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 |
|---|---|---|---|---|
| Borrelia antibody CPT 86619 | $94.92 | $158.20 | $11.24 – $142.38 | 29 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $165.29 | $275.48 | $12.00 – $124.05 | 29 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,915.40 | $4,859.00 | $2.01 – $4,373.10 | 23 |
| (both sides) smear without diff wbc count CPT 85008 | $30.20 | $50.33 | $2.88 – $45.30 | 29 |
| Bowel imaging CPT 78290 | $1,089.88 | $1,816.47 | $295.70 – $1,634.82 | 29 |
| Brace afo lg left 6607 HCPCS L1930 | $101.56 | $169.26 | $14.85 – $89.07 | 21 |
| Brace afopos solid ankle cust HCPCS L1960 | $485.40 | $809.00 | $121.35 – $728.10 | 21 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $194.42 | $324.03 | $15.90 – $95.40 | 21 |
| Brace ank air stirrup univ HCPCS L4350 | $108.67 | $181.11 | $15.00 – $90.00 | 21 |
| Brace ankle joint dflxn assist HCPCS L2210 | $58.80 | $98.00 | $14.70 – $88.20 | 21 |
| Brace ankle stablizing lg HCPCS L1902 | $158.12 | $263.54 | $13.22 – $79.34 | 21 |
| Brace back epic lo 627 HCPCS L0642 | $497.68 | $829.47 | $124.42 – $746.52 | 21 |
| Brace back epic lso 637 HCPCS L0650 | $462.72 | $771.20 | $108.55 – $651.28 | 21 |
| Brace back epic tslo 456 HCPCS L0457 | $1,515.56 | $2,525.94 | $378.89 – $2,273.35 | 21 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $1,652.99 | $2,754.99 | $173.67 – $1,042.04 | 21 |
| Brace back t-lso custom HCPCS L0486 | $5,991.49 | $9,985.82 | $419.40 – $2,516.40 | 21 |
| Brace cust back lso HCPCS L0631 | $966.00 | $1,610.00 | $241.50 – $1,449.00 | 21 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $229.02 | $381.70 | $28.53 – $171.21 | 21 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,256.06 | $2,093.44 | $133.05 – $798.30 | 21 |
| Brace knee hing pat open med HCPCS L1820 | $138.23 | $230.39 | $34.56 – $207.35 | 21 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $411.01 | $685.01 | $87.17 – $523.03 | 21 |
| Brace knee postop tscope xl HCPCS L1845 | $1,171.87 | $1,953.12 | $41.16 – $246.95 | 21 |
| Brace m arm board HCPCS L3809 | $308.82 | $514.70 | $14.47 – $86.85 | 21 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $153.59 | $255.99 | $38.40 – $230.39 | 23 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $2,541.00 | $4,235.00 | $282.98 – $1,697.85 | 21 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $187.38 | $312.30 | $45.91 – $275.44 | 21 |
| Brace wrist classic lft sm HCPCS L3908 | $71.29 | $118.81 | $5.90 – $35.41 | 21 |
| Brachioplasty 15836 CPT 15836 | $2,441.11 | $4,068.52 | $71.00 – $7,039.11 | 29 |
| Brach/thor cath 1st CPT 36215 | $2,927.97 | $4,879.95 | $71.00 – $4,391.95 | 22 |
| Brach/thor cath 2nd CPT 36216 | $2,336.05 | $3,893.42 | $71.00 – $3,504.08 | 22 |
| Brach/thor cath 3rd CPT 36217 | $3,168.80 | $5,281.34 | $71.00 – $4,753.21 | 22 |
| Brach/thor cath addl CPT 36218 | $409.07 | $681.79 | $71.00 – $613.61 | 22 |
| Brachy source i-125 injection HCPCS C2638 | $106.60 | $177.66 | $26.65 – $159.89 | 23 |
| Brachy source palladium HCPCS C2640 | $173.70 | $289.50 | $43.42 – $260.55 | 23 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $175.20 | $292.00 | $39.60 – $237.60 | 23 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $3,711.14 | $6,185.23 | $333.93 – $5,566.71 | 23 |
| Brachytx isodose complex CPT 77318 | $1,842.35 | $3,070.58 | $357.33 – $2,763.52 | 29 |
| Brachytx isodose intermed CPT 77317 | $1,234.68 | $2,057.80 | $308.67 – $1,852.02 | 29 |
| Brachytx isodose plan simple CPT 77316 | $1,032.38 | $1,720.63 | $258.09 – $1,548.57 | 29 |
| Braf gene CPT 81210 | $502.06 | $836.76 | $12.00 – $420.96 | 29 |
| Brain flow imaging only CPT 78610 | $907.45 | $1,512.41 | $160.05 – $1,361.17 | 29 |
| Brain image 4+ views CPT 78605 | $1,097.98 | $1,829.97 | $183.78 – $1,646.97 | 29 |
| Brain image w/flow < 4 views CPT 78601 | $2,694.19 | $4,490.31 | $196.80 – $4,041.28 | 29 |
| Brain image w/flow 4 + views CPT 78606 | $2,337.97 | $3,896.62 | $295.70 – $3,506.96 | 29 |
| Brain imaging (3d) CPT 78607 | $1,403.74 | $2,339.57 | $350.94 – $2,105.61 | 22 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,857.68 | $4,762.80 | $332.94 – $4,286.52 | 29 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,000.98 | $3,334.96 | $234.23 – $3,001.46 | 29 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,268.08 | $3,780.14 | $222.20 – $3,402.13 | 29 |
| Brain MRI (with and without contrast) CPT 70553 | $3,480.37 | $5,800.62 | $328.11 – $5,220.56 | 29 |
| Brain MRI (with contrast) CPT 70552 | $2,163.67 | $3,606.12 | $278.66 – $3,245.51 | 29 |
| Brain MRI (without contrast) CPT 70551 | $2,260.29 | $3,767.15 | $202.15 – $3,390.43 | 29 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $143.66 | $239.43 | $19.69 – $118.12 | 21 |
| Brca1&2 gene full seq alys CPT 81163 | $2,100.00 | $3,500.00 | $36.00 – $1,123.20 | 29 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $585.40 | $975.66 | $36.00 – $1,402.15 | 29 |
| Brca1 dna gene analy known fam var CPT 81215 | $471.52 | $785.86 | $12.00 – $900.60 | 29 |
| Brca1 gene full dup/del alys CPT 81166 | $301.95 | $503.25 | $36.00 – $723.24 | 29 |
| Brca1 gene full seq alys CPT 81165 | $283.45 | $472.41 | $36.00 – $678.91 | 29 |
| Brca2 dna gene analy full seq analy CPT 81216 | $222.14 | $370.24 | $36.00 – $444.29 | 29 |
| Brca2 dna gene analy known fam var CPT 81217 | $450.30 | $750.50 | $36.00 – $900.60 | 29 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $528.00 | $880.00 | $36.00 – $1,056.00 | 29 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,007.50 | $5,012.50 | $36.00 – $4,379.71 | 29 |
| Breast augmentation 19325 CPT 19325 | $4,408.93 | $7,348.22 | $71.00 – $23,352.21 | 29 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,756.77 | $4,594.61 | $71.00 – $4,135.15 | 30 |
| Breastbone (Sternum) X-ray CPT 71120 | $264.39 | $440.65 | $33.75 – $396.58 | 29 |
| Breast prosthesis bra & form HCPCS L8001 | $195.71 | $326.18 | $48.93 – $293.56 | 21 |
| Breast prosthesis w adhesive HCPCS L8031 | $565.95 | $943.25 | $141.49 – $848.92 | 21 |
| Breast prosthes without adhesive HCPCS L8030 | $536.79 | $894.65 | $90.70 – $544.19 | 21 |
| Breast punct aspir cyst, bil CPT 19000 | $973.24 | $1,622.07 | $41.88 – $1,742.94 | 30 |
| Breast reconstruction CPT 19366 | $5,804.24 | $9,673.73 | $71.00 – $8,706.36 | 22 |
| Breast reconstruction 19357 CPT 19357 | $8,977.64 | $14,962.74 | $71.00 – $43,654.03 | 29 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,502.00 – $7,441.00 | 4 |
| Breast reduction CPT 19318 | $7,126.06 | $11,876.76 | $71.00 – $16,154.42 | 29 |
| Breath hydrogen test 91065 CPT 91065 | $675.83 | $1,126.38 | $168.96 – $1,013.74 | 27 |
| Breathing response hypoxia CPT 94450 | $211.80 | $353.00 | $52.95 – $386.96 | 29 |
| Breath recording infant CPT 94772 | $1,077.10 | $1,795.17 | $269.28 – $1,615.65 | 29 |
| Breath test analysis c-14 CPT 78268 | $401.25 | $668.75 | $79.30 – $601.88 | 29 |
| Breath tst attain/anal c-14 CPT 78267 | $57.55 | $95.92 | $9.29 – $86.33 | 29 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $21,165.60 | $35,276.00 | $247.02 – $31,748.40 | 29 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,626,947.83 | $2,711,579.72 | $406,736.96 – $2,440,421.75 | 28 |
| Brief alcohol misuse counsel HCPCS G0443 | $82.82 | $138.03 | $20.70 – $220.82 | 29 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $2,959.00 – $3,421.00 | 2 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $1,062.24 – $9,276.93 | 15 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $1,062.24 – $9,276.93 | 15 |
| Bronchial allergy tests CPT 95070 | $731.72 | $1,219.53 | $3.00 – $1,327.77 | 29 |
| Bronchial challenge CPT 94070 | $1,135.26 | $1,892.10 | $94.68 – $1,702.89 | 29 |
| Bronchial valve remov init CPT 31648 | not published | not published | $1,062.24 – $9,276.93 | 15 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $2,416.00 – $16,955.09 | 16 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $525.71 – $4,204.56 | 16 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,062.24 – $9,276.93 | 16 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $1,630.12 – $16,955.09 | 16 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $2,959.00 – $4,835.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,062.24 – $9,276.93 | 16 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $2,959.00 – $4,835.00 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $1,062.24 – $9,276.93 | 16 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $1,630.12 – $16,955.09 | 16 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,062.24 – $9,276.93 | 16 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $525.71 – $4,204.56 | 16 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $525.71 – $4,204.56 | 16 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $1,630.12 – $16,955.09 | 15 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,062.24 – $9,276.93 | 16 |
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.