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
Pulse ox single CPT 94760 $95.02 $158.36 $7.61 – $142.52 22
Punc of shunt for asp or inj CPT 61070 $1,148.68 $1,914.47 $71.00 – $1,723.02 29
Puncture arterial withdrawal blood for diagnosis CPT 36600 $96.17 $160.28 $12.00 – $316.45 29
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 $581.36 $968.94 $67.83 – $987.79 29
Puncture/clear windpipe 31612 CPT 31612 $6,471.58 $10,785.97 $71.00 – $9,707.37 29
Puncture spinal lumbar diagnostic CPT 62270 $1,134.64 $1,891.06 $71.00 – $1,713.14 29
Puraply 1 sq cm HCPCS Q4195 $1,431.49 $2,385.82 $43.68 – $262.08 28
Puraply xt 1 sq cm HCPCS Q4197 $481.26 $802.10 $118.76 – $721.89 28
Pvb thoracic 2nd+ inj site CPT 64462 $642.66 $1,071.10 $71.00 – $963.99 22
Pvb thoracic cont infusion CPT 64463 $2,391.35 $3,985.59 $71.00 – $3,587.03 29
Pvb thoracic single inj site CPT 64461 $1,041.10 $1,735.17 $71.00 – $1,713.14 29
Pwr pck base combo vad, rep HCPCS Q0489 $40,950.00 $68,250.00 $4,516.20 – $27,097.20 21
Pyelotomy complicated CPT 50135 not published not published $1,837.20 – $7,441.00 4
Pyelotomy w/removal calculus CPT 50130 not published not published $1,690.09 – $7,441.00 4
Pyridoxine hcl 100 mg HCPCS J3415 $78.23 $130.38 $16.38 – $117.34 23
Pyruvate CPT 84210 $100.27 $167.11 $12.00 – $150.40 29
Pyruvate kinase CPT 84220 $295.94 $493.23 $7.93 – $78.75 29
Quant diff pulm perf and vent w/imaging CPT 78598 $1,425.08 $2,375.14 $269.31 – $2,137.63 29
Quant diff pulm perf w/imaging CPT 78597 $1,091.69 $1,819.48 $181.76 – $1,637.53 29
Quest t3 uptake CPT 84479 $84.03 $140.05 $5.43 – $126.05 29
Quinupristin/dalfopristin HCPCS J2770 $1,261.22 $2,102.04 $16.20 – $1,891.84 23
Rabies ig ht&sol human im/sc CPT 90377 $6,129.43 $10,215.72 $230.07 – $2,018.57 29
Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 $10.37 $17.29 $2.59 – $15.56 22
Radiation handling CPT 77790 $216.89 $361.49 $54.22 – $325.34 22
Radiation physics consult CPT 77336 $677.84 $1,129.74 $128.27 – $1,016.77 29
Radiation therapy dose plan CPT 77300 $619.25 $1,032.08 $128.27 – $928.87 29
Radiation treatment aid(s) CPT 77332 $685.07 $1,141.78 $113.84 – $1,027.60 29
Radiation treatment aid(s) CPT 77333 $828.05 $1,380.09 $128.27 – $1,242.08 29
Radiation treatment aid(s) CPT 77334 $1,207.24 $2,012.06 $269.88 – $1,810.85 29
Radiation treatment delivery CPT 77401 $309.29 $515.49 $77.32 – $463.94 23
Radiation treatment delivery CPT 77402 $1,800.00 $3,000.00 $97.38 – $2,700.00 29
Radiation treatment delivery CPT 77412 $3,000.00 $5,000.00 $527.31 – $4,500.00 29
Radical rescj tumor prox hum CPT 23220 not published not published $3,187.23 – $10,897.47 14
Radical rescj tumor scapula CPT 23210 not published not published $2,900.36 – $10,897.47 14
Radical resection of elbow CPT 24149 $7,626.53 $12,710.88 $71.00 – $17,722.46 29
Radic resect abd tumor<5cm 22904 CPT 22904 $3,849.30 $6,415.50 $71.00 – $7,039.11 29
Radic resect shoulder tumor 5cm/> 23078 CPT 23078 $4,460.78 $7,434.63 $71.00 – $8,649.00 29
Radiology port images(s) CPT 77417 $110.71 $184.51 $27.68 – $166.06 22
Radiotherapy dose plan imrt CPT 77301 $5,996.21 $9,993.68 $1,320.92 – $8,994.31 29
Radphm lcl tmr plnr bdy sgl day img CPT 78802 $2,175.81 $3,626.35 $275.66 – $3,517.62 29
Radphm lcl tmr plnr bdy two day img CPT 78804 $3,593.68 $5,989.47 $518.17 – $5,390.52 29
Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 $2,109.97 $3,516.61 $652.23 – $3,517.62 29
Radphm lcl tomogr sgl area sgl day CPT 78803 $2,381.40 $3,969.00 $338.81 – $3,572.10 29
Radphm lcl tumor plr sgl day CPT 78800 $1,147.41 $1,912.35 $228.55 – $1,721.12 29
Radphm quant measure sgl area add-on CPT 78835 $403.49 $672.48 $89.21 – $605.23 22
Rad rescj tum dstl/shft hum CPT 24150 $5,886.74 $9,811.23 $71.00 – $17,722.46 29
Rad rescj tum shoulder<5 cm CPT 23077 $3,012.49 $5,020.82 $71.00 – $7,039.11 29
Rad rescj tum tiss a/e 5 cm+ CPT 24079 $4,683.82 $7,806.36 $71.00 – $8,649.00 29
Rad rescj tum tiss a/e <5cm CPT 24077 $3,012.49 $5,020.82 $71.00 – $7,039.11 29
Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 $2,951.46 $4,919.10 $71.00 – $7,039.11 29
Rad resect abd tumor 5 cm/> CPT 22905 $4,766.50 $7,944.17 $71.00 – $8,649.00 29
Rad resect hand tumor < 3 cm CPT 26117 $3,012.49 $5,020.82 $71.00 – $7,039.11 29
Rad resect hand tumor 3 cm/> CPT 26118 $4,137.20 $6,895.33 $71.00 – $8,649.00 29
Rad resection tum radial h/n CPT 24152 not published not published $2,398.52 – $17,722.46 15
Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 $3,012.49 $5,020.82 $71.00 – $7,039.11 29
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 $2,652.22 $4,420.37 $71.43 – $3,978.33 29
Rapid desensitization CPT 95180 $403.66 $672.77 $100.92 – $987.04 26
Rapid Strep Test CPT 87880 $77.77 $129.62 $12.00 – $116.66 29
Rasburicase 1.5 mg intravenous solution HCPCS J2783 $1,934.13 $3,223.55 $363.08 – $2,901.20 29
Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 $42,296.39 $70,493.98 $209.30 – $17,335.80 29
Rbc count only automated CPT 85041 $28.98 $48.30 $2.54 – $43.47 29
Rbc deglycerolized each unit HCPCS P9039 $897.73 $1,496.21 $224.43 – $1,346.59 29
Rbc irradiated each unit HCPCS P9038 $765.59 $1,275.98 $135.65 – $1,148.38 29
Rbc osmotic fragility CPT 85555 $86.15 $143.58 $6.27 – $129.22 29
Rbc serum pretx incubj drugs CPT 86975 $181.63 $302.72 $12.00 – $987.04 29
Rcnst bfrnt sp orb rm&lw fhd CPT 21175 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Rdctj forehead cntrg&prostc CPT 21138 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Realignment of knee CPT 27457 not published not published $1,566.73 – $10,897.47 14
Realignment of knee CPT 27455 not published not published $1,527.14 – $10,897.47 14
Realignment of tendons CPT 26437 $2,737.07 $4,561.79 $71.00 – $8,018.48 29
Rebuild eardrum structures CPT 69632 $7,474.67 $12,457.78 $71.00 – $14,507.25 29
Rebuild eardrum structures CPT 69633 $7,025.36 $11,708.93 $71.00 – $14,507.25 29
Rebuild eardrum structures CPT 69636 $9,304.33 $15,507.22 $71.00 – $14,507.25 29
Rebuild outer ear canal CPT 69310 $6,017.08 $10,028.46 $71.00 – $14,507.25 29
Rebuild outer ear canal CPT 69320 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Recon, cta for surg plan HCPCS G0288 $1,184.58 $1,974.30 $122.30 – $1,841.00 22
Reconst lwr jaw w/fixation CPT 21196 not published not published $2,386.60 – $14,507.25 15
Reconst lwr jaw without fixation CPT 21195 $3,350.74 $5,584.56 $71.00 – $14,507.25 29
Reconst lwr jaw without graft CPT 21193 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Reconstr lwr jaw segment CPT 21198 $4,832.78 $8,054.64 $71.00 – $14,507.25 29
Reconstruct ankle joint CPT 27702 not published not published $1,567.86 – $46,166.33 15
Reconstruct cleft foot CPT 28360 $8,624.12 $14,373.53 $71.00 – $17,722.46 29
Reconstruct cleft palate CPT 42200 $5,493.56 $9,155.94 $71.00 – $14,507.25 29
Reconstruct cleft palate CPT 42205 $5,289.89 $8,816.49 $71.00 – $7,975.81 29
Reconstruct cleft palate CPT 42210 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Reconstruct cleft palate CPT 42215 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Reconstruct cleft palate CPT 42220 $5,289.89 $8,816.49 $71.00 – $14,507.25 29
Reconstruct cleft palate CPT 42225 $3,350.74 $5,584.56 $71.00 – $14,507.25 29
Reconstruct elbow joint CPT 24360 $4,497.29 $7,495.49 $71.00 – $17,722.46 29
Reconstruct elbow joint CPT 24361 $16,139.55 $26,899.25 $71.00 – $46,166.33 29
Reconstruct elbow joint CPT 24362 $9,787.28 $16,312.14 $71.00 – $32,603.53 29
Reconstruct elbow lat ligmnt CPT 24344 $9,961.01 $16,601.68 $71.00 – $17,722.46 29
Reconstruct elbow med ligmnt CPT 24346 $11,365.24 $18,942.06 $71.00 – $32,603.53 29
Reconstruct extra finger CPT 26587 $3,128.83 $5,214.72 $71.00 – $8,018.48 29
Reconstruct finger joint CPT 26545 $4,056.34 $6,760.57 $71.00 – $8,018.48 29
Reconstruct finger joint CPT 26548 $4,017.51 $6,695.85 $71.00 – $8,018.48 29
Reconstruct head of radius CPT 24365 $7,300.31 $12,167.19 $71.00 – $32,603.53 29
Reconstruct head of radius CPT 24366 $10,941.74 $18,236.23 $71.00 – $32,603.53 29
Reconstruction ankle joint CPT 27703 not published not published $1,809.47 – $26,332.51 14
Reconstruction knee CPT 27427 $5,629.45 $9,382.42 $71.00 – $17,722.46 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.