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 |
|---|---|---|---|---|
| Electrophysiologic study CPT 93624 | $6,067.85 | $10,113.09 | $1,516.96 – $18,500.61 | 29 |
| Electrophysiology evaluation CPT 93619 | $11,476.94 | $19,128.23 | $2,869.23 – $18,500.61 | 29 |
| Electrophysiology evaluation CPT 93620 | $14,581.73 | $24,302.88 | $3,645.43 – $21,872.59 | 29 |
| Electrophysiology evaluation CPT 93621 | $10,157.17 | $16,928.61 | $368.95 – $15,235.75 | 22 |
| Electrophysiology evaluation CPT 93622 | $9,957.23 | $16,595.38 | $546.38 – $14,935.84 | 22 |
| Electrophysiology evaluation CPT 93641 | $3,799.82 | $6,333.04 | $949.96 – $5,699.74 | 22 |
| Electrophysiology evaluation CPT 93642 | $3,938.60 | $6,564.33 | $984.65 – $5,907.90 | 29 |
| Electrophysiology evaluation CPT 93644 | $1,869.13 | $3,115.22 | $160.00 – $2,803.70 | 22 |
| Electrophys map 3d add-on CPT 93613 | $8,280.85 | $13,801.41 | $939.28 – $12,421.27 | 22 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,384.44 | $8,974.07 | $7.40 – $6,068.81 | 29 |
| Embedded ip cath exit-site 49436 CPT 49436 | $3,687.59 | $6,145.99 | $71.00 – $5,531.39 | 29 |
| Embolization s&i CPT 75894 | $3,160.96 | $5,268.26 | $249.45 – $4,741.43 | 22 |
| Embo or occlude vascular arterial s&i CPT 37242 | $15,839.57 | $26,399.28 | $71.00 – $43,439.01 | 29 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,949.00 | $26,581.66 | $71.00 – $27,252.71 | 29 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $17,289.61 | $28,816.01 | $71.00 – $27,252.71 | 29 |
| Embo or occlude vascular venous s&i CPT 37241 | $18,241.36 | $30,402.26 | $71.00 – $27,362.03 | 29 |
| Embryo hatching CPT 89253 | $391.59 | $652.65 | $12.00 – $587.38 | 29 |
| Embryo transfer intrauterine CPT 58974 | $1,033.91 | $1,723.18 | $71.00 – $2,975.00 | 29 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $6,962.27 | $11,603.79 | $71.00 – $13,613.39 | 29 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $6,842.44 | $11,404.07 | $71.00 – $13,613.39 | 29 |
| Emb w/colposcopy 58110 CPT 58110 | $433.04 | $721.74 | $39.51 – $649.57 | 23 |
| Emb without cervical dilation 58100 CPT 58100 | $519.01 | $865.02 | $45.96 – $747.38 | 29 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $649.80 | $1,083.00 | $126.97 – $974.70 | 29 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $647.91 | $1,079.85 | $122.80 – $971.87 | 29 |
| Emg cranial nerve bilateral CPT 95868 | $637.22 | $1,062.03 | $159.30 – $955.83 | 29 |
| Emg needle test 1-extremity CPT 95860 | $340.80 | $568.00 | $85.20 – $511.20 | 29 |
| Emg needle test 4-extremities CPT 95864 | $685.70 | $1,142.84 | $122.80 – $1,028.56 | 29 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $381.91 | $636.52 | $95.48 – $777.56 | 29 |
| Emr pwr source combo vad rep HCPCS Q0491 | $2,361.60 | $3,936.00 | $590.40 – $3,542.40 | 21 |
| Encephalitis, california igg/igm CPT 86651 | $83.72 | $139.53 | $11.08 – $42.26 | 29 |
| Encephalitis, st louis igg/igm CPT 86653 | $86.71 | $144.51 | $11.08 – $42.26 | 29 |
| Encephalitis, western equine igg/igm CPT 86654 | $86.46 | $144.10 | $11.08 – $42.26 | 29 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,816.84 | $8,028.07 | $71.00 – $8,649.00 | 29 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $7,686.47 | $12,810.79 | $71.00 – $11,529.71 | 29 |
| Endo cath bile duct s&i CPT 74328 | $694.06 | $1,156.76 | $122.30 – $1,041.08 | 22 |
| Endo cath panc duct s&i CPT 74329 | $767.96 | $1,279.93 | $122.30 – $1,151.94 | 22 |
| Endocerv curettage w/scope 57456 CPT 57456 | $717.77 | $1,196.28 | $66.44 – $2,975.00 | 29 |
| Endocervical curettage 57505 CPT 57505 | $1,670.86 | $2,784.77 | $71.00 – $2,975.00 | 30 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,119.26 – $9,487.30 | 16 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,119.26 – $9,487.30 | 16 |
| Endoluminal bx biliary tree CPT 47543 | $2,251.06 | $3,751.76 | $71.00 – $3,376.58 | 22 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,172.53 | $3,620.89 | $71.00 – $3,258.80 | 22 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,067.48 | $8,445.80 | $303.66 – $7,601.22 | 22 |
| Endoluminl ivus oct c ea CPT 92979 | $2,466.77 | $4,111.29 | $241.63 – $3,700.16 | 22 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $4,317.40 | $7,195.67 | $71.00 – $12,321.66 | 29 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $5,441.87 | $9,069.79 | $71.00 – $12,321.66 | 29 |
| Endoscopic injection/implant CPT 51715 | $5,634.25 | $9,390.41 | $71.00 – $8,636.11 | 29 |
| Endoscopic pancreatoscopy CPT 43273 | $3,460.61 | $5,767.68 | $865.15 – $8,649.00 | 19 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $564.97 – $4,713.77 | 16 |
| Endoscopy bowel pouch/biop CPT 44386 | $1,983.09 | $3,305.15 | $328.50 – $2,975.00 | 27 |
| Endoscopy ligate perf veins 37500 CPT 37500 | $4,478.21 | $7,463.68 | $71.00 – $13,613.39 | 23 |
| Endoscopy maxillary sinus CPT 31267 | $4,331.66 | $7,219.43 | $71.00 – $16,955.09 | 29 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $1,983.09 | $3,305.15 | $328.50 – $2,975.00 | 27 |
| Endoscopy of ureter CPT 50951 | $1,579.40 | $2,632.33 | $71.00 – $8,636.11 | 29 |
| Endoscopy of ureter CPT 50953 | not published | not published | $1,142.90 – $8,636.11 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | $576.16 | $960.27 | $112.00 – $864.24 | 23 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,892.73 | $6,487.89 | $71.00 – $5,839.10 | 29 |
| Endo, single, pulmonary HCPCS C1601 | $1,052.57 | $1,754.28 | $91.37 – $548.22 | 22 |
| Endo sleeve gastro w/tube HCPCS C9784 | $11,332.91 | $18,888.18 | $2,833.23 – $25,500.18 | 21 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $8,789.12 | $14,648.53 | $2,197.28 – $13,183.68 | 20 |
| Endovasc tempory vessel occl CPT 61623 | $9,172.22 | $15,287.04 | $71.00 – $27,252.71 | 29 |
| Endovenous laser vein addon 36479 CPT 36479 | $3,065.30 | $5,108.84 | $71.00 – $4,597.96 | 22 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,772.11 | $7,953.51 | $71.00 – $7,896.23 | 29 |
| Endovenous mchnchem add-on CPT 36474 | $2,203.63 | $3,672.72 | $71.00 – $3,305.45 | 22 |
| Endovenous rf abl vein addl CPT 36476 | $3,036.65 | $5,061.09 | $71.00 – $4,554.98 | 22 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $10,149.19 | $16,915.31 | $71.00 – $15,223.78 | 29 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $5,256.12 | $8,760.20 | $71.00 – $7,884.18 | 22 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $7,614.30 | $12,690.50 | $32.92 – $7,629.30 | 29 |
| Enlarge breast CPT 19324 | $5,102.99 | $8,504.99 | $71.00 – $7,654.49 | 22 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $195.00 | $325.00 | $0.60 – $40.16 | 23 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $71.79 | $119.65 | $10.06 – $107.69 | 29 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,007.51 – $7,441.00 | 4 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,317.57 – $5,790.19 | 14 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,382.86 – $5,388.00 | 14 |
| Enterovirus antibody dfa CPT 87267 | $78.00 | $130.00 | $11.27 – $117.00 | 29 |
| Enzyme cell activity ra CPT 82658 | $276.60 | $461.00 | $12.00 – $414.90 | 29 |
| Enzyme histochemistry CPT 88319 | $530.20 | $883.67 | $36.00 – $2,130.15 | 29 |
| Ep & ablate supravent arrhyt CPT 93653 | $49,380.71 | $82,301.19 | $12,345.18 – $74,071.07 | 29 |
| Ep & ablate ventric tachy CPT 93654 | $45,875.13 | $76,458.55 | $11,468.78 – $68,812.70 | 29 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $28,542.65 | $47,571.08 | $31.26 – $187.56 | 29 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $2,141.41 | $3,569.02 | $71.00 – $4,517.58 | 29 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,856.87 | $4,761.45 | $71.00 – $4,517.58 | 29 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $684.02 | $1,140.04 | $71.00 – $1,026.04 | 22 |
| Epidural lysis mult sessions CPT 62263 | $2,710.96 | $4,518.26 | $71.00 – $4,066.43 | 29 |
| Epidural lysis on single day 62264 CPT 62264 | $2,770.80 | $4,618.00 | $71.00 – $4,156.20 | 29 |
| Epidurography CPT 72275 | $354.89 | $591.48 | $88.72 – $532.33 | 22 |
| Epiglottidectomy CPT 31420 | $4,988.85 | $8,314.75 | $71.00 – $14,507.25 | 29 |
| Epilepsy gen seq alys panel CPT 81419 | $4,315.50 | $7,192.50 | $36.00 – $6,473.25 | 29 |
| Ep induct arrhy by elect pacing CPT 93618 | $5,030.62 | $8,384.37 | $1,161.94 – $7,545.93 | 29 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $37.86 | $63.10 | $3.16 – $56.79 | 23 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $678.91 | $1,131.52 | $0.96 – $84.38 | 23 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.00 | $70.00 | $0.35 – $14.94 | 23 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.00 | $70.00 | $0.92 – $63.00 | 23 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $7,702.65 | $12,837.75 | $71.00 – $11,553.98 | 29 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $7,086.47 | $11,810.79 | $71.00 – $10,629.71 | 29 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $203.16 | $338.60 | $1.94 – $297.18 | 23 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,147.99 | $5,246.65 | $175.65 – $7,744.80 | 27 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,941.00 | $3,235.00 | $6.94 – $241.71 | 29 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $160.20 | $267.00 | $16.36 – $140.78 | 23 |
| Epstein barr early antigen antibody CPT 86663 | $98.76 | $164.60 | $11.02 – $148.14 | 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.