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 |
|---|---|---|---|---|
| Growth hormone antibody CPT 86277 | $72.60 | $121.00 | $12.00 – $108.90 | 29 |
| Growth stimulation gene 2 CPT 83006 | $225.00 | $375.00 | $12.00 – $337.50 | 29 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | $3,084.38 | $5,140.64 | $771.10 – $5,388.00 | 27 |
| G-tube reposition CPT 43761 | $1,566.16 | $2,610.26 | $110.15 – $2,349.23 | 29 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,458.62 | $5,764.36 | $119.63 – $5,187.92 | 29 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,218.98 | $2,031.64 | $71.00 – $1,828.48 | 29 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,922.00 | $14,870.00 | $434.95 – $5,204.50 | 21 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $23,453.10 | $39,088.50 | $0.00 – $0.01 | 22 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $5,049.60 | $8,416.00 | $0.00 – $0.01 | 22 |
| Guid loc target vol rad tx CPT 77387 | $298.56 | $497.60 | $74.64 – $459.62 | 22 |
| Gum graft CPT 41870 | $5,289.89 | $8,816.49 | $71.00 – $7,934.84 | 29 |
| Gw stiffened micro access kit HCPCS C1894 | $9,177.30 | $15,295.50 | $0.00 – $0.01 | 22 |
| Gynecomastia (males) 19300 CPT 19300 | $3,514.50 | $5,857.50 | $71.00 – $9,442.65 | 29 |
| Hair removal by electrolysis 17380 CPT 17380 | $706.98 | $1,178.30 | $71.00 – $1,555.84 | 29 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $326.34 | $543.90 | $71.00 – $4,463.00 | 29 |
| Hair trnspl >15 punch grafts CPT 15776 | $326.34 | $543.90 | $71.00 – $4,463.00 | 29 |
| Halo cervical into jckt vest HCPCS L0810 | $2,395.80 | $3,993.00 | $598.95 – $3,593.70 | 21 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $139.00 | $231.66 | $3.60 – $21.60 | 23 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $74.29 | $123.81 | $0.79 – $4.75 | 23 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $35.06 | $58.44 | $7.26 – $63.33 | 22 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,628.05 | $11,046.75 | $1,657.01 – $9,942.08 | 22 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $152.37 | $253.95 | $38.09 – $228.56 | 23 |
| Hand tendon reconstruction CPT 26500 | $3,214.89 | $5,358.15 | $71.00 – $17,722.46 | 29 |
| Hand tendon reconstruction CPT 26502 | $4,498.52 | $7,497.54 | $71.00 – $8,018.48 | 29 |
| Hand X-ray CPT 73130 | $390.52 | $650.87 | $37.43 – $585.78 | 29 |
| Hand X-ray (2 views, both hands) CPT 73120 | $356.60 | $594.33 | $31.74 – $534.90 | 29 |
| Haptoglobin quantitative CPT 83010 | $119.07 | $198.45 | $10.57 – $56.25 | 29 |
| Harvest allogeneic stem cell CPT 38205 | $4,143.58 | $6,905.96 | $71.00 – $6,215.36 | 21 |
| Harvest auto stem cells CPT 38206 | $4,464.59 | $7,440.99 | $71.00 – $6,696.89 | 29 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $784.87 – $4,517.58 | 15 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $6,517.80 | $10,863.00 | $71.00 – $9,776.70 | 22 |
| Harvest stem cell concentrte CPT 38215 | $1,195.46 | $1,992.43 | $298.86 – $1,793.19 | 28 |
| Hast w/i&r phys/qhp CPT 94452 | $594.90 | $991.50 | $126.97 – $892.35 | 29 |
| Hast w/oxygen titrate CPT 94453 | $467.47 | $779.11 | $116.87 – $701.20 | 29 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,101.45 | $1,835.75 | $36.00 – $1,440.00 | 29 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $787.50 | $1,312.50 | $36.00 – $720.00 | 29 |
| Hbb full gene sequence CPT 81364 | $2,644.55 | $4,407.59 | $12.00 – $1,571.07 | 29 |
| Hbb gene dup/del variants CPT 81363 | $802.50 | $1,337.50 | $36.00 – $1,203.75 | 29 |
| Hb glycosylated a1c home dev CPT 83037 | $41.53 | $69.22 | $8.16 – $62.30 | 29 |
| Hbot, full body chamber, 30m HCPCS G0277 | $825.94 | $1,376.57 | $131.33 – $1,238.91 | 29 |
| Hc ea ha check monaural CPT 92594 | $94.52 | $157.53 | $23.63 – $141.78 | 22 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $471.13 | $785.22 | $167.39 – $706.70 | 29 |
| Hcg free betachain test CPT 84704 | $99.01 | $165.02 | $12.00 – $148.52 | 29 |
| Hcg qualitative CPT 84703 | $137.07 | $228.45 | $6.32 – $205.60 | 29 |
| Hcg quantitative CPT 84702 | $181.31 | $302.19 | $12.00 – $39.15 | 29 |
| Hc hearing aid chck monarl CPT 92592 | $118.99 | $198.31 | $29.75 – $178.48 | 22 |
| Hc hearing aid exam both ears CPT 92591 | $224.05 | $373.41 | $56.01 – $336.07 | 22 |
| Hc metata joint dislocation anes CPT 28635 | $2,322.70 | $3,871.17 | $71.00 – $3,981.46 | 29 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $1,283.66 | $2,139.44 | $71.00 – $2,975.00 | 29 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $1,012.73 | $1,687.88 | $71.00 – $1,519.09 | 22 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $1,221.65 | $2,036.08 | $71.00 – $2,975.00 | 29 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $829.54 | $1,382.56 | $71.00 – $1,244.30 | 22 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $1,166.78 | $1,944.63 | $71.00 – $1,750.17 | 22 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $1,184.98 | $1,974.96 | $161.39 – $1,777.46 | 29 |
| Hc nm kidney imaging with flow CPT 78701 | $972.03 | $1,620.05 | $205.83 – $1,458.05 | 29 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,061.26 | $1,768.77 | $265.32 – $1,591.89 | 29 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,979.25 | $8,298.75 | $1,235.52 – $7,468.88 | 29 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $8,451.39 | $14,085.65 | $2,112.85 – $12,677.08 | 20 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,770.48 | $6,284.13 | $664.67 – $5,655.72 | 29 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $3,864.58 | $6,440.96 | $664.67 – $5,796.86 | 29 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $4,945.79 | $8,242.99 | $664.67 – $7,418.69 | 29 |
| Hdr rdncl skn surf brachytx CPT 77767 | $397.29 | $662.15 | $99.32 – $665.76 | 29 |
| Hdr rdncl skn surf brachytx CPT 77768 | $658.64 | $1,097.73 | $164.66 – $987.96 | 29 |
| Head CT scan (with and without contrast) CPT 70470 | $1,925.21 | $3,208.68 | $167.39 – $2,887.81 | 29 |
| Head CT scan (with contrast) CPT 70460 | $1,625.05 | $2,708.41 | $152.36 – $2,437.57 | 29 |
| Head CT scan (without contrast) CPT 70450 | $1,654.91 | $2,758.19 | $99.77 – $2,482.37 | 29 |
| Heart first pass add-on CPT 78496 | $445.54 | $742.56 | $67.80 – $668.30 | 22 |
| Heart first pass multiple CPT 78483 | $1,351.68 | $2,252.80 | $218.19 – $2,027.52 | 29 |
| Heart image spect CPT 78494 | $1,233.00 | $2,055.00 | $209.50 – $1,849.50 | 29 |
| Heart infarct image CPT 78466 | $840.74 | $1,401.23 | $160.05 – $1,261.11 | 29 |
| Heart infarct image (ef) CPT 78468 | $442.89 | $738.15 | $181.76 – $1,338.97 | 29 |
| Heavy metal qual any number CPT 83015 | $203.19 | $338.65 | $12.00 – $304.79 | 29 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $270.11 | $450.18 | $28.74 – $405.16 | 29 |
| Heinz bodies direct CPT 85441 | $50.59 | $84.32 | $3.53 – $75.89 | 29 |
| Helicobacter pylori antibody igm CPT 86677 | $142.42 | $237.37 | $12.00 – $213.63 | 29 |
| Hemagglutination inhibition CPT 86280 | $61.80 | $103.00 | $6.88 – $92.70 | 29 |
| Hematocrit CPT 85014 | $48.59 | $80.98 | $1.99 – $72.88 | 29 |
| Hematopoietic nuclear tx CPT 79403 | $1,073.40 | $1,789.00 | $222.68 – $1,610.10 | 29 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $19,250.14 | $32,083.56 | $33.54 – $28,875.20 | 29 |
| Hemodialysis one evaluation CPT 90935 | $1,671.91 | $2,786.52 | $417.98 – $2,507.87 | 29 |
| Hemoglobin CPT 85018 | $47.99 | $79.98 | $1.99 – $71.98 | 29 |
| Hemoglobin fetal qualitative CPT 83033 | $80.56 | $134.26 | $6.72 – $120.83 | 29 |
| Hemoglobin f (fetal) chemical CPT 83030 | $85.27 | $142.12 | $9.02 – $127.91 | 29 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $113.84 | $189.74 | $6.89 – $105.64 | 29 |
| Hemoglobin-oxygen affinity CPT 82820 | $98.82 | $164.70 | $11.21 – $148.23 | 29 |
| Hemoglobin plasma CPT 83051 | $24.79 | $41.31 | $6.14 – $34.42 | 29 |
| Hemoglobin thermolabile CPT 83065 | $10.80 | $18.00 | $6.30 – $21.60 | 29 |
| Hemoglobin urine CPT 83069 | $47.36 | $78.94 | $3.32 – $39.15 | 29 |
| Hemolysin acid CPT 85475 | $11.83 | $19.72 | $6.90 – $21.29 | 29 |
| Hemolysins/agglutinins auto CPT 86940 | $108.23 | $180.38 | $7.37 – $114.98 | 29 |
| Hemolysins and agglutinins incubated CPT 86941 | $108.23 | $180.38 | $10.17 – $162.34 | 29 |
| Hemophilus influenza antibdy CPT 86684 | $151.42 | $252.37 | $12.00 – $62.67 | 29 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $5,420.76 | $9,034.60 | $71.00 – $8,131.14 | 29 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,178.02 | $1,963.37 | $163.62 – $2,975.00 | 27 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $4,260.00 | $7,100.00 | $1,065.00 – $6,955.62 | 27 |
| Heparin assay CPT 85520 | $199.33 | $332.22 | $11.00 – $95.08 | 29 |
| Heparin bolus from bag HCPCS J1644 | $77.14 | $128.56 | $0.24 – $26.61 | 23 |
| Heparin neutralization CPT 85525 | $58.97 | $98.28 | $9.95 – $88.45 | 29 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $45.78 | $76.30 | $0.02 – $26.24 | 23 |
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.