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 |
|---|---|---|---|---|
| Cygnus, per sq cm HCPCS Q4170 | $356.54 | $594.24 | $44.45 – $266.71 | 28 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $36,554.21 | $60,923.68 | $0.00 – $0.01 | 20 |
| Cyp2c19 gene com variants CPT 81225 | $1,052.85 | $1,754.75 | $36.00 – $699.26 | 29 |
| Cyp2c9 gene com variants CPT 81227 | $308.23 | $513.71 | $36.00 – $419.54 | 29 |
| Cyp2d6 gene com variants CPT 81226 | $525.95 | $876.58 | $36.00 – $1,082.18 | 29 |
| Cyp3a4 gene common variants CPT 81230 | $134.22 | $223.70 | $8.57 – $419.54 | 29 |
| Cyp3a5 gene common variants CPT 81231 | $134.22 | $223.70 | $8.57 – $419.54 | 29 |
| Cystatin c CPT 82610 | $116.88 | $194.80 | $12.00 – $48.94 | 29 |
| Cystic fibrosis cftr CPT 81223 | $2,653.56 | $4,422.60 | $36.00 – $1,425.00 | 29 |
| Cystine urine quantitative CPT 82131 | $385.97 | $643.29 | $12.00 – $313.33 | 29 |
| Cysto cgen post urtl valves CPT 52400 | $4,832.10 | $8,053.50 | $71.00 – $8,636.11 | 29 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $728.84 | $1,214.74 | $41.44 – $1,093.27 | 29 |
| Cysto impl 4 or more HCPCS C9740 | $6,900.08 | $11,500.13 | $71.00 – $22,821.27 | 29 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,555.00 – $22,821.27 | 15 |
| Cystometrogram w/up 51727 CPT 51727 | $908.59 | $1,514.32 | $218.71 – $1,692.24 | 29 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,468.28 – $7,441.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $3,600.58 | $6,000.96 | $71.00 – $22,821.27 | 29 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,116.92 – $12,818.21 | 14 |
| Cystoscopy and biopsy CPT 52007 | $3,144.96 | $5,241.60 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and radiotracer CPT 52250 | $4,646.90 | $7,744.83 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52214 | $4,588.91 | $7,648.19 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52224 | $5,822.39 | $9,703.98 | $71.00 – $8,733.58 | 29 |
| Cystoscopy and treatment CPT 52234 | $5,968.53 | $9,947.55 | $71.00 – $8,952.80 | 29 |
| Cystoscopy and treatment CPT 52235 | $5,065.16 | $8,441.93 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52240 | $4,942.08 | $8,236.80 | $71.00 – $12,818.21 | 29 |
| Cystoscopy and treatment CPT 52260 | $3,171.41 | $5,285.69 | $71.00 – $5,045.72 | 29 |
| Cystoscopy and treatment CPT 52265 | $1,739.87 | $2,899.78 | $71.00 – $5,045.72 | 29 |
| Cystoscopy and treatment CPT 52276 | $4,363.56 | $7,272.60 | $71.00 – $6,545.34 | 29 |
| Cystoscopy and treatment CPT 52277 | $3,418.99 | $5,698.31 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52283 | $2,358.72 | $3,931.20 | $71.00 – $5,045.72 | 29 |
| Cystoscopy and treatment CPT 52285 | $1,769.06 | $2,948.43 | $71.00 – $3,421.00 | 29 |
| Cystoscopy and treatment CPT 52290 | $3,587.87 | $5,979.79 | $71.00 – $5,381.81 | 29 |
| Cystoscopy and treatment CPT 52300 | $3,278.89 | $5,464.81 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52301 | $3,900.67 | $6,501.12 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52305 | $4,180.18 | $6,966.96 | $71.00 – $12,818.21 | 29 |
| Cystoscopy and treatment CPT 52310 | $2,850.95 | $4,751.58 | $71.00 – $5,045.72 | 29 |
| Cystoscopy and treatment CPT 52315 | $4,607.74 | $7,679.57 | $71.00 – $6,911.61 | 29 |
| Cystoscopy and treatment CPT 52320 | $3,653.96 | $6,089.93 | $71.00 – $8,636.11 | 29 |
| Cystoscopy and treatment CPT 52330 | $3,588.35 | $5,980.59 | $71.00 – $8,636.11 | 29 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,445.41 | $2,409.02 | $71.00 – $2,168.12 | 29 |
| Cystoscopy chemodenervation CPT 52287 | $3,013.88 | $5,023.13 | $71.00 – $5,645.00 | 29 |
| Cystoscopy & duct catheter CPT 52010 | $822.50 | $1,370.84 | $71.00 – $3,421.00 | 29 |
| Cystoscopy implant stent CPT 52282 | $3,703.87 | $6,173.11 | $71.00 – $8,649.00 | 29 |
| Cystoscopy inject material CPT 52327 | $4,041.93 | $6,736.55 | $71.00 – $12,818.21 | 29 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $5,741.40 | $9,569.00 | $71.00 – $12,818.21 | 29 |
| Cystoscopy removal of clots CPT 52001 | $2,829.82 | $4,716.36 | $71.00 – $8,636.11 | 29 |
| Cystoscopy & revise urethra CPT 52275 | $3,032.64 | $5,054.40 | $71.00 – $5,045.72 | 29 |
| Cystoscopy stone removal CPT 52325 | $3,045.87 | $5,076.45 | $71.00 – $12,818.21 | 29 |
| Cystoscopy & ureter catheter CPT 52005 | $3,416.48 | $5,694.14 | $71.00 – $5,124.73 | 29 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,383.11 | $8,971.85 | $71.00 – $8,074.66 | 29 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $3,079.75 | $5,132.91 | $71.00 – $8,636.11 | 29 |
| Cystouretero & or pyeloscope CPT 52351 | $3,707.00 | $6,178.33 | $71.00 – $8,636.11 | 29 |
| Cysto/uretero stricture tx CPT 52344 | $4,024.52 | $6,707.54 | $71.00 – $8,636.11 | 29 |
| Cystouretero w/biopsy CPT 52354 | $4,447.24 | $7,412.06 | $71.00 – $12,818.21 | 29 |
| Cystouretero w/excise tumor CPT 52355 | $3,891.34 | $6,485.56 | $71.00 – $12,818.21 | 29 |
| Cysto/uretero w/lithotripsy CPT 52356 | $8,966.17 | $14,943.61 | $71.00 – $13,449.25 | 29 |
| Cystouretero w/lithotripsy CPT 52353 | $6,914.84 | $11,524.73 | $71.00 – $12,818.21 | 29 |
| Cystouretero w/renal strict CPT 52346 | $3,891.34 | $6,485.56 | $71.00 – $12,818.21 | 29 |
| Cystouretero w/stone remove CPT 52352 | $4,892.09 | $8,153.49 | $71.00 – $8,636.11 | 29 |
| Cysto/uretero w/up stricture CPT 52345 | $3,798.52 | $6,330.87 | $71.00 – $8,636.11 | 29 |
| Cystourethro cut ejacul duct CPT 52402 | $3,734.33 | $6,223.88 | $71.00 – $8,636.11 | 29 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,631.51 | $7,719.18 | $71.00 – $6,947.26 | 29 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $5,714.99 | $9,524.99 | $71.00 – $8,572.49 | 29 |
| Cystourethro w/addl implant 52442 CPT 52442 | $1,502.96 | $2,504.94 | $71.00 – $2,254.45 | 22 |
| Cystourethro w/implant CPT 52441 | $5,617.75 | $9,362.92 | $71.00 – $8,426.63 | 22 |
| Cysto w/renal stricture tx CPT 52343 | $2,582.14 | $4,303.57 | $71.00 – $8,636.11 | 29 |
| Cysto w/up stricture tx CPT 52342 | $2,564.93 | $4,274.88 | $71.00 – $8,636.11 | 29 |
| Cysto w/ureter stricture tx CPT 52341 | $4,074.86 | $6,791.43 | $71.00 – $8,636.11 | 29 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $132.06 | $220.10 | $0.88 – $79.26 | 23 |
| Cytogenetics 25-99 CPT 88274 | $255.92 | $426.53 | $35.60 – $383.88 | 29 |
| Cytogenetics 3-5 CPT 88272 | $127.64 | $212.73 | $34.19 – $191.46 | 29 |
| Cytogenomic neo microra alys CPT 81277 | $3,433.50 | $5,722.50 | $36.00 – $3,453.75 | 29 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,433.77 | $2,389.61 | $12.00 – $2,160.00 | 29 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $142.50 | $237.50 | $2.19 – $34.54 | 29 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $130.37 | $217.29 | $8.46 – $40.44 | 29 |
| Cytomegalovirus dfa CPT 87271 | $142.09 | $236.81 | $11.27 – $213.13 | 29 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,670.12 | $4,450.20 | $667.53 – $4,005.18 | 29 |
| Cytomeg dna dir probe CPT 87495 | $249.78 | $416.30 | $12.00 – $374.67 | 29 |
| Cyto/molecular report CPT 88291 | $1,178.85 | $1,964.75 | $15.57 – $175.16 | 22 |
| Cytopath c/v automated CPT 88147 | $94.04 | $156.73 | $36.00 – $141.06 | 29 |
| Cytopath c/v index add-on CPT 88155 | $35.57 | $59.28 | $12.00 – $53.35 | 29 |
| Cytopath c/v manual CPT 88150 | $45.41 | $75.68 | $15.28 – $68.11 | 29 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $610.41 | $1,017.35 | $36.00 – $230.11 | 29 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $101.89 | $169.81 | $22.35 – $152.83 | 29 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $90.88 | $151.47 | $17.02 – $136.32 | 29 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $180.40 | $300.67 | $35.64 – $270.60 | 29 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $181.17 | $301.95 | $12.00 – $271.75 | 29 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $113.70 | $189.50 | $28.43 – $170.55 | 22 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $179.44 | $299.06 | $36.00 – $423.12 | 29 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $285.20 | $475.34 | $36.00 – $427.81 | 29 |
| Cytopath smear other source CPT 88160 | $85.80 | $143.00 | $21.45 – $128.70 | 29 |
| Cytopath smear other source CPT 88162 | $112.99 | $188.32 | $28.25 – $169.49 | 29 |
| Cytopath smear oth prep screen & interp CPT 88161 | $91.50 | $152.50 | $22.88 – $137.25 | 29 |
| Cytopath tbs c/v manual CPT 88164 | $57.94 | $96.57 | $15.28 – $86.91 | 29 |
| Cytotoxic antibody screening CPT 86807 | $363.33 | $605.55 | $12.00 – $545.00 | 29 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $690.00 | $1,150.00 | $36.00 – $1,035.00 | 29 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $73.20 | $122.00 | $4.24 – $109.80 | 23 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $4,905.37 | $8,175.62 | $320.79 – $7,358.06 | 29 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,205.80 | $2,009.66 | $0.04 – $139.50 | 23 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,070.73 | $30,117.88 | $52.28 – $27,106.09 | 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.