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.

116 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
abacavir 20 mg/mL oral solution Inpatient	63700032 CDM	$294	$177	$162 – $206	—
abacavir 20 mg/mL oral solution Outpatient	63700032 CDM	$294	$177	$162 – $206	—
acebutoloL 200 mg capsule Inpatient	63700032 CDM	$1.56	$0.94	$0.86 – $1.09	—
acebutoloL 200 mg capsule Outpatient	63700032 CDM	$1.56	$0.94	$0.86 – $1.09	—
acebutoloL 400 mg capsule Inpatient	63700032 CDM	$2.06	$1.24	$1.13 – $1.44	—
acebutoloL 400 mg capsule Outpatient	63700032 CDM	$2.06	$1.24	$1.13 – $1.44	—
acetic acid 2 % ear solution Inpatient	63700032 CDM	$56.01	$33.61	$30.81 – $39.21	—
acetic acid 2 % ear solution Outpatient	63700032 CDM	$56.01	$33.61	$30.81 – $39.21	—
acetylcysteine 600 mg capsule Inpatient	63700032 CDM	$0.33	$0.20	$0.18 – $0.23	—
acetylcysteine 600 mg capsule Outpatient	63700032 CDM	$0.33	$0.20	$0.18 – $0.23	—
acyclovir 200 mg/5 mL oral suspension Inpatient	63700032 CDM	$713	$428	$392 – $499	—
acyclovir 200 mg/5 mL oral suspension Outpatient	63700032 CDM	$713	$428	$392 – $499	—
alendronate 70 mg tablet Inpatient	63700032 CDM	$63.92	$38.35	$35.16 – $44.74	—
alendronate 70 mg tablet Outpatient	63700032 CDM	$63.92	$38.35	$35.16 – $44.74	—
amoxicillin 250 mg capsule Inpatient	63700032 CDM	$0.73	$0.44	$0.40 – $0.51	—
amoxicillin 250 mg capsule Outpatient	63700032 CDM	$0.73	$0.44	$0.40 – $0.51	—
amoxicillin 250 mg chewable tablet Inpatient	63700032 CDM	$1.15	$0.69	$0.63 – $0.81	—
amoxicillin 250 mg chewable tablet Outpatient	63700032 CDM	$1.15	$0.69	$0.63 – $0.81	—
amoxicillin 250 mg/5 mL oral suspension Inpatient	63700032 CDM	$7.90	$4.74	$4.34 – $5.53	—
amoxicillin 250 mg/5 mL oral suspension Outpatient	63700032 CDM	$7.90	$4.74	$4.34 – $5.53	—
amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension Inpatient	63700032 CDM	$29.70	$17.82	$16.34 – $20.79	—
amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension Outpatient	63700032 CDM	$29.70	$17.82	$16.34 – $20.79	—
amoxicillin 500 mg capsule Inpatient	63700032 CDM	$0.86	$0.52	$0.47 – $0.60	—
amoxicillin 500 mg capsule Outpatient	63700032 CDM	$0.86	$0.52	$0.47 – $0.60	—
amoxicillin 500 mg-potassium clavulanate 125 mg tablet Inpatient	63700032 CDM	$3.32	$1.99	$1.83 – $2.32	—
amoxicillin 500 mg-potassium clavulanate 125 mg tablet Outpatient	63700032 CDM	$3.32	$1.99	$1.83 – $2.32	—
amoxicillin 875 mg-potassium clavulanate 125 mg tablet Inpatient	63700032 CDM	$3.88	$2.33	$2.13 – $2.72	—
amoxicillin 875 mg-potassium clavulanate 125 mg tablet Outpatient	63700032 CDM	$3.88	$2.33	$2.13 – $2.72	—
amphotericin B (bulk) powder Inpatient	63700032 CDM	$20,371	$12,222	$11,204 – $14,259	—
amphotericin B (bulk) powder Outpatient	63700032 CDM	$20,371	$12,222	$11,204 – $14,259	—