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 |
|---|---|---|---|---|
| Cricotracheal resection CPT 31592 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Crisis psychotherapy 90839 CPT 90839 | $349.34 | $582.23 | $87.33 – $524.01 | 29 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $127.76 | $212.94 | $31.94 – $191.65 | 22 |
| Critical care each additional 30 minutes CPT 99292 | $686.86 | $1,144.76 | $171.71 – $7,280.00 | 22 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $3,062.22 | $5,103.70 | $765.55 – $6,643.00 | 29 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $2,161.97 – $9,751.00 | 4 |
| Cross-over vein graft CPT 34520 | $4,809.64 | $8,016.07 | $71.00 – $13,613.39 | 29 |
| Crotalidae poly immune fab HCPCS J0840 | $5,760.00 | $9,600.00 | $1,440.00 – $8,640.00 | 29 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $2,649.05 | $4,415.09 | $662.26 – $5,388.00 | 20 |
| Cryoablate prostate CPT 55873 | $9,764.21 | $16,273.69 | $71.00 – $22,821.27 | 29 |
| Cryocautery of cervix 57511 CPT 57511 | $439.78 | $732.97 | $71.00 – $2,975.00 | 30 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $112.26 | $187.10 | $11.88 – $94.62 | 29 |
| Cryoprecipitate each unit HCPCS P9012 | $168.57 | $280.95 | $42.14 – $252.85 | 29 |
| Cryopreservation embryo(s) CPT 89258 | $1,500.00 | $2,500.00 | $12.00 – $2,250.00 | 29 |
| Cryopreservation oocyte(s) CPT 89337 | $1,091.66 | $1,819.44 | $12.00 – $1,637.50 | 29 |
| Cryopreservation sperm CPT 89259 | $425.00 | $708.33 | $12.00 – $637.50 | 29 |
| Cryopreserve stem cells CPT 38207 | $3,521.57 | $5,869.29 | $36.00 – $5,282.36 | 29 |
| Cryosurg ablate fa each CPT 19105 | $3,778.34 | $6,297.24 | $71.00 – $9,442.65 | 29 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $287.63 | $479.39 | $71.00 – $495.95 | 29 |
| Cryotherapy of acne 17340 CPT 17340 | $180.35 | $300.59 | $45.09 – $270.53 | 29 |
| Cryptococcus abs qn - sendout CPT 86641 | $110.08 | $183.46 | $12.00 – $165.11 | 29 |
| Cryptosporidium antigen CPT 87272 | $65.55 | $109.25 | $10.06 – $98.33 | 29 |
| Crystal identification light microscopy CPT 89060 | $58.24 | $97.06 | $6.16 – $67.50 | 29 |
| C-Section Delivery (full care) CPT 59510 | $4,155.91 | $6,926.51 | $71.00 – $6,233.86 | 22 |
| C-section delivery incl p/p care 59515 CPT 59515 | $3,134.88 | $5,224.80 | $71.00 – $4,702.32 | 22 |
| Csf leakage imaging CPT 78650 | $1,391.99 | $2,319.99 | $242.91 – $3,517.62 | 29 |
| Csf shunt reprogram 62252 CPT 62252 | $502.78 | $837.96 | $29.90 – $754.16 | 29 |
| CT 3d report other modality w/workstation CPT 76377 | $681.35 | $1,135.58 | $53.56 – $658.64 | 22 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,061.80 | $5,103.00 | $167.39 – $4,592.70 | 29 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,082.40 | $6,804.00 | $332.94 – $6,123.60 | 29 |
| CT Angiogram of the Abdomen CPT 74175 | $2,824.48 | $4,707.47 | $167.39 – $4,236.72 | 29 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,424.96 | $4,041.60 | $167.39 – $3,637.44 | 29 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,815.20 | $4,692.00 | $167.39 – $4,222.80 | 29 |
| CT Angiogram of the Head CPT 70496 | $2,381.40 | $3,969.00 | $167.39 – $3,572.10 | 29 |
| CT Angiogram of the Neck CPT 70498 | $2,381.40 | $3,969.00 | $167.39 – $3,572.10 | 29 |
| CT angio hrt w/3d image CPT 75574 | $2,133.91 | $3,556.52 | $175.06 – $3,200.87 | 29 |
| CT angio pelvis CPT 72191 | $3,224.53 | $5,374.21 | $167.39 – $4,836.79 | 29 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,859.32 | $4,765.53 | $167.39 – $4,288.98 | 29 |
| CT bone density axial CPT 77078 | $360.85 | $601.41 | $83.05 – $1,841.00 | 29 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,279.66 | $2,132.76 | $167.39 – $1,919.48 | 28 |
| CT colonography dx CPT 74261 | $699.19 | $1,165.31 | $99.77 – $1,841.00 | 29 |
| CT colonography dx w/dye CPT 74262 | $1,009.98 | $1,683.30 | $167.39 – $1,841.00 | 29 |
| CT colonography screening CPT 74263 | $2,062.97 | $3,438.29 | $227.71 – $3,094.46 | 28 |
| CT guidance for needle placement CPT 77012 | $1,650.56 | $2,750.93 | $262.75 – $2,475.84 | 22 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,007.29 | $1,678.81 | $214.33 – $1,510.93 | 22 |
| CT guid cryo ablat intramuscular CPT 20999 | $8,632.80 | $14,388.00 | $71.00 – $1,804.71 | 29 |
| CT guid parench tis ablat CPT 77013 | $1,564.92 | $2,608.20 | $391.23 – $2,347.38 | 22 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $217.63 | $362.71 | $83.05 – $1,841.00 | 29 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $934.40 | $1,557.33 | $175.06 – $1,401.60 | 29 |
| CT hrt w/3d image CPT 75572 | $2,111.03 | $3,518.39 | $175.06 – $3,166.55 | 29 |
| CT limited or localized follow-up study CPT 76380 | $769.75 | $1,282.92 | $83.05 – $2,062.00 | 29 |
| Ctlso a-p-l control molded HCPCS L0700 | $1,795.20 | $2,992.00 | $448.80 – $2,692.80 | 21 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,887.84 | $3,146.40 | $167.39 – $2,831.76 | 29 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $444.50 | $740.84 | $71.00 – $666.76 | 29 |
| CT scan for localization CPT 77011 | $1,202.37 | $2,003.95 | $300.59 – $1,841.00 | 22 |
| CT scan for therapy guide CPT 77014 | $1,391.04 | $2,318.40 | $259.12 – $2,086.56 | 22 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,788.88 | $6,314.80 | $332.94 – $5,683.32 | 29 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,806.96 | $6,344.94 | $312.08 – $5,710.45 | 29 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,837.26 | $4,728.76 | $188.11 – $4,255.88 | 29 |
| CT t-spine w /wo contrast CPT 72130 | $2,381.40 | $3,969.00 | $167.39 – $3,572.10 | 29 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,688.20 | $2,813.67 | $167.39 – $2,532.30 | 29 |
| Cultr oocyte/embryo <4 days CPT 89250 | $503.57 | $839.28 | $12.00 – $755.35 | 29 |
| Cult skin graft fnhfg 15155 CPT 15155 | $3,413.59 | $5,689.32 | $71.00 – $8,887.48 | 29 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $709.01 – $4,517.58 | 16 |
| Culture aerobic additional method definitive id each CPT 87077 | $92.93 | $154.89 | $6.79 – $103.45 | 29 |
| Culture afb any source CPT 87116 | $152.68 | $254.46 | $9.07 – $229.01 | 29 |
| Culture anaerobic additional method definitive id each CPT 87076 | $130.29 | $217.15 | $6.79 – $163.76 | 29 |
| Culture anaerobic except blood CPT 87075 | $155.83 | $259.72 | $7.95 – $64.75 | 29 |
| Culture bacteria anaerobic CPT 87073 | $99.31 | $165.51 | $8.11 – $148.96 | 29 |
| Culture bact stool aero addl path ea CPT 87046 | $45.37 | $75.62 | $7.93 – $68.06 | 29 |
| Culture body fluid CPT 87070 | $145.35 | $242.25 | $7.24 – $52.60 | 29 |
| Culture fungi definitive id mold CPT 87107 | $95.10 | $158.50 | $8.67 – $98.44 | 29 |
| Culture fungi definitive id yeast CPT 87106 | $98.10 | $163.50 | $8.67 – $109.56 | 29 |
| Culture fungi other (except blood) CPT 87102 | $167.36 | $278.93 | $7.06 – $251.04 | 29 |
| Culture fungi skin/hair/nail CPT 87101 | $120.13 | $200.21 | $6.48 – $180.19 | 29 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $124.18 | $206.97 | $12.00 – $186.27 | 29 |
| Culture mycoplasma any source CPT 87109 | $134.65 | $224.41 | $12.00 – $201.97 | 29 |
| Culture of specimen by kit CPT 87084 | $36.88 | $61.46 | $12.00 – $64.97 | 29 |
| Culture quantitative aerobic other source CPT 87071 | $148.28 | $247.14 | $8.31 – $222.43 | 29 |
| Culture screening strep group a CPT 87081 | $109.97 | $183.29 | $5.57 – $105.19 | 29 |
| Culture typing immunologic CPT 87147 | $82.50 | $137.50 | $4.35 – $88.62 | 29 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $146.48 | $244.13 | $12.00 – $523.34 | 29 |
| Culture urine each isolate CPT 87088 | $62.77 | $104.61 | $6.80 – $94.15 | 29 |
| Culture virus isolation CPT 87250 | $163.70 | $272.84 | $12.00 – $245.56 | 29 |
| Curette/treat cornea CPT 65435 | $1,465.28 | $2,442.14 | $38.76 – $2,975.00 | 29 |
| Curette/treat cornea CPT 65436 | $2,571.03 | $4,285.05 | $71.00 – $5,788.85 | 29 |
| Cutter lead HCPCS C1773 | $5,790.00 | $9,650.00 | $62.55 – $375.30 | 22 |
| Cv line/pic reposition CPT 36597 | $2,632.29 | $4,387.15 | $71.00 – $3,967.42 | 29 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $45.72 – $917.00 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $58.20 | $97.00 | $12.00 – $87.30 | 29 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.16 | $41.94 | $0.73 – $37.31 | 23 |
| Cyclic citrullinated peptide antibody CPT 86200 | $112.33 | $187.21 | $9.62 – $31.08 | 29 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,348.50 | $2,247.50 | $0.73 – $1,179.77 | 29 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.49 | $32.49 | $1.63 – $9.77 | 23 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $140.78 | $234.63 | $35.19 – $211.17 | 23 |
| Cyclosporine 2 hour CPT 80158 | $207.80 | $346.33 | $12.00 – $311.70 | 29 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.34 | $8.90 | $0.23 – $1.39 | 23 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,002.60 | $1,671.00 | $1.32 – $7.91 | 23 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $376.44 | $627.40 | $33.76 – $363.36 | 28 |
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.