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 |
|---|---|---|---|---|
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $7,441.00 – $9,751.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,253.28 – $9,751.00 | 4 |
| Antinuclear antibodies CPT 86038 | $126.14 | $210.24 | $8.18 – $29.02 | 29 |
| Antinuclear antibodies titer CPT 86039 | $99.92 | $166.53 | $9.37 – $32.74 | 29 |
| Antiphosphatidylserine antibody CPT 86148 | $106.05 | $176.75 | $12.00 – $114.31 | 29 |
| Antipsychotics nos 1-3 CPT 80342 | $246.00 | $410.00 | $11.76 – $106.65 | 21 |
| Antistreptolysin o screen CPT 86063 | $73.38 | $122.30 | $4.85 – $110.07 | 29 |
| Antistreptolysin o titer CPT 86060 | $94.17 | $156.95 | $6.13 – $141.25 | 29 |
| Antithrombin iii activity CPT 85300 | $178.22 | $297.04 | $9.95 – $119.01 | 29 |
| Antithrombin iii injection HCPCS J7197 | $32.39 | $53.98 | $3.90 – $48.58 | 29 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $7,544.81 | $12,574.68 | $1,886.20 – $11,317.21 | 29 |
| Antithymocyte globuln rabbit HCPCS J7511 | $1,919.09 | $3,198.48 | $479.77 – $2,878.63 | 29 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $6,665.90 | $11,109.84 | $71.00 – $12,321.66 | 29 |
| Ant sgm img ir flrscn angrph CPT 92287 | $370.22 | $617.04 | $71.00 – $555.34 | 29 |
| Ant sgm img i&r speclr mic CPT 92286 | $364.18 | $606.96 | $91.04 – $546.26 | 29 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $430.21 | $717.01 | $99.77 – $645.31 | 29 |
| Aortic dysfunction/dilation CPT 81410 | $587.08 | $978.46 | $12.00 – $1,209.60 | 29 |
| Aortic dysfunction/dilation CPT 81411 | $587.08 | $978.46 | $12.00 – $3,240.46 | 29 |
| Apc gene dup/delet variants CPT 81203 | $1,582.00 | $2,636.66 | $36.00 – $703.12 | 29 |
| Apc gene full sequence CPT 81201 | $2,849.53 | $4,749.21 | $36.00 – $1,872.00 | 29 |
| Apc gene known fam variants CPT 81202 | $265.51 | $442.51 | $36.00 – $672.00 | 29 |
| Apheresis immunoads slctv CPT 36516 | $5,365.01 | $8,941.68 | $1,462.04 – $11,464.28 | 29 |
| Apheresis plasma CPT 36514 | $3,907.45 | $6,512.42 | $564.62 – $5,861.18 | 29 |
| Apheresis platelets CPT 36513 | $2,851.13 | $4,751.89 | $164.30 – $4,276.70 | 29 |
| Apheresis rbc CPT 36512 | $3,146.15 | $5,243.58 | $564.62 – $4,719.22 | 29 |
| Apheresis wbc CPT 36511 | $3,342.71 | $5,571.18 | $564.62 – $5,014.06 | 29 |
| Apl(pml-rara) quant - sendout CPT 81315 | $650.81 | $1,084.68 | $12.00 – $735.75 | 29 |
| Appendectomy CPT 44950 | $5,787.15 | $9,645.25 | $71.00 – $18,741.87 | 29 |
| Appendectomy add-on 44955 CPT 44955 | $2,890.09 | $4,816.81 | $71.00 – $4,335.13 | 22 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $5,132.00 – $14,293.73 | 15 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,730.00 | $2,883.34 | $71.00 – $4,517.58 | 29 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $605.56 | $1,009.26 | $71.00 – $908.33 | 22 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $245.53 | $409.22 | $61.38 – $368.30 | 22 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,108.85 | $3,514.75 | $71.00 – $8,887.48 | 29 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $640.49 | $1,067.48 | $71.00 – $960.73 | 22 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $273.46 | $455.76 | $68.36 – $410.18 | 22 |
| Appl body cast sho to hips CPT 29035 | $390.73 | $651.21 | $71.00 – $665.29 | 29 |
| Appl cast figure-of-eight CPT 29049 | $249.14 | $415.24 | $50.66 – $665.29 | 29 |
| Appl cast plaster velpeau CPT 29058 | $224.92 | $374.87 | $56.75 – $665.29 | 29 |
| Appl cast shoulder spica CPT 29055 | $744.63 | $1,241.05 | $71.00 – $1,116.94 | 29 |
| Appl hip spica cast1&1/2 CPT 29325 | $516.59 | $860.98 | $71.00 – $774.88 | 29 |
| Appl hip spica cast 1 leg CPT 29305 | $544.48 | $907.47 | $71.00 – $816.72 | 29 |
| Application clubfoot cast CPT 29450 | $518.65 | $864.42 | $53.98 – $777.98 | 29 |
| Application finger splntstatic 29130 CPT 29130 | $302.39 | $503.99 | $71.00 – $453.59 | 29 |
| Application halo femoral CPT 20663 | $4,755.67 | $7,926.12 | $71.00 – $8,018.48 | 29 |
| Application long leg splint 29505 CPT 29505 | $472.43 | $787.38 | $48.45 – $708.64 | 29 |
| Application lower leg splint 29515 CPT 29515 | $421.37 | $702.29 | $34.33 – $632.06 | 29 |
| Application multi layer compression below knee (both sides) CPT 29581 | $458.33 | $763.88 | $51.75 – $687.49 | 29 |
| Application of body cast CPT 29010 | $526.92 | $878.20 | $71.00 – $790.38 | 29 |
| Application of body cast CPT 29015 | $390.73 | $651.21 | $71.00 – $665.29 | 29 |
| Application of cylinder cast 29365 CPT 29365 | $587.83 | $979.71 | $60.35 – $881.74 | 29 |
| Application of forearm cast 29075 CPT 29075 | $386.61 | $644.35 | $45.13 – $665.29 | 29 |
| Application of long arm cast 29065 CPT 29065 | $477.08 | $795.14 | $49.28 – $715.63 | 29 |
| Application of long leg cast CPT 29355 | $406.75 | $677.91 | $64.78 – $665.29 | 29 |
| Application of long leg cast 29345 CPT 29345 | $535.59 | $892.65 | $63.67 – $803.38 | 29 |
| Application of paste boot 29580 CPT 29580 | $444.71 | $741.18 | $33.12 – $667.06 | 29 |
| Application short leg cast 29405 CPT 29405 | $475.81 | $793.02 | $39.03 – $713.72 | 29 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,749.81 | $4,583.01 | $71.00 – $4,517.58 | 29 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,749.81 | $4,583.01 | $71.00 – $4,517.58 | 29 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $22,932.00 | $38,220.00 | $18.88 – $113.26 | 20 |
| Appl long leg cast brace CPT 29358 | $372.55 | $620.91 | $81.94 – $665.29 | 29 |
| Appl mltpln uni ext fixj sys CPT 20692 | $4,447.85 | $7,413.09 | $71.00 – $32,603.53 | 29 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $108.19 | $180.32 | $18.45 – $162.29 | 23 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $147.53 | $245.88 | $35.13 – $221.29 | 23 |
| Appl modality 1+lllt po pain CPT 97037 | $45.00 | $75.00 | $11.25 – $149.00 | 29 |
| Appl multlay comprs arm/hand CPT 29584 | $196.93 | $328.22 | $58.14 – $390.34 | 29 |
| Appl patllr tdn bearing cast CPT 29435 | $499.21 | $832.02 | $52.88 – $748.82 | 29 |
| Appl unipln uni ext fixj sys CPT 20690 | $4,933.64 | $8,222.74 | $71.00 – $17,722.46 | 29 |
| Apply finger cast 29086 CPT 29086 | $213.97 | $356.61 | $42.36 – $390.34 | 29 |
| Apply forearm splintdynamic 29126 CPT 29126 | $271.52 | $452.54 | $67.88 – $407.29 | 29 |
| Apply hand/wrist cast 29085 CPT 29085 | $309.71 | $516.18 | $48.73 – $464.56 | 29 |
| Apply interstit radiat compl CPT 77778 | $3,725.57 | $6,209.29 | $664.67 – $5,588.36 | 29 |
| Apply intrcav radiat compl CPT 77763 | $1,717.51 | $2,862.51 | $429.38 – $2,576.26 | 29 |
| Apply intrcav radiat interm CPT 77762 | $1,521.98 | $2,536.64 | $380.50 – $2,282.98 | 29 |
| Apply intrcav radiat simple CPT 77761 | $1,203.12 | $2,005.20 | $300.78 – $1,804.68 | 29 |
| Apply of finger splint 29131 CPT 29131 | $203.30 | $338.84 | $50.83 – $304.96 | 29 |
| Apply rem fixation device CPT 20660 | $1,891.09 | $3,151.81 | $71.00 – $5,388.00 | 29 |
| Apply rigid leg cast 29445 CPT 29445 | $593.57 | $989.29 | $49.94 – $890.36 | 29 |
| Apply short leg castambul type 29425 CPT 29425 | $486.39 | $810.65 | $35.99 – $729.59 | 29 |
| Apply srs headframe add-on CPT 61800 | $244.10 | $406.83 | $61.02 – $5,388.00 | 22 |
| Apply surf ldr radionuclide CPT 77789 | $285.42 | $475.70 | $71.36 – $428.13 | 29 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | $145.16 | $241.94 | $36.29 – $217.75 | 23 |
| App mltpln uni xtrnl fix 1st CPT 20696 | $4,955.11 | $8,258.52 | $71.00 – $46,166.33 | 29 |
| App mltpln uni xtrnl fix xch CPT 20697 | $1,555.21 | $2,592.02 | $71.00 – $6,837.00 | 29 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,179.71 | $1,966.19 | $1.61 – $1,769.57 | 29 |
| #aptt mix-1:1 incubated CPT 87532 | $236.08 | $393.46 | $12.00 – $354.11 | 29 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $525.09 | $875.15 | $12.00 – $208.98 | 29 |
| Aqmbf pet rest & rx stress CPT 78434 | $134.48 | $224.14 | $33.62 – $5,371.00 | 22 |
| Aquaporin-4 antibody cba each CPT 86052 | $375.00 | $625.00 | $10.12 – $184.09 | 29 |
| Aquaporin-4 antibody elisa CPT 86051 | $232.50 | $387.50 | $9.69 – $348.75 | 29 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $108.55 | $180.91 | $27.14 – $162.82 | 23 |
| Aquatic exercise - group charge CPT 97150 | $117.76 | $196.26 | $29.44 – $176.63 | 23 |
| Aqueous shunt eye w/graft CPT 66180 | $6,859.33 | $11,432.22 | $71.00 – $10,289.00 | 29 |
| Arformoterol non-comp unit HCPCS J7605 | $24.24 | $40.40 | $0.80 – $8.41 | 23 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $934.80 | $1,558.00 | $1.11 – $733.95 | 23 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,824.46 | $3,040.76 | $206.49 – $2,736.68 | 29 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,408.54 | $2,347.57 | $99.77 – $2,112.81 | 29 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $405.68 | $676.13 | $30.35 – $608.52 | 29 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,129.92 | $3,549.87 | $7.09 – $690.97 | 23 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,924.33 – $7,441.00 | 4 |
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.