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 |
|---|---|---|---|---|
| Biopsy of testis CPT 54505 | $4,281.73 | $7,136.22 | $71.00 – $8,636.11 | 29 |
| Biopsy of toe joint lining CPT 28054 | $2,995.88 | $4,993.14 | $71.00 – $8,018.48 | 29 |
| Biopsy of upper nose/throat CPT 42804 | $2,463.14 | $4,105.24 | $71.00 – $7,975.81 | 29 |
| Biopsy of urethra CPT 53200 | $3,178.01 | $5,296.69 | $71.00 – $5,045.72 | 29 |
| Biopsy of wrist joint CPT 25100 | $3,078.45 | $5,130.75 | $71.00 – $8,018.48 | 29 |
| Biopsy oocyte polar body <=5 CPT 89290 | $2,156.08 | $3,593.46 | $12.00 – $3,234.11 | 29 |
| Biopsy/removal lymph nodes CPT 38525 | $3,302.03 | $5,503.39 | $71.00 – $9,442.65 | 29 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $4,803.34 | $8,005.57 | $71.00 – $9,442.65 | 29 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,310.03 | $3,850.05 | $71.00 – $4,016.35 | 29 |
| Biopsy roof of mouth CPT 42100 | $1,605.89 | $2,676.49 | $71.00 – $3,777.93 | 29 |
| Biopsy skin incisional single lesion CPT 11106 | $634.09 | $1,056.81 | $71.00 – $2,975.00 | 29 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,809.57 | $4,682.61 | $71.00 – $4,214.35 | 29 |
| Biopsy thigh soft tissues CPT 27324 | $3,046.29 | $5,077.15 | $71.00 – $7,039.11 | 29 |
| Biopsy tongue anterior two-thirds CPT 41100 | $1,576.07 | $2,626.78 | $71.00 – $2,975.00 | 29 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $2,386.41 | $3,977.35 | $71.00 – $7,744.80 | 29 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $962.09 | $1,603.48 | $71.00 – $1,443.13 | 29 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $4,579.65 | $7,632.75 | $71.00 – $17,722.46 | 29 |
| Biopsy vrt bdy open thoracic CPT 20250 | $4,959.68 | $8,266.14 | $71.00 – $8,018.48 | 29 |
| Biospy of bladder CPT 53899 | $7,195.12 | $11,991.86 | $71.00 – $612.25 | 29 |
| Biotinidase - quest CPT 82261 | $103.31 | $172.19 | $12.00 – $154.97 | 29 |
| Bis xtracell fluid analysis CPT 93702 | $287.28 | $478.80 | $71.00 – $430.92 | 29 |
| Bivalirudin HCPCS J0583 | $1,771.80 | $2,953.00 | $0.14 – $2,657.70 | 23 |
| Bladder Catheter Insertion (simple) CPT 51702 | $282.53 | $470.88 | $70.63 – $423.79 | 29 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $422.51 | $704.18 | $44.30 – $633.76 | 29 |
| Bld exchange truj oth thn nb CPT 36455 | $703.23 | $1,172.05 | $164.30 – $1,075.39 | 29 |
| Bld prd mix CPT 86965 | $117.37 | $195.61 | $12.00 – $423.12 | 29 |
| Bld push tfuj 2 yr/< CPT 36440 | $999.06 | $1,665.10 | $249.76 – $1,498.59 | 29 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $227.72 | $379.54 | $18.26 – $223.85 | 23 |
| Blepharoplasty lower 15820 CPT 15820 | $3,055.04 | $5,091.74 | $71.00 – $4,582.57 | 29 |
| Blepharoplasty upper 15822 CPT 15822 | $4,309.20 | $7,182.00 | $71.00 – $6,463.80 | 29 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $4,585.46 | $7,642.44 | $71.00 – $6,878.20 | 29 |
| Blepharp lwr eyelid fat pad CPT 15821 | $3,227.49 | $5,379.15 | $71.00 – $4,841.23 | 29 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $9,291.29 | $15,485.48 | $155.76 – $13,936.93 | 29 |
| Blind interatrial shunt ide HCPCS C9758 | $14,874.00 | $24,790.00 | $3,718.50 – $45,501.30 | 29 |
| Blink reflex test CPT 95933 | $372.01 | $620.01 | $56.30 – $558.01 | 29 |
| Blm gene CPT 81209 | $70.50 | $117.50 | $33.02 – $105.75 | 29 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $15,652.40 | $26,087.33 | $0.00 – $0.01 | 22 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $7,647.75 | $12,746.25 | $14.01 – $84.08 | 22 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,572.22 | $2,620.36 | $47.89 – $287.32 | 22 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,914.26 | $9,857.10 | $141.49 – $848.92 | 22 |
| Bln press regulation 71-80cm HCPCS C1815 | $13,796.54 | $22,994.24 | $1,319.54 – $7,917.25 | 20 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,792.59 | $7,987.65 | $80.40 – $482.43 | 20 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,703.19 | $4,505.32 | $71.00 – $4,054.79 | 29 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $2,046.51 | $3,410.85 | $71.00 – $3,069.76 | 29 |
| Block paracervical nrv CPT 64435 | $1,029.84 | $1,716.40 | $43.19 – $2,975.00 | 29 |
| Block plantar digital nerve CPT 64455 | $430.55 | $717.59 | $17.99 – $733.72 | 29 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,995.99 | $4,993.32 | $51.26 – $4,493.99 | 22 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,811.87 | $3,019.78 | $41.42 – $2,717.80 | 22 |
| Blood clot lysis time CPT 85175 | $82.20 | $137.00 | $12.00 – $123.30 | 29 |
| Blood Clotting (PT/INR) Test CPT 85610 | $65.60 | $109.34 | $3.60 – $14.89 | 29 |
| Blood Clotting (PTT) Test CPT 85730 | $115.22 | $192.03 | $5.05 – $20.91 | 29 |
| Blood component/product noc HCPCS P9099 | $0.01 | $0.01 | $0.00 – $81.22 | 29 |
| Blood Count (CBC) Test CPT 85025 | $89.81 | $149.69 | $6.53 – $134.72 | 29 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $104.86 | $174.77 | $5.43 – $157.29 | 29 |
| Blood count spun microhematocrit CPT 85013 | $34.83 | $58.05 | $5.88 – $52.24 | 29 |
| Blood Culture Test CPT 87040 | $162.54 | $270.90 | $8.67 – $243.81 | 29 |
| Blood draw capillary 36416 CPT 36416 | $24.67 | $41.11 | $6.17 – $37.00 | 21 |
| Blood Draw (Venipuncture) CPT 36415 | $25.87 | $43.11 | $6.47 – $38.80 | 29 |
| Blood gases o2 saturation direct measurement CPT 82805 | $300.41 | $500.68 | $12.00 – $450.61 | 29 |
| Blood gases ph venous CPT 82800 | $71.93 | $119.88 | $9.24 – $107.89 | 29 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $77.16 | $128.60 | $12.00 – $115.74 | 29 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $53.33 | $88.89 | $3.55 – $80.00 | 29 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $38.42 | $64.04 | $3.68 – $57.64 | 29 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $47.04 | $78.40 | $4.47 – $70.56 | 29 |
| Blood smear interpretation CPT 85060 | $248.70 | $414.50 | $12.00 – $130.44 | 22 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $42.02 | $70.04 | $3.19 – $63.04 | 29 |
| Blood split unit HCPCS P9011 | $568.58 | $947.63 | $14.71 – $387.58 | 29 |
| Blood Transfusion CPT 36430 | $1,085.62 | $1,809.36 | $30.73 – $1,628.42 | 29 |
| Blood typing abo CPT 86900 | $4,755.00 | $7,925.00 | $2.19 – $316.45 | 29 |
| Blood typing ag donor ea ag CPT 86902 | $214.33 | $357.21 | $5.33 – $890.45 | 29 |
| Blood typing patient serum CPT 86904 | $96.88 | $161.47 | $12.00 – $151.53 | 29 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $214.33 | $357.21 | $3.22 – $890.45 | 29 |
| Blood typing rh (d) CPT 86901 | $146.25 | $243.75 | $2.19 – $99.35 | 29 |
| Blood typing rh phenotype complete reference CPT 86906 | $121.11 | $201.85 | $6.51 – $118.20 | 29 |
| Blood volume CPT 78122 | $1,725.05 | $2,875.08 | $99.58 – $2,587.57 | 29 |
| Bls-emergency HCPCS A0429 | $484.91 | $808.19 | $121.23 – $727.37 | 22 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $2,959.00 – $7,441.00 | 2 |
| Body jacket mold to patient HCPCS L1300 | $1,771.80 | $2,953.00 | $442.95 – $2,657.70 | 21 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $33,945.00 | $56,575.00 | $31.87 – $191.20 | 28 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $273.56 | $455.93 | $26.06 – $410.34 | 29 |
| Bone biopsy open superficial CPT 20240 | $3,714.89 | $6,191.49 | $71.00 – $7,039.11 | 29 |
| Bone Density Scan (DEXA) CPT 77080 | $398.56 | $664.26 | $39.09 – $597.83 | 29 |
| Bone filler cerament 10cc HCPCS C1602 | $16,176.52 | $26,960.87 | $2,184.71 – $13,108.25 | 20 |
| Bone imaging (3d) CPT 78320 | $1,261.00 | $2,101.67 | $315.25 – $1,891.50 | 22 |
| Bone imaging multiple areas CPT 78305 | $959.25 | $1,598.75 | $247.59 – $1,438.88 | 29 |
| Bone/joint imaging ltd area CPT 78300 | $911.58 | $1,519.30 | $203.15 – $1,367.37 | 29 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,239.64 | $2,066.07 | $71.00 – $4,016.35 | 29 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,143.48 | $1,905.80 | $71.00 – $4,016.35 | 29 |
| Bone marrow harvest allogen CPT 38230 | $5,783.78 | $9,639.63 | $71.00 – $8,675.67 | 29 |
| Bone marrow harvest autolog CPT 38232 | $5,476.96 | $9,128.26 | $71.00 – $11,464.28 | 29 |
| Bone marrow imaging body CPT 78104 | $973.73 | $1,622.89 | $225.20 – $1,460.60 | 29 |
| Bone marrow imaging ltd CPT 78102 | $728.85 | $1,214.75 | $159.38 – $1,093.28 | 29 |
| Bone marrow imaging mult CPT 78103 | $762.31 | $1,270.51 | $169.08 – $1,143.46 | 29 |
| Bone marrow interpretation CPT 85097 | $542.03 | $903.39 | $12.00 – $2,130.15 | 29 |
| Bone survey-lead poisoning CPT 77074 | $478.60 | $797.66 | $65.49 – $717.89 | 29 |
| Boot j walker l HCPCS L4386 | $234.00 | $390.00 | $14.37 – $86.25 | 21 |
| Boot mlti podous univ xlg HCPCS L4396 | $312.30 | $520.50 | $26.79 – $160.74 | 21 |
| Boot softgait shrt m HCPCS L4387 | $175.41 | $292.35 | $31.58 – $189.50 | 21 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $552.60 | $921.00 | $26.03 – $156.19 | 21 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $175.89 | $293.15 | $39.94 – $239.66 | 21 |
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.