BAYLOR SCOTT & WHITE PAVILION - TEMPLE — price list

← Hospital overviewVerified from BAYLOR SCOTT & WHITE PAVILION - TEMPLE’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

398 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution Inpatient	63600001 CDM	$65.40	$39.24	$35.97 – $45.78	—
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution Outpatient	63600001 CDM	$65.40	$39.24	$35.97 – $45.78	—
agalsidase beta 35 mg intravenous solution Inpatient	63600001 CDM	$21,713	$13,028	$11,942 – $15,199	—
agalsidase beta 35 mg intravenous solution Outpatient	63600001 CDM	$21,713	$13,028	$11,942 – $15,199	—
ALfentanil 500 mcg/mL injection solution Inpatient	63600001 CDM	$27.72	$16.63	$15.25 – $19.40	—
ALfentanil 500 mcg/mL injection solution Outpatient	63600001 CDM	$27.72	$16.63	$15.25 – $19.40	—
alglucosidase alfa 50 mg intravenous solution Inpatient	63600001 CDM	$2,809	$1,685	$1,545 – $1,966	—
alglucosidase alfa 50 mg intravenous solution Outpatient	63600001 CDM	$2,809	$1,685	$1,545 – $1,966	—
alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution Inpatient	63600001 CDM	$3.36	$2.02	$1.85 – $2.35	—
alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution Outpatient	63600001 CDM	$3.36	$2.02	$1.85 – $2.35	—
alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution Inpatient	63600001 CDM	$31.20	$18.72	$17.16 – $21.84	—
alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution Outpatient	63600001 CDM	$31.20	$18.72	$17.16 – $21.84	—
aminophylline 250 mg/10 mL intravenous solution Inpatient	63600001 CDM	$85.86	$51.52	$47.22 – $60.10	—
aminophylline 250 mg/10 mL intravenous solution Outpatient	63600001 CDM	$85.86	$51.52	$47.22 – $60.10	—
aminophylline 500 mg/20 mL intravenous solution Inpatient	63600001 CDM	$4.32	$2.59	$2.38 – $3.02	—
aminophylline 500 mg/20 mL intravenous solution Outpatient	63600001 CDM	$4.32	$2.59	$2.38 – $3.02	—
amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution Inpatient	63600001 CDM	$540	$324	$297 – $378	—
amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution Outpatient	63600001 CDM	$540	$324	$297 – $378	—
amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution Inpatient	63600001 CDM	$540	$324	$297 – $378	—
amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution Outpatient	63600001 CDM	$540	$324	$297 – $378	—
amobarbitaL 500 mg solution for injection Inpatient	63600001 CDM	$2,199	$1,319	$1,210 – $1,539	—
amobarbitaL 500 mg solution for injection Outpatient	63600001 CDM	$2,199	$1,319	$1,210 – $1,539	—
aprepitant 125 mg capsule Inpatient	63600001 CDM	$684	$410	$376 – $479	—
aprepitant 125 mg capsule Outpatient	63600001 CDM	$684	$410	$376 – $479	—
aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion Inpatient	63600001 CDM	$1,890	$1,134	$1,039 – $1,323	—
aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion Outpatient	63600001 CDM	$1,890	$1,134	$1,039 – $1,323	—
aprepitant 40 mg capsule Inpatient	63600001 CDM	$236	$142	$130 – $165	—
aprepitant 40 mg capsule Outpatient	63600001 CDM	$236	$142	$130 – $165	—
aprepitant 80 mg capsule Inpatient	63600001 CDM	$438	$263	$241 – $306	—
aprepitant 80 mg capsule Outpatient	63600001 CDM	$438	$263	$241 – $306	—