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 |
|---|---|---|---|---|
| Umbilical cord occlud w/us CPT 59072 | $374.48 | $624.14 | $71.00 – $2,975.00 | 29 |
| Umbilicoplasty 15847 CPT 15847 | $4,172.97 | $6,954.95 | $71.00 – $6,259.45 | 22 |
| Unit mobile power mpu HCPCS Q0479 | $18,528.00 | $30,880.00 | $4,632.00 – $27,792.00 | 21 |
| Unlistd noninvas vasc dx std CPT 93998 | $1,133.57 | $1,889.28 | $27.61 – $1,117.00 | 29 |
| Unlisted chemotherapy px CPT 96549 | $475.70 | $792.84 | $44.69 – $357.23 | 29 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $5,876.98 | $9,794.96 | $69.91 – $5,388.00 | 29 |
| Unlisted CT procedure CPT 76497 | $3,679.86 | $6,133.10 | $83.05 – $484.38 | 29 |
| Unlisted dialysis procedure CPT 90999 | $3,975.37 | $6,625.61 | $71.00 – $2,010.47 | 22 |
| Unlisted dx gi procedure CPT 91299 | $1,256.74 | $2,094.57 | $122.80 – $1,841.00 | 29 |
| Unlisted fetal invas px w/us CPT 59897 | $575.54 | $959.24 | $71.00 – $5,388.00 | 29 |
| Unlisted fluoroscopic px CPT 76496 | $3,501.00 | $5,835.00 | $71.00 – $642.75 | 29 |
| Unlisted hystsc px uterus CPT 58579 | $3,027.89 | $5,046.48 | $71.00 – $5,388.00 | 29 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $6,307.38 | $10,512.30 | $71.00 – $14,293.73 | 29 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $6,838.32 | $11,397.20 | $71.00 – $14,293.73 | 29 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $3,795.52 | $6,325.86 | $71.00 – $14,293.73 | 29 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $7,299.35 | $12,165.58 | $1,511.84 – $14,293.73 | 27 |
| Unlisted laps px appendix CPT 44979 | $3,617.40 | $6,029.00 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px bladder CPT 51999 | $5,082.74 | $8,471.23 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px endoc sys CPT 60659 | $5,783.48 | $9,639.13 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px esoph CPT 43289 | $5,042.16 | $8,403.60 | $2,100.90 – $14,293.73 | 27 |
| Unlisted laps px lymphtc sys CPT 38589 | $10,488.59 | $17,480.98 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px ovidct ovry CPT 58679 | $4,713.11 | $7,855.19 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px renal CPT 50549 | $8,914.07 | $14,856.79 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,388.00 – $14,293.73 | 15 |
| Unlisted laps px testis CPT 54699 | $5,628.67 | $9,381.11 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px ureter CPT 50949 | $4,904.96 | $8,174.94 | $71.00 – $14,293.73 | 29 |
| Unlisted laps px uterus CPT 58578 | $8,803.87 | $14,673.12 | $71.00 – $14,293.73 | 29 |
| Unlisted maxlfcl prosth px CPT 21089 | $1,607.44 | $2,679.06 | $71.00 – $5,388.00 | 29 |
| Unlisted misc path test CPT 89240 | $89.40 | $149.00 | $12.00 – $134.24 | 29 |
| Unlisted mr procedure CPT 76498 | $2,052.00 | $3,420.00 | $83.05 – $977.72 | 29 |
| Unlisted muscskel px head CPT 21499 | $155.13 | $258.55 | $64.64 – $5,388.00 | 29 |
| Unlisted oph svc/procedure CPT 92499 | $213.51 | $355.85 | $28.19 – $320.26 | 26 |
| Unlisted orl service/px CPT 92700 | $343.84 | $573.07 | $18.75 – $112.47 | 29 |
| Unlisted procedure colon CPT 45399 | $1,983.83 | $3,306.38 | $71.00 – $5,645.00 | 29 |
| Unlisted procedure esophagus CPT 43499 | $7,348.20 | $12,247.00 | $71.00 – $7,103.26 | 29 |
| Unlisted procedure eyelids CPT 67999 | $479.62 | $799.37 | $71.00 – $5,388.00 | 29 |
| Unlisted procedure larynx CPT 31599 | $5,023.51 | $8,372.52 | $69.91 – $5,388.00 | 29 |
| Unlisted procedure liver CPT 47399 | $3,071.62 | $5,119.37 | $71.00 – $5,388.00 | 29 |
| Unlisted procedure microbiology CPT 87999 | $2,118.52 | $3,530.87 | $12.00 – $270.00 | 22 |
| Unlisted procedure orbit CPT 67599 | $479.62 | $799.37 | $71.00 – $721.66 | 29 |
| Unlisted procedure pancreas CPT 48999 | $6,597.79 | $10,996.31 | $71.00 – $5,388.00 | 29 |
| Unlisted procedure rectum CPT 45999 | $875.12 | $1,458.54 | $71.00 – $2,264.11 | 29 |
| Unlisted procedure spine CPT 22899 | $9,924.31 | $16,540.52 | $71.00 – $5,959.56 | 29 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,442.83 – $7,441.00 | 4 |
| Unlisted px abdomen muscskel CPT 22999 | $7,349.98 | $12,249.97 | $71.00 – $5,388.00 | 29 |
| Unlisted px accessory sinus CPT 31299 | $167.79 | $279.65 | $69.91 – $5,388.00 | 29 |
| Unlisted px ant segment eye CPT 66999 | $3,110.31 | $5,183.85 | $71.00 – $5,772.91 | 29 |
| Unlisted px arthroscopy CPT 29999 | $11,433.76 | $19,056.26 | $71.00 – $5,388.00 | 29 |
| Unlisted px biliary tract CPT 47999 | $15,476.87 | $25,794.78 | $865.56 – $6,457.25 | 29 |
| Unlisted px casting/strpg CPT 29799 | $224.93 | $374.88 | $71.00 – $390.34 | 29 |
| Unlisted px conjunctiva CPT 68399 | $479.62 | $799.37 | $71.00 – $5,388.00 | 29 |
| Unlisted px diaphragm CPT 39599 | $4,846.78 | $8,077.97 | $71.00 – $7,270.17 | 21 |
| Unlisted px exc pressure ulc CPT 15999 | $626.83 | $1,044.71 | $71.00 – $5,388.00 | 29 |
| Unlisted px external ear CPT 69399 | $7,359.08 | $12,265.13 | $71.00 – $605.10 | 29 |
| Unlisted px extraocular musc CPT 67399 | $3,718.79 | $6,197.98 | $71.00 – $5,578.18 | 29 |
| Unlisted px foot/toes CPT 28899 | $6,994.18 | $11,656.96 | $71.00 – $5,388.00 | 29 |
| Unlisted px forearm/wrist CPT 25999 | $4,964.24 | $8,273.74 | $71.00 – $5,388.00 | 29 |
| Unlisted px hands/fingers CPT 26989 | $6,841.45 | $11,402.42 | $71.00 – $685.82 | 29 |
| Unlisted px inner ear CPT 69949 | $10,216.64 | $17,027.73 | $71.00 – $5,388.00 | 29 |
| Unlisted px lacrimal system CPT 68899 | $479.62 | $799.37 | $71.00 – $5,388.00 | 29 |
| Unlisted px leg/ankle CPT 27899 | $6,818.24 | $11,363.73 | $71.00 – $584.19 | 29 |
| Unlisted px male genital sys CPT 55899 | $4,942.08 | $8,236.80 | $70.76 – $612.25 | 29 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,697.23 – $7,441.00 | 4 |
| Unlisted px med radj physics CPT 77399 | $376.03 | $626.72 | $94.01 – $564.05 | 29 |
| Unlisted px middle ear CPT 69799 | $2,162.16 | $3,603.60 | $69.91 – $5,388.00 | 29 |
| Unlisted px neck/thorax CPT 21899 | $2,680.22 | $4,467.04 | $71.00 – $5,388.00 | 29 |
| Unlisted px palate uvula CPT 42299 | $167.79 | $279.65 | $69.91 – $605.10 | 29 |
| Unlisted px pelvis/hip joint CPT 27299 | $9,872.02 | $16,453.36 | $71.00 – $5,388.00 | 29 |
| Unlisted px salivry glnd/dux CPT 42699 | $4,032.00 | $6,720.00 | $71.00 – $605.10 | 29 |
| Unlisted px small intestine CPT 44799 | $3,029.95 | $5,049.91 | $71.00 – $2,245.59 | 29 |
| Unlisted px ther rad tx plng CPT 77299 | $398.11 | $663.52 | $99.53 – $597.17 | 29 |
| Unlisted px tongue flr mouth CPT 41599 | $203.98 | $339.97 | $69.91 – $605.10 | 29 |
| Unlisted px vestibule mouth CPT 40899 | $167.79 | $279.65 | $69.91 – $5,388.00 | 29 |
| Unlisted spec derm svc/px CPT 96999 | $139.21 | $232.02 | $34.80 – $495.95 | 29 |
| Unlisted special svc px/rprt CPT 99199 | $210.00 | $350.00 | $22.50 – $135.00 | 22 |
| Unlisted ultrasound procedure CPT 76999 | $2,861.95 | $4,769.92 | $83.05 – $388.80 | 29 |
| Unlisted vasc endoscopy px CPT 37501 | $3,160.00 | $5,266.67 | $71.00 – $5,388.00 | 29 |
| Unlstd laps px sprmatic cord CPT 55559 | $4,608.50 | $7,680.84 | $71.00 – $14,293.73 | 29 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,748.01 | $2,913.35 | $437.00 – $2,622.01 | 29 |
| Upgrade pm system CPT 33214 | $16,584.26 | $27,640.44 | $6,346.73 – $26,452.82 | 29 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $353.69 | $589.49 | $32.08 – $530.54 | 29 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,041.20 | $3,402.00 | $167.39 – $3,061.80 | 29 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,768.19 | $2,946.99 | $99.77 – $2,652.29 | 29 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,855.61 | $6,426.01 | $330.45 – $5,783.41 | 29 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,039.85 | $3,399.75 | $281.34 – $3,059.78 | 29 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,143.16 | $3,571.94 | $196.14 – $3,214.75 | 29 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $403.23 | $672.05 | $33.08 – $604.85 | 29 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $450.25 | $750.42 | $39.76 – $675.38 | 29 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $334.95 – $3,485.00 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $334.95 – $3,485.00 | 16 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $704.42 | $1,174.04 | $139.34 – $1,056.64 | 29 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $771.95 | $1,286.59 | $122.96 – $1,157.93 | 29 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $334.95 – $3,485.00 | 16 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $6,620.59 | $11,034.31 | $71.00 – $14,293.73 | 29 |
| Urea nitrogen CPT 84520 | $63.50 | $105.84 | $3.32 – $67.50 | 29 |
| Urea nitrogen 24 hour urine CPT 84540 | $86.29 | $143.82 | $4.67 – $129.44 | 29 |
| Urea nitrogen clearance CPT 84545 | $20.07 | $33.45 | $6.05 – $30.11 | 29 |
| Ureteral embolization/occl CPT 50705 | $1,591.37 | $2,652.28 | $71.00 – $2,387.05 | 22 |
| Ureteral reflux study CPT 78740 | $1,298.73 | $2,164.55 | $209.50 – $1,948.10 | 29 |
| Ureter endoscopy CPT 50970 | $949.04 | $1,581.74 | $71.00 – $8,636.11 | 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.