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 |
|---|---|---|---|---|
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $82.53 | $137.55 | $20.63 – $123.80 | 18 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $116.08 | $193.46 | $29.02 – $174.11 | 18 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $53.55 | $89.25 | $13.39 – $80.33 | 18 |
| Sbsq psyc collab care mgmt CPT 99493 | $96.86 | $161.44 | $24.22 – $394.97 | 29 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $672.32 | $1,120.53 | $179.76 – $1,117.00 | 29 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $422.32 | $703.86 | $99.77 – $1,117.00 | 29 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $601.48 | $1,002.46 | $99.77 – $1,117.00 | 29 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $803.29 | $1,338.82 | $99.77 – $1,204.94 | 29 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $564.17 | $940.28 | $99.77 – $1,117.00 | 29 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $622.57 | $1,037.62 | $99.77 – $1,117.00 | 29 |
| Scan proc cranial extra CPT 61782 | $2,368.36 | $3,947.26 | $71.00 – $3,552.53 | 22 |
| Scan proc cranial intra 61781 CPT 61781 | $2,067.91 | $3,446.51 | $71.00 – $3,101.86 | 22 |
| Scan proc spinal CPT 61783 | $2,854.85 | $4,758.08 | $71.00 – $4,282.27 | 22 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,171.84 | $3,619.73 | $71.00 – $6,837.00 | 29 |
| Scope plantar fasciotomy CPT 29893 | $3,080.06 | $5,133.44 | $71.00 – $8,649.00 | 29 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,127.71 | $11,879.51 | $66.79 – $1,583.23 | 22 |
| Screen cerv/vag thin layer HCPCS G0123 | $86.56 | $144.26 | $19.25 – $129.83 | 29 |
| Screen c/v thin layer by md HCPCS G0124 | $49.42 | $82.37 | $12.36 – $74.13 | 22 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $328.50 – $3,421.00 | 16 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,265.62 | $3,776.04 | $328.50 – $3,421.00 | 27 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $65.47 | $109.11 | $12.00 – $98.20 | 29 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $28.90 | $48.16 | $7.22 – $57.79 | 29 |
| Screening Mammogram CPT 77067 | $238.14 | $396.90 | $59.53 – $357.21 | 22 |
| Screening pap smear by phys HCPCS P3001 | $27.22 | $45.36 | $6.80 – $167.71 | 22 |
| Screening prostate cancer PSA HCPCS G0103 | $134.00 | $223.33 | $12.00 – $201.00 | 29 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $29.89 | $49.81 | $7.47 – $44.83 | 22 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $36,885.10 | $61,475.16 | $0.00 – $0.01 | 20 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $685.33 | $1,142.22 | $99.77 – $1,028.00 | 29 |
| Sc ther infusion reset pump CPT 96371 | $111.90 | $186.50 | $27.98 – $174.51 | 29 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,676.53 | $7,794.22 | $71.00 – $7,014.80 | 22 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $244.52 | $407.54 | $17.43 – $366.79 | 22 |
| Sedimentation rate erythrocyte automated CPT 85652 | $49.63 | $82.72 | $2.27 – $74.45 | 29 |
| Select picture audiometry CPT 92583 | $168.68 | $281.13 | $42.17 – $253.02 | 29 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $141.30 | $235.50 | $35.33 – $211.95 | 23 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $51.98 | $86.63 | $12.99 – $77.97 | 22 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $31.92 | $53.20 | $7.98 – $47.88 | 22 |
| Semen analysis presence/motility CPT 89321 | $95.16 | $158.60 | $11.45 – $142.74 | 29 |
| Semen analysis w/count CPT 89310 | $103.01 | $171.68 | $8.18 – $154.51 | 29 |
| Sensorimotor examination CPT 92060 | $175.89 | $293.15 | $43.97 – $263.83 | 29 |
| Sensorineural acuity lvl tst CPT 92575 | $145.28 | $242.13 | $35.64 – $217.92 | 29 |
| Separate eyelid adhesions CPT 68340 | $1,926.33 | $3,210.55 | $71.00 – $5,788.85 | 29 |
| Sept9 promoter methylation analysis CPT 81327 | $358.65 | $597.75 | $36.00 – $537.98 | 29 |
| Sequestrectomy radial h/n CPT 24136 | $4,528.94 | $7,548.23 | $71.00 – $8,018.48 | 29 |
| Serial casting application 97139app CPT 97139 | $55.04 | $91.73 | $13.76 – $149.00 | 23 |
| Serial tonometry CPT 92100 | $144.33 | $240.55 | $36.08 – $216.50 | 22 |
| Serpina1 gene CPT 81332 | $310.54 | $517.57 | $36.00 – $465.81 | 29 |
| Sertraline (zoloft) - sendout CPT 80332 | $306.00 | $510.00 | $12.00 – $133.65 | 21 |
| Set radiation therapy field CPT 77280 | $851.12 | $1,418.54 | $128.27 – $1,276.69 | 29 |
| Set radiation therapy field CPT 77285 | $960.78 | $1,601.30 | $240.19 – $1,441.17 | 29 |
| Set radiation therapy field CPT 77290 | $2,041.25 | $3,402.09 | $357.33 – $3,061.88 | 29 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $7.14 | $11.90 | $0.09 – $0.53 | 22 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $21.42 | $35.70 | $2.84 – $17.02 | 22 |
| Sever cranial nerve CPT 64771 | $3,141.46 | $5,235.77 | $71.00 – $4,783.04 | 29 |
| Sf3b1 gene common variants CPT 81347 | $115.95 | $193.25 | $28.99 – $463.80 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $272.40 | $454.00 | $71.00 – $495.95 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $286.89 | $478.15 | $71.00 – $495.95 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $448.00 | $746.67 | $71.00 – $987.79 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $513.33 | $855.55 | $71.00 – $987.79 | 29 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $202.84 | $338.06 | $50.71 – $495.95 | 29 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $215.54 | $359.24 | $53.89 – $495.95 | 29 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $251.02 | $418.37 | $71.00 – $495.95 | 29 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $415.22 | $692.03 | $71.00 – $987.79 | 29 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $253.40 | $422.33 | $63.35 – $987.79 | 29 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $281.55 | $469.25 | $70.39 – $495.95 | 29 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $286.89 | $478.15 | $71.00 – $495.95 | 29 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,108.01 | $10,180.01 | $12.90 – $77.41 | 22 |
| Sheath laser cavaclear 14f HCPCS C1603 | $6,108.01 | $10,180.01 | $1,527.00 – $9,162.01 | 22 |
| Shigella antibody CPT 86771 | $108.96 | $181.60 | $12.00 – $163.44 | 29 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,727.43 | $6,212.39 | $71.00 – $8,018.48 | 29 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,246.33 | $7,077.22 | $71.00 – $17,722.46 | 29 |
| Sho arthrs srg capsulorraphy CPT 29806 | $4,625.34 | $7,708.90 | $71.00 – $17,722.46 | 29 |
| Sho arthrs srg compl synvct CPT 29821 | $4,399.11 | $7,331.85 | $71.00 – $8,018.48 | 29 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $4,521.67 | $7,536.11 | $71.00 – $8,018.48 | 29 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $4,816.16 | $8,026.94 | $71.00 – $8,018.48 | 29 |
| Sho arthrs srg prtl synvct CPT 29820 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 29 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $4,614.20 | $7,690.34 | $71.00 – $8,018.48 | 29 |
| Sho arthrs srg rpr slap les CPT 29807 | $4,531.06 | $7,551.77 | $71.00 – $17,722.46 | 29 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $4,154.18 | $6,923.63 | $71.00 – $8,018.48 | 29 |
| Shoe post-op mens m HCPCS L3260 | $229.82 | $383.04 | $2.70 – $325.58 | 22 |
| Sho lift taper to metatarsal HCPCS L3300 | $49.20 | $82.00 | $12.30 – $73.80 | 21 |
| Shortening of hand tendon CPT 26479 | $1,474.73 | $2,457.88 | $71.00 – $8,018.48 | 29 |
| Shortening of thigh bone CPT 27465 | not published | not published | $2,045.98 – $10,897.47 | 14 |
| Shorten radius or ulna CPT 25390 | $6,609.96 | $11,016.60 | $71.00 – $17,722.46 | 29 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $172.35 | $287.25 | $43.09 – $258.52 | 29 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $293.30 | $488.84 | $29.08 – $439.96 | 29 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $4,669.64 | $7,782.73 | $71.00 – $17,722.46 | 29 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $276.52 | $460.86 | $24.06 – $414.77 | 29 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,827.52 | $4,712.53 | $332.94 – $4,241.28 | 29 |
| Shoulder MRI (with contrast) CPT 73222 | $2,895.55 | $4,825.92 | $323.10 – $4,343.33 | 29 |
| Shoulder MRI (without contrast) CPT 73221 | $2,311.68 | $3,852.80 | $209.16 – $3,467.52 | 29 |
| Shoulder prosthesis removal CPT 23334 | $3,686.08 | $6,143.47 | $71.00 – $10,897.47 | 29 |
| Shoulder prosthesis removal CPT 23335 | $2,107.99 | $3,513.32 | $71.00 – $10,897.47 | 28 |
| Shoulder X-ray CPT 73030 | $344.38 | $573.96 | $35.09 – $516.56 | 29 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $399.27 | $665.45 | $21.71 – $598.90 | 29 |
| Shrinker prosth above knee HCPCS L8460 | $71.40 | $119.00 | $17.85 – $107.10 | 21 |
| Shrinker prosth below knee HCPCS L8440 | $152.40 | $254.00 | $10.35 – $215.90 | 22 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,047.52 | $8,412.53 | $381.15 – $2,286.90 | 20 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $375.67 | $626.12 | $81.86 – $563.51 | 29 |
| Sialidase enzyme assay CPT 87905 | $1,188.00 | $1,980.00 | $10.26 – $1,782.00 | 29 |
| Sialography s&i CPT 70390 | $789.85 | $1,316.42 | $115.94 – $1,184.78 | 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.