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.

202 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
abciximab 10 mg/5 mL intravenous solution Inpatient	63600034 CDM	$4,073	$2,444	$2,240 – $2,851	—
abciximab 10 mg/5 mL intravenous solution Outpatient	63600034 CDM	$4,073	$2,444	$2,240 – $2,851	—
ado-trastuzumab emtansine 100 mg intravenous solution Inpatient	63600034 CDM	$11,276	$6,766	$6,202 – $7,893	—
ado-trastuzumab emtansine 100 mg intravenous solution Outpatient	63600034 CDM	$11,276	$6,766	$6,202 – $7,893	—
ado-trastuzumab emtansine 160 mg intravenous solution Inpatient	63600034 CDM	$18,012	$10,807	$9,907 – $12,608	—
ado-trastuzumab emtansine 160 mg intravenous solution Outpatient	63600034 CDM	$18,012	$10,807	$9,907 – $12,608	—
aldesleukin 22 million unit intravenous solution Inpatient	63600034 CDM	$14,101	$8,460	$7,755 – $9,871	—
aldesleukin 22 million unit intravenous solution Outpatient	63600034 CDM	$14,101	$8,460	$7,755 – $9,871	—
alteplase 100 mg intravenous solution Inpatient	63600034 CDM	$26,429	$15,857	$14,536 – $18,500	—
alteplase 100 mg intravenous solution Outpatient	63600034 CDM	$26,429	$15,857	$14,536 – $18,500	—
alteplase 2 mg intra-catheter solution Inpatient	63600034 CDM	$2,008	$1,205	$1,104 – $1,406	—
alteplase 2 mg intra-catheter solution Outpatient	63600034 CDM	$2,008	$1,205	$1,104 – $1,406	—
alteplase 50 mg intravenous solution Inpatient	63600034 CDM	$13,229	$7,937	$7,276 – $9,260	—
alteplase 50 mg intravenous solution Outpatient	63600034 CDM	$13,229	$7,937	$7,276 – $9,260	—
arsenic trioxide 1 mg/mL intravenous solution Inpatient	63600034 CDM	$1,756	$1,053	$966 – $1,229	—
arsenic trioxide 1 mg/mL intravenous solution Outpatient	63600034 CDM	$1,756	$1,053	$966 – $1,229	—
arsenic trioxide 2 mg/mL intravenous solution Inpatient	63600034 CDM	$1,667	$1,000	$917 – $1,167	—
arsenic trioxide 2 mg/mL intravenous solution Outpatient	63600034 CDM	$1,667	$1,000	$917 – $1,167	—
azaCITIDine 100 mg solution for injection Inpatient	63600034 CDM	$860	$516	$473 – $602	—
azaCITIDine 100 mg solution for injection Outpatient	63600034 CDM	$860	$516	$473 – $602	—
basiliximab 20 mg intravenous solution Inpatient	63600034 CDM	$12,889	$7,733	$7,089 – $9,022	—
basiliximab 20 mg intravenous solution Outpatient	63600034 CDM	$12,889	$7,733	$7,089 – $9,022	—
belatacept 250 mg intravenous solution Inpatient	63600034 CDM	$2,910	$1,746	$1,600 – $2,037	—
belatacept 250 mg intravenous solution Outpatient	63600034 CDM	$2,910	$1,746	$1,600 – $2,037	—
belinostat 500 mg intravenous solution Inpatient	63600034 CDM	$6,053	$3,632	$3,329 – $4,237	—
belinostat 500 mg intravenous solution Outpatient	63600034 CDM	$6,053	$3,632	$3,329 – $4,237	—
bevacizumab 25 mg/mL intravenous solution Inpatient	63600034 CDM	$273	$164	$150 – $191	—
bevacizumab 25 mg/mL intravenous solution Outpatient	63600034 CDM	$273	$164	$150 – $191	—
bleomycin 15 unit solution for injection Inpatient	63600034 CDM	$277	$166	$152 – $194	—
bleomycin 15 unit solution for injection Outpatient	63600034 CDM	$277	$166	$152 – $194	—