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 |
|---|---|---|---|---|
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,410.00 | $2,350.00 | $2.92 – $808.88 | 29 |
| Dark field exam without collj CPT 87166 | $95.40 | $159.00 | $9.49 – $143.10 | 29 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $18,849.00 | $31,415.00 | $244.27 – $24,412.50 | 29 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $864.30 | $1,440.50 | $27.22 – $576.12 | 23 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $353.81 | $589.68 | $71.00 – $530.71 | 29 |
| D&c after delivery 59160 CPT 59160 | $3,871.96 | $6,453.26 | $71.00 – $7,744.80 | 29 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $4,793.33 | $7,988.88 | $71.00 – $7,744.80 | 29 |
| Dch glucoscan CPT 82948 | $28.10 | $46.84 | $4.23 – $42.16 | 29 |
| Dch pulmonary stress test CPT 94621 | $1,504.47 | $2,507.45 | $280.80 – $2,256.70 | 29 |
| Dch validity tests CPT 81002 | $19.38 | $32.30 | $2.92 – $29.07 | 29 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,553.11 | $9,255.18 | $71.00 – $8,649.00 | 29 |
| Dcmprn plantar digital nerve CPT 64726 | $2,187.71 | $3,646.19 | $71.00 – $4,783.04 | 29 |
| D&c of cervical stump CPT 57558 | $3,066.34 | $5,110.56 | $71.00 – $7,744.80 | 29 |
| Deamidated gliadin antibody iga CPT 86258 | $119.60 | $199.34 | $10.12 – $179.41 | 29 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $805.03 | $1,341.71 | $28.98 – $1,555.84 | 29 |
| Debridement (>20 cm) charge pt CPT 97598 | $553.49 | $922.49 | $34.82 – $830.24 | 23 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,131.00 | $5,218.33 | $71.00 – $4,696.50 | 29 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $800.60 | $1,334.34 | $71.00 – $1,200.91 | 22 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,803.77 | $3,006.28 | $71.00 – $2,705.65 | 22 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,092.32 | $1,820.53 | $71.00 – $1,638.48 | 29 |
| Debride nail1-5 11720 CPT 11720 | $201.53 | $335.88 | $50.38 – $302.29 | 29 |
| Debride nail6 or more 11721 CPT 11721 | $167.63 | $279.39 | $41.91 – $251.45 | 29 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,326.59 | $2,210.99 | $71.00 – $3,421.00 | 29 |
| Debride skin bone at fx site CPT 11012 | $2,129.63 | $3,549.39 | $71.00 – $7,039.11 | 29 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $944.34 – $7,441.00 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $3,216.10 | $5,360.17 | $71.00 – $5,388.00 | 22 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $892.30 | $1,487.16 | $71.00 – $1,338.44 | 22 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $259.25 | $432.09 | $64.81 – $495.95 | 29 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,646.08 | $2,743.47 | $71.00 – $2,469.12 | 29 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,283.06 | $2,138.44 | $71.00 – $1,924.60 | 29 |
| Decalcification CPT 88311 | $94.87 | $158.12 | $12.00 – $142.31 | 22 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $3,109.80 | $5,183.00 | $1.10 – $4,664.70 | 23 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $693.86 | $1,156.44 | $26.30 – $1,040.80 | 29 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $6,426.61 | $10,711.01 | $71.00 – $9,639.91 | 29 |
| Decomp forearm 1 space 25020 CPT 25020 | $3,183.16 | $5,305.26 | $71.00 – $4,774.73 | 29 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $4,755.67 | $7,926.12 | $71.00 – $7,133.51 | 29 |
| Decompress fasciotomyhand 26037 CPT 26037 | $1,575.22 | $2,625.36 | $71.00 – $8,018.48 | 29 |
| Decompress fingers/hand CPT 26035 | $2,444.37 | $4,073.95 | $71.00 – $8,018.48 | 29 |
| Decompress forearm 1 space CPT 25023 | $3,957.20 | $6,595.33 | $71.00 – $8,018.48 | 29 |
| Decompress forearm 2 spaces CPT 25024 | $4,755.67 | $7,926.12 | $71.00 – $8,018.48 | 29 |
| Decompression fasct forearm CPT 24495 | $4,294.43 | $7,157.38 | $71.00 – $17,722.46 | 29 |
| Decompression of leg CPT 27892 | $3,721.84 | $6,203.06 | $71.00 – $8,018.48 | 29 |
| Decompression of leg CPT 27894 | $4,094.02 | $6,823.37 | $71.00 – $8,018.48 | 29 |
| Decompression of lower leg CPT 27600 | $3,408.30 | $5,680.50 | $71.00 – $8,018.48 | 29 |
| Decompression of lower leg CPT 27601 | $3,773.95 | $6,289.92 | $71.00 – $8,018.48 | 29 |
| Decompression of thigh/knee CPT 27496 | $1,242.26 | $2,070.43 | $71.00 – $8,018.48 | 29 |
| Decompression of thigh/knee CPT 27498 | $3,578.69 | $5,964.48 | $71.00 – $5,368.03 | 29 |
| Decompression of thigh/knee CPT 27499 | $3,461.04 | $5,768.40 | $71.00 – $17,722.46 | 29 |
| Decompression of tibia nerve CPT 28035 | $2,911.33 | $4,852.22 | $71.00 – $5,132.00 | 29 |
| Decompression unspecified nerve 64722 CPT 64722 | $3,932.93 | $6,554.89 | $71.00 – $5,899.40 | 29 |
| Decompress optic nerve CPT 67570 | $5,998.70 | $9,997.83 | $71.00 – $9,578.04 | 29 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $10,091.68 | $16,819.47 | $71.00 – $17,722.46 | 29 |
| Decompress spinal cord lmbr CPT 63056 | $8,446.03 | $14,076.72 | $71.00 – $17,722.46 | 29 |
| Decompress spinal cord thrc CPT 63064 | $6,063.98 | $10,106.64 | $71.00 – $17,722.46 | 29 |
| Decompress spine cord add-on CPT 63066 | $6,063.98 | $10,106.64 | $71.00 – $9,095.98 | 22 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $5,501.81 | $9,169.69 | $71.00 – $8,252.72 | 22 |
| Deep muscle biopsy 20205 CPT 20205 | $4,216.99 | $7,028.31 | $71.00 – $7,039.11 | 29 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $34.05 | $56.75 | $8.51 – $51.08 | 23 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,318.82 | $2,198.03 | $4.24 – $1,978.23 | 29 |
| Delayed breast prosthesis 19342 CPT 19342 | $5,910.18 | $9,850.30 | $71.00 – $23,352.21 | 29 |
| Delay flap arms/legs CPT 15610 | $4,054.55 | $6,757.59 | $71.00 – $6,081.83 | 29 |
| Delay flap eye/nos/ear/lip CPT 15630 | $5,720.46 | $9,534.10 | $71.00 – $8,580.69 | 29 |
| Delay flap fccnaxghf 15620 CPT 15620 | $4,054.55 | $6,757.59 | $71.00 – $6,081.83 | 29 |
| Delay flap trunk 15600 CPT 15600 | $3,196.90 | $5,328.16 | $71.00 – $8,887.48 | 29 |
| Delivery of placenta 59414 CPT 59414 | $3,381.04 | $5,635.07 | $71.00 – $7,744.80 | 29 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $4,159.52 | $6,932.53 | $71.00 – $6,239.28 | 22 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $8,127.00 | $13,545.00 | $1,123.15 – $12,190.50 | 20 |
| Demonstrate use home inr mon HCPCS G0248 | $319.25 | $532.09 | $79.81 – $478.88 | 29 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $196.34 | $327.24 | $49.09 – $528.37 | 29 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,088.27 – $8,018.48 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,913.85 | $9,856.41 | $28.03 – $4,822.52 | 29 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $603.94 | $1,006.56 | $71.00 – $905.90 | 29 |
| Dermabrasion other than face CPT 15782 | $800.95 | $1,334.91 | $71.00 – $7,039.11 | 29 |
| Dermabrasion segmental face 15781 CPT 15781 | $1,290.07 | $2,150.12 | $71.00 – $2,975.00 | 29 |
| Dermabrasion suprfl any site CPT 15783 | $791.30 | $1,318.83 | $71.00 – $2,975.00 | 29 |
| Dermabrasion total face CPT 15780 | $3,425.00 | $5,708.34 | $71.00 – $7,039.11 | 29 |
| Derma-fat-fascia graft 15770 CPT 15770 | $3,703.68 | $6,172.80 | $71.00 – $8,887.48 | 29 |
| Dermal filler injection(s) HCPCS G0429 | $61.55 | $102.58 | $15.39 – $4,517.58 | 29 |
| Dermapure 1 square cm HCPCS Q4152 | $266.63 | $444.39 | $29.02 – $186.89 | 28 |
| Derm autograft face/nck/hf/g CPT 15135 | $2,846.00 | $4,743.34 | $71.00 – $8,887.48 | 29 |
| Derm autograft trnk/arm/leg CPT 15130 | $3,044.60 | $5,074.33 | $71.00 – $4,566.90 | 29 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $8,271.10 | $13,785.16 | $2,067.77 – $12,406.64 | 20 |
| Design custom breast implant CPT 19396 | $4,007.21 | $6,678.68 | $71.00 – $9,442.65 | 29 |
| Design mlc device for imrt CPT 77338 | $1,981.28 | $3,302.14 | $357.33 – $2,971.93 | 29 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,071.36 | $1,785.60 | $3.75 – $55.51 | 23 |
| Desoxycorticosterone CPT 82633 | $189.80 | $316.33 | $12.00 – $284.70 | 29 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $8,622.16 | $14,370.27 | $2,155.54 – $12,933.24 | 20 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $381.31 | $635.51 | $71.00 – $571.96 | 29 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $608.74 | $1,014.57 | $71.00 – $987.79 | 29 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $591.05 | $985.08 | $71.00 – $987.79 | 29 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $423.61 | $706.01 | $71.00 – $635.41 | 29 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $362.45 | $604.08 | $71.00 – $543.67 | 29 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $376.54 | $627.56 | $71.00 – $564.80 | 29 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $321.31 | $535.52 | $71.00 – $495.95 | 29 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $376.54 | $627.56 | $71.00 – $564.80 | 29 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $376.54 | $627.56 | $71.00 – $564.80 | 29 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $414.19 | $690.32 | $71.00 – $621.29 | 29 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,668.11 | $4,446.85 | $71.00 – $4,783.04 | 29 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $707.70 | $1,179.50 | $71.00 – $1,061.55 | 22 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $900.53 | $1,500.88 | $130.95 – $5,645.00 | 27 |
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.