 | $487.43 | $73.11 – $438.69 | 21 |
| Cilastatin sodium injection HCPCS J0743 | $120.55 | $200.91 | $6.96 – $166.39 | 23 |
| Ciliary transsleral therapy CPT 66710 | $3,746.66 | $6,244.44 | $71.00 – $5,788.85 | 29 |
| Cine/video x-rays add-on CPT 76125 | $133.48 | $222.46 | $33.37 – $200.21 | 22 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $15.24 | $25.40 | $0.83 – $19.62 | 23 |
| Circum 28 days or older CPT 54161 | $5,767.05 | $9,611.75 | $71.00 – $8,650.58 | 29 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $2,909.03 | $4,848.39 | $71.00 – $4,363.55 | 29 |
| Circumcision (newborn) CPT 54150 | $2,208.65 | $3,681.09 | $71.00 – $5,045.72 | 29 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $175.08 | $291.80 | $2.38 – $262.62 | 23 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,302.83 | $2,171.38 | $36.00 – $790.82 | 29 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,204.50 | $2,007.50 | $8.29 – $1,806.75 | 29 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $22,433.40 | $37,389.00 | $31.66 – $189.96 | 22 |
| Claviculectomy partial CPT 23120 | $3,881.78 | $6,469.63 | $71.00 – $8,018.48 | 29 |
| Claviculectomy total CPT 23125 | $4,292.06 | $7,153.43 | $71.00 – $8,018.48 | 29 |
| Clean out mastoid cavity CPT 69222 | $1,915.52 | $3,192.54 | $71.00 – $5,388.00 | 29 |
| Clearance of airways CPT 31720 | $203.35 | $338.91 | $50.84 – $528.37 | 29 |
| Clearance of tear duct CPT 68530 | $811.45 | $1,352.41 | $71.00 – $1,217.17 | 29 |
| C-lens fitg corneosclrl lens CPT 92313 | $147.78 | $246.30 | $36.95 – $316.45 | 29 |
| C-lens fitg tech corneosclrl CPT 92317 | $72.19 | $120.31 | $18.05 – $108.28 | 29 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $55.20 | $92.00 | $0.77 – $20.39 | 23 |
| Clip ligating vesolock lg HCPCS C1760 | $5,000.40 | $8,334.00 | $0.00 – $0.01 | 22 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $1,613.59 | $2,689.31 | $5.79 – $34.74 | 21 |
| Cllr miami j sm HCPCS L0174 | $240.60 | $401.00 | $26.42 – $158.53 | 21 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $438.75 | $731.25 | $19.71 – $169.24 | 23 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $508.45 | $847.42 | $71.00 – $762.68 | 29 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,195.90 | $1,993.16 | $71.00 – $3,981.46 | 29 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,966.30 | $3,277.16 | $491.57 – $2,949.44 | 28 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $484.29 | $807.15 | $71.00 – $726.43 | 29 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,991.98 | $3,319.96 | $71.00 – $3,981.46 | 29 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $543.02 | $905.04 | $71.00 – $814.54 | 29 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,129.33 | $3,548.88 | $71.00 – $3,981.46 | 29 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $480.32 | $800.53 | $70.60 – $720.48 | 29 |
| Closed tx nose/jaw fx CPT 21345 | $2,903.97 | $4,839.95 | $71.00 – $6,837.00 | 29 |
| Closed tx orbit without manipulj CPT 21400 | $961.00 | $1,601.66 | $71.00 – $3,421.00 | 29 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $548.63 – $4,463.00 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,346.93 | $5,578.22 | $71.00 – $5,020.40 | 29 |
| Closed tx septal&nose fx CPT 21337 | $3,014.47 | $5,024.12 | $71.00 – $7,975.81 | 29 |
| Closed tx sesamoid fx 28530 CPT 28530 | $345.38 | $575.63 | $71.00 – $584.19 | 29 |
| Closed tx vert fx w/manj CPT 22315 | $3,935.81 | $6,559.69 | $71.00 – $8,018.48 | 29 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $553.04 | $921.73 | $71.00 – $829.56 | 29 |
| Close mastoid fistula CPT 69700 | $3,709.74 | $6,182.90 | $71.00 – $5,564.61 | 29 |
| Close tear duct opening CPT 68760 | $728.00 | $1,213.33 | $71.00 – $1,092.00 | 29 |
| Close tear duct opening CPT 68761 | $656.35 | $1,093.92 | $71.00 – $984.53 | 29 |
| Close tear system fistula CPT 68770 | $3,586.17 | $5,976.95 | $71.00 – $5,788.85 | 29 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,297.71 | $5,496.18 | $71.00 – $4,946.56 | 29 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,422.45 – $7,441.00 | 4 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,531.75 | $2,552.92 | $71.00 – $2,297.63 | 29 |
| Closure of eyelid by suture CPT 67875 | $2,104.82 | $3,508.03 | $71.00 – $3,157.23 | 29 |
| Closure of salivary fistula CPT 42600 | $3,149.40 | $5,249.00 | $71.00 – $7,975.81 | 29 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,866.23 | $6,443.71 | $71.00 – $7,975.81 | 29 |
| Closure paravalvlr leak pq CPT 33999 | $41,077.77 | $68,462.95 | $71.00 – $1,556.23 | 29 |
| Clot factor fletcher fact CPT 85292 | $236.22 | $393.70 | $12.00 – $259.05 | 29 |
| Clot factor viii reltd antgn CPT 85244 | $140.42 | $234.03 | $12.00 – $210.63 | 29 |
| Clot factor wght kininogen CPT 85293 | $248.03 | $413.39 | $12.00 – $282.94 | 29 |
| Clot factor xii hageman CPT 85280 | $243.46 | $405.76 | $12.00 – $365.18 | 29 |
| Clot factor xiii fibrin scrn CPT 85291 | $126.41 | $210.69 | $7.65 – $189.62 | 29 |
| Clot factor xiii fibrin stab CPT 85290 | $199.57 | $332.61 | $12.00 – $299.35 | 29 |
| Clotting assay whole blood CPT 85396 | $101.52 | $169.20 | $12.00 – $152.28 | 22 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $840.17 | $1,400.28 | $71.00 – $1,260.25 | 29 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $631.37 | $1,052.29 | $71.00 – $947.06 | 29 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $575.05 | $958.42 | $71.00 – $862.58 | 29 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,839.79 | $3,066.32 | $71.00 – $3,981.46 | 29 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $444.71 | $741.18 | $71.00 – $667.06 | 29 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,913.29 | $3,188.81 | $71.00 – $3,981.46 | 29 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $581.99 | $969.99 | $71.00 – $2,975.00 | 29 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $286.90 | $478.17 | $71.00 – $584.19 | 29 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $517.10 | $861.83 | $71.00 – $775.65 | 29 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $575.33 | $958.89 | $71.00 – $863.00 | 29 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $440.26 | $733.76 | $71.00 – $2,975.00 | 29 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $565.51 | $942.52 | $49.00 – $848.27 | 29 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,778.91 | $4,631.52 | $71.00 – $4,168.37 | 29 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $4,367.95 | $7,279.92 | $71.00 – $6,551.93 | 29 |
| Clsd tx fracture of radius 25500 CPT 25500 | $581.99 | $969.99 | $71.00 – $872.99 | 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.