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 |
|---|---|---|---|---|
| MRA upper extremity post contrast-bil CPT 73225 | $1,943.87 | $3,239.78 | $485.97 – $2,915.80 | 22 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,007.60 | $3,346.00 | $501.90 – $3,011.40 | 23 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,033.39 | $1,722.32 | $258.35 – $2,577.00 | 29 |
| MRA without cont, lwr ext HCPCS C8913 | $1,754.28 | $2,923.80 | $438.57 – $2,631.42 | 23 |
| Mra, without dye, spinal canal HCPCS C8932 | $1,033.39 | $1,722.32 | $227.71 – $2,577.00 | 29 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,400.21 | $4,000.35 | $600.05 – $3,600.32 | 23 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,590.76 | $2,651.26 | $332.94 – $2,577.00 | 29 |
| Mr elastography CPT 76391 | $641.23 | $1,068.72 | $207.16 – $2,577.00 | 29 |
| MRI brain w/dye CPT 70558 | $2,124.60 | $3,541.00 | $167.39 – $3,186.90 | 29 |
| MRI brain without dye CPT 70557 | $2,459.08 | $4,098.47 | $521.46 – $3,688.62 | 29 |
| MRI breast c- unilateral CPT 77046 | $326.21 | $543.68 | $81.55 – $2,149.00 | 29 |
| MRI breast c-+ w/cad uni CPT 77048 | $346.24 | $577.07 | $86.56 – $2,149.00 | 22 |
| MRI breast without cont bi CPT 77047 | $2,443.67 | $4,072.78 | $227.71 – $3,665.50 | 29 |
| MRI breast w IV cont bi CPT 77049 | $1,875.95 | $3,126.58 | $468.99 – $2,813.92 | 22 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,445.07 | $4,075.12 | $227.71 – $3,667.61 | 29 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,959.00 | $4,931.66 | $332.94 – $4,438.49 | 29 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,780.00 | $6,300.00 | $436.71 – $5,670.00 | 29 |
| MRI chest without contrast CPT 71550 | $1,746.00 | $2,910.00 | $227.71 – $2,619.00 | 29 |
| MRI chest without & w/contrast CPT 71552 | $2,597.41 | $4,329.02 | $332.94 – $3,896.12 | 29 |
| MRI chest w IV cont CPT 71551 | $2,325.74 | $3,876.24 | $385.25 – $3,488.62 | 29 |
| MRI compatible system HCPCS L0859 | $1,421.40 | $2,369.00 | $355.35 – $2,132.10 | 21 |
| MRI fetal ea addl gestation CPT 74713 | $654.40 | $1,090.66 | $204.49 – $2,149.00 | 22 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,324.65 | $2,207.75 | $227.71 – $2,149.00 | 29 |
| MRI guid ndl plc s&i CPT 77021 | $1,264.76 | $2,107.93 | $316.19 – $2,149.00 | 22 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,394.95 | $3,991.59 | $598.74 – $3,592.43 | 22 |
| MRI loex nonjt w IV cont CPT 73719 | $3,000.00 | $5,000.00 | $271.31 – $4,500.00 | 29 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,088.20 | $3,480.33 | $227.71 – $3,132.30 | 29 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,086.29 | $5,143.82 | $332.94 – $4,629.44 | 29 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,251.88 | $3,753.14 | $276.66 – $3,377.83 | 29 |
| MRI tmj CPT 70336 | $2,564.62 | $4,274.37 | $227.71 – $3,846.93 | 29 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,614.40 | $4,357.34 | $227.71 – $3,921.61 | 29 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,552.73 | $5,921.21 | $332.94 – $5,329.09 | 29 |
| MRI upper extremity w/dye CPT 73219 | $2,011.63 | $3,352.71 | $332.94 – $3,017.44 | 29 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,119.87 | $3,533.12 | $332.94 – $3,179.81 | 29 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,567.09 | $2,611.82 | $167.39 – $2,350.64 | 29 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,221.52 | $3,702.53 | $332.94 – $3,332.28 | 29 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,567.09 | $2,611.82 | $332.94 – $2,350.64 | 29 |
| Mr safety determination physician/other qhp CPT 76016 | $186.00 | $310.00 | $46.50 – $2,149.00 | 28 |
| Mr safety implant elec prepj CPT 76018 | $204.73 | $341.22 | $51.18 – $2,149.00 | 28 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.00 | $75.00 | $26.25 – $2,149.00 | 22 |
| Mr safety implt pos&/immoblj CPT 76019 | $137.25 | $228.75 | $34.31 – $2,149.00 | 28 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $50.40 | $84.00 | $24.49 – $2,149.00 | 28 |
| Mr sfty med physics xm cstmz CPT 76017 | $513.60 | $856.00 | $128.40 – $2,149.00 | 28 |
| Mr spectroscopy CPT 76390 | $1,442.45 | $2,404.08 | $83.05 – $2,163.67 | 29 |
| Msh2 gene dup/delete variant CPT 81297 | $699.66 | $1,166.10 | $36.00 – $1,049.49 | 29 |
| Msh2 gene full seq CPT 81295 | $504.56 | $840.94 | $36.00 – $916.08 | 29 |
| Msh2 gene known variants CPT 81296 | $405.28 | $675.46 | $36.00 – $810.55 | 29 |
| Msh6 gene dup/delete variant CPT 81300 | $611.30 | $1,018.83 | $36.00 – $916.95 | 29 |
| Msh6 gene full seq CPT 81298 | $504.56 | $840.94 | $36.00 – $1,540.44 | 29 |
| Msh6 gene known variants CPT 81299 | $369.60 | $616.00 | $36.00 – $739.20 | 29 |
| Mthfr gene analy common variants CPT 81291 | $355.35 | $592.25 | $12.00 – $156.82 | 29 |
| Mucin synovial fluid CPT 83872 | $32.55 | $54.25 | $4.92 – $48.83 | 29 |
| Mucopolysaccharides CPT 83864 | $270.00 | $450.00 | $12.00 – $298.49 | 29 |
| Multi family grp psychotherapy CPT 90849 | $138.84 | $231.40 | $34.71 – $394.97 | 29 |
| Multifocal erg w/i&r CPT 92274 | $620.14 | $1,033.56 | $122.80 – $930.20 | 29 |
| Multiple sleep latency test CPT 95805 | $2,911.72 | $4,852.86 | $727.93 – $4,367.57 | 29 |
| Mumps antibody igg CPT 86735 | $86.68 | $144.47 | $10.96 – $108.05 | 29 |
| Muscle-skin graft arm CPT 15736 | $2,973.95 | $4,956.59 | $71.00 – $4,517.58 | 29 |
| Muscle-skin graft leg CPT 15738 | $4,166.42 | $6,944.04 | $71.00 – $8,887.48 | 29 |
| Muscle-skin graft trunk CPT 15734 | $4,082.43 | $6,804.05 | $71.00 – $8,887.48 | 29 |
| Muscle test cran nerv unilat CPT 95867 | $448.49 | $747.49 | $112.12 – $777.56 | 29 |
| Muscle test hemidiaphragm CPT 95866 | $374.90 | $624.84 | $71.00 – $562.36 | 29 |
| Muscle test larynx CPT 95865 | $269.29 | $448.82 | $67.32 – $403.94 | 29 |
| Muscle test one fiber CPT 95872 | $385.90 | $643.16 | $96.47 – $578.84 | 29 |
| Muscle transfers CPT 23397 | $9,458.14 | $15,763.56 | $71.00 – $17,722.46 | 29 |
| Muscle transfer shoulder/arm CPT 23395 | $8,434.13 | $14,056.88 | $71.00 – $17,722.46 | 29 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $3,086.40 | $5,144.00 | $71.00 – $8,887.48 | 29 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $6,021.07 | $10,035.12 | $71.00 – $17,722.46 | 29 |
| Mycobacteria dna amp probe CPT 87551 | $496.29 | $827.15 | $12.00 – $337.50 | 29 |
| Mycobacteria dna quant CPT 87552 | $288.75 | $481.25 | $12.00 – $107.10 | 29 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.79 | $17.99 | $0.06 – $3.10 | 23 |
| Mycophenolic acid HCPCS J7518 | $16.28 | $27.14 | $0.06 – $3.57 | 23 |
| Mycoplasma antibody igm CPT 86738 | $107.77 | $179.62 | $11.12 – $161.66 | 29 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,050.00 | $1,750.00 | $36.00 – $625.50 | 29 |
| Myelogphy 2/> spine regions CPT 72270 | $1,569.51 | $2,615.85 | $153.04 – $2,354.26 | 29 |
| Myelography l-s spine CPT 72265 | $1,334.09 | $2,223.48 | $109.26 – $2,001.13 | 29 |
| Myelography neck spine CPT 72240 | $1,088.80 | $1,814.66 | $112.26 – $1,983.49 | 29 |
| Myelography thoracic spine CPT 72255 | $1,370.02 | $2,283.37 | $107.93 – $2,055.03 | 29 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,583.32 | $2,638.87 | $71.00 – $5,132.00 | 29 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,511.36 | $2,518.93 | $71.00 – $5,132.00 | 29 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,583.32 | $2,638.87 | $71.00 – $5,132.00 | 29 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,159.28 | $1,932.13 | $71.00 – $5,132.00 | 29 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,007.00 | $1,678.33 | $9.69 – $30.04 | 29 |
| Myocrd img pet 1std rst/strs CPT 78491 | $3,627.73 | $6,046.21 | $906.93 – $5,441.59 | 29 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,904.76 | $3,174.60 | $286.98 – $5,371.00 | 29 |
| Myocrd img pet 2rtracer CPT 78432 | $2,700.60 | $4,501.00 | $337.85 – $5,371.00 | 29 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,300.60 | $5,501.00 | $369.33 – $5,371.00 | 29 |
| Myocrd img pet mlt rst&strs CPT 78492 | $4,225.34 | $7,042.23 | $1,056.33 – $6,338.01 | 29 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,700.60 | $4,501.00 | $317.25 – $5,851.30 | 29 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,731.60 | $2,886.00 | $272.46 – $5,371.00 | 29 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,841.72 – $7,441.00 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,481.30 – $7,441.00 | 4 |
| Myomectomy vag method CPT 58145 | $4,461.96 | $7,436.60 | $71.00 – $7,744.80 | 29 |
| Myringoplasty CPT 69620 | $4,925.75 | $8,209.59 | $71.00 – $7,975.81 | 29 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $84.00 | $140.00 | $0.05 – $67.56 | 23 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $141.23 | $235.38 | $3.76 – $23.76 | 23 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $118.80 | $198.00 | $0.07 – $54.00 | 23 |
| Narcosynthesis CPT 90865 | $256.79 | $427.98 | $64.20 – $394.97 | 29 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $353.62 | $589.37 | $68.14 – $530.43 | 29 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $4,039.68 | $6,732.80 | $71.00 – $605.10 | 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.