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 |
|---|---|---|---|---|
| Mecp2 gene known variant CPT 81303 | $144.00 | $240.00 | $36.00 – $288.00 | 29 |
| Medial canthopexy CPT 21280 | $4,848.58 | $8,080.97 | $71.00 – $7,975.81 | 29 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $5,246.48 | $8,744.14 | $71.00 – $14,293.73 | 29 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $4,590.67 | $7,651.12 | $71.00 – $14,293.73 | 29 |
| Medical services after hrs CPT 99050 | $23.40 | $39.00 | $5.85 – $35.10 | 18 |
| Med physic dos eval rad exps CPT 76145 | $674.72 | $1,124.54 | $168.68 – $1,327.77 | 29 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $165.13 | $275.22 | $41.28 – $247.70 | 22 |
| Melphalan oral 2 mg HCPCS J8600 | $16.58 | $27.64 | $4.15 – $24.88 | 22 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,524.60 | $2,541.00 | $118.76 – $1,020.21 | 28 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $790.10 | $1,316.83 | $76.68 – $460.09 | 28 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $511.67 | $852.78 | $48.11 – $288.68 | 28 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $736.80 | $1,228.00 | $34.68 – $208.08 | 28 |
| Meniscal trnspl knee w/scpe CPT 29868 | $6,260.32 | $10,433.86 | $71.00 – $17,722.46 | 29 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $30.79 | $51.32 | $1.94 – $11.65 | 23 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $107.90 | $179.84 | $0.41 – $20.70 | 23 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $73.37 | $122.29 | $18.34 – $186.89 | 28 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $3,416.08 | $5,693.47 | $71.00 – $5,124.12 | 22 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $107.41 | $179.01 | $1.47 – $97.20 | 23 |
| Metabolic Blood Panel (Basic) CPT 80048 | $156.44 | $260.74 | $7.11 – $234.67 | 29 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $160.48 | $267.47 | $8.87 – $240.72 | 29 |
| Metabolic panel ionized ca CPT 80047 | $169.15 | $281.92 | $11.53 – $253.73 | 29 |
| Metatarsal joint implant HCPCS L8641 | $1,057.20 | $1,762.00 | $264.30 – $1,585.80 | 20 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $224.10 | $373.50 | $56.02 – $336.15 | 22 |
| Methadone injection HCPCS J1230 | $1,157.85 | $1,929.75 | $16.18 – $1,736.78 | 23 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $103.20 | $172.00 | $4.62 – $52.20 | 23 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.32 | $10.54 | $0.15 – $5.49 | 23 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $162.19 | $270.32 | $2.94 – $64.62 | 23 |
| Methotrexate therapeutic drug level CPT 80204 | $126.04 | $210.06 | $12.00 – $189.05 | 29 |
| Methyldopate hcl injection HCPCS J0210 | $144.00 | $240.00 | $36.00 – $216.00 | 22 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,185.54 | $3,642.57 | $9.78 – $96.65 | 29 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $109.33 | $182.22 | $17.78 – $106.70 | 23 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $432.83 | $721.39 | $3.07 – $649.25 | 23 |
| Methylphenidate CPT 80360 | $100.32 | $167.20 | $2.92 – $9.75 | 21 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.37 | $2.29 | $0.10 – $0.58 | 23 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $177.44 | $295.74 | $0.12 – $46.98 | 23 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $224.40 | $374.00 | $0.27 – $22.03 | 23 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $7.92 | $13.20 | $1.05 – $6.71 | 23 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $12.10 | $20.17 | $0.14 – $10.27 | 23 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.52 | $24.20 | $0.02 – $16.92 | 23 |
| Mgmt promoter methylation analysis CPT 81287 | $677.23 | $1,128.72 | $36.00 – $299.14 | 29 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $507.90 | $846.50 | $0.28 – $383.18 | 23 |
| Microalbumin urine screen CPT 82044 | $42.00 | $70.00 | $5.23 – $63.00 | 29 |
| Microbe susceptible mlc CPT 87187 | $61.84 | $103.07 | $12.00 – $96.41 | 29 |
| Microdissection manual CPT 88381 | $350.63 | $584.38 | $36.00 – $672.62 | 22 |
| Microfluid analy tears CPT 83861 | $135.83 | $226.38 | $12.00 – $203.74 | 29 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | $6,469.21 | $10,782.02 | $1,617.30 – $9,703.82 | 21 |
| Microsatellite instability CPT 81301 | $719.78 | $1,199.64 | $12.00 – $836.54 | 29 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $1,900.63 | $3,167.71 | $71.00 – $2,850.94 | 22 |
| Microvolt t-wave assess CPT 93025 | $1,227.64 | $2,046.07 | $122.80 – $1,841.46 | 29 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $306.05 | $510.09 | $34.75 – $459.08 | 29 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $24.84 | $41.40 | $0.09 – $0.53 | 23 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $108.00 | $180.00 | $0.17 – $118.80 | 23 |
| Middle cerebral artery echo CPT 76821 | $267.75 | $446.25 | $89.21 – $401.62 | 29 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $115.20 | $192.00 | $1.30 – $33.75 | 23 |
| Minocycline hydrochloride HCPCS J2265 | $648.30 | $1,080.50 | $2.53 – $972.45 | 29 |
| Mitochondrial gene CPT 81440 | $8,112.00 | $13,520.00 | $36.00 – $7,977.60 | 29 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,305.13 | $3,841.88 | $27.04 – $271.80 | 29 |
| Mitomycin instillation HCPCS J9281 | $43,275.00 | $72,125.00 | $298.28 – $64,912.50 | 29 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,130.68 | $1,884.47 | $36.68 – $743.87 | 29 |
| Mlh1 gene CPT 81288 | $433.80 | $723.00 | $36.00 – $461.57 | 29 |
| Mlh1 gene dup/delete variant CPT 81294 | $400.65 | $667.75 | $36.00 – $600.98 | 29 |
| Mlh1 gene full seq CPT 81292 | $720.73 | $1,201.21 | $36.00 – $1,620.96 | 29 |
| Mlh1 gene known variants CPT 81293 | $397.20 | $662.00 | $36.00 – $794.40 | 29 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $12,202.34 | $20,337.24 | $71.00 – $32,603.53 | 29 |
| Mnl appl strs jt radiography CPT 77071 | $196.81 | $328.02 | $55.73 – $295.22 | 29 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,829.32 | $3,048.86 | $71.00 – $3,981.46 | 29 |
| Mnpj elbow under anes CPT 24300 | $3,062.56 | $5,104.27 | $71.00 – $5,132.00 | 29 |
| Mnpj of tmj w/anesth CPT 21073 | $2,207.28 | $3,678.80 | $71.00 – $3,777.93 | 29 |
| Mnt subs tx for change dx HCPCS G0270 | $58.82 | $98.03 | $14.70 – $89.24 | 22 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $825.00 | $1,375.00 | $12.00 – $180.00 | 29 |
| Molecular pathology interpr HCPCS G0452 | $63.20 | $105.34 | $12.00 – $96.89 | 22 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | $29,944.20 | $49,907.00 | $323.40 – $1,940.40 | 21 |
| Monitor elec vad, rep HCPCS Q0483 | $6,484.80 | $10,808.00 | $1,621.20 – $9,727.20 | 21 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,843.00 | $16,405.00 | $145.53 – $5,741.75 | 21 |
| Mopath procedure level 1 CPT 81400 | $315.95 | $526.58 | $12.00 – $345.38 | 29 |
| Mopath procedure level 3 CPT 81402 | $1,198.70 | $1,997.83 | $12.00 – $699.06 | 29 |
| Mopath procedure level 5 CPT 81404 | $7,487.95 | $12,479.92 | $12.00 – $659.59 | 29 |
| Mopath procedure level 6 CPT 81405 | $2,250.00 | $3,750.00 | $0.03 – $723.24 | 29 |
| Mopath procedure level 7 CPT 81406 | $7,487.95 | $12,479.92 | $12.00 – $678.91 | 29 |
| Mopath procedure level 8 CPT 81407 | $1,995.00 | $3,325.00 | $12.00 – $2,031.05 | 29 |
| Mopath procedure level 9 CPT 81408 | $3,582.12 | $5,970.20 | $12.00 – $4,800.00 | 29 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $156.83 | $261.38 | $1.78 – $10.66 | 23 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $958.48 | $1,597.47 | $1.72 – $13.36 | 23 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,137.00 | $1,895.00 | $12.00 – $423.12 | 29 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $319.80 | $533.00 | $36.00 – $890.45 | 29 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $239.95 | $399.92 | $36.00 – $423.12 | 29 |
| Motor &/ sens nrve cndj test CPT 95905 | $269.93 | $449.88 | $67.48 – $987.04 | 29 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $3,951.95 | $6,586.59 | $71.00 – $7,975.81 | 29 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $82.16 | $136.94 | $20.54 – $247.80 | 22 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,137.71 | $1,896.18 | $36.00 – $450.00 | 29 |
| M/phmtrc alysishquant/semiq CPT 88369 | $100.78 | $167.96 | $25.19 – $409.93 | 22 |
| M/phmtrc alys skeletal musc CPT 88355 | $274.49 | $457.48 | $36.00 – $423.12 | 29 |
| Mpl gene analysis common variants CPT 81338 | $592.50 | $987.50 | $12.00 – $360.79 | 29 |
| MRA abdomen post contrast CPT 74185 | $2,128.03 | $3,546.71 | $532.01 – $3,192.04 | 22 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,552.76 | $4,254.60 | $638.19 – $3,829.14 | 22 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,981.99 | $3,303.32 | $495.50 – $2,972.99 | 22 |
| MRA pelvis CPT 72198 | $2,364.48 | $3,940.80 | $591.12 – $3,546.72 | 22 |
| MRA spinal canal CPT 72159 | $1,590.77 | $2,651.29 | $397.69 – $2,577.00 | 22 |
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.