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 |
|---|---|---|---|---|
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $371.17 | $618.62 | $12.00 – $150.75 | 29 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $87.64 | $146.07 | $9.06 – $33.10 | 29 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $219.67 | $366.11 | $12.00 – $61.94 | 29 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $112.37 | $187.28 | $7.47 – $168.55 | 29 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $102.73 | $171.22 | $11.36 – $154.10 | 29 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $173.09 | $288.49 | $12.00 – $259.64 | 29 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,222.50 | $2,037.50 | $12.00 – $56.25 | 29 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $115.94 | $193.24 | $2.78 – $35.98 | 29 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $162.36 | $270.60 | $12.00 – $243.54 | 29 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $120.71 | $201.19 | $12.00 – $81.00 | 29 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $115.79 | $192.98 | $12.00 – $173.68 | 28 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $76.20 | $127.00 | $12.00 – $97.23 | 29 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $310.50 | $517.50 | $10.06 – $134.64 | 29 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $274.99 | $458.32 | $12.00 – $225.00 | 29 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $161.25 | $268.75 | $12.00 – $109.06 | 29 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $771.30 | $1,285.50 | $12.00 – $195.75 | 29 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $826.14 | $1,376.90 | $12.00 – $322.06 | 28 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $587.43 | $979.05 | $12.00 – $198.25 | 29 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $433.13 | $721.88 | $36.00 – $411.07 | 29 |
| Mayo infliximab therapeutic drug level CPT 80230 | $682.32 | $1,137.20 | $12.00 – $443.02 | 29 |
| Mayo inhab inhibin a CPT 86336 | $127.90 | $213.17 | $12.00 – $191.85 | 29 |
| Mayo insft insulin free CPT 83527 | $100.90 | $168.16 | $9.93 – $31.08 | 29 |
| Mayo insulin antibodies CPT 86337 | $153.56 | $255.94 | $12.00 – $230.35 | 29 |
| Mayo iodine CPT 83789 | $226.25 | $377.08 | $12.00 – $269.81 | 29 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $136.12 | $226.86 | $12.00 – $204.17 | 29 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $187.50 | $312.50 | $12.00 – $281.25 | 29 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $97.25 | $162.09 | $11.13 – $145.88 | 29 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $103.99 | $173.32 | $10.74 – $155.99 | 29 |
| Mayo legionella antibody CPT 86713 | $114.95 | $191.59 | $12.00 – $51.75 | 29 |
| Mayo leptospira antibody igm CPT 86720 | $128.74 | $214.57 | $12.00 – $193.11 | 29 |
| Mayo lipoprotein electrophoresis CPT 83700 | $100.92 | $168.20 | $9.46 – $41.47 | 29 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $132.44 | $220.73 | $12.00 – $37.18 | 29 |
| Mayo manganese CPT 83785 | $123.51 | $205.85 | $12.00 – $185.26 | 29 |
| Mayo metanephrines plasma CPT 83835 | $194.24 | $323.73 | $12.00 – $54.75 | 29 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $97.20 | $162.00 | $11.02 – $145.80 | 21 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $412.50 | $687.50 | $10.12 – $79.78 | 29 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $469.10 | $781.83 | $12.00 – $56.25 | 29 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $156.10 | $260.16 | $12.00 – $234.14 | 29 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $675.00 | $1,125.00 | $12.00 – $137.03 | 29 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,350.00 | $2,250.00 | $12.00 – $328.80 | 29 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $735.15 | $1,225.25 | $12.00 – $1,102.72 | 29 |
| Mayo muramidase CPT 85549 | $110.03 | $183.39 | $12.00 – $165.05 | 29 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $826.88 | $1,378.13 | $12.00 – $302.80 | 29 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $144.86 | $241.44 | $12.00 – $217.30 | 29 |
| Mayo myoglobin CPT 83874 | $141.52 | $235.87 | $10.85 – $212.28 | 29 |
| Mayo nickel CPT 83885 | $108.64 | $181.07 | $12.00 – $90.00 | 29 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $122.09 | $203.48 | $2.92 – $14.28 | 21 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $95.00 | $158.33 | $11.59 – $142.50 | 21 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $153.56 | $255.94 | $2.92 – $12.00 | 21 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $189.00 | $315.00 | $7.88 – $50.90 | 29 |
| Mayo organic acids qualitative each specimen CPT 83919 | $346.50 | $577.50 | $12.00 – $302.84 | 29 |
| Mayo oxalate 24 hour urine CPT 83945 | $86.80 | $144.66 | $9.06 – $34.68 | 29 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $147.64 | $246.07 | $9.69 – $221.46 | 29 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $109.42 | $182.36 | $12.00 – $164.12 | 29 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,372.80 | $2,288.00 | $3.45 – $28.92 | 29 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $320.06 | $533.43 | $12.00 – $155.25 | 29 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $79.50 | $132.50 | $12.00 – $111.21 | 29 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $100.42 | $167.36 | $11.56 – $150.62 | 29 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $84.13 | $140.21 | $7.09 – $73.65 | 29 |
| Mayo pregnenolone CPT 84140 | $123.20 | $205.34 | $12.00 – $184.81 | 29 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $110.48 | $184.13 | $12.00 – $165.72 | 29 |
| Mayo proinsulin CPT 84206 | $149.54 | $249.23 | $12.00 – $224.31 | 29 |
| Mayo psaft prostate specific antigen free CPT 84154 | $128.21 | $213.68 | $12.00 – $192.31 | 29 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,506.45 | $2,510.75 | $12.00 – $63.57 | 29 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $197.93 | $329.88 | $11.22 – $214.45 | 29 |
| Mayo receptor assay transferrin soluble CPT 84238 | $257.20 | $428.66 | $12.00 – $87.77 | 29 |
| Mayo renin CPT 84244 | $168.88 | $281.47 | $12.00 – $52.78 | 29 |
| Mayo repu protein electrophoresis urine CPT 84166 | $93.62 | $156.04 | $9.79 – $42.79 | 29 |
| Mayo selenium CPT 84255 | $134.86 | $224.76 | $12.00 – $202.28 | 29 |
| Mayo serotonin CPT 84260 | $193.54 | $322.57 | $12.00 – $290.31 | 29 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $119.72 | $199.53 | $10.90 – $46.44 | 29 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $115.49 | $192.48 | $11.53 – $173.23 | 29 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $105.53 | $175.88 | $12.00 – $158.29 | 28 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $72.02 | $120.04 | $3.59 – $13.50 | 29 |
| Mayo tau phosphorylated 217 each CPT 84393 | $750.00 | $1,250.00 | $12.00 – $495.00 | 28 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $814.05 | $1,356.75 | $12.00 – $501.41 | 29 |
| Mayo tgrp testosterone free CPT 84402 | $216.59 | $360.98 | $7.00 – $61.13 | 29 |
| Mayo tgrp testosterone total CPT 84403 | $230.51 | $384.19 | $7.00 – $61.94 | 29 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $504.15 | $840.25 | $12.00 – $191.25 | 29 |
| Mayo thyroglobulin CPT 84432 | $203.93 | $339.88 | $12.00 – $189.15 | 29 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $111.88 | $186.46 | $8.55 – $68.49 | 29 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $306.00 | $510.00 | $2.19 – $29.74 | 29 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $296.88 | $494.80 | $10.33 – $445.32 | 21 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $84.02 | $140.03 | $8.47 – $123.07 | 29 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $109.20 | $182.00 | $11.89 – $135.00 | 29 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $102.15 | $170.25 | $11.37 – $69.48 | 29 |
| Mayo vasoactive intestinal peptide CPT 84586 | $159.14 | $265.23 | $12.00 – $238.71 | 29 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $149.64 | $249.40 | $12.00 – $224.46 | 29 |
| Mayo vitamin b3 (niacin) CPT 84591 | $138.60 | $231.00 | $12.00 – $196.92 | 29 |
| Mayo vitamin k CPT 84597 | $137.80 | $229.67 | $11.52 – $206.70 | 29 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $146.39 | $243.98 | $11.13 – $219.58 | 29 |
| Mcoln1 gene CPT 81290 | $163.13 | $271.88 | $33.02 – $244.69 | 29 |
| Mcrscp xm hair pluck/clipped CPT 96902 | $3.39 | $5.65 | $0.85 – $64.21 | 22 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,457.62 – $8,887.48 | 15 |
| Meas lung vol thru 2 yrs CPT 94013 | $466.61 | $777.68 | $59.86 – $1,327.77 | 29 |
| Measure kidney pressure CPT 50396 | $489.01 | $815.01 | $71.00 – $2,975.00 | 29 |
| Measurement post void urine by ultrasound CPT 51798 | $131.14 | $218.56 | $32.78 – $196.70 | 29 |
| #mec-opiates CPT 80356 | $62.44 | $104.06 | $2.92 – $13.36 | 21 |
| Mecp2 gene dup/delet variant CPT 81304 | $758.35 | $1,263.91 | $36.00 – $1,137.52 | 29 |
| Mecp2 gene full seq CPT 81302 | $1,778.53 | $2,964.22 | $36.00 – $2,667.80 | 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.