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 |
|---|---|---|---|---|
| Insj biomechanical device 22853 CPT 22853 | $2,978.80 | $4,964.67 | $71.00 – $4,468.20 | 22 |
| Insj perq vad r hrt venous CPT 33995 | $1,166.82 | $1,944.70 | $291.70 – $5,388.00 | 20 |
| Insj phrnc nrv stim sys CPT 33276 | $51,998.26 | $86,663.76 | $30,332.32 – $117,001.30 | 27 |
| Insj rx elut implt lac canal CPT 68841 | $2,469.80 | $4,116.33 | $511.25 – $5,788.85 | 27 |
| Insj stablj dev w/dcmprn CPT 22867 | $12,296.80 | $20,494.66 | $71.00 – $46,166.33 | 29 |
| Insj stablj dev w/dcmprn CPT 22868 | $9,094.36 | $15,157.26 | $71.00 – $13,641.53 | 22 |
| Insj stablj dev without dcmprn CPT 22869 | $16,139.55 | $26,899.25 | $71.00 – $32,603.53 | 29 |
| Ins lv lead exist pm/icd CPT 33224 | $26,236.95 | $43,728.25 | $6,252.51 – $39,355.43 | 29 |
| Ins mark abd/pel for right perq CPT 49411 | $3,220.12 | $5,366.87 | $71.00 – $4,830.18 | 29 |
| Ins mark thor for right perq CPT 32553 | $2,774.79 | $4,624.65 | $71.00 – $5,645.00 | 29 |
| Ins picad w subq port 5yr> CPT 36571 | $4,741.53 | $7,902.55 | $71.00 – $7,896.23 | 29 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $3,785.62 | $6,309.36 | $71.00 – $5,678.42 | 29 |
| Ins pm gen exist dual lead CPT 33230 | $32,721.79 | $54,536.32 | $5,388.00 – $58,392.49 | 28 |
| Ins pm gen w/exist mlt leads CPT 33221 | $10,353.83 | $17,256.38 | $6,039.73 – $48,269.91 | 29 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,675.21 | $9,458.69 | $71.00 – $8,570.48 | 29 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $12,814.70 | $21,357.83 | $71.00 – $76,924.35 | 29 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $29,327.76 | $48,879.60 | $7,331.94 – $48,269.91 | 29 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,089.75 | $15,149.58 | $2,763.00 – $26,452.82 | 29 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $7,336.78 | $12,227.96 | $2,763.00 – $21,045.99 | 29 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $18,367.31 | $30,612.18 | $71.00 – $27,550.96 | 29 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $14,695.12 | $24,491.86 | $71.00 – $54,191.38 | 29 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $40,831.56 | $68,052.60 | $7,441.00 – $72,000.42 | 28 |
| Insrt/redo neurostim 1 array CPT 61885 | $11,046.45 | $18,410.75 | $71.00 – $54,191.38 | 29 |
| Ins subq extnsn pertneal cath CPT 49435 | $2,479.93 | $4,133.21 | $71.00 – $3,719.89 | 22 |
| Install spinal shunt 63741 CPT 63741 | $8,480.07 | $14,133.45 | $71.00 – $16,502.12 | 29 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,382.16 | $2,303.60 | $71.00 – $2,975.00 | 29 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,018.47 | $1,697.45 | $71.00 – $2,975.00 | 29 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,359.80 | $3,933.00 | $589.95 – $3,539.70 | 23 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $511.93 | $853.21 | $44.85 – $2,975.00 | 29 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,168.09 – $5,851.30 | 14 |
| Instll rx agnt into rnal tub CPT 50391 | $274.28 | $457.13 | $41.53 – $612.25 | 29 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $6,396.57 | $10,660.95 | $71.00 – $13,613.39 | 29 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $6,136.52 | $10,227.53 | $71.00 – $13,613.39 | 29 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,078.21 | $8,463.68 | $71.00 – $7,896.23 | 29 |
| Ins tun intraperit dia cath CPT 49421 | $3,115.67 | $5,192.78 | $1,151.54 – $8,570.48 | 27 |
| Inst via cath agent pleurds CPT 32560 | $1,205.80 | $2,009.66 | $71.00 – $2,975.00 | 29 |
| Insulin total CPT 83525 | $127.41 | $212.35 | $9.60 – $27.43 | 29 |
| Ins vag brachytx device CPT 57156 | $1,162.67 | $1,937.79 | $71.00 – $2,975.00 | 29 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $6,589.80 | $10,983.00 | $808.03 – $4,848.17 | 22 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $817.20 | $1,362.00 | $204.30 – $1,225.80 | 20 |
| Intens behave ther cardio dx HCPCS G0446 | $38.70 | $64.50 | $9.68 – $71.08 | 26 |
| Interdental fixation CPT 21110 | $2,052.18 | $3,420.30 | $71.00 – $3,777.93 | 29 |
| Interdental wirg oth/thn fx CPT 21497 | $1,809.68 | $3,016.13 | $71.00 – $3,777.93 | 29 |
| Interdiscal perq aspir dx CPT 62267 | $1,597.80 | $2,663.00 | $71.00 – $2,975.00 | 29 |
| Interferon alfa-2b inj HCPCS J9214 | $2,795.70 | $4,659.50 | $74.52 – $1,967.61 | 23 |
| Interfyl, 1 mg HCPCS Q4171 | $9.08 | $15.13 | $1.81 – $10.89 | 22 |
| Intermediate visual field xm CPT 92082 | $192.45 | $320.75 | $48.11 – $288.68 | 29 |
| Internal nerve revision 64727 CPT 64727 | $1,631.89 | $2,719.81 | $71.00 – $2,447.83 | 22 |
| Interphalangeal joint spacer HCPCS L8658 | $2,541.00 | $4,235.00 | $577.99 – $3,467.95 | 20 |
| Interrogate subq defib CPT 93261 | $187.04 | $311.73 | $35.62 – $917.00 | 29 |
| Interrogation vad in person CPT 93750 | $358.49 | $597.49 | $71.00 – $537.74 | 29 |
| Interrog dev eval icpms ip CPT 93290 | $77.49 | $129.15 | $19.37 – $917.00 | 29 |
| Interrog dev eval scrms ip CPT 93291 | $279.11 | $465.19 | $27.61 – $917.00 | 29 |
| Interrog device eval heart CPT 93289 | $285.12 | $475.20 | $35.62 – $917.00 | 29 |
| Interrog evl pm/ldls pm ip CPT 93288 | $234.32 | $390.53 | $35.62 – $917.00 | 29 |
| Interstitial brachy inter CPT 77799 | $1,540.47 | $2,567.45 | $97.38 – $2,310.70 | 29 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,761.95 – $7,441.00 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $2,954.70 | $4,924.50 | $939.93 – $6,955.62 | 27 |
| Int hrhc lig 2+hroid without img CPT 46946 | $1,727.16 | $2,878.60 | $939.93 – $6,955.62 | 27 |
| Intra-atrial pacing CPT 93610 | $3,566.83 | $5,944.72 | $891.71 – $18,500.61 | 29 |
| Intra-atrial recording CPT 93602 | $3,501.94 | $5,836.56 | $875.48 – $18,500.61 | 29 |
| Intracard echo interv w/s&i CPT 93662 | $7,593.44 | $12,655.73 | $442.97 – $11,390.16 | 22 |
| Intracran angioplsty w/stent CPT 61635 | $8,035.96 | $13,393.26 | $71.00 – $12,053.93 | 22 |
| Intracranial angioplasty CPT 61630 | $2,629.99 | $4,383.32 | $71.00 – $4,463.00 | 22 |
| Intracranial complete study CPT 93886 | $1,308.50 | $2,180.83 | $227.71 – $1,962.75 | 29 |
| Intracranial limited study CPT 93888 | $423.52 | $705.87 | $99.77 – $1,117.00 | 29 |
| Intranasal biopsy 30100 CPT 30100 | $1,552.11 | $2,586.85 | $71.00 – $3,777.93 | 29 |
| Intranasal reconstruction CPT 30620 | $5,421.47 | $9,035.78 | $71.00 – $14,507.25 | 29 |
| Intraop colon lavage add-on CPT 44701 | $563.84 | $939.74 | $140.96 – $845.77 | 19 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $5,340.39 | $8,900.65 | $1,250.55 – $8,010.59 | 22 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,981.79 | $3,302.99 | $71.00 – $2,972.69 | 29 |
| Intrapul surf admin endo tube CPT 94610 | $296.29 | $493.82 | $74.07 – $528.37 | 29 |
| Intrauterine transfusion ftl CPT 36460 | $740.24 | $1,233.74 | $185.06 – $1,110.37 | 29 |
| Intraventricular pacing CPT 93612 | $5,456.17 | $9,093.62 | $1,364.04 – $18,500.61 | 29 |
| Intrinsic factor antibody CPT 86340 | $115.97 | $193.28 | $12.00 – $173.95 | 29 |
| Intrm oph exam est patient CPT 92012 | $196.23 | $327.05 | $49.06 – $327.47 | 26 |
| Intro cath dialysis circuit CPT 36901 | $3,809.00 | $6,348.34 | $71.00 – $5,713.51 | 29 |
| Intro cath dialysis circuit w/pta CPT 36902 | $9,712.25 | $16,187.09 | $71.00 – $14,568.38 | 29 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $22,824.58 | $38,040.97 | $71.00 – $34,236.87 | 29 |
| Intro catheter aorta CPT 36200 | $988.48 | $1,647.46 | $71.00 – $1,482.71 | 22 |
| Intro cath svc/ivc CPT 36010 | $1,885.85 | $3,143.09 | $71.00 – $2,828.78 | 22 |
| Intro long gi tube CPT 44500 | $865.47 | $1,442.45 | $334.95 – $2,245.59 | 29 |
| Intro long gi tube w/mult fluo CPT 74340 | $644.50 | $1,074.16 | $93.24 – $966.74 | 22 |
| Intro windpipe wire/tube CPT 31730 | $970.84 | $1,618.07 | $71.00 – $4,204.56 | 29 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,393.34 | $7,322.24 | $71.00 – $6,590.02 | 22 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $565.51 | $942.51 | $141.38 – $848.26 | 19 |
| Intubation endotracheal emergency procedure CPT 31500 | $558.11 | $930.18 | $71.00 – $837.16 | 29 |
| Io anal gast n-stim init CPT 95980 | $2,335.79 | $3,892.98 | $583.95 – $3,503.68 | 21 |
| Io anal gast n-stim subsq CPT 95981 | $158.09 | $263.48 | $39.52 – $237.13 | 29 |
| Io ga n-stim subsq w/reprog CPT 95982 | $237.08 | $395.14 | $35.62 – $355.63 | 29 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $165.67 | $276.12 | $0.48 – $248.51 | 23 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $402.57 | $670.95 | $0.17 – $1.62 | 23 |
| Io radiation tx management CPT 77469 | $428.12 | $713.53 | $107.03 – $1,264.96 | 22 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $62,692.46 | $104,487.44 | $173.23 – $23,543.48 | 29 |
| Ipratropium bromide comp HCPCS J7645 | $7.34 | $12.23 | $1.83 – $11.01 | 22 |
| Ipratropium bromide non-comp HCPCS J7644 | $0.97 | $1.62 | $0.20 – $1.17 | 23 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $152.40 | $254.00 | $1.69 – $194.26 | 23 |
| Iron CPT 83540 | $70.72 | $117.87 | $5.43 – $106.08 | 29 |
| Iron binding capacity CPT 83550 | $100.85 | $168.09 | $7.34 – $151.28 | 29 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $144.63 | $241.05 | $17.20 – $216.94 | 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.