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 |
|---|---|---|---|---|
| Ureter endoscopy & biopsy CPT 50955 | $5,080.40 | $8,467.33 | $71.00 – $12,818.21 | 29 |
| Ureter endoscopy & catheter CPT 50972 | $1,579.40 | $2,632.33 | $71.00 – $8,636.11 | 29 |
| Ureter endoscopy & treatment CPT 50961 | $4,407.52 | $7,345.86 | $71.00 – $12,818.21 | 29 |
| Ureter endoscopy & treatment CPT 50980 | $3,935.24 | $6,558.73 | $71.00 – $12,818.21 | 29 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,809.47 – $7,441.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | $2,773.01 | $4,621.69 | $693.25 – $5,388.00 | 20 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $690.54 | $1,150.90 | $81.38 – $1,035.81 | 29 |
| Urethrlys transvag with scope CPT 53500 | $5,235.32 | $8,725.54 | $71.00 – $8,636.11 | 29 |
| Urethrocystography void s&i CPT 74455 | $706.96 | $1,178.27 | $104.25 – $1,060.44 | 29 |
| Uric acid blood CPT 84550 | $48.44 | $80.74 | $3.80 – $72.67 | 29 |
| Uric acid urine CPT 84560 | $63.21 | $105.35 | $4.27 – $14.85 | 29 |
| Urinalysis microscopic only CPT 81015 | $36.01 | $60.02 | $2.56 – $54.02 | 29 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.86 | $78.10 | $1.82 – $31.38 | 29 |
| Urinalysis (with microscopy) CPT 81001 | $77.87 | $129.78 | $2.66 – $116.80 | 29 |
| Urinalysis (without microscopy) CPT 81003 | $96.30 | $160.50 | $1.89 – $53.97 | 29 |
| Urinary bldr retent nuc study CPT 78730 | $350.66 | $584.43 | $87.66 – $525.99 | 22 |
| Urinary reflex study CPT 51792 | $316.14 | $526.90 | $56.30 – $474.21 | 29 |
| Urine Culture Test CPT 87086 | $86.92 | $144.86 | $6.78 – $130.37 | 29 |
| Urine flow measurement 51736 CPT 51736 | $230.92 | $384.86 | $57.73 – $346.37 | 29 |
| Urine pregnancy test CPT 81025 | $7.69 | $12.82 | $4.15 – $20.66 | 29 |
| Urography, antegrade CPT 74425 | $701.49 | $1,169.15 | $135.99 – $1,052.23 | 29 |
| Urography inf drip &/or bolus CPT 74410 | $709.58 | $1,182.64 | $142.00 – $1,064.38 | 29 |
| Use 1st target lesion CPT 76982 | $352.21 | $587.01 | $93.56 – $528.31 | 29 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,644.13 | $6,073.55 | $11.04 – $5,466.19 | 29 |
| Vaccine Administration (one shot) CPT 90471 | $67.70 | $112.84 | $16.93 – $174.51 | 29 |
| Vaccine dtap < 7 years im CPT 90700 | $101.02 | $168.37 | $22.55 – $135.31 | 22 |
| Vaccine dtap-ipv/hib im CPT 90698 | $280.15 | $466.92 | $70.04 – $420.23 | 22 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $46.99 | $78.32 | $11.75 – $70.49 | 22 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $225.31 | $375.52 | $56.33 – $337.97 | 23 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $179.89 | $299.81 | $44.97 – $269.83 | 23 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $402.20 | $670.34 | $100.55 – $603.31 | 23 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $103.22 | $172.03 | $25.34 – $152.05 | 23 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $81.00 | $135.00 | $20.25 – $121.50 | 23 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $81.00 | $135.00 | $20.25 – $121.50 | 23 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $27.00 | $45.00 | $6.75 – $40.50 | 23 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $605.69 | $1,009.48 | $151.42 – $908.53 | 22 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $426.43 | $710.71 | $88.65 – $531.90 | 22 |
| Vaccine mmr live subcutaneous CPT 90707 | $254.57 | $424.28 | $61.81 – $370.89 | 22 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $729.93 | $1,216.55 | $182.48 – $1,094.89 | 23 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,134.58 | $1,890.96 | $283.64 – $1,701.86 | 22 |
| Vaccine rabies im CPT 90675 | $1,174.89 | $1,958.15 | $256.75 – $1,540.51 | 29 |
| Vaccine tdap >=7 years im CPT 90715 | $167.69 | $279.48 | $41.53 – $249.16 | 23 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $131.77 | $219.61 | $32.94 – $197.64 | 23 |
| Vaccine varicella live subcutaneous CPT 90716 | $495.68 | $826.13 | $123.92 – $743.52 | 22 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $1,617.00 | $2,695.00 | $10.18 – $61.07 | 22 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $3,055.80 | $5,093.00 | $365.48 – $2,192.85 | 21 |
| Vad cable power module dc input HCPCS Q0478 | $5,556.00 | $9,260.00 | $71.00 – $638.84 | 22 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,675.20 | $27,792.00 | $1,484.31 – $8,905.88 | 21 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $5,345.59 | $8,909.31 | $71.00 – $12,321.66 | 29 |
| Vag hyst incl t/o complex CPT 58291 | $7,785.35 | $12,975.58 | $71.00 – $12,321.66 | 29 |
| Vag hyst including t/o CPT 58262 | $4,827.18 | $8,045.30 | $71.00 – $12,321.66 | 29 |
| Vag hyst t/o & repair compl CPT 58292 | $6,037.58 | $10,062.64 | $71.00 – $18,719.48 | 29 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $5,232.57 | $8,720.95 | $71.00 – $12,321.66 | 29 |
| Vag hyst w/enterocele repair CPT 58270 | $5,355.90 | $8,926.50 | $71.00 – $12,321.66 | 29 |
| Vaginal bx CPT 58999 | $3,859.51 | $6,432.52 | $9.66 – $1,237.50 | 29 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,866.47 | $6,444.11 | $71.00 – $7,744.80 | 29 |
| Vaginal Delivery (full care) CPT 59400 | $2,680.40 | $4,467.33 | $71.00 – $4,020.60 | 22 |
| Vaginal hysterectomy CPT 58260 | $6,072.38 | $10,120.64 | $71.00 – $12,321.66 | 29 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,436.60 – $7,441.00 | 4 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $24.12 | $40.20 | $0.04 – $36.18 | 23 |
| Valproic acid total therapeutic drug level CPT 80164 | $126.17 | $210.28 | $11.37 – $69.46 | 29 |
| Valvuloplasty aortic CPT 92986 | $13,324.96 | $22,208.27 | $3,331.24 – $19,987.44 | 28 |
| Valvuloplasty mitral CPT 92987 | $10,435.39 | $17,392.32 | $2,608.85 – $27,252.71 | 28 |
| Valvuloplasty pulmonary CPT 92990 | $10,567.06 | $17,611.77 | $2,641.77 – $27,252.71 | 28 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $246.70 | $411.17 | $0.03 – $20.70 | 23 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $89.83 | $149.72 | $0.11 – $91.12 | 23 |
| Vancomycin hcl injection HCPCS J3370 | $589.52 | $982.54 | $8.10 – $48.57 | 22 |
| Vancomycin peak therapeutic drug level CPT 80202 | $165.06 | $275.10 | $11.37 – $247.59 | 29 |
| Vanomycin dna amp probe CPT 87500 | $241.67 | $402.78 | $12.00 – $362.50 | 29 |
| Varicella zoster antibody igg CPT 86787 | $110.24 | $183.73 | $10.82 – $35.01 | 29 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $17,289.61 | $28,816.01 | $4,322.40 – $43,439.01 | 27 |
| Vasc graft into carpal bone CPT 25430 | $7,086.47 | $11,810.79 | $71.00 – $10,629.71 | 29 |
| Vasectomy CPT 55250 | $4,941.50 | $8,235.83 | $71.00 – $7,412.25 | 29 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,458.00 | $2,430.00 | $0.47 – $328.05 | 23 |
| Vbac delivery 59610 CPT 59610 | $7,970.66 | $13,284.44 | $71.00 – $11,956.00 | 22 |
| Vbac/include postpartum care 59614 CPT 59614 | $4,242.71 | $7,071.18 | $71.00 – $6,364.06 | 22 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $15,599.84 | $25,999.74 | $19.93 – $23,399.77 | 29 |
| Veeg cont 2-12 hrs CPT 95713 | $2,014.86 | $3,358.10 | $356.12 – $3,022.29 | 29 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,365.55 | $7,275.91 | $819.52 – $6,548.32 | 29 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $2,098.82 | $3,498.03 | $356.12 – $3,148.23 | 29 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,966.93 | $4,944.89 | $356.12 – $4,450.40 | 29 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,694.59 | $2,824.32 | $206.06 – $2,541.89 | 29 |
| Vein x-ray adrenal gland CPT 75840 | $2,418.29 | $4,030.49 | $128.64 – $7,896.23 | 29 |
| Vein x-ray adrenal glands CPT 75842 | $4,080.00 | $6,800.00 | $1,020.00 – $15,443.20 | 23 |
| Vein x-ray kidney CPT 75831 | $3,216.83 | $5,361.39 | $71.00 – $7,896.23 | 29 |
| Vein x-ray liver CPT 75891 | $3,642.81 | $6,071.35 | $124.30 – $7,896.23 | 29 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,396.72 | $3,994.53 | $136.66 – $7,896.23 | 29 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,368.95 | $5,614.92 | $123.63 – $7,896.23 | 29 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,994.47 | $3,324.12 | $137.66 – $7,896.23 | 29 |
| Vein x-ray skull CPT 75870 | $1,864.02 | $3,106.70 | $155.70 – $7,896.23 | 29 |
| Vein x-ray skull epidural CPT 75872 | $1,980.52 | $3,300.86 | $128.64 – $2,970.77 | 29 |
| Vein x-ray spleen/liver CPT 75810 | $1,880.40 | $3,134.00 | $612.59 – $7,896.23 | 29 |
| Vemp test i&r cervical CPT 92517 | $205.09 | $341.82 | $51.27 – $386.96 | 29 |
| Vemp test i&r ocular CPT 92518 | $167.46 | $279.10 | $41.87 – $386.96 | 29 |
| Vemp tst i&r cervical&ocular CPT 92519 | $317.34 | $528.90 | $71.00 – $777.56 | 29 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,944.23 | $3,240.38 | $9.26 – $71.00 | 22 |
| Venipuncture <3 yrs other vein CPT 36406 | $2,144.40 | $3,574.00 | $71.00 – $3,216.60 | 22 |
| Venogram ext bil s&i CPT 75822 | $2,026.94 | $3,378.23 | $133.65 – $3,967.42 | 29 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,382.58 | $2,304.30 | $107.93 – $3,967.42 | 29 |
| Venous mech thrombectomy CPT 37187 | $5,889.95 | $9,816.59 | $71.00 – $27,252.71 | 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.