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 |
|---|---|---|---|---|
| Incision of thigh CPT 27450 | not published | not published | $1,657.84 – $10,897.47 | 14 |
| Incision of thigh tendon CPT 27306 | $4,775.63 | $7,959.38 | $71.00 – $8,018.48 | 29 |
| Incision of thigh tendons CPT 27307 | $10,104.94 | $16,841.57 | $71.00 – $9,497.28 | 29 |
| Incision of thigh tendons CPT 27391 | $3,206.33 | $5,343.89 | $71.00 – $8,018.48 | 29 |
| Incision of thigh tendons CPT 27392 | $4,755.67 | $7,926.12 | $71.00 – $8,018.48 | 29 |
| Incision of tibia CPT 27705 | $5,868.26 | $9,780.44 | $71.00 – $17,722.46 | 29 |
| Incision of tibia & fibula CPT 27709 | $4,707.12 | $7,845.20 | $71.00 – $32,603.53 | 29 |
| Incision of toe tendons 28011 CPT 28011 | $2,119.12 | $3,531.86 | $71.00 – $4,463.00 | 29 |
| Incision of tongue fold CPT 41010 | $1,865.58 | $3,109.30 | $71.00 – $3,777.93 | 29 |
| Incision of urethra CPT 53000 | $3,344.14 | $5,573.57 | $71.00 – $5,045.72 | 29 |
| Incision of urethra CPT 53010 | $5,283.79 | $8,806.31 | $71.00 – $12,818.21 | 29 |
| Incision of urethra CPT 53020 | $3,452.25 | $5,753.75 | $71.00 – $5,178.38 | 29 |
| Incision of urethra CPT 53025 | $2,484.76 | $4,141.26 | $71.00 – $5,388.00 | 29 |
| Incision of windpipe CPT 31601 | $3,866.94 | $6,444.90 | $71.00 – $14,507.25 | 29 |
| Incision of windpipe CPT 31610 | $5,014.64 | $8,357.73 | $71.00 – $14,507.25 | 29 |
| Incision of wrist capsule CPT 25085 | $3,118.51 | $5,197.51 | $71.00 – $8,018.48 | 29 |
| Incision secondary cataract CPT 66820 | $2,017.15 | $3,361.91 | $71.00 – $5,772.91 | 29 |
| Incision tendon sheath CPT 26055 | $3,603.91 | $6,006.52 | $71.00 – $5,405.87 | 29 |
| Incisn of toe tndn CPT 28010 | $2,940.04 | $4,900.07 | $71.00 – $5,388.00 | 29 |
| Incisn windpipe CPT 31600 | $5,439.23 | $9,065.39 | $71.00 – $8,158.85 | 29 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,080.00 | $1,800.00 | $6.48 – $38.88 | 28 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $3,108.89 | $5,181.48 | $678.98 – $4,663.33 | 22 |
| Induced abortion d&c CPT 59840 | $3,075.83 | $5,126.38 | $71.00 – $7,744.80 | 29 |
| Induced abortion dilat&evac CPT 59841 | $3,151.39 | $5,252.31 | $71.00 – $7,744.80 | 29 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $154.87 | $258.12 | $12.00 – $232.31 | 28 |
| Infec agen detec ampli probe HCPCS U0005 | $32.40 | $54.00 | $8.10 – $48.60 | 22 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,208.07 | $2,013.45 | $12.00 – $312.84 | 29 |
| Infect ag eia influenza a or b ea CPT 87400 | $103.07 | $171.79 | $11.87 – $154.61 | 29 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $988.87 | $1,648.11 | $12.00 – $928.12 | 29 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $834.46 | $1,390.76 | $12.00 – $1,251.68 | 29 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $669.30 | $1,115.50 | $12.00 – $308.95 | 29 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $499.13 | $831.88 | $12.00 – $617.88 | 29 |
| Infect ag ia optc obs influenza CPT 87804 | $95.32 | $158.86 | $12.00 – $142.97 | 29 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $112.12 | $186.86 | $10.06 – $168.17 | 29 |
| Infect ag if hep delta agent CPT 87380 | $185.17 | $308.62 | $12.00 – $277.76 | 29 |
| Infect ag if influenza a CPT 87276 | $86.30 | $143.83 | $12.00 – $129.45 | 29 |
| Infect ag if legionella pneumophila CPT 87278 | $115.30 | $192.16 | $12.00 – $172.94 | 29 |
| Infect ag if pneumocystis carinii CPT 87281 | $124.84 | $208.06 | $10.06 – $28.75 | 29 |
| Infect ag if varicella zoster CPT 87290 | $92.78 | $154.63 | $11.27 – $139.17 | 29 |
| Infect ag na hep b amp CPT 87516 | $175.44 | $292.40 | $12.00 – $263.16 | 29 |
| Infect ag na herpes simplex quant CPT 87530 | $284.06 | $473.43 | $12.00 – $314.22 | 29 |
| Infect ag na hpv high-risk types CPT 87624 | $615.00 | $1,025.00 | $12.00 – $227.75 | 29 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $137.07 | $228.45 | $12.00 – $229.92 | 29 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $241.20 | $402.00 | $12.00 – $361.80 | 29 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $127.50 | $212.50 | $12.00 – $117.88 | 28 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,250.48 | $2,084.13 | $12.00 – $1,875.72 | 29 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $2,190.08 | $3,650.13 | $12.00 – $1,172.78 | 29 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $199.73 | $332.88 | $12.00 – $102.19 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $119.91 | $199.85 | $10.06 – $179.87 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $94.66 | $157.76 | $11.27 – $141.98 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $83.28 | $138.80 | $11.61 – $124.92 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $88.61 | $147.69 | $10.06 – $34.60 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $107.24 | $178.73 | $12.00 – $90.00 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $104.75 | $174.59 | $2.19 – $24.79 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $94.22 | $157.03 | $8.68 – $141.33 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $145.09 | $241.82 | $12.00 – $217.64 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $309.00 | $515.00 | $10.06 – $64.75 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $127.10 | $211.83 | $10.06 – $190.65 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $55.31 | $92.18 | $10.06 – $82.96 | 29 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $849.00 | $1,415.00 | $2.19 – $84.22 | 29 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $173.60 | $289.34 | $12.00 – $260.41 | 29 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $157.88 | $263.14 | $12.00 – $236.83 | 29 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,174.80 | $1,958.00 | $12.00 – $1,000.27 | 29 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $250.22 | $417.04 | $12.00 – $185.62 | 29 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $162.84 | $271.40 | $12.00 – $244.26 | 29 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $328.73 | $547.89 | $12.00 – $358.81 | 29 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $170.75 | $284.58 | $12.00 – $256.12 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $111.78 | $186.30 | $12.00 – $167.67 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $61.45 | $102.41 | $12.00 – $342.31 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $104.93 | $174.88 | $12.00 – $342.31 | 29 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $142.07 | $236.79 | $12.00 – $213.11 | 29 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $142.20 | $237.00 | $12.00 – $204.44 | 29 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $344.35 | $573.92 | $12.00 – $516.53 | 28 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $281.79 | $469.65 | $12.00 – $422.69 | 28 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,240.55 | $2,067.59 | $12.00 – $1,860.83 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $727.50 | $1,212.50 | $12.00 – $1,000.27 | 29 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $375.00 | $625.00 | $12.00 – $562.50 | 29 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $556.63 | $927.72 | $12.00 – $834.95 | 29 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,105.50 | $1,842.50 | $12.00 – $102.82 | 29 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $274.97 | $458.29 | $12.00 – $221.62 | 29 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $351.14 | $585.24 | $12.00 – $180.00 | 29 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $327.28 | $545.46 | $12.00 – $490.91 | 29 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $363.10 | $605.16 | $12.00 – $342.31 | 29 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,102.08 | $3,503.46 | $29.49 – $3,153.11 | 29 |
| Influenza dna amp prob addl CPT 87503 | $32.29 | $53.82 | $12.00 – $70.13 | 29 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,321.38 | $2,202.30 | $71.00 – $1,982.07 | 22 |
| Ingest challenge ea addl 60 min CPT 95079 | $295.68 | $492.80 | $3.00 – $443.52 | 22 |
| Ingest challenge ini 120 min CPT 95076 | $764.78 | $1,274.64 | $3.00 – $1,327.77 | 29 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $359.64 | $599.40 | $89.91 – $539.46 | 29 |
| Initial foot exam pt lops HCPCS G0245 | $102.35 | $170.58 | $25.59 – $327.47 | 29 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $169.81 | $283.02 | $42.45 – $254.72 | 18 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $219.89 | $366.48 | $54.97 – $329.83 | 18 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $120.07 | $200.11 | $30.02 – $180.10 | 18 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $94.34 | $157.23 | $23.58 – $220.82 | 29 |
| Inj acetaminophen -fresenius HCPCS J0134 | $34.56 | $57.60 | $0.06 – $51.84 | 23 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $16.63 | $27.72 | $4.16 – $24.95 | 22 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,176.71 | $11,961.18 | $3.62 – $10,530.00 | 29 |
| Inj alymsys 10 mg HCPCS Q5126 | $676.74 | $1,127.90 | $49.01 – $1,015.11 | 29 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $20.40 | $34.00 | $0.17 – $30.60 | 23 |
| Inj, bupivacaine liposome HCPCS J0666 | $507.76 | $846.27 | $1.32 – $761.64 | 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.