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 |
|---|---|---|---|---|
| Revise urethra stage 2 CPT 53405 | $5,645.75 | $9,409.58 | $71.00 – $12,818.21 | 29 |
| Revise vag graft via vagina CPT 57295 | $4,463.46 | $7,439.10 | $71.00 – $7,744.80 | 29 |
| Revise windpipe scar CPT 31830 | $4,175.53 | $6,959.21 | $71.00 – $7,975.81 | 29 |
| Revise wrist/forearm tendon CPT 25280 | $3,017.99 | $5,029.98 | $71.00 – $8,018.48 | 29 |
| Revise wrist joint CPT 25332 | $4,964.24 | $8,273.74 | $71.00 – $8,018.48 | 29 |
| Revision of aqueous shunt CPT 66184 | $2,315.72 | $3,859.53 | $849.94 – $8,649.00 | 27 |
| Revision of arm nerve(s) CPT 64713 | $4,613.80 | $7,689.66 | $71.00 – $6,920.69 | 29 |
| Revision of big toe CPT 28310 | $2,664.42 | $4,440.70 | $71.00 – $17,722.46 | 29 |
| Revision of bladder neck CPT 52500 | $5,116.39 | $8,527.31 | $71.00 – $8,636.11 | 29 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $1,719.51 – $7,441.00 | 4 |
| Revision of calf tendon CPT 27687 | $4,046.01 | $6,743.35 | $71.00 – $8,018.48 | 29 |
| Revision of cervix CPT 57720 | $2,647.01 | $4,411.68 | $71.00 – $7,744.80 | 29 |
| Revision of cervix CPT 59320 | $4,442.15 | $7,403.58 | $71.00 – $7,744.80 | 29 |
| Revision of collar bone CPT 23480 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Revision of collar bone CPT 23485 | $12,147.50 | $20,245.84 | $71.00 – $32,603.53 | 29 |
| Revision of colostomy CPT 44340 | $3,953.62 | $6,589.37 | $1,457.62 – $8,887.48 | 27 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,722.34 – $5,388.00 | 14 |
| Revision of cornea CPT 65600 | $1,909.91 | $3,183.18 | $71.00 – $5,788.85 | 29 |
| Revision of cranial nerve CPT 64716 | $3,222.99 | $5,371.65 | $71.00 – $4,834.48 | 29 |
| Revision of eyelid CPT 67880 | $4,263.74 | $7,106.23 | $71.00 – $6,395.61 | 29 |
| Revision of eyelid CPT 67882 | $2,668.03 | $4,446.71 | $71.00 – $5,788.85 | 29 |
| Revision of eyelid CPT 67950 | $1,919.08 | $3,198.46 | $71.00 – $5,788.85 | 29 |
| Revision of eyelid CPT 67961 | $4,438.86 | $7,398.10 | $71.00 – $6,658.29 | 29 |
| Revision of eyelid CPT 67966 | $4,669.67 | $7,782.78 | $71.00 – $7,004.50 | 29 |
| Revision of foot CPT 28116 | $4,253.25 | $7,088.75 | $71.00 – $8,018.48 | 29 |
| Revision of foot and ankle CPT 28262 | $4,907.60 | $8,179.33 | $71.00 – $17,722.46 | 29 |
| Revision of foot bones CPT 28737 | $6,324.90 | $10,541.50 | $71.00 – $32,603.53 | 29 |
| Revision of foot fascia 28250 CPT 28250 | $2,833.02 | $4,721.70 | $71.00 – $8,018.48 | 29 |
| Revision of foot tendon CPT 28238 | $6,727.70 | $11,212.84 | $71.00 – $17,722.46 | 29 |
| Revision of foot tendon CPT 28261 | $3,135.41 | $5,225.68 | $71.00 – $4,703.11 | 29 |
| Revision of heart chamber CPT 92992 | $7,684.33 | $12,807.21 | $1,921.08 – $11,526.49 | 21 |
| Revision of hip tendon CPT 27097 | $3,333.37 | $5,555.61 | $71.00 – $8,018.48 | 29 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,646.52 – $5,388.00 | 14 |
| Revision of ileostomy; simple 44312 CPT 44312 | $3,094.13 | $5,156.89 | $1,457.62 – $8,887.48 | 27 |
| Revision of iris CPT 66761 | $1,826.29 | $3,043.82 | $71.00 – $2,739.44 | 29 |
| Revision of iris CPT 66762 | $1,384.97 | $2,308.29 | $71.00 – $2,975.00 | 29 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,898.87 – $7,441.00 | 4 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,284.19 – $7,441.00 | 4 |
| Revision of knee joint CPT 27442 | $8,885.39 | $14,808.98 | $71.00 – $32,603.53 | 29 |
| Revision of knee joint CPT 27446 | $12,927.60 | $21,546.00 | $71.00 – $32,603.53 | 29 |
| Revision of larynx CPT 31400 | $7,548.55 | $12,580.92 | $71.00 – $14,507.25 | 29 |
| Revision of leg vein 37780 CPT 37780 | $4,885.17 | $8,141.95 | $71.00 – $7,896.23 | 29 |
| Revision of neck muscle CPT 21700 | $2,777.50 | $4,629.16 | $71.00 – $17,722.46 | 29 |
| Revision of neck muscle CPT 21720 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 29 |
| Revision of nose CPT 30120 | $4,397.32 | $7,328.87 | $71.00 – $7,975.81 | 29 |
| Revision of nose CPT 30430 | $4,601.08 | $7,668.47 | $71.00 – $14,507.25 | 29 |
| Revision of nose CPT 30435 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 | 29 |
| Revision of nose CPT 30450 | $7,232.45 | $12,054.09 | $71.00 – $14,507.25 | 29 |
| Revision of nose CPT 30460 | $6,759.31 | $11,265.51 | $71.00 – $14,507.25 | 29 |
| Revision of nose CPT 30462 | $6,759.31 | $11,265.51 | $71.00 – $14,507.25 | 29 |
| Revision of penis CPT 54300 | $4,629.94 | $7,716.56 | $71.00 – $8,636.11 | 29 |
| Revision of penis CPT 54304 | $4,646.71 | $7,744.52 | $71.00 – $8,636.11 | 29 |
| Revision of penis CPT 54420 | $4,836.25 | $8,060.42 | $71.00 – $8,636.11 | 29 |
| Revision of penis CPT 54430 | $4,373.84 | $7,289.73 | $1,048.45 – $6,560.76 | 22 |
| Revision of penis CPT 54435 | $6,056.08 | $10,093.47 | $71.00 – $9,084.12 | 29 |
| Revision of pharyngeal walls CPT 42892 | $5,047.51 | $8,412.51 | $71.00 – $14,507.25 | 29 |
| Revision of radius CPT 25350 | $6,871.42 | $11,452.37 | $71.00 – $17,722.46 | 29 |
| Revision of radius CPT 25355 | $5,545.94 | $9,243.23 | $71.00 – $8,318.91 | 29 |
| Revision of sciatic nerve CPT 64712 | $4,613.80 | $7,689.66 | $71.00 – $6,920.69 | 29 |
| Revision of scrotum CPT 55175 | $3,341.52 | $5,569.20 | $71.00 – $8,636.11 | 29 |
| Revision of scrotum CPT 55180 | $4,011.71 | $6,686.19 | $71.00 – $12,818.21 | 29 |
| Revision of spinal shunt CPT 63744 | $7,769.63 | $12,949.38 | $71.00 – $16,502.12 | 29 |
| Revision of testis CPT 54660 | $3,645.46 | $6,075.76 | $71.00 – $12,818.21 | 29 |
| Revision of thigh muscles CPT 27430 | $6,834.58 | $11,390.97 | $71.00 – $17,722.46 | 29 |
| Revision of toe CPT 28312 | $2,116.19 | $3,526.98 | $71.00 – $8,018.48 | 29 |
| Revision of ulna CPT 25360 | $5,301.45 | $8,835.75 | $71.00 – $17,722.46 | 29 |
| Revision of unstable kneecap CPT 27420 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Revision of unstable kneecap CPT 27422 | $6,973.47 | $11,622.45 | $71.00 – $17,722.46 | 29 |
| Revision of urethra CPT 53450 | $3,504.67 | $5,841.11 | $71.00 – $8,636.11 | 29 |
| Revision of urethra CPT 53460 | $3,663.43 | $6,105.72 | $71.00 – $8,636.11 | 29 |
| Revision of urethra CPT 57220 | $4,441.08 | $7,401.80 | $71.00 – $12,321.66 | 29 |
| Revision open av fistula without thromb CPT 36832 | $9,740.70 | $16,234.50 | $71.00 – $14,611.05 | 29 |
| Revision orbitofacial bones CPT 21275 | $6,103.72 | $10,172.87 | $71.00 – $14,507.25 | 29 |
| Revision/removal of kneecap CPT 27424 | $5,886.74 | $9,811.23 | $71.00 – $17,722.46 | 29 |
| Revision tips CPT 37183 | $14,711.04 | $24,518.40 | $71.00 – $22,066.56 | 29 |
| Revis reconst shoulder joint CPT 23473 | $9,257.14 | $15,428.56 | $71.00 – $32,603.53 | 29 |
| Revis reconst shoulder joint CPT 23474 | $3,281.09 | $5,468.48 | $71.00 – $19,281.30 | 28 |
| Revita, per sq cm HCPCS Q4180 | $389.83 | $649.72 | $59.31 – $355.84 | 28 |
| Revj fem anast autog vn grf CPT 35884 | $5,002.03 | $8,336.71 | $71.00 – $13,613.39 | 29 |
| Revj fem anast nonautog grf CPT 35883 | $8,324.36 | $13,873.93 | $71.00 – $13,613.39 | 29 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $7,685.50 | $12,809.16 | $71.00 – $14,507.25 | 29 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $8,176.78 | $13,627.96 | $71.00 – $14,507.25 | 29 |
| Revj prior hypspad repair CPT 54352 | $5,166.93 | $8,611.55 | $71.00 – $12,818.21 | 29 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $8,803.45 | $14,672.42 | $71.00 – $14,507.25 | 29 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $5,095.75 | $8,492.92 | $71.00 – $8,428.94 | 29 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $3,718.80 | $6,198.00 | $71.00 – $8,428.94 | 29 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $4,523.59 | $7,539.31 | $71.00 – $8,428.94 | 29 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $3,673.83 – $26,332.51 | 14 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $13,780.06 | $22,966.76 | $5,388.00 – $33,745.27 | 27 |
| Revsc opn/prq tib/pero stent CPT 37234 | $11,094.73 | $18,491.22 | $71.00 – $16,642.10 | 22 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,779.25 | $4,632.09 | $71.00 – $6,837.00 | 29 |
| Rheumatoid factor qualitative CPT 86430 | $89.83 | $149.71 | $5.16 – $134.74 | 29 |
| Rheumatoid factor quantitative CPT 86431 | $65.27 | $108.79 | $4.76 – $20.25 | 29 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $4,584.13 | $7,640.21 | $71.00 – $14,507.25 | 29 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $449.62 | $749.36 | $5.33 – $674.42 | 23 |
| R hrt cath chd abnl nt cnj CPT 93594 | $6,874.02 | $11,456.70 | $1,718.51 – $17,181.00 | 28 |
| R hrt cath chd nml nt cnj CPT 93593 | $7,217.72 | $12,029.54 | $1,804.43 – $17,181.00 | 28 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $394.69 | $657.82 | $42.44 – $592.04 | 29 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $524.27 | $873.78 | $52.79 – $786.40 | 29 |
| Rib cartilage graft CPT 21230 | $4,832.78 | $8,054.64 | $71.00 – $14,507.25 | 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.