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 |
|---|---|---|---|---|
| Open tx nose fx w/skele fixj CPT 21330 | $5,977.18 | $9,961.96 | $71.00 – $14,507.25 | 29 |
| Open tx nose & septal fx CPT 21335 | $4,402.67 | $7,337.79 | $71.00 – $7,975.81 | 29 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $2,777.50 | $4,629.16 | $71.00 – $17,722.46 | 29 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $2,716.88 | $4,528.14 | $71.00 – $17,722.46 | 29 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $2,716.88 | $4,528.14 | $71.00 – $8,649.00 | 29 |
| Ophthalmic biometry CPT 92136 | $261.86 | $436.44 | $65.47 – $392.80 | 29 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Ophthalmodynamometry CPT 92260 | $72.19 | $120.31 | $18.05 – $108.28 | 26 |
| Ophth Ultrasound b & quant a CPT 76510 | $588.14 | $980.24 | $68.83 – $882.22 | 29 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $380.47 | $634.11 | $75.18 – $570.70 | 29 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $355.75 | $592.92 | $57.14 – $533.63 | 29 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,081.08 | $1,801.80 | $270.27 – $5,388.00 | 20 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $22,089.86 | $36,816.43 | $71.00 – $76,924.35 | 29 |
| Opn impltj nea perph nerve CPT 64575 | $7,674.95 | $12,791.59 | $71.00 – $33,745.27 | 29 |
| Opn impltj nea sacral nerve CPT 64581 | $7,359.38 | $12,265.64 | $71.00 – $16,942.33 | 29 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $36,076.18 | $60,126.96 | $5,388.00 – $76,924.35 | 27 |
| Opn tx complx malar fx CPT 21365 | $6,605.19 | $11,008.65 | $71.00 – $14,507.25 | 29 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,070.31 – $14,507.25 | 15 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,743.85 – $8,890.48 | 14 |
| Opn tx dprsd zygomatic arch CPT 21356 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 29 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,642.57 – $14,507.25 | 15 |
| Opn tx nasomax fx w/fixj CPT 21346 | $5,724.50 | $9,540.83 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx combined CPT 21387 | $6,493.99 | $10,823.31 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx periorbital CPT 21386 | $7,160.86 | $11,934.77 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx transantral CPT 21385 | $5,232.76 | $8,721.26 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx w/bone grft CPT 21408 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx w/implant CPT 21407 | $5,487.79 | $9,146.31 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $6,430.79 | $10,717.98 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit periorbtl implt CPT 21390 | $4,898.56 | $8,164.27 | $71.00 – $14,507.25 | 29 |
| Opn tx orbit periorbt w/grft CPT 21395 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Opscpy extnd on/mac draw CPT 92202 | $133.97 | $223.29 | $33.49 – $200.96 | 26 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $131.17 | $218.62 | $32.79 – $196.76 | 26 |
| Optical endomicroscpy interp CPT 88375 | $18.66 | $31.10 | $4.67 – $264.60 | 22 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $8,322.97 | $13,871.62 | $71.00 – $17,722.46 | 29 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $7,095.72 | $11,826.20 | $71.00 – $17,722.46 | 29 |
| Optx acute shoulder dislc CPT 23660 | $7,491.37 | $12,485.62 | $71.00 – $17,722.46 | 29 |
| Optx carpl scphd fx int fixj CPT 25628 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 29 |
| Optx clavicular fx w/int fix CPT 23515 | $9,013.88 | $15,023.13 | $71.00 – $17,722.46 | 29 |
| Optx complicated mndblr fx CPT 21470 | $8,803.45 | $14,672.42 | $71.00 – $14,507.25 | 29 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,838.69 – $8,890.48 | 14 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $5,876.49 | $9,794.15 | $71.00 – $8,814.74 | 29 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $7,157.53 | $11,929.22 | $71.00 – $17,722.46 | 29 |
| Optx lunate dislocation CPT 25695 | $5,227.64 | $8,712.73 | $71.00 – $17,722.46 | 29 |
| Optx medial ankle fx CPT 27766 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 29 |
| Optx mndblr cndylr fx CPT 21465 | $8,803.45 | $14,672.42 | $71.00 – $14,507.25 | 29 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $7,180.34 | $11,967.23 | $71.00 – $14,507.25 | 29 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Optx mndblr/max alv ridge fx CPT 21445 | $3,685.81 | $6,143.02 | $71.00 – $14,507.25 | 29 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,073.35 – $14,507.25 | 15 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,257.24 – $8,890.48 | 14 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $9,008.32 | $15,013.86 | $71.00 – $32,603.53 | 29 |
| Optx post ankle fx CPT 27769 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Optx prox humrl fx w/int fix CPT 23615 | $10,806.23 | $18,010.39 | $71.00 – $32,603.53 | 29 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $15,614.40 | $26,024.00 | $71.00 – $46,166.33 | 29 |
| Optx radial shaft fracture CPT 25515 | $5,287.97 | $8,813.28 | $71.00 – $17,722.46 | 29 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $5,883.95 | $9,806.58 | $71.00 – $17,722.46 | 29 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $4,840.09 | $8,066.82 | $71.00 – $17,722.46 | 29 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $7,386.73 | $12,311.21 | $71.00 – $17,722.46 | 29 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $8,084.83 | $13,474.71 | $71.00 – $17,722.46 | 29 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $12,172.09 | $20,286.81 | $71.00 – $18,258.13 | 29 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $6,665.84 | $11,109.74 | $71.00 – $17,722.46 | 29 |
| Optx scapular fx w/int fixj CPT 23585 | $9,081.73 | $15,136.21 | $71.00 – $17,722.46 | 29 |
| Optx sho dislc fx CPT 23670 | $9,238.32 | $15,397.20 | $71.00 – $17,722.46 | 29 |
| Optx sho dislc neck fx fixj CPT 23680 | $12,105.68 | $20,176.13 | $71.00 – $32,603.53 | 29 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $3,553.55 | $5,922.59 | $71.00 – $17,722.46 | 29 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $6,072.59 | $10,120.99 | $71.00 – $17,722.46 | 29 |
| Optx tmprmand dislocation CPT 21490 | $6,759.31 | $11,265.51 | $71.00 – $10,138.96 | 29 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $4,013.94 | $6,689.90 | $71.00 – $17,722.46 | 29 |
| Optx ulnar shft fx int fixj CPT 25545 | $7,324.91 | $12,208.19 | $71.00 – $17,722.46 | 29 |
| Optx ulnar styloid fracture CPT 25652 | $3,831.35 | $6,385.59 | $71.00 – $17,722.46 | 29 |
| Oral aprepitant HCPCS J8501 | $410.20 | $683.66 | $2.63 – $212.47 | 23 |
| Oral everolimus HCPCS J7527 | $25.34 | $42.24 | $1.37 – $37.94 | 23 |
| Orchiectomy partial CPT 54522 | $4,860.68 | $8,101.13 | $71.00 – $8,636.11 | 29 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,558.53 | $5,930.88 | $71.00 – $8,570.48 | 29 |
| Orchiopexy ingun/scrot appr CPT 54640 | $4,467.71 | $7,446.18 | $71.00 – $8,570.48 | 29 |
| Organic acids total quant ea spec CPT 83918 | $258.06 | $430.10 | $12.00 – $387.09 | 29 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,490.19 | $5,816.99 | $71.00 – $5,235.29 | 29 |
| Ortho dvc repair per 15 min HCPCS L4205 | $29.40 | $49.00 | $7.35 – $44.10 | 21 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $278.40 | $464.00 | $69.60 – $417.60 | 21 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $428.40 | $714.00 | $69.10 – $414.61 | 21 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $881.50 | $1,469.16 | $220.37 – $1,322.24 | 21 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $267.60 | $446.00 | $66.90 – $401.40 | 21 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $306.00 | $510.00 | $76.50 – $459.00 | 21 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $225.00 | $375.00 | $56.25 – $337.50 | 21 |
| Orthopantogram CPT 70355 | $219.22 | $365.36 | $18.38 – $328.82 | 29 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $221.21 | $368.68 | $55.30 – $331.81 | 22 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $389.40 | $649.00 | $97.35 – $584.10 | 21 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $420.76 | $701.26 | $14.64 – $87.82 | 21 |
| Oscillation chest wall mechanical per session CPT 94669 | $230.81 | $384.69 | $57.70 – $528.37 | 29 |
| Osmolality blood CPT 83930 | $101.14 | $168.56 | $5.55 – $151.70 | 29 |
| Osmolality urine CPT 83935 | $79.27 | $132.12 | $5.73 – $53.15 | 29 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $4,570.63 | $7,617.72 | $71.00 – $8,018.48 | 29 |
| Ostectomy scapula partial CPT 23190 | $3,252.74 | $5,421.23 | $71.00 – $8,018.48 | 29 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Osteochondral knee allograft CPT 27415 | $7,862.94 | $13,104.90 | $71.00 – $32,603.53 | 29 |
| Osteochondral knee autograft CPT 27416 | $7,952.51 | $13,254.19 | $71.00 – $17,722.46 | 29 |
| Osteochondral talus autogrft CPT 28446 | $6,982.66 | $11,637.77 | $71.00 – $17,722.46 | 29 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $67.84 | $113.07 | $16.96 – $101.76 | 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.