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 |
|---|---|---|---|---|
| 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.