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 |
|---|---|---|---|---|
| Assay of bradykinin CPT 82286 | $7.64 | $12.74 | $4.33 – $12.38 | 29 |
| Assay of breath ethanol CPT 82075 | $45.76 | $76.26 | $12.00 – $72.00 | 29 |
| Assay of cathepsin-d CPT 82387 | $26.75 | $44.58 | $12.00 – $43.34 | 29 |
| Assay of chloramphenicol CPT 82415 | $120.60 | $201.00 | $10.64 – $180.90 | 29 |
| Assay of corticosterone CPT 82528 | $155.33 | $258.88 | $12.00 – $232.99 | 29 |
| Assay of digoxin free CPT 80163 | $120.53 | $200.88 | $11.16 – $180.79 | 29 |
| Assay of endocrine hormone CPT 84235 | $239.27 | $398.79 | $36.00 – $358.91 | 29 |
| Assay of estrogen CPT 84233 | $510.12 | $850.20 | $36.00 – $765.18 | 29 |
| Assay of etiocholanolone CPT 82696 | $34.94 | $58.24 | $12.00 – $62.98 | 29 |
| Assay of feces for trypsin CPT 84490 | $64.79 | $107.98 | $8.34 – $97.18 | 29 |
| Assay of feces porphyrins CPT 84126 | $224.21 | $373.68 | $12.00 – $276.64 | 29 |
| Assay of feces/urobilinogen CPT 84577 | $24.90 | $41.50 | $12.00 – $40.32 | 29 |
| Assay of fluoride CPT 82735 | $115.83 | $193.05 | $12.00 – $173.75 | 29 |
| Assay of galactose CPT 82760 | $54.58 | $90.96 | $9.41 – $81.86 | 29 |
| Assay of gdh enzyme CPT 82965 | $15.78 | $26.30 | $9.21 – $31.56 | 29 |
| Assay of glucosidase CPT 82963 | $143.24 | $238.73 | $12.00 – $214.86 | 29 |
| Assay of glutathione CPT 82978 | $484.34 | $807.23 | $12.00 – $252.90 | 29 |
| Assay of haptoglobins CPT 83012 | $32.27 | $53.78 | $12.00 – $64.54 | 29 |
| Assay of idh enzyme CPT 83570 | $13.12 | $21.86 | $7.43 – $21.24 | 29 |
| Assay of interleukin-6 (il-6) CPT 83529 | $126.88 | $211.46 | $12.00 – $56.38 | 29 |
| Assay of intrinsic factor CPT 83528 | $23.78 | $39.64 | $12.00 – $47.57 | 29 |
| Assay of lap enzyme CPT 83670 | $85.79 | $142.99 | $8.24 – $128.69 | 29 |
| Assay of leflunomide CPT 80193 | $112.70 | $187.83 | $12.00 – $169.05 | 29 |
| Assay of lrh hormone CPT 83727 | $230.11 | $383.52 | $12.00 – $345.17 | 29 |
| Assay of methemalbumin CPT 83857 | $88.81 | $148.01 | $9.02 – $133.21 | 29 |
| Assay of osteocalcin CPT 83937 | $149.56 | $249.26 | $12.00 – $224.33 | 29 |
| Assay of phenylketones CPT 84035 | $5.42 | $9.04 | $3.16 – $9.55 | 29 |
| Assay of pregnanediol CPT 84135 | $28.36 | $47.26 | $12.00 – $51.05 | 29 |
| Assay of pregnanetriol CPT 84138 | $206.67 | $344.45 | $12.00 – $310.00 | 29 |
| Assay of procainamide CPT 80190 | $114.91 | $191.51 | $12.00 – $172.36 | 29 |
| Assay of procainamide w/metab CPT 80192 | $118.20 | $197.00 | $12.00 – $177.30 | 29 |
| Assay of progesterone CPT 84234 | $285.19 | $475.32 | $36.00 – $427.79 | 29 |
| Assay of prostaglandin CPT 84150 | $738.90 | $1,231.50 | $12.00 – $116.19 | 29 |
| Assay of PSA complexed CPT 84152 | $109.80 | $183.00 | $12.00 – $164.70 | 29 |
| Assay of quinine CPT 84228 | $17.23 | $28.72 | $9.77 – $27.91 | 29 |
| Assay of rbc pg6d enzyme CPT 84085 | $13.99 | $23.32 | $7.93 – $22.66 | 29 |
| Assay of salicylate CPT 80179 | $117.01 | $195.02 | $12.00 – $175.52 | 29 |
| Assay of semen fructose CPT 82757 | $57.30 | $95.50 | $12.00 – $85.95 | 29 |
| Assay of sialic acid CPT 84275 | $113.47 | $189.11 | $11.29 – $170.20 | 29 |
| Assay of somatostatin CPT 84307 | $233.65 | $389.42 | $12.00 – $350.48 | 29 |
| Assay of thiocyanate CPT 84430 | $95.17 | $158.62 | $9.77 – $142.76 | 29 |
| Assay of troponin qual CPT 84512 | $88.27 | $147.11 | $8.48 – $132.40 | 29 |
| Assay of tyrosine CPT 84510 | $68.84 | $114.73 | $8.93 – $103.26 | 29 |
| Assay of urine sulfate CPT 84392 | $45.67 | $76.12 | $4.61 – $68.51 | 29 |
| Assay of urine urobilinogen CPT 84580 | $12.10 | $20.16 | $7.06 – $22.92 | 29 |
| Assay of urine urobilinogen CPT 84583 | $7.45 | $12.42 | $4.35 – $14.52 | 29 |
| Assay phosphatidylglycerol CPT 84081 | $166.45 | $277.41 | $12.00 – $249.67 | 29 |
| Assay phosphohexose enzymes CPT 84087 | $344.10 | $573.50 | $9.01 – $175.63 | 29 |
| Assay rbc glutathione CPT 82979 | $13.99 | $23.32 | $7.93 – $22.66 | 29 |
| Assay toxin or antitoxin CPT 87230 | $88.84 | $148.07 | $12.00 – $133.26 | 29 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $371.83 | $619.72 | $92.96 – $557.75 | 23 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $123.91 | $206.51 | $30.98 – $220.82 | 29 |
| Assess cyst contrast inject CPT 49424 | $244.99 | $408.32 | $61.25 – $367.49 | 22 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $54.66 | $91.10 | $3.59 – $81.99 | 29 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $541.17 | $901.95 | $122.80 – $811.75 | 29 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $5,792.84 | $9,654.74 | $71.00 – $8,689.27 | 22 |
| Assist oocyte fertilization CPT 89280 | $1,538.81 | $2,564.69 | $12.00 – $2,308.22 | 29 |
| Assist oocyte fertilization CPT 89281 | $503.57 | $839.28 | $12.00 – $755.35 | 29 |
| Ast/sgot CPT 84450 | $55.91 | $93.19 | $4.35 – $67.50 | 29 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $19,693.38 | $32,822.30 | $89.30 – $20,691.51 | 29 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $27,745.61 | $46,242.69 | $71.00 – $43,439.01 | 23 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $27,582.58 | $45,970.97 | $71.00 – $43,439.01 | 23 |
| Atn1 gene detc abnor alleles CPT 81177 | $372.00 | $620.00 | $36.00 – $558.00 | 29 |
| Atomic absorption CPT 82190 | $176.53 | $294.22 | $12.00 – $264.80 | 29 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $128.76 | $214.60 | $0.11 – $46.80 | 23 |
| Attach ocular implant CPT 65140 | $5,785.42 | $9,642.36 | $71.00 – $9,578.04 | 29 |
| Atxn1 gene detc abnor allele CPT 81178 | $260.58 | $434.30 | $36.00 – $390.87 | 29 |
| Atxn2 gene detc abnor allele CPT 81179 | $260.58 | $434.30 | $36.00 – $390.87 | 29 |
| Atxn3 gene detc abnor allele CPT 81180 | $260.58 | $434.30 | $36.00 – $390.87 | 29 |
| Atxn7 gene detc abnor allele CPT 81181 | $260.58 | $434.30 | $36.00 – $390.87 | 29 |
| Audiometry air + bone CPT 92553 | $263.47 | $439.11 | $65.87 – $395.20 | 29 |
| Auditor evoke potent limit CPT 92586 | $323.09 | $538.48 | $80.77 – $484.63 | 22 |
| Auditory function + 15 min CPT 92621 | $86.58 | $144.30 | $21.64 – $129.87 | 22 |
| Auditory function 60 min CPT 92620 | $336.80 | $561.33 | $84.20 – $505.20 | 29 |
| Aud rehab postling hear loss CPT 92633 | $237.09 | $395.15 | $59.27 – $355.63 | 23 |
| Augmentation cheek bone CPT 21270 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 29 |
| Augmentation lower jaw bone CPT 21127 | $6,313.97 | $10,523.29 | $71.00 – $14,507.25 | 29 |
| Augmentation of facial bones CPT 21208 | $4,914.65 | $8,191.09 | $71.00 – $14,507.25 | 29 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,440.57 | $15,734.29 | $71.00 – $14,160.86 | 22 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,566.33 | $19,277.21 | $71.00 – $17,722.46 | 29 |
| Autgrft implnt knee w/scope CPT 29866 | $6,049.51 | $10,082.52 | $71.00 – $17,722.46 | 29 |
| Autochondrocyte implant knee CPT 27412 | $9,458.14 | $15,763.56 | $71.00 – $17,722.46 | 29 |
| Autologous blood op salvage CPT 86891 | $910.70 | $1,517.83 | $227.67 – $2,130.15 | 29 |
| Autologous blood process CPT 86890 | $180.55 | $300.92 | $12.00 – $423.12 | 29 |
| Autolog prp diab wound ulcer HCPCS G0465 | $2,099.11 | $3,498.52 | $71.00 – $4,517.58 | 29 |
| Automated diff wbc count CPT 85004 | $50.76 | $84.60 | $5.43 – $76.14 | 29 |
| Autonomic nrv adrenrg inervj CPT 95922 | $322.67 | $537.79 | $80.67 – $484.01 | 29 |
| Autonomic nrv parasym inervj CPT 95921 | $285.44 | $475.74 | $71.36 – $428.17 | 29 |
| Autonomic nrv syst funj test CPT 95923 | $431.65 | $719.42 | $107.91 – $647.48 | 29 |
| Av fistula revision CPT 36833 | $7,740.32 | $12,900.54 | $71.00 – $13,613.39 | 29 |
| Av fuse uppr arm basilic CPT 36819 | $7,740.32 | $12,900.54 | $71.00 – $13,613.39 | 29 |
| Av fuse uppr arm cephalic CPT 36818 | $7,518.64 | $12,531.06 | $71.00 – $13,613.39 | 29 |
| Av fusion direct any site CPT 36821 | $7,740.32 | $12,900.54 | $71.00 – $11,610.49 | 29 |
| Av fusion/forearm vein 36820 CPT 36820 | $6,098.44 | $10,164.06 | $71.00 – $13,613.39 | 29 |
| Avul nail plate addl CPT 11732 | $274.56 | $457.60 | $68.64 – $411.84 | 22 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $401.34 | $668.90 | $71.00 – $602.01 | 29 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $1,953,462.90 | $3,255,771.50 | $488,365.72 – $2,930,194.35 | 28 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $6,703.64 | $11,172.73 | $71.00 – $14,293.73 | 29 |
| Azacitidine injection HCPCS J9025 | $1,083.43 | $1,805.72 | $0.45 – $774.00 | 23 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.66 | $1.10 | $0.10 – $0.61 | 23 |
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.