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 |
|---|---|---|---|---|
| Postop dress & 1 cast chg bk HCPCS L5400 | $3,277.80 | $5,463.00 | $819.45 – $4,916.70 | 22 |
| Post op service lvrs min 6 HCPCS G0305 | $275.79 | $459.65 | $68.95 – $1,327.77 | 26 |
| Postpartum Care Only CPT 59430 | $568.81 | $948.01 | $71.00 – $853.21 | 22 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $46.51 | $77.52 | $3.97 – $69.77 | 29 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $97.20 | $162.00 | $0.14 – $21.65 | 23 |
| Potassium hydroxide preps HCPCS Q0112 | $51.47 | $85.79 | $5.54 – $77.21 | 29 |
| Potassium serum/plasma/whole blood CPT 84132 | $63.43 | $105.71 | $4.00 – $95.14 | 29 |
| Pq biliary strict dil s&i CPT 74363 | $861.43 | $1,435.71 | $147.74 – $1,292.14 | 22 |
| Pq dr cath chg w cont s&i CPT 75984 | $745.67 | $1,242.78 | $186.42 – $1,118.50 | 22 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,620.65 | $17,701.08 | $71.00 – $17,722.46 | 29 |
| Pq thr inj ext pse CPT 36002 | $926.73 | $1,544.55 | $71.00 – $1,556.23 | 29 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,362.53 | $5,604.21 | $71.00 – $8,649.00 | 22 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,562.22 | $7,603.70 | $71.00 – $8,649.00 | 29 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,432.24 | $7,387.06 | $71.00 – $8,649.00 | 29 |
| Pralatrexate injection HCPCS J9307 | $24,465.07 | $40,775.12 | $330.84 – $36,697.61 | 29 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $234.09 | $390.15 | $58.52 – $351.13 | 22 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,877.24 | $6,462.06 | $71.00 – $8,018.48 | 29 |
| Pr application of long arm splint CPT 29105 | $328.78 | $547.96 | $40.14 – $493.16 | 29 |
| Pr application splint static short arm CPT 29125 | $415.17 | $691.95 | $71.00 – $622.75 | 29 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $66.46 | $110.76 | $16.61 – $99.68 | 29 |
| Pr biopsy skin punch single lesion CPT 11104 | $366.37 | $610.61 | $71.00 – $987.79 | 29 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $6,727.70 | $11,212.84 | $71.00 – $19,281.30 | 29 |
| Pr correction hammertoe CPT 28285 | $3,496.29 | $5,827.15 | $71.00 – $8,018.48 | 29 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.71 | $81.19 | $12.18 – $73.07 | 29 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,609.03 | $2,681.72 | $71.00 – $17,181.00 | 22 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,432.13 | $4,053.55 | $71.00 – $17,181.00 | 22 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $5,417.24 | $9,028.74 | $71.00 – $8,636.11 | 29 |
| Prealbumin CPT 84134 | $83.17 | $138.62 | $12.00 – $124.76 | 29 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $63.65 | $106.08 | $0.81 – $54.18 | 23 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.40 | $0.67 | $0.00 – $0.15 | 23 |
| Pregabalin - sendout CPT 80366 | $152.00 | $253.34 | $2.92 – $7.50 | 21 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $564.97 – $4,713.77 | 16 |
| Pregnancy associated plasma protein-a CPT 84163 | $91.87 | $153.11 | $12.00 – $137.80 | 29 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $652.36 | $1,087.27 | $99.77 – $978.54 | 29 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $614.24 | $1,023.74 | $99.77 – $921.37 | 29 |
| Pregnancy Ultrasound (limited) CPT 76815 | $459.00 | $765.00 | $81.20 – $688.50 | 29 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $709.95 | $1,183.25 | $71.00 – $1,064.92 | 22 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,141.37 | $1,902.29 | $71.00 – $1,712.06 | 22 |
| Pre-op service lvrs complete HCPCS G0302 | $360.43 | $600.71 | $90.11 – $1,327.77 | 26 |
| Preparation for bladder xray CPT 51605 | $1,143.32 | $1,905.54 | $71.00 – $1,714.99 | 22 |
| Preparation palate mold CPT 42280 | $583.82 | $973.04 | $71.00 – $1,363.00 | 29 |
| Prepare embryo for transfer CPT 89255 | $503.57 | $839.28 | $12.00 – $755.35 | 29 |
| Prepare fecal microbiota CPT 44705 | $112.13 | $186.89 | $28.03 – $168.20 | 22 |
| Prepare penis study CPT 54230 | $314.65 | $524.41 | $71.00 – $471.97 | 22 |
| Prepare sperm duct x-ray CPT 55300 | $1,206.34 | $2,010.57 | $71.00 – $1,809.51 | 22 |
| Prep corneal endo allograft CPT 65757 | $2,539.68 | $4,232.80 | $71.00 – $3,809.52 | 22 |
| Prep skin to 100cm2 other CPT 15004 | $1,142.94 | $1,904.90 | $71.00 – $1,714.41 | 29 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,247.20 | $3,745.34 | $71.00 – $4,517.58 | 29 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,101.95 | $1,836.58 | $71.00 – $1,652.92 | 22 |
| Pressure max expiratory/inspiratory CPT 94799 | $344.39 | $573.98 | $43.64 – $386.96 | 29 |
| Pressure treatment esophagus CPT 43460 | $2,284.80 | $3,808.00 | $571.20 – $3,427.20 | 22 |
| Pressure velocity wire add ves CPT 93572 | $2,050.51 | $3,417.51 | $512.63 – $3,075.76 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $130.91 | $218.18 | $12.00 – $423.12 | 29 |
| Pretreat rbc absorption reference CPT 86978 | $216.00 | $360.00 | $12.00 – $249.30 | 29 |
| Pretreat rbc density gradient separation reference CPT 86972 | $196.70 | $327.83 | $12.00 – $423.12 | 29 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $106.00 | $176.67 | $12.00 – $159.00 | 29 |
| Pretreat rbc w enzyme reference CPT 86971 | $198.45 | $330.75 | $12.00 – $423.12 | 29 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $357.80 | $596.34 | $89.45 – $536.71 | 29 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $188.86 | $314.76 | $47.21 – $327.47 | 26 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,953.07 | $3,255.12 | $71.00 – $4,016.35 | 29 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,426.53 | $5,710.88 | $71.00 – $5,139.79 | 29 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $940.55 | $1,567.59 | $71.00 – $1,410.83 | 29 |
| Prgrmg dev eval impltbl sys CPT 93260 | $210.00 | $350.00 | $35.62 – $917.00 | 29 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $291.55 | $485.91 | $35.62 – $917.00 | 29 |
| Prgrmg dev eval scrms ip CPT 93285 | $270.44 | $450.73 | $35.62 – $917.00 | 29 |
| Prgrmg eval implantable dfb CPT 93282 | $304.15 | $506.91 | $35.62 – $917.00 | 29 |
| Prgrmg eval implantable dfb CPT 93283 | $341.53 | $569.21 | $35.62 – $917.00 | 29 |
| Prgrmg eval implantable dfb CPT 93284 | $388.76 | $647.94 | $35.62 – $917.00 | 29 |
| Prgr stim/pace a/iv drug CPT 93623 | $8,192.97 | $13,654.95 | $501.74 – $12,289.45 | 22 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,338.76 | $12,231.26 | $71.00 – $43,439.01 | 29 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,706.74 | $9,511.24 | $71.00 – $8,560.12 | 22 |
| Prin care mgmt staff 1st 30 CPT 99426 | $91.70 | $152.84 | $22.93 – $220.82 | 26 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $631.44 | $1,052.40 | $71.00 – $987.79 | 29 |
| Pr incision & drainage abscess simple/single CPT 10060 | $552.75 | $921.25 | $65.06 – $829.12 | 29 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $486.75 | $811.25 | $71.00 – $794.72 | 29 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $711.92 | $1,186.53 | $71.00 – $1,067.88 | 29 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $255.50 | $425.84 | $63.88 – $383.26 | 26 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $192.10 | $320.17 | $48.03 – $327.47 | 26 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $232.42 | $387.37 | $38.08 – $348.63 | 22 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $4,154.01 | $6,923.35 | $71.00 – $6,231.02 | 29 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $12,640.20 | $21,067.00 | $365.48 – $2,192.85 | 22 |
| Probe nasolacrimal duct CPT 68810 | $727.93 | $1,213.22 | $71.00 – $2,975.00 | 29 |
| Probe nasolacrimal duct CPT 68811 | $2,678.21 | $4,463.68 | $71.00 – $5,788.85 | 29 |
| Probe nasolacrimal duct CPT 68815 | $3,403.00 | $5,671.66 | $71.00 – $5,788.85 | 29 |
| Probe nl duct w/balloon CPT 68816 | $2,511.16 | $4,185.26 | $71.00 – $5,788.85 | 29 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $248.56 | $414.27 | $7.37 – $321.14 | 29 |
| Procalcitonin CPT 84145 | $168.69 | $281.15 | $12.00 – $253.03 | 29 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.86 | $38.10 | $3.38 – $20.25 | 23 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.97 | $1.62 | $0.09 – $0.51 | 22 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,650.30 | $2,750.50 | $82.50 – $2,475.45 | 29 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $2,975.00 | 16 |
| Progesterone CPT 84144 | $146.50 | $244.16 | $12.00 – $54.00 | 29 |
| Prolactin CPT 84146 | $171.46 | $285.77 | $12.00 – $73.31 | 29 |
| Prolng clin staff svc 1st hr CPT 99415 | $11.01 | $18.35 | $2.75 – $71.00 | 22 |
| Prolng clin staff svc ea add CPT 99416 | $6.16 | $10.26 | $1.54 – $71.00 | 22 |
| Prolng svc o/p 1st hour CPT 99354 | $178.64 | $297.74 | $44.66 – $267.97 | 22 |
| Promethazine hcl injection HCPCS J2550 | $12.96 | $21.60 | $1.07 – $6.42 | 23 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $1,255.46 | $2,092.44 | $71.00 – $3,421.00 | 29 |
| Proph rta dtchmnt pc CPT 67145 | $1,799.35 | $2,998.92 | $71.00 – $2,975.00 | 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.