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 |
|---|---|---|---|---|
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,872.38 | $4,787.30 | $232.89 – $4,308.57 | 29 |
| Echo transesophageal CPT 93313 | $913.34 | $1,522.23 | $11.03 – $1,370.01 | 29 |
| Echo transesophageal CPT 93315 | $1,734.10 | $2,890.16 | $359.51 – $2,601.14 | 29 |
| Echo transthoracic CPT 93303 | $2,646.00 | $4,410.00 | $215.51 – $3,969.00 | 29 |
| Echo transthoracic CPT 93304 | $1,470.53 | $2,450.89 | $151.70 – $2,205.80 | 29 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,649.11 | $2,748.51 | $135.33 – $2,473.66 | 29 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $10,364.48 | $17,274.13 | $380.22 – $5,388.00 | 20 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $10,364.48 | $17,274.13 | $390.98 – $5,388.00 | 20 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $3,152.98 | $5,254.97 | $564.12 – $5,388.00 | 20 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $3,468.27 | $5,780.45 | $508.66 – $5,202.40 | 21 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $1,057.76 | $1,762.94 | $264.44 – $5,388.00 | 20 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,221.72 | $2,036.20 | $305.43 – $1,832.58 | 21 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,279.90 | $2,133.16 | $319.97 – $5,388.00 | 20 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $1,057.76 | $1,762.94 | $71.00 – $5,388.00 | 22 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $1,057.76 | $1,762.94 | $264.44 – $5,388.00 | 20 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $1,057.76 | $1,762.94 | $264.44 – $5,388.00 | 20 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $1,110.65 | $1,851.09 | $277.66 – $5,388.00 | 20 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $925.55 | $1,542.58 | $231.39 – $5,388.00 | 20 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $1,057.76 | $1,762.94 | $264.44 – $5,388.00 | 20 |
| Ecog impltd brn npgt <30 d CPT 95836 | $225.28 | $375.47 | $35.62 – $337.92 | 29 |
| E coli 0157 ag ia CPT 87335 | $80.63 | $134.38 | $10.63 – $120.94 | 29 |
| Ecp ciliary body destruction CPT 66711 | $2,178.52 | $3,630.86 | $71.00 – $5,772.91 | 29 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $11,741.38 | $19,568.97 | $42.47 – $17,612.07 | 29 |
| Ed svc ckd grp per session HCPCS G0421 | $64.25 | $107.09 | $16.06 – $96.38 | 22 |
| Ed svc ckd ind per session HCPCS G0420 | $94.43 | $157.39 | $23.61 – $339.57 | 22 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $99.27 | $165.45 | $24.82 – $148.91 | 22 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,232.05 | $2,053.42 | $206.06 – $1,848.08 | 29 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,025.45 | $1,709.08 | $122.97 – $1,538.17 | 29 |
| Eeg monitoring/function test CPT 95958 | $1,383.98 | $2,306.63 | $345.99 – $2,590.07 | 29 |
| Eeg monitoring/giving drugs CPT 95954 | $759.53 | $1,265.88 | $189.88 – $1,327.77 | 29 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $917.44 | $1,529.07 | $206.06 – $1,376.16 | 29 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,283.80 | $2,139.66 | $206.06 – $1,925.69 | 29 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,420.01 | $2,366.69 | $206.06 – $2,130.02 | 29 |
| Eeg recording awake and asleep CPT 95819 | $1,287.83 | $2,146.39 | $206.06 – $1,931.75 | 29 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $2,266.72 | $3,777.87 | $206.06 – $3,400.08 | 29 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,220.47 | $2,034.11 | $206.06 – $1,830.70 | 29 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $4,911.24 | $8,185.40 | $356.12 – $7,366.86 | 29 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $3,574.05 | $5,956.75 | $356.12 – $5,361.07 | 29 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,732.04 | $2,886.73 | $206.06 – $2,598.06 | 29 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,966.93 | $4,944.89 | $356.12 – $4,450.40 | 29 |
| E equine encephalitis igg CPT 86652 | $83.72 | $139.53 | $11.08 – $42.26 | 29 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $564.97 – $5,645.00 | 15 |
| Egd control bleeding any CPT 43255 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd dilate stricture CPT 43245 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $564.97 – $4,713.77 | 15 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $2,720.08 – $14,118.49 | 15 |
| Egd guide wire insertion CPT 43248 | not published | not published | $334.95 – $3,421.00 | 16 |
| Egd injection varices CPT 43243 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd lesion ablation CPT 43270 | not published | not published | $564.97 – $5,645.00 | 15 |
| Egd remove foreign body CPT 43247 | not published | not published | $334.95 – $3,421.00 | 16 |
| Egd remove lesion snare CPT 43251 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $564.97 – $5,645.00 | 15 |
| Egd varices ligation CPT 43244 | not published | not published | $564.97 – $4,713.77 | 16 |
| Egd w/transmural drain cyst CPT 43240 | $700.80 | $1,168.00 | $408.80 – $14,118.49 | 27 |
| Egfr gene com variants CPT 81235 | $2,898.60 | $4,831.00 | $12.00 – $778.99 | 29 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $240.00 | $400.00 | $12.00 – $114.37 | 29 |
| EKG (Electrocardiogram) CPT 93000 | $142.72 | $237.87 | $35.68 – $917.00 | 22 |
| EKG tracing for initial prev HCPCS G0404 | $76.79 | $127.98 | $19.20 – $115.18 | 29 |
| EKG (Tracing Only) CPT 93005 | $290.31 | $483.85 | $56.30 – $917.00 | 29 |
| Elbow arthroscopy CPT 29830 | $4,022.93 | $6,704.88 | $71.00 – $8,018.48 | 29 |
| Elbow arthroscopy/surgery CPT 29834 | $5,400.28 | $9,000.47 | $71.00 – $8,100.42 | 29 |
| Elbow arthroscopy/surgery CPT 29835 | $5,669.53 | $9,449.22 | $71.00 – $8,504.30 | 29 |
| Elbow arthroscopy/surgery CPT 29836 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Elbow arthroscopy/surgery CPT 29837 | $4,957.24 | $8,262.07 | $71.00 – $8,018.48 | 29 |
| Elbow arthroscopy/surgery CPT 29838 | $5,439.24 | $9,065.40 | $71.00 – $8,158.86 | 29 |
| Elbow mold sock suspension t HCPCS L6110 | $2,876.02 | $4,793.36 | $719.00 – $4,314.02 | 21 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $303.76 | $506.26 | $29.40 – $455.63 | 29 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $414.68 | $691.14 | $33.08 – $622.03 | 29 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $566.93 | $944.88 | $71.00 – $3,421.00 | 29 |
| Elec stim unattend for press HCPCS G0281 | $122.93 | $204.89 | $30.73 – $184.40 | 23 |
| Elect analysis of infusion pump 62367 CPT 62367 | $654.01 | $1,090.01 | $71.00 – $3,421.00 | 29 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $348.52 | $580.87 | $71.00 – $739.93 | 29 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,992.37 | $18,320.61 | $292.38 – $1,754.28 | 21 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $121.13 | $201.89 | $30.28 – $181.70 | 23 |
| Electrical stimulation/unattended 97014 CPT 97014 | $91.33 | $152.21 | $22.83 – $149.00 | 23 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $236.05 | $393.42 | $59.01 – $354.08 | 22 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $161.94 | $269.90 | $40.48 – $242.91 | 22 |
| Electrocochleography CPT 92584 | $687.05 | $1,145.09 | $122.80 – $1,030.58 | 29 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,452.41 | $2,420.69 | $339.57 – $2,178.62 | 30 |
| Electrocorticography durng sx CPT 95829 | $1,660.52 | $2,767.54 | $415.13 – $4,785.61 | 22 |
| Electrode stimulation brain CPT 95961 | $1,031.09 | $1,718.48 | $257.77 – $2,590.07 | 29 |
| Electrogastrography w/test CPT 91133 | $252.88 | $421.46 | $63.22 – $379.31 | 29 |
| Electrolyte panel CPT 80051 | $124.07 | $206.78 | $5.89 – $186.10 | 29 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $162.90 | $271.50 | $40.73 – $244.35 | 22 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $183.69 | $306.15 | $45.92 – $275.54 | 29 |
| Electron microscopy diagnostic CPT 88348 | $1,817.00 | $3,028.33 | $36.00 – $2,130.15 | 29 |
| Electro-oculography w/i&r CPT 92270 | $393.76 | $656.27 | $98.44 – $590.64 | 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.