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 |
|---|---|---|---|---|
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $513.64 | $856.06 | $12.00 – $770.45 | 29 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,955.71 | $8,259.52 | $71.00 – $7,433.57 | 29 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $4,078.12 | $6,796.86 | $429.26 – $6,117.17 | 29 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,363.20 | $3,938.66 | $71.00 – $3,544.79 | 29 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $925.84 | $1,543.07 | $71.00 – $1,742.94 | 29 |
| Ghs immun0electrophoresis CPT 86320 | $137.31 | $228.85 | $12.00 – $205.97 | 29 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $613.81 | $1,023.02 | $110.15 – $920.72 | 29 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $350.90 | $584.84 | $68.14 – $3,421.00 | 29 |
| Ghs inf midline insertion CPT 36140 | $824.08 | $1,373.46 | $71.00 – $1,236.11 | 22 |
| Ghs inhibitor screen CPT 85335 | $491.25 | $818.75 | $10.81 – $303.68 | 29 |
| Ghs init tx 1st degree burn CPT 16000 | $354.83 | $591.39 | $71.00 – $532.25 | 29 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,369.98 | $3,949.96 | $71.00 – $3,554.96 | 29 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,599.83 | $2,666.39 | $71.00 – $2,975.00 | 29 |
| Ghs inj tendon origin/insertion CPT 20551 | $546.24 | $910.40 | $24.36 – $819.36 | 29 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $717.10 | $1,195.16 | $71.00 – $1,075.64 | 22 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,541.57 | $2,569.28 | $71.00 – $2,312.35 | 29 |
| Ghs insertion of needle - bone CPT 36680 | $461.99 | $769.99 | $71.00 – $987.04 | 29 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,176.86 | $1,961.44 | $71.00 – $1,765.30 | 29 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,523.57 | $2,539.29 | $71.00 – $2,285.36 | 29 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,524.85 | $2,541.41 | $71.00 – $4,517.58 | 29 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $250.13 | $416.88 | $62.53 – $375.19 | 19 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $933.06 | $1,555.10 | $71.00 – $1,399.59 | 29 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $148.80 | $248.00 | $37.20 – $223.20 | 29 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $540.00 | $900.00 | $135.00 – $1,359.00 | 23 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $540.00 | $900.00 | $135.00 – $1,359.00 | 23 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $540.00 | $900.00 | $135.00 – $1,359.00 | 23 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $906.44 | $1,510.73 | $71.00 – $1,359.66 | 29 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $489.67 | $816.11 | $71.00 – $987.04 | 29 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $875.88 | $1,459.80 | $71.00 – $1,313.82 | 29 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $563.75 | $939.59 | $71.00 – $987.79 | 29 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $762.73 | $1,271.21 | $71.00 – $1,144.09 | 29 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $943.42 | $1,572.36 | $71.00 – $1,415.12 | 29 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $849.23 | $1,415.39 | $71.00 – $1,273.85 | 29 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $902.96 | $1,504.94 | $71.00 – $1,354.45 | 29 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,021.55 | $1,702.59 | $71.00 – $1,532.33 | 29 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $966.69 | $1,611.15 | $71.00 – $1,555.84 | 29 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $563.75 | $939.59 | $71.00 – $987.79 | 29 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,165.01 | $1,941.69 | $71.00 – $1,747.52 | 29 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $766.36 | $1,277.26 | $71.00 – $1,149.53 | 29 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $674.82 | $1,124.70 | $71.00 – $1,555.84 | 29 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $901.76 | $1,502.94 | $71.00 – $1,352.65 | 29 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,245.05 | $2,075.09 | $71.00 – $4,517.58 | 29 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $870.43 | $1,450.72 | $71.00 – $1,305.65 | 29 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $113.75 | $189.59 | $7.22 – $170.63 | 29 |
| Ghs mbp CPT 83873 | $172.37 | $287.28 | $12.00 – $258.55 | 29 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $240.00 | $400.00 | $60.00 – $360.00 | 22 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $240.93 | $401.55 | $60.23 – $361.39 | 22 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $123.30 | $205.50 | $30.82 – $243.80 | 22 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $119.22 | $198.70 | $29.80 – $178.83 | 22 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $70.05 | $116.75 | $17.51 – $198.08 | 22 |
| Ghs musc test done w/n test comp CPT 95886 | $368.12 | $613.54 | $92.03 – $552.19 | 22 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $243.43 | $405.72 | $60.86 – $365.15 | 22 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $330.61 | $551.02 | $82.65 – $495.92 | 22 |
| Ghs myocardial strain img spckl track CPT 93356 | $564.48 | $940.80 | $41.16 – $846.72 | 22 |
| Ghs nailbed repair/nail removal CPT 11760 | $840.27 | $1,400.45 | $71.00 – $1,555.84 | 29 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,768.93 | $2,948.22 | $71.00 – $2,653.40 | 29 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,405.99 | $2,343.32 | $71.00 – $2,108.99 | 29 |
| Ghs nerve block axillary nerve CPT 64417 | $2,118.85 | $3,531.42 | $71.00 – $3,178.28 | 29 |
| Ghs nerve block brachial plexus CPT 64415 | $2,412.07 | $4,020.11 | $71.00 – $3,618.10 | 29 |
| Ghs nerve block celiac plexus CPT 64530 | $2,215.57 | $3,692.62 | $71.00 – $3,323.36 | 29 |
| Ghs nerve block interscaline CPT 64510 | $1,574.21 | $2,623.68 | $71.00 – $2,361.31 | 29 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,191.42 | $3,652.36 | $71.00 – $3,287.12 | 29 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,208.49 | $3,680.81 | $71.00 – $3,312.73 | 29 |
| Ghs nerve block suprascapular CPT 64418 | $1,141.36 | $1,902.27 | $38.76 – $1,713.14 | 29 |
| Ghs ng placement w fluoro guidance CPT 43752 | $390.24 | $650.40 | $85.00 – $987.04 | 29 |
| Ghs o2 saturation CPT 82810 | $99.09 | $165.15 | $8.21 – $148.63 | 29 |
| Ghs o2 uptake rest & indirect CPT 94690 | $420.98 | $701.64 | $56.30 – $631.48 | 29 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $122.09 | $203.49 | $30.52 – $183.14 | 29 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,880.72 | $3,134.54 | $71.00 – $2,821.09 | 29 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,059.49 | $3,432.49 | $71.00 – $3,967.42 | 29 |
| Ghs optokenetic CPT 92544 | $198.98 | $331.64 | $8.70 – $386.96 | 29 |
| Ghs oscillating trac CPT 92545 | $230.82 | $384.70 | $8.70 – $777.56 | 29 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $53.74 | $89.57 | $13.44 – $80.61 | 29 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $57.65 | $96.08 | $14.41 – $86.47 | 29 |
| Ghs ot dds rom CPT 95851 | $134.00 | $223.33 | $23.95 – $201.00 | 23 |
| Ghs ot group caregiver training CPT 97552 | $12.85 | $21.42 | $3.21 – $157.00 | 23 |
| Ghs ot prosthetic training/15 min CPT 97761 | $122.52 | $204.20 | $30.63 – $183.78 | 23 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $114.90 | $191.50 | $28.73 – $182.79 | 23 |
| Ghs pacing - transcutaneous CPT 92953 | $723.40 | $1,205.67 | $113.00 – $1,612.26 | 29 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $593.34 | $988.90 | $71.00 – $890.01 | 22 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $658.97 | $1,098.28 | $71.00 – $988.45 | 22 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $92.86 | $154.76 | $23.21 – $167.71 | 22 |
| Ghs peritonsillar abscess i andd CPT 42700 | $867.02 | $1,445.03 | $71.00 – $1,300.53 | 29 |
| Ghs phenylketonurid CPT 84030 | $86.44 | $144.07 | $4.62 – $129.66 | 29 |
| Ghs picc line insert < 5 CPT 36568 | $2,630.88 | $4,384.80 | $71.00 – $3,967.42 | 29 |
| Ghs plngl fx pm cl CPT 26725 | $746.82 | $1,244.70 | $71.00 – $1,120.23 | 29 |
| Ghs plt ct-manual CPT 85032 | $44.40 | $74.00 | $3.62 – $66.60 | 29 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,256.60 | $10,427.67 | $819.52 – $9,384.90 | 29 |
| Ghs pos nystagmus CPT 92542 | $257.40 | $429.00 | $64.35 – $386.10 | 29 |
| Ghs ppd (tb intradermal) CPT 86580 | $60.68 | $101.13 | $10.69 – $73.76 | 29 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.04 | $145.07 | $8.11 – $130.56 | 29 |
| Ghs protein, misc fluid CPT 84160 | $24.60 | $41.00 | $4.71 – $36.90 | 29 |
| Ghs protoporphyrins fract CPT 84202 | $112.13 | $186.88 | $12.00 – $123.53 | 29 |
| Ghs pr without cont pulse ox CPT 94625 | $187.61 | $312.69 | $46.90 – $281.42 | 29 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $67.13 | $111.88 | $10.29 – $100.69 | 29 |
| Ghs quinidine CPT 80194 | $475.50 | $792.50 | $12.00 – $134.66 | 29 |
| Ghs refill of implantable pump CPT 95990 | $552.00 | $920.00 | $138.00 – $838.97 | 29 |
| Ghs removal intranasal foreign body CPT 30300 | $283.51 | $472.52 | $70.88 – $425.27 | 29 |
| Ghs removal pharyngeal foreign body CPT 42809 | $257.73 | $429.55 | $64.43 – $987.04 | 29 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,800.29 | $6,333.82 | $71.00 – $5,700.44 | 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.