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 |
|---|---|---|---|---|
| Fluorescein&icg angiography CPT 92242 | $331.18 | $551.97 | $82.80 – $777.56 | 29 |
| Fluorescent antibody titer dna CPT 86256 | $300.00 | $500.00 | $10.12 – $51.75 | 29 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $644.75 | $1,074.59 | $161.19 – $967.13 | 22 |
| Fluoroguide needle placement CPT 77002 | $487.05 | $811.75 | $121.76 – $730.58 | 22 |
| Fluoro polarize fetal lung CPT 83663 | $190.72 | $317.86 | $12.00 – $286.07 | 29 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $494.52 | $824.20 | $42.78 – $741.78 | 29 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $136.92 | $228.20 | $2.26 – $74.97 | 23 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $41.84 | $69.74 | $6.14 – $62.77 | 23 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $5,265.00 | $8,775.00 | $1,316.25 – $7,897.50 | 28 |
| Fmri brain by phys/psych CPT 70555 | $1,560.51 | $2,600.85 | $227.71 – $2,340.76 | 29 |
| Fmri brain by tech CPT 70554 | $1,886.68 | $3,144.47 | $227.71 – $2,830.02 | 29 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,158.23 | $1,930.39 | $71.00 – $2,975.00 | 29 |
| Fna bx w/ct gdn ea addl CPT 10010 | $191.57 | $319.28 | $47.89 – $287.35 | 22 |
| Fna bx w/mr gdn 1st les CPT 10011 | $766.26 | $1,277.10 | $71.00 – $2,975.00 | 29 |
| Fna bx w/mr gdn ea addl CPT 10012 | $191.57 | $319.28 | $47.89 – $287.35 | 22 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $27.42 | $45.70 | $6.86 – $41.13 | 22 |
| Folic acid CPT 82746 | $122.12 | $203.53 | $11.11 – $35.28 | 29 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $151.39 | $252.32 | $0.06 – $144.18 | 23 |
| Follow-up angiography CPT 75898 | $752.22 | $1,253.70 | $133.71 – $7,896.23 | 29 |
| Followup eval of foot pt lop HCPCS G0246 | $170.95 | $284.91 | $42.74 – $327.47 | 29 |
| Follow-up surgery of eye CPT 66250 | $4,356.80 | $7,261.33 | $71.00 – $6,535.20 | 29 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,928.54 | $3,214.23 | $6.21 – $2,662.20 | 29 |
| Fondaparinux sodium HCPCS J1652 | $174.74 | $291.24 | $0.88 – $149.83 | 23 |
| Fo nontorsion joint cf HCPCS L3935 | $229.05 | $381.75 | $57.26 – $343.57 | 21 |
| Foot arch support remov prem HCPCS L3030 | $407.22 | $678.70 | $101.81 – $610.83 | 21 |
| Foot insert plastazote or eq HCPCS L3002 | $365.48 | $609.13 | $38.10 – $228.60 | 21 |
| Foot longitudinal arch suppo HCPCS L3010 | $329.48 | $549.13 | $82.37 – $494.22 | 21 |
| Foot longitud/metatarsal sup HCPCS L3020 | $329.48 | $549.13 | $6.95 – $41.69 | 21 |
| Foot plas heel stabi pre ots HCPCS L3170 | $29.40 | $49.00 | $7.35 – $44.10 | 22 |
| Foot X-ray CPT 73630 | $383.94 | $639.90 | $34.41 – $575.91 | 29 |
| Foot X-ray (2 views, both feet) CPT 73620 | $338.66 | $564.44 | $28.74 – $508.00 | 29 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $42.66 | $71.10 | $9.98 – $59.86 | 21 |
| Forearm X-ray (both sides) CPT 73090 | $375.50 | $625.84 | $29.40 – $563.26 | 29 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,521.97 | $7,536.61 | $71.00 – $8,887.48 | 29 |
| Forensic cytopathology CPT 88125 | $117.17 | $195.28 | $29.29 – $175.75 | 29 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $896.26 | $1,493.76 | $71.00 – $1,344.38 | 29 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $221.89 | $369.81 | $0.12 – $162.00 | 23 |
| Foscarnet sodium injection HCPCS J1455 | $1,299.00 | $2,165.00 | $9.19 – $1,948.50 | 23 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $86.40 | $144.00 | $1.26 – $121.50 | 29 |
| Fractionation ketosteroids CPT 83593 | $135.95 | $226.59 | $12.00 – $203.93 | 29 |
| Fracture assessment via dxa CPT 77086 | $136.07 | $226.79 | $33.75 – $225.11 | 29 |
| _fragile x methylation-sendout CPT 81244 | $426.13 | $710.22 | $12.00 – $639.20 | 29 |
| Fragmenting of kidney stone CPT 50590 | $12,835.46 | $21,392.43 | $71.00 – $12,407.61 | 29 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,797.02 – $7,441.00 | 4 |
| Frenectomy 41115 CPT 41115 | $1,544.61 | $2,574.35 | $71.00 – $3,777.93 | 29 |
| Frenotomy 40806 CPT 40806 | $729.70 | $1,216.17 | $71.00 – $1,363.00 | 29 |
| Frenulotomy of penis CPT 54164 | $3,969.73 | $6,616.21 | $71.00 – $5,954.59 | 29 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $157.20 | $262.00 | $39.30 – $235.80 | 29 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $187.48 | $312.46 | $46.87 – $281.21 | 29 |
| Fresh frozen plasma thawing ea un CPT 86927 | $196.84 | $328.06 | $12.00 – $423.12 | 29 |
| Frozen cell preparation CPT 88241 | $95.18 | $158.64 | $10.16 – $142.78 | 29 |
| Fructosamine glycated protein CPT 82985 | $68.05 | $113.42 | $12.00 – $102.08 | 29 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $2,393.63 | $3,989.38 | $71.00 – $3,590.44 | 22 |
| Fth/gft fr trnk each addl CPT 15201 | $2,460.62 | $4,101.03 | $71.00 – $3,690.93 | 22 |
| Ft insert ucb berkeley shell HCPCS L3000 | $329.48 | $549.13 | $82.37 – $494.22 | 21 |
| Ftl cgen abnor four anal CPT 81511 | $317.70 | $529.50 | $36.00 – $476.55 | 29 |
| Full field erg w/i&r CPT 92273 | $686.88 | $1,144.80 | $171.72 – $1,030.32 | 29 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $242.35 | $403.91 | $70.50 – $363.52 | 29 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $4,166.36 | $6,943.94 | $71.00 – $6,249.55 | 29 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $4,713.83 | $7,856.38 | $71.00 – $7,070.74 | 29 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,255.03 | $2,091.71 | $71.00 – $1,882.54 | 22 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $4,006.93 | $6,678.21 | $71.00 – $6,010.39 | 29 |
| Functional brain mapping CPT 96020 | $777.40 | $1,295.67 | $194.35 – $1,166.10 | 22 |
| Fundus photography with i&r 92250 CPT 92250 | $275.91 | $459.85 | $68.98 – $413.87 | 29 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $43.20 | $72.00 | $0.02 – $16.20 | 23 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $3.17 | $5.28 | $0.79 – $4.75 | 22 |
| Fuse/graft added joint CPT 26863 | $2,650.04 | $4,416.74 | $71.00 – $3,975.07 | 22 |
| Fusion/graft of finger joint CPT 26862 | $5,255.82 | $8,759.70 | $71.00 – $8,018.48 | 29 |
| Fusion/graft of hand joint CPT 26844 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Fusion of ankle joint open CPT 27870 | $8,827.37 | $14,712.29 | $71.00 – $32,603.53 | 29 |
| Fusion of big toe joint CPT 28750 | $5,663.11 | $9,438.52 | $71.00 – $17,722.46 | 29 |
| Fusion of big toe joint CPT 28755 | $5,396.08 | $8,993.47 | $71.00 – $17,722.46 | 29 |
| Fusion of finger jnt add-on CPT 26861 | $2,451.31 | $4,085.51 | $71.00 – $3,676.96 | 22 |
| Fusion of finger joint CPT 26860 | $4,034.55 | $6,724.25 | $71.00 – $8,018.48 | 29 |
| Fusion of finger tendons CPT 26471 | $2,484.97 | $4,141.62 | $71.00 – $8,018.48 | 29 |
| Fusion of finger tendons CPT 26474 | $2,019.85 | $3,366.41 | $71.00 – $3,981.46 | 29 |
| Fusion of foot bones CPT 28730 | $6,697.18 | $11,161.97 | $71.00 – $32,603.53 | 29 |
| Fusion of foot bones CPT 28735 | $8,144.39 | $13,573.98 | $71.00 – $32,603.53 | 29 |
| Fusion of foot bones CPT 28740 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 29 |
| Fusion of hand joint CPT 26843 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Fusion of knuckle CPT 26850 | $4,228.56 | $7,047.60 | $71.00 – $17,722.46 | 29 |
| Fusion of knuckle joint CPT 26516 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 29 |
| Fusion of knuckle joints CPT 26517 | $4,259.84 | $7,099.74 | $71.00 – $8,018.48 | 29 |
| Fusion of knuckle with graft CPT 26852 | $4,776.03 | $7,960.05 | $71.00 – $17,722.46 | 29 |
| Fusion of spermatic ducts CPT 54900 | $3,498.74 | $5,831.23 | $71.00 – $5,248.11 | 29 |
| Fusion of spermatic ducts CPT 54901 | $3,498.74 | $5,831.23 | $71.00 – $8,636.11 | 29 |
| Fusion of tendons at wrist CPT 25300 | $4,443.10 | $7,405.16 | $71.00 – $8,018.48 | 29 |
| Fusion of tendons at wrist CPT 25301 | $3,273.55 | $5,455.91 | $71.00 – $8,018.48 | 29 |
| Fusion of thumb CPT 26841 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Fusion of tibiofibular joint CPT 27871 | $8,299.09 | $13,831.81 | $71.00 – $32,603.53 | 29 |
| Fusion of toes CPT 28280 | $2,927.44 | $4,879.06 | $71.00 – $8,018.48 | 29 |
| G0180 home health certification HCPCS G0180 | $134.40 | $224.00 | $33.60 – $201.60 | 22 |
| G6pc gene CPT 81250 | $140.79 | $234.65 | $36.00 – $211.19 | 29 |
| G6pd full gene sequence CPT 81249 | $1,974.30 | $3,290.50 | $36.00 – $1,440.00 | 29 |
| G6pd gene alys cmn variant CPT 81247 | $243.00 | $405.00 | $36.00 – $419.54 | 29 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,300.00 | $10,500.00 | $47.15 – $9,450.00 | 28 |
| Gabapentin non-blood CPT 80355 | $43.68 | $72.80 | $2.92 – $8.25 | 21 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $248.73 | $414.55 | $1.59 – $222.46 | 23 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $158.44 | $264.06 | $12.00 – $237.65 | 29 |
| Galactokinase - sendout CPT 82759 | $236.25 | $393.75 | $12.00 – $354.38 | 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.