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 |
|---|---|---|---|---|
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,377.94 – $7,975.81 | 15 |
| Factor ix CPT 85250 | $267.03 | $445.05 | $12.00 – $84.15 | 29 |
| Factor ix complex HCPCS J7194 | $22.13 | $36.88 | $1.46 – $32.49 | 29 |
| Factor ix recombinant nos HCPCS J7195 | $22.92 | $38.20 | $1.67 – $34.38 | 29 |
| Factor viii CPT 85240 | $813.60 | $1,356.00 | $12.00 – $53.24 | 29 |
| Factor viii HCPCS J7190 | $21.98 | $36.64 | $1.32 – $32.98 | 29 |
| Factor viii recombinant nos HCPCS J7192 | $23.64 | $39.40 | $1.49 – $33.14 | 29 |
| Factor viii recomb novoeight HCPCS J7182 | $24.58 | $40.96 | $1.34 – $36.86 | 29 |
| Fallopian tube recnl CPT 58345 | $2,566.09 | $4,276.81 | $71.00 – $7,744.80 | 29 |
| Family therapy without pt 50min 90846 CPT 90846 | $245.24 | $408.73 | $61.31 – $394.97 | 29 |
| Family therapy with patient 50 min 90847 CPT 90847 | $230.36 | $383.94 | $57.59 – $394.97 | 29 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $20.16 | $33.60 | $0.01 – $2.40 | 23 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $5,085.07 | $8,475.11 | $29.70 – $7,627.60 | 29 |
| Fancc gene CPT 81242 | $378.11 | $630.18 | $30.76 – $452.44 | 29 |
| Fat/lipids feces qualitative CPT 82705 | $61.56 | $102.60 | $4.28 – $92.34 | 29 |
| Fatty acids nonesterified CPT 82725 | $208.04 | $346.73 | $12.00 – $156.39 | 29 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,076.40 | $1,794.00 | $177.75 – $1,066.50 | 21 |
| Fecal bilirubin test CPT 82252 | $6.76 | $11.26 | $3.83 – $10.94 | 29 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $3,252.85 | $5,421.41 | $58.84 – $4,879.27 | 29 |
| Fecal microbiota prep instil HCPCS G0455 | $203.86 | $339.77 | $50.97 – $2,264.11 | 29 |
| #fecal-sodium CPT 84302 | $52.72 | $87.87 | $4.08 – $19.20 | 29 |
| Feeding tube reposition CPT 74355 | $438.70 | $731.17 | $109.68 – $658.05 | 22 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $126.04 | $210.06 | $12.00 – $189.05 | 29 |
| Femoral endovas graft add-on 34813 CPT 34813 | $6,254.63 | $10,424.38 | $387.59 – $9,381.94 | 20 |
| Fem/popl revasc w/stent CPT 37226 | $21,553.12 | $35,921.86 | $71.00 – $32,329.67 | 23 |
| Feno poc CPT 95012 | $164.46 | $274.10 | $35.64 – $246.69 | 29 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $143.68 | $239.46 | $1.28 – $13.72 | 23 |
| Fern test HCPCS Q0114 | $33.70 | $56.16 | $8.42 – $50.54 | 29 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,590.25 | $4,317.09 | $1.04 – $3,885.38 | 29 |
| Ferritin CPT 82728 | $117.28 | $195.46 | $11.45 – $78.75 | 29 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,102.74 | $3,504.57 | $0.22 – $3,154.11 | 29 |
| Fetal aneuploidy trisom risk CPT 81507 | $540.00 | $900.00 | $36.00 – $1,908.00 | 29 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $541.74 | $902.90 | $99.77 – $812.61 | 29 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $810.00 | $1,350.00 | $36.00 – $1,821.72 | 29 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $717.65 | $1,196.08 | $27.13 – $1,076.47 | 29 |
| Fetal cord puncture prenatal CPT 59012 | $794.34 | $1,323.90 | $71.00 – $1,191.51 | 29 |
| Fetal fibronectin CPT 82731 | $554.10 | $923.50 | $12.00 – $831.15 | 29 |
| Fetal fluid drainage w/us CPT 59074 | $576.78 | $961.30 | $71.00 – $2,975.00 | 29 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $122.61 | $204.35 | $6.49 – $131.07 | 29 |
| Fetal hemoglobin rosette CPT 85461 | $104.08 | $173.47 | $7.86 – $156.12 | 29 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $61.02 | $101.70 | $12.00 – $91.53 | 29 |
| Fetal monitor/interpret only CPT 59051 | $281.39 | $468.98 | $70.35 – $422.08 | 22 |
| Fetal monitor w/report CPT 59050 | $509.03 | $848.38 | $127.26 – $763.54 | 22 |
| Fetal non stress test CPT 59025 | $567.54 | $945.90 | $15.78 – $851.31 | 29 |
| Fetal scalp blood sampling 59030 CPT 59030 | $584.47 | $974.11 | $146.12 – $876.70 | 29 |
| #_fet/norfentcnfrmur CPT 80354 | $247.50 | $412.50 | $12.00 – $144.55 | 21 |
| Fibrin degradation d dimer quantitative CPT 85379 | $125.73 | $209.55 | $8.55 – $102.24 | 29 |
| Fibrin degradation products CPT 85362 | $100.32 | $167.20 | $5.79 – $150.48 | 29 |
| Fibrin degrade semiquant CPT 85378 | $104.32 | $173.87 | $8.16 – $156.48 | 29 |
| Fibrin degradj d-dimer CPT 85380 | $153.79 | $256.31 | $8.55 – $230.68 | 29 |
| Fibrinogen activity CPT 85384 | $134.03 | $223.38 | $8.16 – $69.44 | 29 |
| Fibrinogen test CPT 85370 | $99.28 | $165.47 | $10.44 – $148.92 | 29 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $396.08 | $660.13 | $12.00 – $53.82 | 29 |
| Fibrinolytic antiplasmin CPT 85410 | $106.87 | $178.12 | $6.48 – $160.31 | 29 |
| Fibrinolytic plasmin CPT 85400 | $10.27 | $17.12 | $5.99 – $18.50 | 29 |
| Fibrinolytic plasminogen CPT 85415 | $263.93 | $439.88 | $12.00 – $136.24 | 29 |
| Fibrinolytic plasminogen CPT 85421 | $129.32 | $215.53 | $8.55 – $193.98 | 29 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $102.65 | $171.08 | $5.49 – $153.97 | 29 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $962.88 | $1,604.80 | $0.27 – $912.15 | 29 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $919.19 | $1,531.99 | $0.97 – $1,300.27 | 29 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,202.05 | $2,003.41 | $0.33 – $1,136.36 | 29 |
| Filleted finger/toe flap CPT 14350 | $2,122.77 | $3,537.95 | $71.00 – $4,517.58 | 29 |
| Filtered speech hearing test CPT 92571 | $125.75 | $209.58 | $31.44 – $188.62 | 29 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $11,135.12 | $18,558.54 | $26.55 – $159.30 | 22 |
| Filter vena cava fem denali HCPCS C1880 | $4,281.00 | $7,135.00 | $80.19 – $2,573.83 | 22 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $859.75 | $1,432.91 | $71.00 – $2,975.00 | 29 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $191.57 | $319.28 | $47.89 – $287.35 | 22 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $227.59 | $379.31 | $56.90 – $341.38 | 22 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $289.57 | $482.61 | $71.00 – $434.35 | 22 |
| Fine needle asp without image guide 10021 CPT 10021 | $554.39 | $923.99 | $51.77 – $987.79 | 29 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,338.45 | $10,564.09 | $98.70 – $592.20 | 20 |
| Finger tendon transfer CPT 26497 | $3,842.75 | $6,404.58 | $71.00 – $8,018.48 | 29 |
| Finger tendon transfer CPT 26498 | $5,377.88 | $8,963.14 | $71.00 – $8,066.83 | 29 |
| Finger X-ray (both hands) CPT 73140 | $264.08 | $440.14 | $38.43 – $396.13 | 29 |
| Fitg c-lens keratoconus 1st CPT 92072 | $57.02 | $95.04 | $14.26 – $309.10 | 22 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $29.63 | $49.38 | $17.28 – $493.64 | 29 |
| Fixation of ankle joint CPT 27860 | $2,884.18 | $4,806.96 | $71.00 – $8,018.48 | 29 |
| Fixation of knee joint CPT 27570 | $1,863.67 | $3,106.12 | $71.00 – $3,981.46 | 29 |
| Fixation of shoulder blade CPT 23400 | $4,294.43 | $7,157.38 | $71.00 – $17,722.46 | 29 |
| Fix g/colon tube w/device CPT 49460 | $833.24 | $1,388.74 | $71.00 – $2,975.00 | 29 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $3,229.78 | $5,382.96 | $71.00 – $8,018.48 | 29 |
| Flecainide (tambocor)-sendout CPT 80181 | $126.04 | $210.06 | $12.00 – $189.05 | 29 |
| Fl exam g/colon tube w contrast CPT 49465 | $696.17 | $1,160.28 | $71.00 – $1,044.25 | 29 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $130.67 – $2,975.00 | 15 |
| Flexor-plasty elbow CPT 24330 | $12,085.39 | $20,142.32 | $71.00 – $18,128.09 | 29 |
| Flexor-plasty elbw w/advmnt CPT 24331 | $7,086.47 | $11,810.79 | $71.00 – $17,722.46 | 29 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,646.59 | $2,744.31 | $71.00 – $4,016.35 | 29 |
| Flow cytometry interp 16 or more CPT 88189 | $300.00 | $500.00 | $32.41 – $456.51 | 22 |
| Flow cytometry marker each additional CPT 88185 | $541.20 | $902.00 | $6.69 – $128.58 | 22 |
| Flow cytometry one marker technical component CPT 88184 | $1,230.08 | $2,050.13 | $6.69 – $890.45 | 29 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | $407.88 | $679.80 | $70.10 – $420.62 | 22 |
| #flow interp 9 - 15 markers CPT 88188 | $564.24 | $940.40 | $13.47 – $340.96 | 22 |
| Flt3 gene CPT 81245 | $515.01 | $858.35 | $12.00 – $397.22 | 29 |
| Flt3 gene analysis CPT 81246 | $389.04 | $648.40 | $12.00 – $275.62 | 29 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $70.32 | $117.20 | $4.26 – $31.50 | 23 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $764.08 | $1,273.46 | $191.02 – $1,146.11 | 23 |
| Fluidotherapy charges pt CPT 97022 | $134.65 | $224.41 | $33.66 – $201.97 | 23 |
| Fluid pressure muscle 20950 CPT 20950 | $440.56 | $734.27 | $71.00 – $1,742.94 | 29 |
| Fluorescein angioscopy i&r CPT 92230 | $389.45 | $649.08 | $71.00 – $1,327.77 | 29 |
| Fluorescein angrph mltiframe CPT 92235 | $663.82 | $1,106.37 | $148.01 – $995.73 | 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.