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 |
|---|---|---|---|---|
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $3,773.05 | $6,288.42 | $71.00 – $5,659.58 | 29 |
| Exc vagina lesion 57135 CPT 57135 | $3,783.19 | $6,305.31 | $71.00 – $7,744.80 | 29 |
| Exercise tst brncspsm w/ecg CPT 94617 | $191.38 | $318.97 | $47.85 – $316.45 | 29 |
| Exercise tst brncspsm wo ecg CPT 94619 | $64.42 | $107.36 | $16.10 – $151.53 | 29 |
| Exercise w/hemodynamic meas CPT 93464 | $1,481.20 | $2,468.67 | $370.30 – $13,331.00 | 21 |
| Exome sequence analysis CPT 81415 | $3,750.00 | $6,250.00 | $12.00 – $11,472.00 | 29 |
| Exome sequence analysis CPT 81416 | $587.08 | $978.46 | $12.00 – $28,800.00 | 29 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $2,473.34 | $4,122.24 | $71.00 – $7,975.81 | 29 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $10,615.08 | $17,691.80 | $134.49 – $806.97 | 20 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $10,400.94 | $17,334.90 | $43.97 – $263.83 | 20 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $1,262.89 – $7,441.00 | 4 |
| Exploration for testis CPT 54550 | $3,919.49 | $6,532.49 | $71.00 – $8,570.48 | 29 |
| Exploration for testis CPT 54560 | $2,738.14 | $4,563.56 | $71.00 – $5,388.00 | 29 |
| Exploration maxillary sinus CPT 31030 | $5,595.69 | $9,326.15 | $71.00 – $14,507.25 | 29 |
| Exploration maxillary sinus CPT 31256 | $2,931.88 | $4,886.46 | $71.00 – $9,276.93 | 29 |
| Exploration of ankle joint CPT 27612 | $3,931.12 | $6,551.87 | $71.00 – $8,018.48 | 29 |
| Exploration of foot joint CPT 28020 | $3,832.27 | $6,387.11 | $71.00 – $8,018.48 | 29 |
| Exploration of foot joint CPT 28022 | $3,276.00 | $5,460.00 | $71.00 – $8,018.48 | 29 |
| Exploration of frontal sinus CPT 31070 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 29 |
| Exploration of frontal sinus CPT 31075 | $5,324.42 | $8,874.03 | $71.00 – $14,507.25 | 29 |
| Exploration of knee joint CPT 27310 | $6,245.69 | $10,409.49 | $71.00 – $9,368.54 | 29 |
| Exploration of middle ear CPT 69440 | $5,295.17 | $8,825.28 | $71.00 – $7,975.81 | 29 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $1,336.45 – $10,897.47 | 14 |
| Exploration of toe joint CPT 28024 | $3,616.06 | $6,026.76 | $71.00 – $5,424.08 | 29 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,747.24 – $7,441.00 | 4 |
| Explore/biopsy eye socket CPT 67400 | $4,433.76 | $7,389.60 | $71.00 – $9,578.04 | 29 |
| Explore/biopsy eye socket CPT 67450 | $6,340.24 | $10,567.06 | $71.00 – $9,578.04 | 29 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Explore deep node(s) neck CPT 38542 | $6,224.40 | $10,374.00 | $71.00 – $14,293.73 | 29 |
| Explore/drain eye socket CPT 67405 | $4,364.94 | $7,274.90 | $71.00 – $6,547.41 | 29 |
| Explore epididymis CPT 54865 | $3,159.40 | $5,265.66 | $71.00 – $8,636.11 | 29 |
| Explore inner ear CPT 69805 | $6,473.38 | $10,788.97 | $71.00 – $14,507.25 | 29 |
| Explore inner ear CPT 69806 | $7,907.61 | $13,179.35 | $71.00 – $14,507.25 | 29 |
| Explore/irrigate tear ducts CPT 68840 | $547.55 | $912.58 | $69.22 – $821.32 | 29 |
| Explore limb vessels 35860 CPT 35860 | $4,508.77 | $7,514.61 | $71.00 – $7,896.23 | 29 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $1,179.15 – $8,356.81 | 14 |
| Explore parathyroid glands CPT 60500 | $8,641.76 | $14,402.93 | $71.00 – $14,507.25 | 29 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,014.54 | $3,357.56 | $71.00 – $4,016.35 | 29 |
| Explore/repair chest 32110 CPT 32110 | $3,313.01 | $5,521.68 | $828.25 – $4,969.51 | 22 |
| Explore scrotum CPT 55110 | $4,403.54 | $7,339.23 | $71.00 – $8,636.11 | 29 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,598.42 – $7,441.00 | 4 |
| Explore/treat ankle joint CPT 27620 | $4,351.84 | $7,253.06 | $71.00 – $8,018.48 | 29 |
| Explore/treat eye socket CPT 67412 | $3,717.32 | $6,195.53 | $71.00 – $5,788.85 | 29 |
| Explore/treat eye socket CPT 67420 | $5,809.13 | $9,681.89 | $71.00 – $9,578.04 | 29 |
| Explore/treat eye socket 67413 CPT 67413 | $3,995.76 | $6,659.60 | $71.00 – $5,993.64 | 29 |
| Explore/treat finger joint CPT 26075 | $3,046.68 | $5,077.80 | $71.00 – $8,018.48 | 29 |
| Explore/treat finger joint CPT 26080 | $2,706.42 | $4,510.70 | $71.00 – $4,059.63 | 29 |
| Explore/treat knee joint CPT 27331 | $5,221.69 | $8,702.81 | $71.00 – $8,018.48 | 29 |
| Explore/treat wrist joint CPT 25101 | $3,123.40 | $5,205.66 | $71.00 – $8,018.48 | 29 |
| Explore wound abdomen 20102 CPT 20102 | $3,076.33 | $5,127.22 | $71.00 – $4,614.50 | 29 |
| Explore woundchest 20101 CPT 20101 | $2,179.44 | $3,632.40 | $71.00 – $4,517.58 | 29 |
| Explore wound neck 20100 CPT 20100 | $1,334.50 | $2,224.16 | $71.00 – $2,001.74 | 29 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $6,036.66 | $10,061.10 | $71.00 – $9,054.99 | 22 |
| Explr/decompress eye socket CPT 67414 | $5,965.71 | $9,942.85 | $71.00 – $9,578.04 | 29 |
| Explr/decompress eye socket CPT 67445 | $4,955.69 | $8,259.49 | $71.00 – $9,578.04 | 29 |
| Expose endoprosth brachial 34834 CPT 34834 | $8,738.33 | $14,563.89 | $212.19 – $13,107.50 | 20 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $4,244.63 | $7,074.38 | $71.00 – $6,366.94 | 29 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,122.74 | $3,537.90 | $71.00 – $4,016.35 | 29 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $3,339.18 | $5,565.30 | $71.00 – $5,008.77 | 29 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $480.62 | $801.03 | $120.15 – $917.00 | 29 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $480.62 | $801.03 | $120.15 – $917.00 | 29 |
| Extended culture of oocytes CPT 89272 | $545.24 | $908.74 | $12.00 – $2,130.15 | 29 |
| Extended visual field xm CPT 92083 | $286.50 | $477.50 | $71.62 – $429.75 | 29 |
| Extensive ear canal surgery 69150 CPT 69150 | $5,395.75 | $8,992.92 | $71.00 – $14,507.25 | 29 |
| Extensive mastoid surgery CPT 69511 | $8,521.48 | $14,202.46 | $71.00 – $14,507.25 | 29 |
| Extensive surgery of throat CPT 42842 | $7,021.85 | $11,703.08 | $71.00 – $14,507.25 | 29 |
| Extensive surgery of throat CPT 42844 | $5,153.07 | $8,588.45 | $71.00 – $14,507.25 | 29 |
| Extensive testis surgery CPT 54535 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 29 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,723.82 – $7,441.00 | 4 |
| External cannula declotting CPT 36860 | $1,471.82 | $2,453.03 | $446.27 – $3,967.42 | 27 |
| External chromosome analysis 20-25 cells CPT 88264 | $632.62 | $1,054.37 | $36.00 – $420.47 | 29 |
| External newborn metabolic screening panel HCPCS S3620 | $59.29 | $98.82 | $12.00 – $88.94 | 22 |
| External ocular photography CPT 92285 | $201.26 | $335.44 | $35.64 – $301.90 | 29 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $79.29 | $132.15 | $12.00 – $118.94 | 29 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $504.19 | $840.32 | $36.00 – $9,295.20 | 29 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,465.10 | $2,441.83 | $36.00 – $420.47 | 29 |
| Extnd color vision xm CPT 92283 | $215.51 | $359.19 | $53.88 – $323.27 | 29 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $200.75 | $334.58 | $6.28 – $43.03 | 29 |
| Extraction of lens CPT 66930 | $3,791.29 | $6,318.82 | $71.00 – $10,072.14 | 29 |
| Extraction of lens CPT 66940 | $2,388.93 | $3,981.55 | $71.00 – $5,772.91 | 29 |
| Extraction of lens 66920 CPT 66920 | $3,197.48 | $5,329.13 | $71.00 – $5,772.91 | 29 |
| Extrnl counterpulse, per tx HCPCS G0166 | $297.63 | $496.05 | $74.41 – $446.44 | 26 |
| Eye allergy tests CPT 95060 | $129.56 | $215.94 | $3.00 – $316.45 | 29 |
| Eye implant band 40 HCPCS C1784 | $32,989.33 | $54,982.22 | $8.72 – $52.30 | 20 |
| Eye photodynamic ther add-on CPT 67225 | $746.59 | $1,244.32 | $71.00 – $1,119.89 | 22 |
| Eye Socket (Orbit) X-ray CPT 70200 | $349.15 | $581.91 | $48.11 – $523.72 | 29 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,563.46 | $2,605.77 | $167.39 – $2,345.19 | 29 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,543.83 | $2,573.05 | $167.39 – $2,315.74 | 29 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,466.86 | $2,444.76 | $99.77 – $2,200.28 | 29 |
| Eye surgery follow-up add-on CPT 67331 | $1,914.01 | $3,190.01 | $71.00 – $2,871.01 | 22 |
| Eye suture during surgery CPT 67335 | $1,748.73 | $2,914.55 | $71.00 – $2,623.09 | 22 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,960.80 | $8,268.00 | $1,240.20 – $7,441.20 | 28 |
| F-18 fluciclovine per mci HCPCS A9588 | $7,930.80 | $13,218.00 | $306.16 – $11,896.20 | 28 |
| F9 full gene sequence CPT 81238 | $2,250.00 | $3,750.00 | $36.00 – $3,375.00 | 29 |
| Face bone graft CPT 21210 | $6,700.98 | $11,168.30 | $71.00 – $14,507.25 | 29 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,345.40 | $5,575.66 | $332.94 – $5,018.09 | 29 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,347.34 | $3,912.24 | $227.71 – $3,521.02 | 29 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $241.75 | $402.92 | $32.08 – $362.63 | 29 |
| Facial Bones X-ray (complete) CPT 70150 | $392.26 | $653.77 | $47.45 – $588.39 | 29 |
| Facial nerve function test CPT 92516 | $180.01 | $300.02 | $45.00 – $777.56 | 26 |
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.