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 |
|---|---|---|---|---|
| Proph tx w/wo mthylmthcrylt CPT 24498 | $7,890.59 | $13,150.98 | $71.00 – $32,603.53 | 29 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,398.52 – $17,722.46 | 16 |
| Prophylactic tx ulna CPT 25491 | $6,399.16 | $10,665.27 | $71.00 – $32,603.53 | 29 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $108.00 | $180.00 | $0.10 – $1.62 | 23 |
| _propoxygc/msur CPT 80367 | $153.56 | $255.94 | $10.51 – $230.35 | 21 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $28.80 | $48.00 | $7.20 – $43.20 | 22 |
| Prostate biopsy, any mthd HCPCS G0416 | $444.48 | $740.80 | $36.00 – $890.45 | 29 |
| Prostate ca screening; dre HCPCS G0102 | $33.68 | $56.13 | $8.42 – $50.52 | 22 |
| Prostatectomy (turp) CPT 52601 | $7,666.31 | $12,777.19 | $71.00 – $12,818.21 | 29 |
| Prostate laser enucleation CPT 52649 | $8,295.13 | $13,825.22 | $71.00 – $12,818.21 | 29 |
| Prostatic microwave thermotx CPT 53850 | $5,616.53 | $9,360.88 | $71.00 – $8,636.11 | 29 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,641.03 | $4,401.71 | $68.16 – $408.97 | 21 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $159.63 | $266.05 | $1.84 – $108.79 | 23 |
| Protect body sock ea pre ots HCPCS L0984 | $53.40 | $89.00 | $13.35 – $80.10 | 21 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,599.40 | $5,999.00 | $831.57 – $4,989.39 | 20 |
| Protein c activity CPT 85303 | $191.46 | $319.10 | $11.63 – $60.75 | 29 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $96.84 | $161.40 | $6.25 – $25.78 | 29 |
| Protein s total CPT 85305 | $144.58 | $240.97 | $9.75 – $85.43 | 29 |
| Protein total 24 hour urine CPT 84156 | $66.17 | $110.29 | $3.08 – $56.01 | 29 |
| Protein total body fluid CPT 84157 | $73.78 | $122.97 | $3.36 – $18.07 | 29 |
| Protein total serum plasma whole blood CPT 84155 | $225.00 | $375.00 | $3.08 – $16.07 | 29 |
| Prothrombin complex kcentra HCPCS J7168 | $27.53 | $45.88 | $1.95 – $41.29 | 29 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $62.73 | $104.55 | $3.31 – $94.09 | 29 |
| Proton trmt intermediate CPT 77523 | $1,588.99 | $2,648.32 | $397.25 – $3,514.21 | 29 |
| Provide inr test mater/equip HCPCS G0249 | $151.14 | $251.90 | $37.78 – $327.47 | 29 |
| Prp i/hern init block >5 yr CPT 49507 | $6,028.35 | $10,047.25 | $71.00 – $9,042.52 | 29 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,010.00 | $28,350.00 | $1,939.15 – $43,439.01 | 28 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $16,135.50 | $26,892.50 | $1,939.15 – $43,439.01 | 28 |
| Prq card angio/athrect addl CPT 92925 | $17,463.60 | $29,106.00 | $4,365.90 – $26,195.40 | 20 |
| Prq cardiac angio addl art CPT 92921 | $14,972.71 | $24,954.52 | $3,743.18 – $22,459.07 | 20 |
| Prq card revasc chronic addl CPT 92944 | $13,781.59 | $22,969.32 | $3,445.40 – $20,672.39 | 20 |
| Prq card revasc mi 1 vsl CPT 92941 | $16,678.62 | $27,797.70 | $1,921.70 – $25,017.93 | 21 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $26,324.66 | $43,874.43 | $6,581.16 – $39,486.99 | 21 |
| Prq card stent/ath/angio CPT 92934 | $12,735.07 | $21,225.11 | $3,183.77 – $19,102.60 | 20 |
| Prq card stent w/angio addl CPT 92929 | $13,192.20 | $21,987.00 | $3,298.05 – $19,788.30 | 20 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,158.72 | $20,264.53 | $3,039.68 – $27,252.71 | 28 |
| Prq revasc byp graft addl CPT 92938 | $15,079.29 | $25,132.15 | $3,769.82 – $22,618.94 | 20 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Prq skel fix epcndylr hum fx CPT 24566 | $3,079.75 | $5,132.91 | $71.00 – $4,619.62 | 29 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $6,990.61 | $11,651.02 | $71.00 – $17,722.46 | 29 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $4,540.66 | $7,567.76 | $71.00 – $17,722.46 | 29 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $4,540.66 | $7,567.76 | $71.00 – $17,722.46 | 29 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $12,158.72 | $20,264.53 | $3,039.68 – $27,252.71 | 28 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $22,098.20 | $36,830.34 | $10,273.60 – $33,147.31 | 28 |
| Prq trlml c athrc st angiop1 CPT 92933 | $14,295.96 | $23,826.60 | $3,573.99 – $43,439.01 | 28 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $23,158.66 | $38,597.77 | $5,950.65 – $34,737.99 | 27 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,597.94 | $20,996.57 | $3,149.49 – $18,896.91 | 28 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $13,509.68 | $22,516.14 | $3,377.42 – $27,252.71 | 28 |
| Prq trluml revsc ch occ ant CPT 92943 | $16,678.62 | $27,797.70 | $4,169.65 – $27,252.71 | 28 |
| Pr removal drug delivery implant CPT 11982 | $338.65 | $564.42 | $54.42 – $987.04 | 29 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $198.45 | $330.75 | $49.61 – $316.45 | 29 |
| Pr removal intrauterine device CPT 58301 | $508.47 | $847.45 | $51.22 – $794.72 | 29 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $867.93 | $1,446.55 | $71.00 – $1,301.89 | 29 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $556.00 | $926.66 | $71.00 – $833.99 | 29 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $660.10 | $1,100.17 | $71.00 – $990.15 | 29 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $472.46 | $787.44 | $71.00 – $708.70 | 29 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $552.05 | $920.08 | $71.00 – $828.07 | 29 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,247.19 | $5,411.98 | $71.00 – $4,870.78 | 29 |
| Prtl exc bone olecrn process CPT 24147 | $3,819.82 | $6,366.36 | $71.00 – $8,018.48 | 29 |
| Prtl exc bone radial h/n CPT 24145 | $5,261.84 | $8,769.73 | $71.00 – $17,722.46 | 29 |
| Prtl exchange transfuse nb CPT 36456 | $464.59 | $774.31 | $71.00 – $2,975.00 | 29 |
| Prtl excision bone clavicle CPT 23180 | $4,842.92 | $8,071.54 | $71.00 – $17,722.46 | 29 |
| Prtl excision bone scapula CPT 23182 | $4,755.67 | $7,926.12 | $71.00 – $17,722.46 | 29 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,584.85 | $2,641.42 | $71.00 – $3,967.42 | 29 |
| PSA (Prostate) Test CPT 84153 | $137.80 | $229.67 | $12.00 – $56.74 | 29 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $183.97 | $306.62 | $27.61 – $275.96 | 29 |
| Psychoanalysis CPT 90845 | $250.85 | $418.08 | $62.71 – $394.97 | 29 |
| Psychotherapy group therapy CPT 90853 | $157.94 | $263.23 | $39.48 – $753.00 | 31 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $189.14 | $315.24 | $47.29 – $394.97 | 29 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $247.59 | $412.65 | $61.90 – $394.97 | 29 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $275.02 | $458.37 | $68.76 – $412.53 | 29 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $306.83 | $511.38 | $76.71 – $777.56 | 29 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $315.47 | $525.78 | $78.87 – $473.20 | 22 |
| Psycl/nrpsyc tech 1st CPT 96138 | $234.49 | $390.81 | $58.62 – $987.04 | 29 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $224.75 | $374.58 | $56.19 – $337.12 | 29 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $207.32 | $345.53 | $51.83 – $310.98 | 22 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $170.64 | $284.40 | $42.66 – $255.96 | 22 |
| Psytx complex interactive CPT 90785 | $163.14 | $271.90 | $40.78 – $244.71 | 22 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $136.04 | $226.74 | $34.01 – $204.07 | 22 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $207.23 | $345.38 | $51.81 – $310.84 | 22 |
| Psytx pt w/e&m 53+ min CPT 90838 | $242.25 | $403.75 | $60.56 – $363.38 | 22 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $61.75 | $102.92 | $15.44 – $149.00 | 23 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $168.35 | $280.59 | $42.09 – $252.53 | 23 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $118.66 | $197.76 | $29.66 – $177.98 | 23 |
| Pt application of modality traction mechanical CPT 97012 | $123.04 | $205.07 | $30.76 – $184.56 | 23 |
| Pt/caregiver traing home inr CPT 93792 | $91.42 | $152.37 | $22.86 – $137.13 | 18 |
| Pten gene dup/delet variant CPT 81323 | $1,372.80 | $2,288.00 | $36.00 – $1,009.12 | 29 |
| Pten gene full sequence CPT 81321 | $1,029.60 | $1,716.00 | $36.00 – $1,440.00 | 29 |
| Pten gene known fam variant CPT 81322 | $360.00 | $600.00 | $36.00 – $540.00 | 29 |
| Pt-focused hlth risk assmt CPT 96160 | $70.11 | $116.85 | $17.53 – $105.17 | 26 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,622.67 | $4,371.11 | $655.67 – $3,934.00 | 22 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $113.02 | $188.37 | $28.26 – $169.53 | 23 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $112.19 | $186.99 | $28.05 – $168.29 | 23 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $122.39 | $203.98 | $30.60 – $183.58 | 23 |
| Pt wheelchair management each 15 minutes CPT 97542 | $113.23 | $188.71 | $28.31 – $169.84 | 23 |
| Pul art balloon repr percut CPT 92997 | $10,651.06 | $17,751.76 | $2,662.76 – $27,252.71 | 28 |
| Pul art balloon repr percut CPT 92998 | $5,877.43 | $9,795.71 | $1,469.36 – $10,604.00 | 20 |
| Pulmonary vent imaging CPT 78579 | $865.48 | $1,442.47 | $169.08 – $1,298.22 | 29 |
| Pulse ox continuous overnight monitoring CPT 94762 | $340.39 | $567.31 | $85.10 – $510.58 | 29 |
| Pulse ox multiple CPT 94761 | $194.33 | $323.88 | $13.05 – $291.49 | 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.