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 |
|---|---|---|---|---|
| Revasc evasc imvt angio sf 1st CPT 37296 | $7,719.48 | $12,865.80 | $4,503.03 – $17,337.20 | 27 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $18,207.49 | $30,345.82 | $2,869.66 – $27,311.24 | 27 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $30,747.13 | $51,245.22 | $6,132.14 – $46,120.70 | 27 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $20,498.09 | $34,163.48 | $6,132.14 – $30,747.13 | 27 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $24,737.53 | $41,229.21 | $5,662.36 – $37,106.29 | 27 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $16,491.68 | $27,486.14 | $5,662.36 – $24,737.53 | 27 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $41,373.87 | $68,956.45 | $9,898.27 – $62,060.81 | 27 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $27,582.58 | $45,970.97 | $9,898.27 – $41,373.87 | 27 |
| Revasc intra lithotrip-ather HCPCS C9766 | $27,304.92 | $45,508.20 | $5,388.00 – $43,439.01 | 29 |
| Revasc intra lithotrip-stent HCPCS C9765 | $21,758.84 | $36,264.73 | $5,388.00 – $43,439.01 | 29 |
| Revasc intravasc lithotripsy HCPCS C9764 | $12,491.02 | $20,818.37 | $3,122.76 – $27,252.71 | 29 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $18,789.86 | $31,316.44 | $5,388.00 – $43,439.01 | 29 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,083.08 | $60,138.47 | $5,388.00 – $54,124.62 | 29 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $14,653.35 | $24,422.25 | $4,750.24 – $27,252.71 | 29 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $20,668.85 | $34,448.08 | $5,388.00 – $43,439.01 | 29 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $18,789.86 | $31,316.44 | $5,388.00 – $43,439.01 | 29 |
| Revise abdomen-venous shunt CPT 49426 | $2,719.05 | $4,531.75 | $1,151.54 – $8,570.48 | 27 |
| Revise additional leg tendon CPT 27692 | $3,532.79 | $5,887.98 | $71.00 – $5,299.18 | 22 |
| Revise aqueous shunt eye CPT 66185 | $4,628.80 | $7,714.66 | $71.00 – $6,943.19 | 29 |
| Revise arm/leg nerve CPT 64708 | $4,167.61 | $6,946.02 | $71.00 – $6,251.42 | 29 |
| Revise breast reconst 19380 CPT 19380 | $5,668.64 | $9,447.74 | $71.00 – $16,154.42 | 29 |
| Revise eye CPT 65091 | $6,602.06 | $11,003.43 | $71.00 – $9,903.09 | 29 |
| Revise eyelashes CPT 67825 | $1,049.18 | $1,748.64 | $67.27 – $2,975.00 | 29 |
| Revise eyelashes CPT 67835 | $3,502.99 | $5,838.32 | $71.00 – $5,788.85 | 29 |
| Revise eyelid defect CPT 67909 | $3,356.92 | $5,594.86 | $71.00 – $5,788.85 | 29 |
| Revise eyelid defect CPT 67911 | $2,442.43 | $4,070.71 | $71.00 – $5,788.85 | 29 |
| Revise eyelid lining CPT 68330 | $3,358.82 | $5,598.03 | $71.00 – $5,772.91 | 29 |
| Revise eyelid lining CPT 68360 | $3,482.06 | $5,803.43 | $71.00 – $9,578.04 | 29 |
| Revise eyelid lining CPT 68362 | $4,528.11 | $7,546.85 | $71.00 – $6,792.16 | 29 |
| Revise eye muscle CPT 67311 | $3,566.44 | $5,944.07 | $71.00 – $5,788.85 | 29 |
| Revise eye muscle CPT 67314 | $3,758.84 | $6,264.73 | $71.00 – $5,788.85 | 29 |
| Revise eye muscle add-on CPT 67340 | $1,934.00 | $3,223.33 | $71.00 – $2,901.00 | 22 |
| Revise eye muscle(s) CPT 67318 | $2,865.19 | $4,775.32 | $71.00 – $5,788.85 | 29 |
| Revise eye muscle(s) add-on CPT 67320 | $2,199.19 | $3,665.32 | $71.00 – $3,298.79 | 22 |
| Revise eye muscle w/suture CPT 67334 | $2,012.77 | $3,354.62 | $71.00 – $3,019.16 | 22 |
| Revise eye socket implant CPT 67560 | $5,008.35 | $8,347.25 | $71.00 – $9,578.04 | 29 |
| Revise eye sockets CPT 21267 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Revise eye with implant CPT 65093 | $5,290.14 | $8,816.90 | $71.00 – $9,578.04 | 29 |
| Revise finger joint each CPT 26135 | $2,885.17 | $4,808.61 | $71.00 – $8,018.48 | 29 |
| Revise finger joint each CPT 26140 | $2,457.00 | $4,095.00 | $71.00 – $3,981.46 | 29 |
| Revise gastric port open 43886 CPT 43886 | $3,094.13 | $5,156.89 | $1,457.62 – $11,649.00 | 27 |
| Revise/graft eyelid lining CPT 68320 | $2,534.59 | $4,224.31 | $71.00 – $5,788.85 | 29 |
| Revise/graft eyelid lining CPT 68325 | $4,974.14 | $8,290.24 | $71.00 – $9,578.04 | 29 |
| Revise/graft eyelid lining CPT 68326 | $3,073.32 | $5,122.20 | $71.00 – $9,578.04 | 29 |
| Revise/graft eyelid lining CPT 68328 | $2,774.04 | $4,623.40 | $71.00 – $5,788.85 | 29 |
| Revise/graft eyelid lining CPT 68335 | $4,455.36 | $7,425.60 | $71.00 – $9,578.04 | 29 |
| Revise graft w/vein CPT 35879 | $4,973.33 | $8,288.89 | $71.00 – $13,613.39 | 29 |
| Revise hand/finger tendon CPT 26390 | $5,641.61 | $9,402.68 | $71.00 – $17,722.46 | 29 |
| Revise head/neck of femur CPT 27179 | $9,458.14 | $15,763.56 | $71.00 – $17,722.46 | 29 |
| Revise hernia & sperm veins CPT 55540 | $7,323.83 | $12,206.38 | $71.00 – $10,985.74 | 29 |
| Revise hip joint replacement CPT 27134 | not published | not published | $3,127.82 – $19,281.30 | 14 |
| Revise/implant finger joint CPT 26536 | $5,504.59 | $9,174.32 | $71.00 – $17,722.46 | 29 |
| Revise kneecap CPT 27437 | $7,700.67 | $12,834.45 | $71.00 – $17,722.46 | 29 |
| Revise kneecap with implant CPT 27438 | $9,625.50 | $16,042.50 | $71.00 – $32,603.53 | 29 |
| Revise knuckle joint CPT 26530 | $4,642.16 | $7,736.93 | $71.00 – $17,722.46 | 29 |
| Revise knuckle with implant CPT 26531 | $6,511.82 | $10,853.04 | $71.00 – $17,722.46 | 29 |
| Revise low back nerve(s) CPT 64714 | $4,613.80 | $7,689.66 | $71.00 – $6,920.69 | 29 |
| Revise lower leg tendon CPT 27690 | $3,850.39 | $6,417.32 | $71.00 – $17,722.46 | 29 |
| Revise lower leg tendon CPT 27691 | $4,265.32 | $7,108.86 | $71.00 – $17,722.46 | 29 |
| Revise lower leg tendons CPT 27686 | $3,350.85 | $5,584.75 | $71.00 – $8,018.48 | 29 |
| Revise middle ear bone CPT 69660 | $5,322.00 | $8,870.00 | $71.00 – $14,507.25 | 29 |
| Revise middle ear bone CPT 69661 | $7,274.03 | $12,123.38 | $71.00 – $14,507.25 | 29 |
| Revise middle ear bone CPT 69662 | $6,373.79 | $10,622.98 | $71.00 – $14,507.25 | 29 |
| Revise middle ear & mastoid CPT 69641 | $10,640.30 | $17,733.84 | $71.00 – $15,960.46 | 29 |
| Revise middle ear & mastoid CPT 69642 | $10,275.40 | $17,125.67 | $71.00 – $15,413.10 | 29 |
| Revise middle ear & mastoid CPT 69643 | $9,928.33 | $16,547.21 | $71.00 – $14,892.49 | 29 |
| Revise middle ear & mastoid CPT 69644 | $10,349.88 | $17,249.80 | $71.00 – $15,524.82 | 29 |
| Revise middle ear & mastoid CPT 69646 | $11,248.86 | $18,748.10 | $71.00 – $16,873.29 | 29 |
| Revise middle ear & mastoid 69645 CPT 69645 | $9,779.49 | $16,299.15 | $71.00 – $14,669.24 | 29 |
| Revise ocular implant CPT 65150 | $5,681.30 | $9,468.84 | $71.00 – $9,578.04 | 29 |
| Revise palsy hand tendon(s) CPT 25315 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Revise palsy hand tendon(s) CPT 25316 | $8,715.43 | $14,525.72 | $71.00 – $17,722.46 | 29 |
| Revise penis/urethra CPT 54328 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 29 |
| Revise penis/urethra CPT 54332 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 29 |
| Revise penis/urethra CPT 54336 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 29 |
| Revise prosth vag graft lap CPT 57426 | $4,506.38 | $7,510.63 | $71.00 – $18,719.48 | 29 |
| Revise radius & ulna CPT 25365 | $10,629.07 | $17,715.11 | $71.00 – $32,603.53 | 29 |
| Revise radius & ulna CPT 25375 | $5,989.61 | $9,982.69 | $71.00 – $8,984.42 | 29 |
| Revise reconst elbow joint CPT 24370 | $11,142.98 | $18,571.64 | $71.00 – $32,603.53 | 29 |
| Revise reconst elbow joint CPT 24371 | $14,873.09 | $24,788.49 | $71.00 – $46,166.33 | 29 |
| Revise/remove neuroelectrode CPT 61880 | $3,023.35 | $5,038.92 | $71.00 – $8,428.94 | 29 |
| Revise/remove neuroreceiver CPT 61888 | $6,381.71 | $10,636.19 | $71.00 – $33,745.27 | 29 |
| Revise/remove sling repair CPT 57287 | $5,040.36 | $8,400.60 | $71.00 – $7,744.80 | 29 |
| Revise/replace knee joint CPT 27486 | not published | not published | $2,293.82 – $19,281.30 | 14 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,870.37 – $26,332.51 | 14 |
| Revise/repl vagus n eltrd CPT 64569 | $6,358.39 | $10,597.31 | $71.00 – $33,745.27 | 29 |
| Revise spermatic cord veins CPT 55530 | $4,345.52 | $7,242.53 | $71.00 – $8,636.11 | 29 |
| Revise spermatic cord veins CPT 55535 | $7,149.07 | $11,915.12 | $71.00 – $18,741.87 | 29 |
| Revise spine eltrd perq aray CPT 63663 | $6,358.39 | $10,597.31 | $71.00 – $16,942.33 | 29 |
| Revise spine eltrd plate CPT 63664 | $10,115.75 | $16,859.59 | $71.00 – $33,745.27 | 29 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Revise temple bone implant CPT 69718 | $15,490.93 | $25,818.22 | $71.00 – $23,236.40 | 22 |
| Revise thigh muscles/tendons CPT 27400 | $7,086.47 | $11,810.79 | $71.00 – $17,722.46 | 29 |
| Revise thumb tendon CPT 26490 | $4,415.18 | $7,358.63 | $71.00 – $8,018.48 | 29 |
| Revise thumb tendon CPT 26496 | $4,116.39 | $6,860.65 | $71.00 – $8,018.48 | 29 |
| Revise two eye muscles CPT 67312 | $5,234.99 | $8,724.98 | $71.00 – $9,578.04 | 29 |
| Revise two eye muscles CPT 67316 | $3,642.91 | $6,071.52 | $71.00 – $5,788.85 | 29 |
| Revise ulnar nerve at wrist CPT 64719 | $2,823.38 | $4,705.63 | $71.00 – $4,783.04 | 29 |
| Revise ureter CPT 50727 | $3,785.21 | $6,308.68 | $71.00 – $8,636.11 | 29 |
| Revise urethra stage 1 CPT 53400 | $7,438.23 | $12,397.05 | $71.00 – $12,818.21 | 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.