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 |
|---|---|---|---|---|
| Sperm isolation complex CPT 89261 | $272.32 | $453.87 | $12.00 – $408.48 | 29 |
| Sperm isolation simple CPT 89260 | $239.21 | $398.68 | $12.00 – $358.81 | 29 |
| Sperm washing 58323 CPT 58323 | $174.22 | $290.37 | $43.56 – $2,975.00 | 29 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $4,349.40 | $7,249.00 | $939.93 – $6,955.62 | 27 |
| Spinal bone allograftstructural 20931 CPT 20931 | $4,239.44 | $7,065.73 | $71.00 – $6,359.16 | 22 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $6,309.00 – $7,441.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,010.48 | $1,684.13 | $262.86 – $2,975.00 | 27 |
| Spine X-ray (single view, one level) CPT 72020 | $272.99 | $454.98 | $24.39 – $409.48 | 29 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $117.09 | $195.15 | $29.27 – $777.56 | 29 |
| Spirometry up to 2 yrs old CPT 94011 | $117.09 | $195.15 | $29.27 – $386.96 | 29 |
| Spleen imaging CPT 78185 | $961.98 | $1,603.30 | $153.36 – $1,442.97 | 29 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $392.09 | $653.49 | $98.02 – $588.14 | 21 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $83.19 | $138.65 | $17.40 – $104.40 | 21 |
| Splint finger 4 prong foam sm HCPCS A4570 | $41.90 | $69.83 | $10.47 – $62.85 | 22 |
| Splint finger fold over sm HCPCS L3924 | $157.15 | $261.92 | $11.74 – $70.45 | 21 |
| Splint finger frog med HCPCS L3927 | $51.30 | $85.50 | $12.82 – $76.95 | 21 |
| Splint func pos polyflex ii med HCPCS L3999 | $33.00 | $55.00 | $8.25 – $49.50 | 21 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $107.85 | $179.75 | $22.05 – $132.29 | 21 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,033.28 | $10,055.46 | $71.00 – $9,049.91 | 29 |
| Split blood or products CPT 86985 | $217.64 | $362.73 | $12.00 – $423.12 | 29 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $2,050.28 | $3,417.14 | $71.00 – $3,075.43 | 22 |
| Sprchoroidal spc njx rx agt CPT 67516 | $4,624.43 | $7,707.39 | $71.00 – $6,936.65 | 29 |
| Sputum specimen collection CPT 89220 | $120.46 | $200.77 | $12.00 – $423.12 | 29 |
| Srs linear based CPT 77372 | $16,549.13 | $27,581.89 | $4,137.28 – $24,823.70 | 29 |
| Staggered spondaic word test CPT 92572 | $263.71 | $439.51 | $65.93 – $395.56 | 29 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $376.38 | $627.30 | $94.09 – $564.57 | 23 |
| Staph a dna amp probe CPT 87640 | $118.81 | $198.02 | $12.00 – $178.22 | 29 |
| Static or dynami afo pre ots HCPCS L4397 | $217.65 | $362.75 | $25.39 – $152.33 | 21 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $338.36 | $563.94 | $84.59 – $507.55 | 23 |
| Stem cells total count CPT 86367 | $179.64 | $299.40 | $12.00 – $269.46 | 29 |
| Stenger test pure tone CPT 92565 | $135.22 | $225.37 | $33.81 – $202.83 | 29 |
| Stenger test speech CPT 92577 | $338.57 | $564.28 | $84.64 – $1,327.77 | 29 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $45,173.71 | $75,289.52 | $71.00 – $67,760.57 | 23 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $50,985.00 | $84,975.00 | $0.91 – $5.45 | 20 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $6,120.24 | $10,200.40 | $10.90 – $333.13 | 22 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $35,204.12 | $58,673.54 | $0.00 – $0.01 | 22 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $8,229.86 | $13,716.43 | $72.17 – $433.03 | 20 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $20,498.09 | $34,163.48 | $71.00 – $30,747.13 | 23 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $11,075.78 | $18,459.63 | $71.00 – $16,613.67 | 22 |
| Stent placemt retro carotid CPT 37217 | $1,972.11 | $3,286.85 | $71.00 – $5,388.00 | 22 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $29,957.43 | $49,929.05 | $71.00 – $44,936.14 | 23 |
| St evaluate speech sound production CPT 92522 | $406.75 | $677.91 | $101.69 – $610.12 | 23 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $519.26 | $865.44 | $112.00 – $778.90 | 23 |
| Stimulants synthetic CPT 80371 | $95.66 | $159.43 | $11.81 – $143.49 | 21 |
| Stoma absorptive cover HCPCS A5083 | $85.51 | $142.51 | $2.48 – $128.26 | 21 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,719.11 | $2,865.19 | $296.71 – $2,578.67 | 29 |
| Storage/year embryo(s) CPT 89342 | $420.61 | $701.01 | $12.00 – $630.91 | 29 |
| Storage/year oocyte(s) CPT 89346 | $764.33 | $1,273.88 | $12.00 – $1,146.49 | 29 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $302.39 | $503.99 | $10.80 – $453.59 | 29 |
| Strapping of chest CPT 29200 | $196.93 | $328.22 | $15.78 – $390.34 | 29 |
| Strapping of elbow or wrist 29260 CPT 29260 | $216.94 | $361.56 | $54.23 – $325.40 | 29 |
| Strapping of hand or finger CPT 29280 | $232.00 | $386.67 | $56.30 – $348.00 | 29 |
| Strapping of hip CPT 29520 | $170.08 | $283.46 | $42.52 – $316.45 | 29 |
| Strapping of knee CPT 29530 | $291.60 | $486.00 | $71.00 – $437.40 | 29 |
| Strapping of toes 29550 CPT 29550 | $215.28 | $358.80 | $53.82 – $322.92 | 29 |
| Strep a ag ia CPT 87430 | $88.73 | $147.88 | $12.00 – $133.09 | 29 |
| Strep b dna amp probe CPT 87653 | $179.57 | $299.28 | $12.00 – $269.35 | 29 |
| Stress test pulmonary CPT 94618 | $613.00 | $1,021.67 | $126.97 – $919.50 | 29 |
| Stress tte complete CPT 93351 | $2,879.71 | $4,799.52 | $451.67 – $4,319.57 | 29 |
| Str markers spec anal addl CPT 81266 | $365.77 | $609.62 | $36.00 – $731.54 | 29 |
| Str markers specimen anal CPT 81265 | $554.90 | $924.83 | $36.00 – $832.35 | 29 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $878.24 | $1,463.74 | $71.00 – $2,975.00 | 29 |
| Subq njx filling matrl 1cc/< CPT 11950 | $717.28 | $1,195.46 | $38.48 – $1,075.91 | 29 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $748.14 | $1,246.90 | $62.29 – $1,555.84 | 29 |
| Subsequent repair of nerve CPT 64872 | $4,448.60 | $7,414.33 | $71.00 – $6,672.90 | 22 |
| Subtalar arthro w/deb CPT 29906 | $2,777.50 | $4,629.16 | $71.00 – $8,649.00 | 29 |
| Subtalar arthro w/exc CPT 29905 | $3,543.46 | $5,905.77 | $71.00 – $17,722.46 | 29 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,406.76 | $5,677.93 | $71.00 – $8,649.00 | 29 |
| Subtalar arthro w/fusion CPT 29907 | $8,407.18 | $14,011.96 | $71.00 – $32,603.53 | 29 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $72.13 | $120.22 | $6.00 – $36.00 | 22 |
| Suction lipectomy head&neck CPT 15876 | $4,827.13 | $8,045.22 | $71.00 – $8,887.48 | 29 |
| Suction lipectomy lwr extrem CPT 15879 | $4,732.48 | $7,887.47 | $71.00 – $8,887.48 | 29 |
| Suction lipectomy trunk CPT 15877 | $3,797.14 | $6,328.56 | $71.00 – $8,887.48 | 29 |
| Suction lipectomy upr extrem CPT 15878 | $5,180.83 | $8,634.71 | $71.00 – $7,771.24 | 29 |
| Sugars multiple quant CPT 84379 | $17.08 | $28.46 | $9.69 – $27.67 | 29 |
| Sugars single quant CPT 84378 | $88.64 | $147.74 | $9.69 – $132.97 | 29 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $65,707.20 | $109,512.00 | $2.12 – $102.00 | 22 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $138.43 | $230.72 | $0.04 – $72.22 | 23 |
| Sulfonylurea screen qn-sendout CPT 80377 | $241.66 | $402.76 | $6.53 – $362.48 | 21 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $237.70 | $396.16 | $59.42 – $356.54 | 22 |
| Support clav 29.6-40.5in med HCPCS L3650 | $175.89 | $293.15 | $9.68 – $58.09 | 21 |
| Surg dx exam anorectal CPT 45990 | $2,814.85 | $4,691.41 | $109.90 – $6,955.62 | 29 |
| Surgery for urethra pouch CPT 53240 | $4,892.98 | $8,154.97 | $71.00 – $8,636.11 | 29 |
| Surgery to stop leg growth CPT 27475 | $4,294.43 | $7,157.38 | $71.00 – $17,722.46 | 29 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $5,388.00 – $17,722.46 | 15 |
| Surgery to stop leg growth CPT 27479 | $4,294.43 | $7,157.38 | $71.00 – $17,722.46 | 29 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $5,388.00 – $17,722.46 | 15 |
| Surgical exposure prostate 55860 CPT 55860 | $3,891.34 | $6,485.56 | $71.00 – $12,818.21 | 29 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,286.66 – $7,441.00 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $139.48 | $232.46 | $27.61 – $209.21 | 29 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $187.56 | $312.60 | $35.64 – $281.34 | 29 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $266.74 | $444.56 | $36.00 – $400.10 | 29 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $474.00 | $790.00 | $36.00 – $473.26 | 29 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $519.16 | $865.26 | $36.00 – $890.45 | 29 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $880.68 | $1,467.80 | $36.00 – $2,130.15 | 29 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $3,978.37 | $6,630.62 | $71.00 – $6,955.62 | 29 |
| Susceptibility agar dilution per agent CPT 87181 | $23.41 | $39.01 | $3.99 – $35.11 | 29 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $88.04 | $146.73 | $3.99 – $35.11 | 29 |
| Susceptibility mic per plate CPT 87186 | $112.52 | $187.54 | $7.27 – $156.28 | 29 |
| Suscept studies macrobroth dilution ea CPT 87188 | $68.89 | $114.82 | $5.58 – $103.34 | 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.