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Baylor Scott & White Mclane Children's Medical Center

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Baylor Scott & White Mclane Children's Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN450008

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
Cash
— self-pay price (no insurance)
Gross
— chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range
— min–max of rates the hospital negotiated with insurers
Payers
— number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
  • Matristem Micromatrix
    DrugHCPCS Q4118Hospital-published line item
    $10
    cash
    Gross $17
  • Fibrinolytic Plasmin
    Lab testCPT 85400Hospital-published line item
    $10
    cash
    Gross $17
  • Noc Drugs, Inhalation Solution Administered Through DME
    DrugHCPCS J7699Hospital-published line item
    $10
    cash
    Gross $17
  • Als Specialized Service Disposable Supplies; Esophageal Intubation
    Supply / DMEHCPCS A0396Hospital-published line item
    $11
    cash
    Gross $18
  • Injection Progesterone Per 50 Mg
    DrugHCPCS J2675Hospital-published line item
    $11
    cash
    Gross $18
  • Injection, Phenytoin Sodium, Per 50 Mg
    DrugHCPCS J1165Hospital-published line item
    $11
    cash
    Gross $18
  • Hemoglobin Thermolabile
    Lab testCPT 83065Hospital-published line item
    $11
    cash
    Gross $18
  • Assay Malate Dehydrogenase
    Lab testCPT 83775Hospital-published line item
    $11
    cash
    Gross $18
  • Prolng Clin Staff Svc 1st Hr
    ProcedureCPT 99415Hospital-published line item
    $11
    cash
    Gross $18
  • Dry Pressure Pad For Mattress, Standard Mattress Length And Width
    Supply / DMEHCPCS E0199Hospital-published line item
    $11
    cash
    Gross $19
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