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 |
|---|---|---|---|---|
| Suspension of testis CPT 54620 | $3,538.08 | $5,896.80 | $71.00 – $8,636.11 | 29 |
| Svc venogram s&i CPT 75827 | $2,040.37 | $3,400.61 | $118.95 – $3,967.42 | 29 |
| Swallowing Evaluation (Bedside) CPT 92610 | $420.71 | $701.18 | $105.18 – $631.06 | 23 |
| Swallowing Therapy Session CPT 92526 | $268.12 | $446.86 | $67.03 – $402.17 | 23 |
| Sweat collection by iontophoresis CPT 89230 | $232.83 | $388.05 | $12.00 – $349.25 | 29 |
| Sympathectomy digital artery CPT 64820 | $1,965.60 | $3,276.00 | $71.00 – $5,388.00 | 29 |
| Sympathectomy lumbar CPT 64818 | $2,919.88 | $4,866.47 | $71.00 – $5,388.00 | 22 |
| Sympathectomy supfc palmar CPT 64823 | $3,127.67 | $5,212.78 | $71.00 – $8,018.48 | 29 |
| Synthetic sentence id test CPT 92576 | $147.25 | $245.42 | $35.64 – $220.88 | 29 |
| Synvisc or synvisc-one HCPCS J7325 | $1,232.66 | $2,054.43 | $6.61 – $1,848.99 | 29 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $79.78 | $132.96 | $3.70 – $47.92 | 29 |
| System cardiomems hosp electronics HCPCS C2624 | $45,886.50 | $76,477.50 | $0.00 – $59,381.00 | 22 |
| System pacing micra av HCPCS C1786 | $32,426.46 | $54,044.10 | $642.41 – $3,854.47 | 21 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $17,621.40 | $29,369.00 | $840.74 – $5,044.45 | 21 |
| System recell skin grafting/harvesting HCPCS C1832 | $14,020.88 | $23,368.13 | $10.53 – $16,825.05 | 22 |
| System sealant biosentry tract HCPCS C2613 | $1,023.33 | $1,705.55 | $255.83 – $1,534.99 | 20 |
| T3 (triiodothyronine) free CPT 84481 | $202.48 | $337.47 | $12.00 – $303.72 | 29 |
| T3 (triiodothyronine) total CPT 84480 | $125.89 | $209.81 | $11.91 – $188.83 | 29 |
| T4 (thyroxine) free CPT 84439 | $132.83 | $221.39 | $7.58 – $49.50 | 29 |
| T4 (thyroxine) total CPT 84436 | $73.64 | $122.73 | $5.77 – $110.46 | 29 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $32.80 | $54.66 | $1.54 – $9.22 | 23 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $43.10 | $71.84 | $0.10 – $3.49 | 23 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $668.52 | $1,114.20 | $167.13 – $1,002.78 | 29 |
| Tacrolimus therapeutic drug level CPT 80197 | $166.12 | $276.87 | $11.53 – $249.18 | 29 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,456.76 | $4,094.60 | $13.36 – $3,685.14 | 29 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $278.57 | $464.28 | $32.75 – $417.85 | 29 |
| Tap block bilat cont infusion 64489 CPT 64489 | $5,074.87 | $8,458.12 | $57.57 – $7,612.31 | 22 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,427.09 | $2,378.48 | $47.45 – $2,140.63 | 22 |
| Target gsa panel hmtlmph neop CPT 81450 | $8,967.00 | $14,945.00 | $12.00 – $1,822.87 | 29 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,208.55 | $12,014.25 | $36.00 – $7,007.04 | 29 |
| Target gsa panel organ neop CPT 81445 | $5,238.75 | $8,731.25 | $36.00 – $1,811.81 | 29 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $27,030.00 | $45,050.00 | $1,489.33 – $40,545.00 | 29 |
| Tas congenital car anomal CPT 33741 | $7,684.33 | $12,807.21 | $1,921.08 – $11,526.49 | 21 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $1,057.02 | $1,761.70 | $71.00 – $1,585.53 | 29 |
| Tavr perq femoral CPT 33361 | $28,637.81 | $47,729.69 | $2,233.83 – $42,956.72 | 22 |
| Tbs techl calculation only CPT 77091 | $99.13 | $165.22 | $24.78 – $225.11 | 29 |
| Tbs techl prep&transmis data CPT 77090 | $99.13 | $165.22 | $24.78 – $225.11 | 29 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $506.22 | $843.70 | $12.00 – $479.73 | 29 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $220.75 | $367.91 | $12.00 – $331.12 | 29 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $109.62 | $182.70 | $27.41 – $164.43 | 22 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,970.00 | $4,950.00 | $626.93 – $4,455.00 | 28 |
| Tc-99m sulfur colloid HCPCS A9541 | $205.55 | $342.59 | $51.39 – $308.33 | 22 |
| Tca peel dermal 15789 CPT 15789 | $644.75 | $1,074.59 | $71.00 – $1,555.84 | 29 |
| Tcd emboli detect w/inj CPT 93893 | $426.07 | $710.11 | $99.77 – $1,117.00 | 29 |
| Tcd emboli detect without inj CPT 93892 | $430.89 | $718.15 | $99.77 – $1,117.00 | 29 |
| Tcd vasoreactivity study CPT 93890 | $588.44 | $980.73 | $147.11 – $1,117.00 | 23 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $216.72 | $361.20 | $9.82 – $112.75 | 29 |
| T cells absolute cd 4 count CPT 86361 | $258.20 | $430.33 | $12.00 – $258.78 | 29 |
| T cells total count CPT 86359 | $363.75 | $606.25 | $9.82 – $90.55 | 29 |
| Tcranial magn stim tx deli CPT 90868 | $556.36 | $927.27 | $76.19 – $834.54 | 29 |
| Tcranial magn stim tx plan CPT 90867 | $534.04 | $890.07 | $133.51 – $801.06 | 29 |
| Tcran magn stim redetemine CPT 90869 | $573.09 | $955.15 | $113.00 – $859.63 | 29 |
| Team conf without pat by hc pro CPT 99368 | $154.14 | $256.90 | $38.53 – $231.21 | 23 |
| Team conf w/pat by hc prof CPT 99366 | $217.80 | $363.00 | $54.45 – $326.70 | 23 |
| Telehealth original site facility fee HCPCS Q3014 | $853.70 | $1,422.84 | $8.32 – $49.94 | 21 |
| Telethx isodose plan cplx CPT 77307 | $1,181.00 | $1,968.33 | $295.25 – $1,771.50 | 29 |
| Telethx isodose plan simple CPT 77306 | $872.14 | $1,453.56 | $218.03 – $1,308.20 | 29 |
| Temozolomide HCPCS J8700 | $64.37 | $107.28 | $0.43 – $15.53 | 23 |
| Temple bne implnt w/stimulat CPT 69715 | $10,725.79 | $17,876.31 | $71.00 – $16,088.68 | 22 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,031.44 | $15,052.40 | $28.58 – $13,547.16 | 29 |
| Tendon lengthening CPT 26476 | not published | not published | $1,088.27 – $8,018.48 | 16 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $3,671.74 | $6,119.57 | $71.00 – $8,018.48 | 29 |
| Tendon shortening CPT 26477 | $2,047.48 | $3,412.47 | $71.00 – $8,018.48 | 29 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,951.87 | $24,919.78 | $187.57 – $16,816.12 | 29 |
| Tenodesis biceps tdn at elbw CPT 24340 | $4,485.13 | $7,475.22 | $71.00 – $17,722.46 | 29 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $2,596.30 | $4,327.16 | $71.00 – $8,018.48 | 29 |
| Tenoplasty elbow to sho 1 CPT 24320 | $5,487.32 | $9,145.53 | $71.00 – $17,722.46 | 29 |
| Tenosynovectomy radic 26145 CPT 26145 | $2,567.32 | $4,278.87 | $71.00 – $4,463.00 | 29 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $3,153.73 | $5,256.21 | $71.00 – $8,018.48 | 29 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,139.67 | $3,566.12 | $71.00 – $5,388.00 | 29 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $73.32 | $122.20 | $3.26 – $109.98 | 23 |
| Tert gene targeted seq alys CPT 81345 | $1,650.00 | $2,750.00 | $36.00 – $2,475.00 | 29 |
| Test for chlorohydrocarbons CPT 82441 | $71.04 | $118.40 | $5.05 – $106.56 | 29 |
| Test for urine cystines CPT 82615 | $80.85 | $134.75 | $8.02 – $121.28 | 29 |
| Testicular imaging w/vasc flow CPT 78761 | $842.56 | $1,404.27 | $195.14 – $1,263.84 | 29 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $56.35 | $93.92 | $12.00 – $151.53 | 29 |
| Test stress cardiovascular tracing only CPT 93017 | $1,497.34 | $2,495.57 | $206.06 – $2,246.01 | 29 |
| Test urine urobilinogen CPT 84578 | $5.36 | $8.94 | $3.13 – $10.73 | 29 |
| Tetanus immune globulin inj HCPCS J1670 | $1,172.11 | $1,953.51 | $293.03 – $1,758.16 | 29 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $3,450.00 | $5,750.00 | $36.00 – $1,822.87 | 29 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $5,025.00 | $8,375.00 | $36.00 – $7,007.04 | 29 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $5,536.50 | $9,227.50 | $36.00 – $1,521.63 | 29 |
| Thawing cryopresrved embryo CPT 89352 | $503.57 | $839.28 | $12.00 – $755.35 | 29 |
| Thawing cryopresrved oocyte CPT 89356 | $961.33 | $1,602.22 | $12.00 – $1,442.00 | 29 |
| Thawing cryopresrved sperm CPT 89353 | $155.39 | $258.98 | $12.00 – $233.08 | 29 |
| Thaw preserved stem cells CPT 38208 | $900.90 | $1,501.50 | $36.00 – $1,351.35 | 29 |
| Theophylline therapeutic drug level CPT 80198 | $139.87 | $233.12 | $11.88 – $209.81 | 29 |
| Therapeutic procd strg endur HCPCS G0237 | $134.49 | $224.15 | $27.61 – $201.74 | 29 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $138.53 | $230.88 | $34.63 – $207.79 | 23 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $149.57 | $249.28 | $37.39 – $224.35 | 23 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $70.98 | $118.30 | $17.75 – $106.47 | 22 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.10 | $106.84 | $16.03 – $96.16 | 22 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $540.38 | $900.63 | $135.09 – $810.57 | 29 |
| Ther fx nasal inf turbinate CPT 30930 | $2,155.32 | $3,592.20 | $71.00 – $7,975.81 | 29 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $635.54 | $1,059.23 | $167.39 – $953.31 | 29 |
| Ther/proph/diag inj ia CPT 96373 | $258.34 | $430.56 | $57.68 – $530.97 | 29 |
| Ther radiology tx plng cplx CPT 77263 | $290.77 | $484.62 | $72.69 – $671.85 | 22 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $285.32 – $285.32 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.82 | $59.70 | $1.71 – $34.56 | 23 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $302.07 | $503.45 | $35.75 – $453.11 | 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.