BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER

1901 SW HK Dodgen Loop, Temple, TX · Baylor Scott & White Health · · NPI 1477516466

Source: hospital's published price file ↗ · Published Jun 13, 2026 · Ingested Aug 12, 2026

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.