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 |
|---|---|---|---|---|
| Rib X-ray (3 views, both sides) CPT 71110 | $445.78 | $742.96 | $44.10 – $668.66 | 29 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $485.11 | $808.52 | $0.19 – $727.67 | 23 |
| Right heart cath congenital CPT 93530 | $6,874.02 | $11,456.70 | $1,718.51 – $10,604.00 | 21 |
| Right ventric recording CPT 93603 | $4,406.40 | $7,344.00 | $1,101.60 – $6,609.60 | 29 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,659.38 | $2,765.64 | $10.26 – $1,659.31 | 29 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $8,485.68 | $14,142.80 | $70.45 – $2,581.70 | 29 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $1,551.99 | $2,586.65 | $29.72 – $2,327.99 | 29 |
| R & l heart cath congenital CPT 93531 | $10,439.29 | $17,398.81 | $2,609.82 – $15,658.93 | 21 |
| R & l heart cath congenital CPT 93532 | $9,805.80 | $16,343.00 | $2,451.45 – $14,708.70 | 21 |
| R & l heart cath congenital CPT 93533 | $10,062.00 | $16,770.00 | $2,515.50 – $15,093.00 | 21 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $10,102.36 | $16,837.27 | $2,525.59 – $17,181.00 | 28 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $10,102.36 | $16,837.27 | $2,525.59 – $17,181.00 | 28 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,821.36 – $10,897.47 | 14 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,023.35 | $1,705.59 | $61.74 – $2,975.00 | 29 |
| Rmvl esophgl sphnctr dev CPT 43285 | $5,022.89 | $8,371.49 | $71.00 – $14,293.73 | 29 |
| Rmvl ext fixj sys under anes CPT 20694 | $3,645.46 | $6,075.77 | $71.00 – $5,468.19 | 29 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $2,921.13 | $4,868.55 | $71.00 – $7,039.11 | 29 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,093.02 | $3,488.36 | $429.26 – $3,139.52 | 29 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,260.00 | $2,100.00 | $71.00 – $4,016.35 | 29 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,996.58 – $16,502.12 | 15 |
| Rmvl icd by tv extr CPT 33244 | $7,631.53 | $12,719.21 | $71.00 – $11,447.29 | 29 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $53,511.93 | $89,186.55 | $15,811.00 – $80,267.90 | 29 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $43,215.38 | $72,025.63 | $5,388.00 – $81,499.55 | 29 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $46,872.23 | $78,120.38 | $15,811.00 – $70,308.34 | 29 |
| Rmvl icd pulse gen only CPT 33241 | $5,255.75 | $8,759.59 | $1,425.44 – $9,728.21 | 29 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,538.00 | $2,563.33 | $71.00 – $2,307.00 | 29 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $6,256.66 | $10,427.76 | $2,416.00 – $21,045.99 | 29 |
| Rmvl perq right heart vad CPT 33997 | $547.93 | $913.22 | $136.98 – $5,388.00 | 20 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,967.52 | $36,612.54 | $9,828.12 – $48,269.91 | 29 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $15,676.55 | $26,127.59 | $5,259.03 – $23,514.83 | 29 |
| Rmvl pq iabp CPT 33968 | $177.06 | $295.10 | $44.27 – $265.59 | 21 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $683.50 | $1,139.16 | $170.87 – $1,025.24 | 21 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | $6,208.22 | $10,347.03 | $71.00 – $9,312.33 | 29 |
| Rmvl sq defib electrode CPT 33272 | $4,417.27 | $7,362.12 | $1,104.32 – $9,728.21 | 28 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,386.74 | $3,977.90 | $71.00 – $3,580.11 | 29 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $3,128.35 | $5,213.92 | $71.00 – $7,039.11 | 29 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $196.94 | $328.23 | $71.00 – $987.04 | 29 |
| Rmvl tv pm lead dual CPT 33235 | $7,720.78 | $12,867.96 | $1,870.58 – $11,581.16 | 29 |
| Rmvl tv pm lead sgl CPT 33234 | $5,690.29 | $9,483.82 | $1,906.80 – $9,728.21 | 29 |
| Rmv ntr oi implt skl prq esp CPT 69726 | $3,700.84 | $6,168.06 | $1,088.27 – $8,018.48 | 27 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $674.12 | $1,123.54 | $71.00 – $5,388.00 | 22 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | $975.64 | $1,626.07 | $71.00 – $1,463.46 | 22 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $5,787.57 | $9,645.95 | $29.26 – $8,681.35 | 29 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,736.26 | $7,893.76 | $10.55 – $3,564.85 | 29 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $912.24 | $1,520.40 | $0.05 – $3.78 | 23 |
| Rotavirus antibody CPT 86759 | $125.01 | $208.35 | $12.00 – $187.51 | 29 |
| Routine footcare pt w lops HCPCS G0247 | $180.04 | $300.07 | $45.01 – $495.95 | 29 |
| Rplcmt oi implt skl prq esp CPT 69717 | $7,359.08 | $12,265.13 | $71.00 – $17,722.46 | 29 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,903.21 | $4,838.69 | $71.00 – $4,354.82 | 29 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,429.07 | $2,381.78 | $244.59 – $2,143.60 | 29 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,263.09 | $3,771.82 | $436.04 – $3,517.62 | 29 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,992.77 | $4,987.95 | $823.96 – $4,489.15 | 29 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,689.94 | $4,483.23 | $71.00 – $4,034.91 | 29 |
| Rpl tun-cvad w subq port CPT 36582 | $5,628.73 | $9,381.21 | $71.00 – $8,443.09 | 29 |
| Rpl tun-cvad w subq pump CPT 36583 | $4,602.08 | $7,670.13 | $2,684.55 – $13,613.39 | 27 |
| Rpl tun cvc wo subq port CPT 36581 | $4,663.12 | $7,771.86 | $71.00 – $7,896.23 | 29 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,725.73 – $9,751.00 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,151.54 – $9,722.46 | 15 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $1,151.54 – $14,293.73 | 15 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $1,151.54 – $9,722.46 | 15 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $1,151.54 – $8,570.48 | 15 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $1,151.54 – $14,293.73 | 15 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $2,091.26 – $9,751.00 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,492.61 – $9,751.00 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,449.05 – $9,751.00 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $1,888.85 – $9,722.46 | 15 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $1,888.85 – $14,293.73 | 15 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $1,888.85 – $8,570.48 | 15 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $4,478.21 | $7,463.68 | $71.00 – $13,613.39 | 29 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $5,836.04 | $9,726.73 | $71.00 – $13,613.39 | 29 |
| Rpr choanal atresia ntranasl CPT 30540 | $5,289.89 | $8,816.49 | $71.00 – $14,507.25 | 29 |
| Rpr fem hernia init blocked CPT 49553 | $5,696.51 | $9,494.18 | $71.00 – $8,649.00 | 29 |
| Rpr hern preemie reduc CPT 49491 | $5,074.24 | $8,457.06 | $71.00 – $14,293.73 | 29 |
| Rpr hypspad comp dsj & urtp CPT 54348 | $3,726.16 | $6,210.27 | $71.00 – $12,818.21 | 29 |
| Rpr hypspad comp simple CPT 54340 | $4,478.01 | $7,463.35 | $71.00 – $8,636.11 | 29 |
| Rpr ing hernia baby blocked CPT 49496 | $3,919.49 | $6,532.49 | $71.00 – $8,570.48 | 29 |
| Rpr ing hernia baby reduc CPT 49495 | $3,919.49 | $6,532.49 | $71.00 – $8,570.48 | 29 |
| Rpr ing hernia init blocked CPT 49501 | $5,008.24 | $8,347.07 | $71.00 – $8,649.00 | 29 |
| Rpr ing hernia init reduce CPT 49500 | $5,411.37 | $9,018.95 | $71.00 – $18,741.87 | 29 |
| Rpr ing hern premie blocked CPT 49492 | $4,311.44 | $7,185.74 | $71.00 – $8,570.48 | 29 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,251.01 – $9,751.00 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,543.55 – $9,751.00 | 4 |
| Rpr rem hernia init reduce CPT 49550 | $3,817.38 | $6,362.30 | $71.00 – $8,570.48 | 29 |
| Rpr umbil hern block < 5 yr CPT 49582 | $3,919.49 | $6,532.49 | $71.00 – $5,879.24 | 22 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $5,959.65 | $9,932.75 | $71.00 – $17,722.46 | 29 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $4,478.01 | $7,463.35 | $71.00 – $22,821.27 | 29 |
| Rsv assay w/optic CPT 87807 | $130.05 | $216.75 | $11.00 – $195.07 | 29 |
| Rubella antibody igg CPT 86762 | $73.05 | $121.75 | $8.46 – $34.54 | 29 |
| Rubeola antibody igg CPT 86765 | $88.30 | $147.17 | $7.88 – $30.91 | 29 |
| Russell viper venom diluted CPT 85613 | $114.69 | $191.15 | $8.05 – $33.30 | 29 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,912.36 | $3,187.26 | $36.00 – $2,868.53 | 29 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $450.39 | $750.65 | $39.43 – $675.59 | 29 |
| Salivary gland function exam CPT 78232 | $1,123.67 | $1,872.78 | $102.58 – $1,685.50 | 29 |
| Salivary glnd img serial img CPT 78231 | $996.79 | $1,661.31 | $104.25 – $1,495.18 | 29 |
| Salmonella antibody CPT 86768 | $63.50 | $105.83 | $10.53 – $31.66 | 29 |
| Sars-cov-2 antb quantitative CPT 86413 | $22.36 | $37.27 | $12.00 – $123.43 | 29 |
| Sarscov coronavirus ag ia CPT 87426 | $60.40 | $100.67 | $12.00 – $90.60 | 29 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $50.01 | $83.35 | $12.00 – $168.70 | 29 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $173.12 | $288.54 | $43.28 – $259.69 | 18 |
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.