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 |
|---|---|---|---|---|
| Treat trigeminal nerve CPT 61790 | $3,610.79 | $6,017.99 | $71.00 – $5,416.19 | 29 |
| Treat ulnar fracture CPT 24675 | $801.97 | $1,336.62 | $71.00 – $3,981.46 | 29 |
| Treat ulnar fracture CPT 24685 | $7,777.43 | $12,962.39 | $71.00 – $17,722.46 | 29 |
| Treat vaginal bleeding CPT 57180 | $341.34 | $568.90 | $70.52 – $2,975.00 | 29 |
| Treat wrist bone fracture CPT 25635 | $649.79 | $1,082.99 | $71.00 – $3,981.46 | 29 |
| Treat wrist dislocation CPT 25675 | $901.61 | $1,502.69 | $71.00 – $1,352.42 | 29 |
| Treponema pallidum antibody CPT 86780 | $73.69 | $122.82 | $9.19 – $31.78 | 29 |
| Treprostinil injection HCPCS J3285 | $22,919.76 | $38,199.60 | $52.43 – $3,437.96 | 29 |
| Trg gene rearrangement anal CPT 81342 | $577.50 | $962.50 | $12.00 – $567.16 | 29 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $171.04 | $285.06 | $0.54 – $3.27 | 23 |
| Triamcinolone hexacetonl inj HCPCS J3303 | $123.23 | $205.38 | $30.81 – $184.84 | 22 |
| Trichinella antibody CPT 86784 | $120.82 | $201.37 | $10.55 – $181.23 | 29 |
| Triglycerides CPT 84478 | $255.15 | $425.25 | $4.82 – $15.53 | 29 |
| Trim nail(s) HCPCS G0127 | $91.21 | $152.02 | $22.80 – $151.53 | 29 |
| Trim nondyst nails CPT 11719 | $145.79 | $242.98 | $36.45 – $218.68 | 29 |
| Trluml dil aq o/f can without st CPT 66174 | $5,497.39 | $9,162.32 | $71.00 – $10,072.14 | 29 |
| Trluml dil aq o/f can w/st CPT 66175 | $5,954.46 | $9,924.10 | $71.00 – $12,947.48 | 29 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $15,111.95 | $25,186.58 | $5,388.00 – $32,603.53 | 27 |
| Trml dstrj ios bvn ea addl CPT 64629 | $10,353.85 | $17,256.41 | $2,588.46 – $15,530.77 | 20 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $1,091.14 | $1,818.56 | $71.00 – $1,636.70 | 29 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $3,832.30 | $6,387.16 | $71.00 – $5,748.44 | 22 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $4,982.62 | $8,304.36 | $71.00 – $7,473.92 | 22 |
| Trnscath plc stnt ante carotid art CPT 37218 | $2,631.00 | $4,385.00 | $71.00 – $5,388.00 | 22 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $8,196.29 | $13,660.49 | $71.00 – $12,294.44 | 22 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $11,249.74 | $18,749.56 | $71.00 – $16,874.60 | 22 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,649.78 | $26,082.96 | $71.00 – $27,252.71 | 29 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $5,602.63 | $9,337.72 | $71.00 – $8,649.00 | 29 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,450.30 | $7,417.17 | $71.00 – $13,613.39 | 29 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,770.98 | $7,951.64 | $71.00 – $7,896.23 | 29 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $5,527.30 | $9,212.16 | $71.00 – $8,290.94 | 29 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,336.09 | $7,226.81 | $71.00 – $7,896.23 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $5,719.01 | $9,531.68 | $71.00 – $8,887.48 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $2,124.68 | $3,541.13 | $71.00 – $3,187.02 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $4,549.10 | $7,581.84 | $71.00 – $6,823.66 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $4,167.42 | $6,945.70 | $71.00 – $6,251.13 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $4,548.51 | $7,580.85 | $71.00 – $6,822.77 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $3,174.23 | $5,290.39 | $71.00 – $4,761.35 | 29 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,931.76 | $4,886.27 | $71.00 – $4,517.58 | 29 |
| Troponin quantitative CPT 84484 | $241.65 | $402.75 | $10.47 – $168.75 | 29 |
| Tr retinal les preterm inf CPT 67229 | $884.17 | $1,473.61 | $71.00 – $1,439.96 | 29 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $2,656.28 | $4,427.14 | $71.00 – $8,649.00 | 29 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,393.28 | $2,322.13 | $348.32 – $2,089.92 | 29 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $4,948.77 | $8,247.95 | $71.00 – $14,293.73 | 29 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $72.21 | $120.35 | $17.75 – $106.52 | 22 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $667.76 | $1,112.94 | $3.75 – $22.50 | 22 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $464.89 | $774.81 | $34.74 – $213.20 | 21 |
| Tubular dressing HCPCS A6457 | $20.93 | $34.89 | $4.36 – $31.40 | 22 |
| Tvh >250 gms 58290 CPT 58290 | $6,872.92 | $11,454.87 | $71.00 – $18,719.48 | 29 |
| Tx atrial fib pulm vein isol CPT 93656 | $36,478.99 | $60,798.32 | $9,119.75 – $58,835.89 | 29 |
| Tx closed distal humerus fx CPT 24999 | $6,339.84 | $10,566.40 | $71.00 – $584.19 | 29 |
| Tx closed hip disl traumatic without anes CPT 27250 | $763.79 | $1,272.99 | $71.00 – $1,145.69 | 29 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,874.79 | $6,457.98 | $71.00 – $8,018.48 | 29 |
| Tx closed tib shaft fx without manip CPT 27750 | $575.33 | $958.89 | $71.00 – $863.00 | 29 |
| Tx contour defects >10.0 cc CPT 11954 | $1,827.21 | $3,045.35 | $68.94 – $2,740.82 | 29 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $695.84 | $1,159.74 | $49.00 – $1,555.84 | 29 |
| Tx l/r atrial fib addl CPT 93657 | $6,395.20 | $10,658.66 | $1,347.40 – $9,592.79 | 22 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $5,167.55 | $8,612.59 | $71.00 – $8,018.48 | 29 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,636.23 | $6,060.39 | $71.00 – $8,018.48 | 29 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,364.80 | $5,608.00 | $71.00 – $8,018.48 | 29 |
| Tx open nsl fx uncomp CPT 21325 | $4,173.52 | $6,955.87 | $71.00 – $7,975.81 | 29 |
| Tx open nsl sptl fx CPT 21336 | $4,308.40 | $7,180.67 | $71.00 – $8,018.48 | 29 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $5,585.50 | $9,309.17 | $71.00 – $8,378.25 | 29 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $721.98 – $7,441.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $532.46 | $887.44 | $71.00 – $798.70 | 29 |
| Tympanic membrane repair CPT 69610 | $2,836.60 | $4,727.66 | $71.00 – $5,388.00 | 29 |
| Tympanolysis transcanal 69450 CPT 69450 | $5,550.20 | $9,250.33 | $71.00 – $8,325.30 | 29 |
| Tympanometry & reflex thresh CPT 92550 | $227.29 | $378.81 | $56.82 – $386.96 | 29 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $780.46 | $1,300.77 | $71.00 – $2,975.00 | 29 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $11,063.54 | $18,439.24 | $71.00 – $16,595.32 | 29 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $9,481.40 | $15,802.33 | $71.00 – $14,507.25 | 29 |
| Tyms gene com variants CPT 81346 | $1,192.80 | $1,988.00 | $36.00 – $1,789.20 | 29 |
| Ua w/micro/comp poc CPT 81000 | $34.20 | $57.00 | $3.38 – $51.30 | 29 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,476.60 | $2,461.00 | $12.00 – $561.60 | 29 |
| Ultrasound breast complete CPT 76641 | $442.26 | $737.10 | $99.77 – $663.39 | 29 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $346.09 | $576.82 | $83.05 – $519.14 | 29 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $322.20 | $537.00 | $44.78 – $483.30 | 29 |
| Ultrasound dx ophth b-scan CPT 76512 | $393.89 | $656.48 | $48.11 – $590.83 | 29 |
| Ultrasound elastography parenchyma CPT 76981 | $399.40 | $665.67 | $99.77 – $599.10 | 29 |
| Ultrasound encephalogram CPT 76506 | $456.60 | $761.00 | $99.77 – $684.90 | 29 |
| Ultrasound exam follow-up CPT 76970 | $274.87 | $458.12 | $68.72 – $412.31 | 22 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $618.88 | $1,031.46 | $99.77 – $928.31 | 28 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $428.68 | $714.46 | $85.88 – $643.01 | 29 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $799.40 | $1,332.34 | $84.77 – $1,199.11 | 22 |
| Ultrasound guidance for vascular access CPT 76937 | $621.95 | $1,036.59 | $66.60 – $932.93 | 22 |
| Ultrasound guide intraoperative CPT 76998 | $656.12 | $1,093.53 | $164.03 – $984.18 | 22 |
| Ultrasound guide tissue ablation CPT 76940 | $474.95 | $791.59 | $118.74 – $712.43 | 22 |
| Ultrasound hips infant dynamic CPT 76885 | $474.87 | $791.45 | $83.05 – $712.30 | 29 |
| Ultrasound infant hips ltd without stress CPT 76886 | $412.92 | $688.20 | $83.05 – $619.38 | 29 |
| Ultrasound joint complete left CPT 76881 | $544.62 | $907.70 | $96.28 – $816.93 | 29 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $376.57 | $627.62 | $71.50 – $564.86 | 29 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $567.63 | $946.05 | $87.54 – $851.45 | 22 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $352.15 | $586.91 | $60.14 – $528.22 | 22 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $680.71 | $1,134.51 | $177.76 – $1,021.06 | 29 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $355.63 | $592.71 | $99.77 – $533.44 | 29 |
| Ultrasound prostate/transrectal CPT 76872 | $441.88 | $736.46 | $99.77 – $662.81 | 29 |
| Ultrasound spinal canal and contents CPT 76800 | $529.99 | $883.31 | $99.77 – $794.98 | 29 |
| Ultrasound transabd ea addl gest CPT 76812 | $437.17 | $728.61 | $192.13 – $655.75 | 22 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $237.74 | $396.24 | $138.68 – $523.94 | 29 |
| Ultraviolet therapy CPT 97028 | $52.03 | $86.72 | $13.01 – $149.00 | 23 |
| Umbilical artery cath newborn 36660 CPT 36660 | $807.86 | $1,346.43 | $71.00 – $5,388.00 | 22 |
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.