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 |
|---|---|---|---|---|
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,197.34 | $1,995.56 | $71.00 – $2,975.00 | 29 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $4,076.22 | $6,793.70 | $71.00 – $6,114.33 | 29 |
| Excision breast lesion CPT 19125 | $4,064.45 | $6,774.09 | $71.00 – $9,442.65 | 30 |
| Excision floor mouth lesion 41116 CPT 41116 | $3,892.91 | $6,488.19 | $71.00 – $7,975.81 | 29 |
| Excision graft extremity CPT 35903 | $4,706.99 | $7,844.98 | $71.00 – $7,896.23 | 29 |
| Excision gum each quadrant CPT 41820 | $3,242.00 | $5,403.33 | $71.00 – $7,975.81 | 29 |
| Excision hand/finger tendon CPT 26415 | $3,217.69 | $5,362.81 | $71.00 – $8,018.48 | 29 |
| Excision lesion mouth roof CPT 42106 | $3,276.00 | $5,460.00 | $71.00 – $7,975.81 | 29 |
| Excision lesion mouth roof CPT 42107 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,191.85 | $1,986.41 | $71.00 – $5,388.00 | 29 |
| Excision of anal lesion(s) CPT 46922 | $3,878.86 | $6,464.77 | $939.93 – $6,955.62 | 27 |
| Excision of gum lesion CPT 41822 | $2,729.48 | $4,549.13 | $71.00 – $5,388.00 | 29 |
| Excision of gum lesion CPT 41823 | $5,204.98 | $8,674.97 | $71.00 – $14,507.25 | 29 |
| Excision of gum lesion CPT 41826 | $4,656.92 | $7,761.53 | $71.00 – $7,975.81 | 29 |
| Excision of gum lesion CPT 41827 | $5,148.70 | $8,581.16 | $71.00 – $14,507.25 | 29 |
| Excision of gum lesion CPT 41828 | $3,710.62 | $6,184.37 | $71.00 – $5,565.93 | 29 |
| Excision of gum lesion 41825 CPT 41825 | $2,539.92 | $4,233.20 | $71.00 – $7,975.81 | 29 |
| Excision of lingual tonsil CPT 42870 | $4,244.33 | $7,073.89 | $71.00 – $14,507.25 | 29 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $1,257.81 – $7,441.00 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | $5,238.98 | $8,731.63 | $71.00 – $7,975.81 | 29 |
| Excision of neck cyst CPT 42815 | $6,150.92 | $10,251.53 | $71.00 – $14,507.25 | 29 |
| Excision of neck cyst confined 42810 CPT 42810 | $3,497.38 | $5,828.97 | $71.00 – $7,975.81 | 29 |
| Excision of penis lesion(s) 54060 CPT 54060 | $2,479.33 | $4,132.22 | $71.00 – $4,517.58 | 29 |
| Excision of rectal lesion CPT 45160 | $2,526.60 | $4,211.00 | $939.93 – $6,955.62 | 27 |
| Excision of rectal stricture CPT 45150 | $3,349.38 | $5,582.30 | $429.26 – $5,024.07 | 29 |
| Excision of salivary cyst CPT 42408 | $5,004.18 | $8,340.30 | $71.00 – $7,975.81 | 29 |
| Excision of tongue lesion CPT 41112 | $2,268.26 | $3,780.43 | $71.00 – $7,975.81 | 29 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $3,936.75 | $6,561.25 | $71.00 – $7,975.81 | 29 |
| Excision of tonsil tags CPT 42860 | $5,171.20 | $8,618.67 | $71.00 – $7,975.81 | 29 |
| Excision of umbilicus 49250 CPT 49250 | $3,171.96 | $5,286.60 | $1,151.54 – $8,570.48 | 27 |
| Excision of uvula CPT 42140 | $2,372.46 | $3,954.10 | $71.00 – $7,975.81 | 29 |
| Excision of vaginal septum 57130 CPT 57130 | $4,276.00 | $7,126.67 | $71.00 – $7,744.80 | 29 |
| Excision olecranon bursa CPT 24105 | $4,263.01 | $7,105.01 | $71.00 – $8,018.48 | 29 |
| Excision radial head CPT 24130 | $6,080.91 | $10,134.85 | $71.00 – $9,121.36 | 29 |
| Excision tongue lesion without closure 41110 CPT 41110 | $2,153.98 | $3,589.96 | $71.00 – $7,975.81 | 29 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $5,067.76 | $8,446.26 | $71.00 – $8,649.00 | 29 |
| Excis partial tal calc CPT 28120 | $2,876.95 | $4,794.92 | $71.00 – $8,018.48 | 29 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,463.00 – $14,507.25 | 15 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $5,098.03 | $8,496.72 | $71.00 – $8,649.00 | 29 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $3,849.30 | $6,415.50 | $71.00 – $7,039.11 | 29 |
| Exc les conjunctiva <1 cm CPT 68110 | $3,269.05 | $5,448.42 | $71.00 – $5,788.85 | 29 |
| Exc les conjunctiva >1 cm CPT 68115 | $2,858.49 | $4,764.15 | $71.00 – $5,788.85 | 29 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $698.30 – $5,788.85 | 16 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $3,104.42 | $5,174.04 | $71.00 – $7,975.81 | 29 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,424.62 | $2,374.37 | $71.00 – $2,975.00 | 29 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $2,054.89 | $3,424.81 | $71.00 – $3,082.33 | 29 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $2,974.40 | $4,957.33 | $71.00 – $4,461.60 | 29 |
| Exc malig feenl >4cm 11646 CPT 11646 | $4,835.54 | $8,059.24 | $71.00 – $7,253.32 | 29 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,377.57 | $2,295.95 | $71.00 – $4,016.35 | 29 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $1,500.50 | $2,500.83 | $71.00 – $2,975.00 | 29 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,582.94 | $4,304.90 | $71.00 – $4,016.35 | 29 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,674.91 | $2,791.51 | $71.00 – $2,975.00 | 29 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,236.94 | $2,061.57 | $71.00 – $2,975.00 | 29 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,327.15 | $2,211.91 | $71.00 – $2,975.00 | 29 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $2,109.70 | $3,516.17 | $71.00 – $3,164.55 | 29 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $2,515.22 | $4,192.03 | $71.00 – $3,772.83 | 29 |
| Exc mandible 21025 CPT 21025 | $5,876.98 | $9,794.96 | $71.00 – $14,507.25 | 29 |
| Exc neck tum deep < 5 cm CPT 21556 | $6,569.81 | $10,949.68 | $71.00 – $9,854.71 | 29 |
| Exc neck tum deep 5 cm/> CPT 21554 | $6,244.17 | $10,406.95 | $71.00 – $9,366.25 | 29 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | $4,520.88 | $7,534.80 | $71.00 – $14,507.25 | 29 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,780.05 – $7,441.00 | 4 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $4,913.60 | $8,189.33 | $71.00 – $12,321.66 | 29 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $4,185.40 | $6,975.66 | $71.00 – $7,039.11 | 29 |
| Exc prtl bn phlnx toe CPT 28124 | $3,884.96 | $6,474.93 | $71.00 – $8,018.48 | 29 |
| Exc rect tum transanal full CPT 45172 | $6,394.75 | $10,657.92 | $71.00 – $9,592.13 | 29 |
| Exc rect tum transanal part CPT 45171 | $2,594.40 | $4,324.00 | $939.93 – $6,955.62 | 27 |
| Exc sac pr ulc prim str ostc CPT 15933 | $4,460.78 | $7,434.63 | $71.00 – $7,039.11 | 29 |
| Exc sac pr ulc skn flp ostc CPT 15935 | $2,811.16 | $4,685.27 | $71.00 – $8,887.48 | 29 |
| Exc sacral pr ulc prim sutr CPT 15931 | $4,140.86 | $6,901.44 | $71.00 – $7,039.11 | 29 |
| Exc sacral pr ulc skn flap CPT 15934 | $4,054.55 | $6,757.59 | $71.00 – $8,887.48 | 29 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $3,849.30 | $6,415.50 | $71.00 – $7,039.11 | 29 |
| Exc skn hdrdnt ax complex CPT 11451 | $4,586.40 | $7,644.00 | $71.00 – $7,039.11 | 29 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $3,726.30 | $6,210.50 | $71.00 – $7,039.11 | 29 |
| Exc skn hdrdnt ing complex CPT 11463 | $4,362.32 | $7,270.54 | $71.00 – $7,039.11 | 29 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $1,718.65 | $2,864.42 | $71.00 – $2,975.00 | 29 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $3,345.83 | $5,576.39 | $71.00 – $5,018.75 | 29 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $4,733.36 | $7,888.94 | $71.00 – $7,100.05 | 29 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $2,937.55 | $4,895.91 | $71.00 – $4,406.32 | 29 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $6,683.14 | $11,138.56 | $71.00 – $10,024.70 | 29 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $4,602.28 | $7,670.46 | $71.00 – $6,903.41 | 29 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $3,480.43 | $5,800.71 | $71.00 – $7,039.11 | 29 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $3,048.24 | $5,080.40 | $71.00 – $4,572.36 | 29 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $4,514.45 | $7,524.08 | $71.00 – $8,649.00 | 29 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $5,274.50 | $8,790.84 | $71.00 – $8,649.00 | 29 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $4,309.48 | $7,182.47 | $71.00 – $8,649.00 | 29 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $3,817.04 | $6,361.73 | $71.00 – $8,649.00 | 29 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $4,842.13 | $8,070.21 | $71.00 – $7,263.19 | 29 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $3,256.58 | $5,427.63 | $71.00 – $4,884.87 | 29 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $4,220.29 | $7,033.81 | $71.00 – $6,330.43 | 29 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $2,932.80 | $4,888.00 | $71.00 – $7,039.11 | 29 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $4,008.58 | $6,680.96 | $71.00 – $8,649.00 | 29 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,633.15 | $4,388.58 | $125.69 – $3,949.72 | 29 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $3,059.15 | $5,098.59 | $71.00 – $4,588.73 | 29 |
| Exc torus mandibularis 21031 CPT 21031 | $5,132.35 | $8,553.91 | $71.00 – $7,975.81 | 29 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | $3,425.00 | $5,708.34 | $71.00 – $7,039.11 | 29 |
| Exc trchntr pr ulc flp clsr CPT 15952 | $1,842.45 | $3,070.75 | $71.00 – $4,517.58 | 29 |
| Exc trchntr pr ulc flp ostc CPT 15953 | $4,129.78 | $6,882.97 | $71.00 – $8,887.48 | 29 |
| Exc trchntr pr ulc prep flap CPT 15956 | $3,768.41 | $6,280.69 | $71.00 – $5,652.62 | 29 |
| Exc trchntr pr ulc prep ostc CPT 15958 | $3,051.23 | $5,085.38 | $71.00 – $8,887.48 | 29 |
| Exc trchntr pr ulc prim sutr CPT 15950 | $2,678.75 | $4,464.59 | $71.00 – $4,463.00 | 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.