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 |
|---|---|---|---|---|
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $29.75 | $49.58 | $2.14 – $37.39 | 23 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $200.94 | $334.90 | $2.52 – $165.01 | 23 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,554.28 | $4,257.13 | $83.00 – $960.62 | 29 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $121.09 | $201.82 | $30.27 – $181.64 | 23 |
| Baclofen eval charges CPT 97750 | $100.64 | $167.73 | $25.16 – $150.96 | 23 |
| Bacterial meningitis antigen CPT 86403 | $156.10 | $260.16 | $9.69 – $234.14 | 29 |
| Bacterial vaginosis pcr CPT 87801 | $2,820.23 | $4,700.38 | $5.20 – $168.48 | 29 |
| Bactericidal level serum CPT 87197 | $123.31 | $205.51 | $12.00 – $184.96 | 29 |
| #bac vag cand-c. albicans naa CPT 87481 | $825.00 | $1,375.00 | $12.00 – $93.15 | 29 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $147.89 | $246.48 | $36.97 – $221.83 | 23 |
| Balloon dilate urtrl strix CPT 50706 | $2,264.10 | $3,773.50 | $71.00 – $3,396.15 | 22 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $1,535.40 | $2,559.00 | $32.98 – $197.86 | 22 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $773.04 | $1,288.40 | $167.39 – $1,159.56 | 29 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $667.61 | $1,112.69 | $153.70 – $1,001.42 | 29 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $501.34 | $835.57 | $97.56 – $752.01 | 29 |
| Barrier film 1.0ml wipe HCPCS A5120 | $106.54 | $177.56 | $0.92 – $159.80 | 22 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $4,479.26 | $7,465.44 | $71.00 – $7,744.80 | 29 |
| Bartonella dna pcr-sendout CPT 87471 | $401.62 | $669.37 | $12.00 – $416.25 | 29 |
| Basic vestibular evaluation CPT 92540 | $537.70 | $896.16 | $76.19 – $806.54 | 29 |
| Basiliximab HCPCS J0480 | $8,045.59 | $13,409.31 | $2,011.40 – $12,068.38 | 29 |
| Battery elec/combo vad, rep HCPCS Q0496 | $1,736.40 | $2,894.00 | $83.30 – $499.77 | 21 |
| Bausch health Ultrasound surg HCPCS V2788 | $519.00 | $865.00 | $51.75 – $310.50 | 22 |
| B cells total count CPT 86355 | $292.70 | $487.83 | $9.82 – $90.55 | 29 |
| Bcg vaccine intravesical CPT 90586 | $488.68 | $814.46 | $122.17 – $733.01 | 22 |
| Bckdhb gene CPT 81205 | $113.99 | $189.98 | $36.00 – $227.98 | 29 |
| Bebtelovimab injection HCPCS M0222 | $420.60 | $701.00 | $105.15 – $1,058.51 | 23 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $120.04 | $200.06 | $30.01 – $220.82 | 29 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,745.78 | $2,909.64 | $3.64 – $2,618.68 | 29 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $5,379.24 | $8,965.40 | $2.05 – $2,050.97 | 29 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $4,482.84 | $7,471.40 | $12.26 – $6,724.26 | 29 |
| Benign lesion paring 2-4 CPT 11056 | $283.24 | $472.06 | $70.81 – $495.95 | 29 |
| Benign lesion paring 4+ CPT 11057 | $345.36 | $575.60 | $55.65 – $518.04 | 29 |
| #_benzodiazconfur CPT 80346 | $89.48 | $149.13 | $12.00 – $134.22 | 21 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $398.65 | $664.42 | $14.87 – $243.00 | 23 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $97.21 | $162.02 | $12.00 – $61.08 | 29 |
| Beta-2 microglobulin CPT 82232 | $111.14 | $185.24 | $12.00 – $38.83 | 29 |
| Beta-amyloid 1-40 CPT 82233 | $377.42 | $629.04 | $11.86 – $566.14 | 28 |
| Beta-amyloid 1-42 CPT 82234 | $600.00 | $1,000.00 | $11.86 – $506.70 | 28 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $148.58 | $247.64 | $7.67 – $222.88 | 23 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $5,767.97 | $9,613.28 | $70.64 – $2,196.74 | 29 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $582.06 | $970.10 | $24.56 – $873.09 | 29 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $270.37 | $450.62 | $67.59 – $405.56 | 23 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $150.20 | $250.34 | $37.55 – $225.31 | 23 |
| B-hexosaminidase ea assay CPT 83080 | $121.96 | $203.26 | $12.00 – $126.99 | 29 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $5,613.43 | $9,355.71 | $71.00 – $8,649.00 | 22 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,489.35 | $2,482.25 | $71.00 – $2,257.97 | 29 |
| Bilateral n block inj occipital 64405 CPT 64405 | $943.90 | $1,573.17 | $30.18 – $1,415.85 | 29 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $795.31 | $1,325.52 | $67.55 – $1,192.97 | 29 |
| Bile acids cholylglycine CPT 82240 | $147.07 | $245.12 | $12.00 – $220.61 | 29 |
| Biliary endoscopy thru skin CPT 47553 | $2,865.60 | $4,776.00 | $1,151.54 – $18,741.87 | 27 |
| Biliary endoscopy thru skin CPT 47554 | $5,998.82 | $9,998.04 | $1,888.85 – $25,500.18 | 27 |
| Biliary endoscopy thru skin CPT 47555 | $2,478.00 | $4,130.00 | $1,445.50 – $9,722.46 | 27 |
| Bilicheck CPT 88720 | $42.15 | $70.25 | $4.22 – $63.23 | 29 |
| Bilirubin direct CPT 82248 | $51.85 | $86.42 | $4.22 – $77.78 | 29 |
| Bilirubin total CPT 82247 | $55.91 | $93.19 | $4.22 – $14.85 | 29 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $52.20 | $87.00 | $13.05 – $78.30 | 21 |
| Biofeedback, pt CPT 90901 | $171.36 | $285.60 | $42.84 – $257.04 | 23 |
| Biopsy abdominal mass CPT 49180 | $1,722.60 | $2,871.00 | $71.00 – $4,016.35 | 29 |
| Biopsy arm/elbow soft tissue CPT 24066 | $2,629.27 | $4,382.11 | $71.00 – $7,039.11 | 29 |
| Biopsy, bone open deep CPT 20245 | $4,200.43 | $7,000.71 | $71.00 – $7,039.11 | 29 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,309.95 | $3,849.92 | $71.00 – $4,016.35 | 29 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,479.08 | $2,465.14 | $71.00 – $2,218.63 | 30 |
| Biopsy conjunctiva CPT 68100 | $2,212.49 | $3,687.48 | $71.00 – $5,788.85 | 29 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $3,904.69 | $6,507.82 | $71.00 – $9,442.65 | 29 |
| Biopsy external ear 69100 CPT 69100 | $905.78 | $1,509.64 | $54.82 – $2,975.00 | 29 |
| Biopsy eyelid & lid margin CPT 67810 | $813.65 | $1,356.08 | $71.00 – $2,975.00 | 29 |
| Biopsy eye muscle CPT 67346 | $3,099.14 | $5,165.24 | $71.00 – $9,578.04 | 29 |
| Biopsy finger joint lining CPT 26105 | $2,777.50 | $4,629.16 | $71.00 – $8,018.48 | 29 |
| Biopsy finger joint lining CPT 26110 | $2,360.09 | $3,933.49 | $71.00 – $3,981.46 | 29 |
| Biopsy forearm soft tissues CPT 25066 | $3,310.73 | $5,517.88 | $71.00 – $7,039.11 | 29 |
| Biopsy hand joint lining CPT 26100 | $2,212.13 | $3,686.89 | $71.00 – $8,018.48 | 29 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,048.27 | $3,413.78 | $71.00 – $7,039.11 | 29 |
| Biopsy knee joint lining CPT 27330 | $4,493.36 | $7,488.94 | $71.00 – $8,018.48 | 29 |
| Biopsy lower leg soft tissue CPT 27613 | $1,551.31 | $2,585.51 | $71.00 – $4,016.35 | 29 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $4,691.36 | $7,818.93 | $71.00 – $8,018.48 | 29 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,177.54 | $3,629.23 | $71.00 – $4,016.35 | 29 |
| Biopsy needle liver percutaneous CPT 47000 | $2,359.51 | $3,932.51 | $71.00 – $4,016.35 | 29 |
| Biopsy needle lymph node superficial CPT 38505 | $2,156.98 | $3,594.97 | $71.00 – $4,016.35 | 29 |
| Biopsy of cornea CPT 65410 | $2,920.65 | $4,867.75 | $71.00 – $5,788.85 | 29 |
| Biopsy of epididymis CPT 54800 | $822.46 | $1,370.76 | $71.00 – $4,016.35 | 29 |
| Biopsy of foot joint lining CPT 28050 | $3,777.89 | $6,296.48 | $71.00 – $8,018.48 | 29 |
| Biopsy of foot joint lining CPT 28052 | $3,258.31 | $5,430.52 | $71.00 – $8,018.48 | 29 |
| Biopsy of heart lining CPT 93505 | $6,306.49 | $10,510.82 | $1,576.62 – $17,181.00 | 28 |
| Biopsy of hip joint CPT 27052 | not published | not published | $593.04 – $4,463.00 | 16 |
| Biopsy of inestine 44100 CPT 44100 | $1,682.92 | $2,804.86 | $334.95 – $2,975.00 | 27 |
| Biopsy of lip 40490 CPT 40490 | $594.71 | $991.19 | $64.23 – $892.07 | 29 |
| Biopsy of nail unit 11755 CPT 11755 | $1,005.61 | $1,676.01 | $64.23 – $2,975.00 | 29 |
| Biopsy of nerve CPT 64795 | $3,842.91 | $6,404.85 | $71.00 – $5,764.36 | 29 |
| Biopsy of ovary(s) 58900 CPT 58900 | $2,156.90 | $3,594.83 | $71.00 – $7,744.80 | 29 |
| Biopsy of penis CPT 54105 | $3,771.24 | $6,285.40 | $71.00 – $7,039.11 | 29 |
| Biopsy of penis 54100 CPT 54100 | $2,742.53 | $4,570.89 | $71.00 – $4,113.80 | 29 |
| Biopsy of prostate CPT 55700 | $3,030.85 | $5,051.42 | $71.00 – $5,045.72 | 23 |
| Biopsy of prostate CPT 55705 | $2,127.53 | $3,545.88 | $71.00 – $8,636.11 | 29 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $3,832.14 | $6,386.90 | $939.93 – $6,955.62 | 27 |
| Biopsy of sacroiliac joint CPT 27050 | $2,087.99 | $3,479.98 | $71.00 – $4,463.00 | 29 |
| Biopsy of salivary gland 42400 CPT 42400 | $997.05 | $1,661.75 | $57.58 – $1,742.94 | 29 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $4,522.97 | $7,538.28 | $71.00 – $6,784.45 | 29 |
| Biopsy of tear gland CPT 68510 | $2,948.40 | $4,914.00 | $71.00 – $5,788.85 | 29 |
| Biopsy of tear sac CPT 68525 | $2,422.27 | $4,037.12 | $71.00 – $5,788.85 | 29 |
| Biopsy of testis CPT 54500 | $2,558.68 | $4,264.46 | $71.00 – $7,039.11 | 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.