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 |
|---|---|---|---|---|
| Largsc w/laser dstrj les CPT 31572 | $7,569.10 | $12,615.17 | $71.00 – $11,353.65 | 29 |
| Largsc w/njx augmentation CPT 31574 | $3,656.87 | $6,094.79 | $71.00 – $6,837.00 | 29 |
| Largsc w/removal lesion CPT 31578 | $3,630.67 | $6,051.11 | $71.00 – $9,276.93 | 29 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $765.97 | $1,276.62 | $155.59 – $1,148.96 | 29 |
| Largsc w/ther injection CPT 31573 | $2,286.46 | $3,810.77 | $71.00 – $6,837.00 | 29 |
| Laronidase injection HCPCS J1931 | $1,927.01 | $3,211.68 | $37.44 – $2,890.51 | 29 |
| Laryngeal function studies CPT 92520 | $342.68 | $571.14 | $85.67 – $514.03 | 29 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $5,388.00 – $14,507.25 | 15 |
| Laryngoplasty laryngeal sten CPT 31551 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Laryngoplasty laryngeal sten CPT 31552 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Laryngoplasty laryngeal sten CPT 31553 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Laryngoplasty laryngeal sten CPT 31554 | $5,413.19 | $9,021.98 | $71.00 – $14,507.25 | 29 |
| Laryngoplasty laryngeal web CPT 31580 | $6,103.72 | $10,172.87 | $71.00 – $14,507.25 | 29 |
| Laryngoplasty medialization CPT 31591 | $6,186.50 | $10,310.83 | $71.00 – $14,507.25 | 29 |
| Laryngoscope w/vc inj CPT 31570 | $3,977.06 | $6,628.43 | $71.00 – $9,276.93 | 29 |
| Laryngoscopic sensory vid CPT 92614 | $415.87 | $693.11 | $103.97 – $623.80 | 23 |
| Laryngoscop w/arytenoidectom CPT 31560 | $5,023.51 | $8,372.52 | $71.00 – $16,955.09 | 29 |
| Laryngoscop w/vc inj + scope CPT 31571 | $3,918.74 | $6,531.23 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy and dilation CPT 31528 | $4,278.61 | $7,131.02 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy and dilation CPT 31529 | $3,773.21 | $6,288.68 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,342.89 | $3,904.82 | $71.00 – $4,204.56 | 29 |
| Laryngoscopy telescopic CPT 31579 | $949.27 | $1,582.11 | $71.00 – $1,423.90 | 29 |
| Laryngoscopy w/biopsy CPT 31535 | $3,825.43 | $6,375.72 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy w/bx & op scope CPT 31536 | $4,249.28 | $7,082.14 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy w/exc of tumor CPT 31540 | $3,176.60 | $5,294.33 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy w/fb & op scope CPT 31531 | $3,549.99 | $5,916.65 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy w/fb removal CPT 31530 | $4,337.08 | $7,228.47 | $71.00 – $6,505.62 | 29 |
| Laryngoscopy with biopsy CPT 31576 | $3,417.35 | $5,695.59 | $71.00 – $5,126.03 | 29 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $3,630.67 | $6,051.11 | $71.00 – $9,276.93 | 29 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $2,115.04 | $3,525.06 | $71.00 – $3,172.55 | 29 |
| Larynscop remve cart + scop CPT 31561 | $5,023.51 | $8,372.52 | $71.00 – $16,955.09 | 29 |
| Larynscop w/tumr exc + scope CPT 31541 | $4,363.27 | $7,272.11 | $71.00 – $9,276.93 | 29 |
| Laser surgery eye strands CPT 67031 | $1,297.30 | $2,162.16 | $71.00 – $3,421.00 | 29 |
| Laser surgery of cervix 57513 CPT 57513 | $3,353.55 | $5,589.25 | $71.00 – $7,744.80 | 30 |
| Laser surgery of prostate CPT 52647 | $7,745.35 | $12,908.91 | $71.00 – $12,818.21 | 23 |
| Laser surgery of prostate CPT 52648 | $7,631.27 | $12,718.79 | $71.00 – $12,818.21 | 29 |
| Laser surg penis lesion(s) CPT 54057 | $3,679.60 | $6,132.67 | $71.00 – $5,519.40 | 29 |
| Laser treatment of retina CPT 67039 | $6,530.02 | $10,883.37 | $71.00 – $10,072.14 | 29 |
| Laser treatment of retina CPT 67040 | $7,898.14 | $13,163.57 | $71.00 – $11,847.21 | 29 |
| Lateral canthopexy CPT 21282 | $2,060.33 | $3,433.88 | $71.00 – $7,975.81 | 29 |
| Lat retinacular release open CPT 27425 | $4,261.85 | $7,103.09 | $71.00 – $8,018.48 | 29 |
| Lavage cannulation maxillary sinus CPT 31000 | $833.97 | $1,389.95 | $71.00 – $1,250.95 | 29 |
| Lavh >250 gms 58553 CPT 58553 | $8,917.26 | $14,862.10 | $71.00 – $25,500.18 | 29 |
| Lb with mastopexy 15839 CPT 15839 | $3,163.12 | $5,271.86 | $71.00 – $7,039.11 | 29 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $50,985.00 | $84,975.00 | $197.40 – $1,184.39 | 21 |
| Lead capillary CPT 83655 | $79.36 | $132.27 | $10.17 – $29.06 | 29 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,843.58 | $8,072.63 | $39.58 – $6,198.41 | 22 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,186.81 | $16,978.01 | $285.07 – $1,710.42 | 21 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,232.70 – $14,507.25 | 15 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,294.95 – $14,507.25 | 15 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,394.52 – $14,507.25 | 15 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $971.41 | $1,619.02 | $227.71 – $1,457.12 | 29 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,877.52 | $3,129.20 | $167.39 – $2,816.28 | 29 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,398.82 | $2,331.36 | $99.77 – $2,098.22 | 29 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,092.58 | $1,820.96 | $184.78 – $1,638.86 | 29 |
| Leishmania antibody CPT 86717 | $92.01 | $153.35 | $10.29 – $138.01 | 29 |
| Lengthening of hand tendon CPT 26478 | $2,114.39 | $3,523.98 | $71.00 – $8,018.48 | 29 |
| Lengthening of palate CPT 42227 | not published | not published | $1,954.22 – $14,507.25 | 15 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Lengthening of thigh tendon CPT 27393 | $4,566.00 | $7,610.00 | $71.00 – $17,722.46 | 29 |
| Lengthening of thigh tendons CPT 27394 | $4,294.43 | $7,157.38 | $71.00 – $17,722.46 | 29 |
| Lengthening of thigh tendons CPT 27395 | $5,545.94 | $9,243.23 | $71.00 – $8,318.91 | 29 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,747.24 – $19,281.30 | 14 |
| Lengthen metacarpal/finger CPT 26568 | $4,902.13 | $8,170.22 | $71.00 – $17,722.46 | 29 |
| Lengthen radius or ulna CPT 25391 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 29 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,528.30 | $4,213.83 | $68.16 – $408.97 | 21 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $529.20 | $882.00 | $132.30 – $793.80 | 22 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,498.89 | $5,831.49 | $43.97 – $263.83 | 21 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $229.50 | $382.50 | $3.95 – $47.52 | 23 |
| Leukocyte phagocytosis CPT 86344 | $94.72 | $157.87 | $8.73 – $142.08 | 29 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,106.55 | $36,844.25 | $167.39 – $5,519.07 | 29 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $119.59 | $199.32 | $0.04 – $16.20 | 23 |
| Levetiracetam therapeutic drug level CPT 80177 | $101.00 | $168.33 | $11.13 – $151.50 | 29 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $49.98 | $83.30 | $2.38 – $36.90 | 23 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,452.60 | $12,421.00 | $1,863.15 – $17,181.00 | 28 |
| Liberta rc ipg HCPCS C1820 | $50,985.00 | $84,975.00 | $0.73 – $4.36 | 20 |
| Lidocaine injection HCPCS J2001 | $58.94 | $98.23 | $14.73 – $88.41 | 22 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $42.44 | $70.74 | $1.42 – $8.53 | 22 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.80 | $48.00 | $0.00 – $37.80 | 23 |
| Lidocaine therapeutic drug level CPT 80176 | $139.49 | $232.49 | $12.00 – $209.24 | 29 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $3.30 | $5.50 | $0.83 – $4.95 | 22 |
| Ligate leg veins open CPT 37761 | $1,714.10 | $2,856.83 | $71.00 – $7,896.23 | 29 |
| Ligate leg veins radical 37760 CPT 37760 | $6,533.00 | $10,888.34 | $71.00 – $9,799.51 | 29 |
| Ligate/strip long leg vein CPT 37722 | $5,719.74 | $9,532.90 | $71.00 – $8,579.61 | 29 |
| Ligate/strip short leg vein CPT 37718 | $5,258.89 | $8,764.82 | $71.00 – $7,896.23 | 29 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $3,885.64 | $6,476.07 | $71.00 – $7,744.80 | 29 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $6,074.17 | $10,123.62 | $71.00 – $9,111.26 | 29 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $4,911.91 | $8,186.51 | $71.00 – $7,896.23 | 29 |
| Ligation external carotid artery 37600 CPT 37600 | $3,467.79 | $5,779.65 | $71.00 – $7,896.23 | 29 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,879.97 | $8,133.28 | $71.00 – $7,896.23 | 29 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,467.79 | $5,779.65 | $71.00 – $7,896.23 | 29 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,581.82 | $2,636.36 | $395.45 – $2,372.72 | 22 |
| Ligation major artery neck CPT 37615 | $4,496.36 | $7,493.93 | $71.00 – $7,896.23 | 29 |
| Ligation nasal sinus artery CPT 30915 | $5,802.45 | $9,670.75 | $71.00 – $8,703.67 | 29 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,200.20 | $3,667.00 | $550.05 – $8,356.81 | 28 |
| Ligation of femoral vein CPT 37650 | $3,160.00 | $5,266.67 | $71.00 – $7,896.23 | 29 |
| Ligation of inf vena cava CPT 37619 | $5,872.94 | $9,788.24 | $71.00 – $13,613.39 | 29 |
| Ligation of salivary duct CPT 42665 | not published | not published | $886.62 – $7,975.81 | 16 |
| Ligation upper jaw artery CPT 30920 | $3,318.32 | $5,530.54 | $71.00 – $7,896.23 | 29 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $4,426.35 | $7,377.25 | $71.00 – $7,896.23 | 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.