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 |
|---|---|---|---|---|
| Epstein barr nuclear antigen antibody CPT 86664 | $113.05 | $188.42 | $12.00 – $169.58 | 29 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $132.49 | $220.82 | $7.00 – $43.54 | 29 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,723.82 | $4,539.70 | $3.10 – $729.25 | 29 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,290.09 | $5,483.49 | $19.52 – $4,935.14 | 29 |
| Ercp biliary & pancreas CPT 74330 | $1,167.85 | $1,946.42 | $156.21 – $1,751.78 | 22 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,216.50 – $14,118.49 | 15 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $1,119.26 – $9,487.30 | 15 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $1,119.26 – $9,487.30 | 15 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,686.17 – $14,118.49 | 16 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,119.26 – $9,487.30 | 16 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,119.26 – $8,649.00 | 15 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,250.66 – $14,118.49 | 15 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,119.26 – $9,487.30 | 16 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,568.00 | $4,280.00 | $72.92 – $3,852.00 | 29 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $350.38 | $583.97 | $7.94 – $525.57 | 23 |
| ER Visit (level 1, minor) CPT 99281 | $312.33 | $520.55 | $78.08 – $859.00 | 27 |
| ER Visit (level 2) CPT 99282 | $481.37 | $802.29 | $120.34 – $1,718.00 | 27 |
| ER Visit (level 3) CPT 99283 | $886.75 | $1,477.92 | $221.69 – $2,805.00 | 27 |
| ER Visit (level 4) CPT 99284 | $1,601.69 | $2,669.48 | $398.20 – $4,008.00 | 27 |
| ER Visit (level 5, high severity) CPT 99285 | $2,377.55 | $3,962.58 | $568.33 – $6,643.00 | 27 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $248.39 | $413.98 | $62.10 – $372.58 | 23 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $349.65 | $582.75 | $0.22 – $524.48 | 23 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $907.02 | $1,511.70 | $0.26 – $37.80 | 23 |
| Esophageal dilat s&i CPT 74360 | $647.65 | $1,079.42 | $96.87 – $971.48 | 22 |
| Esophageal motility CPT 78258 | $1,266.22 | $2,110.37 | $196.80 – $1,899.33 | 29 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $564.97 – $5,645.00 | 15 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,667.54 – $14,118.49 | 15 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $334.95 – $2,975.00 | 16 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $111.85 – $4,463.00 | 15 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,463.66 – $9,487.30 | 15 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $564.97 – $5,645.00 | 15 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $1,119.26 – $9,487.30 | 15 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $564.97 – $4,713.77 | 15 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,954.22 – $14,507.25 | 15 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,119.26 – $5,645.00 | 15 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $564.97 – $5,645.00 | 15 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $564.97 – $5,645.00 | 15 |
| Esophagus motility study CPT 91010 | $1,153.75 | $1,922.91 | $288.44 – $1,730.62 | 27 |
| Esoph balloon distension tst CPT 91040 | $1,175.65 | $1,959.41 | $293.91 – $1,763.47 | 27 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,075.06 | $1,791.76 | $50.07 – $1,612.58 | 20 |
| Esoph imped function test CPT 91037 | $1,036.73 | $1,727.89 | $206.06 – $1,555.10 | 27 |
| Esoph imped funct test > 1hr CPT 91038 | $1,393.73 | $2,322.88 | $348.43 – $2,090.59 | 29 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $564.97 – $4,713.77 | 16 |
| Esrd svc pr day pt 12-19 CPT 90969 | $448.10 | $746.83 | $112.02 – $672.15 | 22 |
| Esrd svc pr day pt <2 CPT 90967 | $448.10 | $746.83 | $112.02 – $672.15 | 22 |
| Esrd svc pr day pt 20+ CPT 90970 | $409.33 | $682.21 | $102.33 – $613.99 | 22 |
| Esrd svc pr day pt 2-11 CPT 90968 | $448.10 | $746.83 | $112.02 – $672.15 | 22 |
| Essure 58565 CPT 58565 | $6,031.46 | $10,052.43 | $71.00 – $12,321.66 | 29 |
| Establish access to aorta CPT 36160 | $1,280.06 | $2,133.43 | $71.00 – $1,920.09 | 22 |
| Establish access to artery CPT 36100 | $949.27 | $1,582.12 | $71.00 – $1,423.91 | 22 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,717.82 – $7,441.00 | 4 |
| Establish brain cavity shunt CPT 62180 | $2,674.30 | $4,457.17 | $668.58 – $4,011.45 | 22 |
| Established Patient Office Visit (level 1) CPT 99211 | $134.02 | $223.37 | $8.82 – $112.50 | 22 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $97.17 – $241.63 | 2 |
| Estim aid bone healg invasiv CPT 20975 | $3,885.99 | $6,476.65 | $71.00 – $5,828.98 | 22 |
| Estradiol total CPT 82670 | $366.74 | $611.23 | $12.00 – $67.06 | 29 |
| Estrogens total-sendout CPT 82672 | $112.76 | $187.94 | $12.00 – $169.15 | 29 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $3,615.13 | $6,025.22 | $71.00 – $7,975.81 | 29 |
| Ethylene glycol -sendout CPT 82693 | $170.07 | $283.45 | $12.00 – $255.10 | 29 |
| Etonogestrel implant system HCPCS J7307 | $2,081.30 | $3,468.84 | $463.79 – $2,782.73 | 22 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $235.20 | $392.00 | $0.89 – $100.62 | 23 |
| Euglobulin lysis CPT 85360 | $113.14 | $188.57 | $7.06 – $169.71 | 29 |
| Evacuate mole of uterus CPT 59870 | $3,427.35 | $5,712.25 | $71.00 – $7,744.80 | 29 |
| Eval aud funcj ea addl 15 CPT 92627 | $95.40 | $159.00 | $23.85 – $157.00 | 23 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $366.14 | $610.24 | $91.54 – $549.22 | 29 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $456.85 | $761.42 | $112.00 – $685.28 | 23 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $365.14 | $608.57 | $12.00 – $547.71 | 29 |
| Evaluation heart device CPT 93640 | $3,221.39 | $5,368.98 | $565.95 – $4,832.08 | 22 |
| Evaluation of speech fluency 92521 CPT 92521 | $439.79 | $732.99 | $108.00 – $659.69 | 23 |
| Evaluation psychiatric diagnostic CPT 90791 | $353.60 | $589.34 | $88.40 – $530.41 | 29 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,112.11 | $6,853.51 | $71.00 – $6,168.16 | 22 |
| Evasc prlng admn rx agnt add CPT 61651 | $3,060.00 | $5,100.00 | $71.00 – $5,388.00 | 22 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $4,273.67 | $7,122.79 | $71.00 – $17,181.00 | 22 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,273.67 | $7,122.79 | $71.00 – $17,181.00 | 22 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $7,150.44 | $11,917.40 | $1,787.61 – $10,725.66 | 22 |
| Event monitor CPT 93270 | $366.60 | $611.00 | $35.62 – $917.00 | 29 |
| Evoked auditory tst complete CPT 92588 | $412.43 | $687.38 | $14.16 – $777.56 | 29 |
| Evoked oa emissions ltd CPT 92587 | $385.39 | $642.32 | $10.87 – $777.56 | 29 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $395.69 | $659.49 | $98.92 – $593.54 | 22 |
| Evoked potentials upper limbs CPT 95925 | $1,079.35 | $1,798.91 | $206.06 – $1,619.02 | 29 |
| Evoked potential visual not glaucoma CPT 95930 | $997.29 | $1,662.15 | $152.36 – $1,495.93 | 29 |
| Evok oa screening qual CPT 92558 | $118.61 | $197.68 | $29.65 – $177.91 | 22 |
| Exam of vagina w/scope 57420 CPT 57420 | $841.88 | $1,403.14 | $57.86 – $2,975.00 | 29 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $2,498.48 | $4,164.13 | $71.00 – $7,744.80 | 29 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $4,252.81 | $7,088.01 | $71.00 – $7,039.11 | 29 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $4,376.27 | $7,293.78 | $71.00 – $8,649.00 | 29 |
| Exc abd les sc 3 cm/> CPT 22903 | $5,311.41 | $8,852.35 | $71.00 – $8,649.00 | 29 |
| Exc abdl tum deep < 5 cm CPT 22900 | $4,404.32 | $7,340.53 | $71.00 – $7,039.11 | 29 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $4,852.58 | $8,087.63 | $71.00 – $8,649.00 | 29 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,963.38 – $7,441.00 | 4 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,888.49 – $9,751.00 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $5,516.71 | $9,194.52 | $71.00 – $8,649.00 | 29 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $4,320.08 | $7,200.13 | $71.00 – $6,480.12 | 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.