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 |
|---|---|---|---|---|
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $328.50 – $3,630.00 | 16 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $429.26 – $2,975.00 | 16 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $429.26 – $2,975.00 | 16 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $328.50 – $2,975.00 | 16 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $429.26 – $5,132.00 | 15 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $429.26 – $5,132.00 | 15 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $429.26 – $3,421.00 | 16 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,801.85 – $14,118.49 | 15 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $429.26 – $5,132.00 | 15 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $429.26 – $2,975.00 | 16 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $429.26 – $3,630.00 | 16 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $939.93 – $6,955.62 | 15 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,971.86 – $7,441.00 | 4 |
| Colpocentesis 57020 CPT 57020 | $3,562.33 | $5,937.22 | $71.00 – $12,321.66 | 29 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $4,279.19 | $7,131.99 | $71.00 – $12,321.66 | 29 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,542.98 – $7,441.00 | 4 |
| Colpopexy extraperitoneal CPT 57282 | $4,423.50 | $7,372.50 | $71.00 – $18,719.48 | 29 |
| Colpopexy intraperitoneal CPT 57283 | $4,755.92 | $7,926.53 | $71.00 – $18,719.48 | 29 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,703.81 | $6,173.02 | $71.00 – $7,744.80 | 29 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $939.92 | $1,566.53 | $71.00 – $2,975.00 | 29 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $3,155.82 | $5,259.70 | $71.00 – $7,744.80 | 30 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $481.48 | $802.47 | $56.75 – $2,975.00 | 30 |
| Colposcopy vulva 56820 CPT 56820 | $139.00 | $231.66 | $52.50 – $493.64 | 29 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $424.19 | $706.99 | $71.00 – $2,975.00 | 29 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $891.87 | $1,486.45 | $70.04 – $2,975.00 | 30 |
| Colpotomy drng of abscess 57010 CPT 57010 | $3,309.79 | $5,516.32 | $71.00 – $7,744.80 | 29 |
| Colpotomy w/exploration 57000 CPT 57000 | $3,905.53 | $6,509.21 | $71.00 – $7,744.80 | 29 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $131.76 | $219.60 | $12.00 – $423.12 | 29 |
| Compatibility test each unit electronic CPT 86923 | $211.75 | $352.91 | $12.00 – $423.12 | 29 |
| Compatibility test each unit immediate spin technique CPT 86920 | $158.27 | $263.79 | $12.00 – $423.12 | 29 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $1,068.95 | $1,781.59 | $85.00 – $1,692.24 | 29 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $978.47 | $1,630.79 | $222.31 – $1,692.24 | 29 |
| Complement antigen each component c3 CPT 86160 | $542.33 | $903.88 | $8.18 – $28.80 | 29 |
| Complement fixation each CPT 86171 | $106.80 | $178.00 | $8.41 – $160.20 | 29 |
| Complete removal of vulva CPT 56625 | $3,905.53 | $6,509.21 | $71.00 – $7,744.80 | 29 |
| Complex body section x-rays CPT 76102 | $532.33 | $887.22 | $71.00 – $798.50 | 22 |
| Complex cystometrogram 51726 CPT 51726 | $1,091.05 | $1,818.42 | $110.15 – $1,636.58 | 29 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $893.41 | $1,489.02 | $71.00 – $1,555.84 | 29 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,612.19 | $2,686.99 | $71.00 – $2,418.29 | 29 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $178.94 | $298.23 | $44.73 – $777.56 | 29 |
| Compl oph exam general anes CPT 92018 | $3,476.30 | $5,793.84 | $113.00 – $5,788.85 | 27 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,605.96 | $2,676.60 | $71.00 – $2,408.94 | 29 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,637.79 | $2,729.65 | $71.00 – $2,456.68 | 29 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,237.05 | $2,061.75 | $71.00 – $1,855.58 | 22 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,121.21 | $1,868.68 | $71.00 – $1,681.81 | 29 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,720.30 | $2,867.16 | $71.00 – $2,580.44 | 29 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,037.23 | $1,728.72 | $71.00 – $1,555.85 | 22 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $538.64 | $897.74 | $71.00 – $807.97 | 22 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,786.43 | $2,977.39 | $71.00 – $2,679.65 | 29 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,267.55 | $2,112.59 | $71.00 – $1,901.33 | 22 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $622.80 | $1,038.00 | $155.70 – $934.20 | 21 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $106.67 | $177.79 | $23.86 – $160.01 | 22 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,765.76 | $4,609.60 | $71.00 – $4,517.58 | 29 |
| Comprehensive hearing test CPT 92557 | $299.76 | $499.60 | $74.94 – $449.64 | 29 |
| Compre oph exam est pt 1/> CPT 92014 | $228.00 | $380.00 | $57.00 – $342.00 | 26 |
| Compre oph exam new pt 1/> CPT 92004 | $241.00 | $401.67 | $60.25 – $361.50 | 26 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $4,762.80 | $7,938.00 | $332.94 – $7,144.20 | 28 |
| Concentration infection agents any type CPT 87015 | $65.48 | $109.14 | $5.61 – $26.46 | 29 |
| Conditioning play audiometry 92582 CPT 92582 | $348.53 | $580.88 | $87.13 – $522.79 | 29 |
| Condylomata destruction 56420 CPT 56420 | $569.45 | $949.08 | $70.52 – $854.17 | 29 |
| Conivaptan hcl HCPCS C9488 | $1,611.54 | $2,685.90 | $122.82 – $2,417.31 | 23 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $4,840.07 | $8,066.79 | $71.00 – $7,744.80 | 30 |
| Conization of cervix CPT 57520 | $2,717.96 | $4,529.94 | $71.00 – $7,744.80 | 29 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $993.74 | $1,656.23 | $248.43 – $1,490.61 | 29 |
| Connect omega .5mm HCPCS L8613 | $1,447.28 | $2,412.14 | $99.78 – $598.67 | 21 |
| Connector tis 2x10mm HCPCS C9352 | $3,862.15 | $6,436.92 | $401.01 – $2,406.03 | 20 |
| Constj trachesophgl fstl CPT 31611 | $3,531.65 | $5,886.09 | $71.00 – $7,975.81 | 29 |
| Construct bladder opening CPT 51980 | not published | not published | $1,166.71 – $7,441.00 | 4 |
| Construction of vagina CPT 57291 | $3,576.43 | $5,960.71 | $71.00 – $12,321.66 | 29 |
| Construct thumb replacement CPT 26550 | $3,500.49 | $5,834.15 | $71.00 – $8,018.48 | 29 |
| Construct vagina with graft CPT 57292 | $4,317.40 | $7,195.67 | $71.00 – $12,321.66 | 29 |
| Consultation pathology during surgery CPT 88329 | $45.01 | $75.01 | $11.25 – $151.53 | 29 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $519.69 | $866.15 | $36.00 – $2,130.15 | 29 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $152.96 | $254.94 | $36.00 – $229.45 | 22 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $282.52 | $470.86 | $36.00 – $423.77 | 29 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $309.65 | $516.09 | $36.00 – $464.48 | 29 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $151.88 | $253.13 | $12.00 – $227.82 | 29 |
| Consultation with family CPT 90887 | $75.60 | $126.00 | $18.90 – $113.40 | 22 |
| Consult comp w/report rfrd material CPT 88325 | $414.00 | $690.00 | $36.00 – $621.00 | 29 |
| Contact lens fitting for tx CPT 92071 | $86.19 | $143.65 | $21.55 – $129.28 | 22 |
| Contact lens gas permeable HCPCS V2531 | $3,573.60 | $5,956.00 | $893.40 – $5,360.40 | 21 |
| Contour cranial bone lesion CPT 21181 | $5,078.92 | $8,464.87 | $71.00 – $14,507.25 | 29 |
| Contour of face bone lesion CPT 21029 | $3,672.09 | $6,120.15 | $71.00 – $7,975.81 | 29 |
| Contrast baths charges CPT 97034 | $87.17 | $145.28 | $21.79 – $149.00 | 23 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,884.68 | $6,474.46 | $126.64 – $7,896.23 | 29 |
| Contrast exam thoracic aorta CPT 75600 | $3,748.50 | $6,247.50 | $182.78 – $7,896.23 | 29 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,994.35 | $8,323.91 | $120.95 – $13,613.39 | 29 |
| Contrast x-ray gallbladder CPT 74290 | $260.14 | $433.56 | $85.20 – $455.16 | 29 |
| Contrast x-ray of ankle CPT 73615 | $923.65 | $1,539.42 | $128.31 – $1,385.48 | 29 |
| Contrast x-ray of brain CPT 70010 | $1,979.98 | $3,299.96 | $57.48 – $2,969.96 | 29 |
| Contrast x-ray of brain CPT 70015 | $1,718.20 | $2,863.67 | $166.40 – $2,577.30 | 29 |
| Contrast x-ray of elbow CPT 73085 | $960.60 | $1,601.00 | $100.24 – $1,440.90 | 29 |
| Contrast x-ray of hip CPT 73525 | $1,006.12 | $1,676.86 | $129.31 – $1,509.17 | 29 |
| Contrast x-ray of knee joint CPT 73580 | $923.65 | $1,539.42 | $110.94 – $1,385.48 | 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.