Baylor Scott and White Medical Center Lake Pointe
Baylor Scott and White Medical Center Lake Pointe in Rowlett, Texas charges 4.9x the Medicare reimbursement rate on average across 51 analyzed procedures at this nonprofit hospital.
Rowlett, TX 75088 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
4.92x
Charge / Medicare rate
Max markup
10.02x
Worst procedure
Procedures analyzed
51
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $103,203 | $51,602 | — | 10x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,287 | $30,143 | — | 8.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,672 | $12,336 | — | 6.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $138,036 | $69,018 | — | 6.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $78,972 | $39,486 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,907 | $18,953 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,642 | $20,321 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,207 | $19,604 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $34,559 | $17,279 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,489 | $13,245 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $48,733 | $24,366 | — | 5.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $30,332 | $15,166 | — | 5.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $79,979 | $39,989 | — | 5.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $49,874 | $24,937 | — | 5.4x |
| CELLULITIS WITHOUT MCC | 603 | $28,906 | $14,453 | — | 5.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $59,671 | $29,835 | — | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,531 | $22,266 | — | 5.3x |
| CELLULITIS WITH MCC | 602 | $45,007 | $22,503 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,951 | $18,976 | — | 5.1x |
| SEIZURES WITHOUT MCC | 101 | $26,169 | $13,085 | — | 4.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $43,452 | $21,726 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,248 | $13,624 | — | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $66,560 | $33,280 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $61,515 | $30,758 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $59,245 | $29,623 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $52,615 | $26,308 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,336 | $12,668 | — | 4.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $61,051 | $30,526 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,810 | $13,405 | — | 4.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $35,339 | $17,670 | — | 4.6x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $70,577 | $35,289 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,369 | $13,185 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,570 | $19,285 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,631 | $26,315 | — | 4.5x |
| CHEST PAIN | 313 | $24,423 | $12,212 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $34,732 | $17,366 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,231 | $18,115 | — | 4.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $28,761 | $14,381 | — | 4.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $49,274 | $24,637 | — | 4.2x |
| RENAL FAILURE WITH CC | 683 | $26,344 | $13,172 | — | 4.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,904 | $13,952 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,433 | $17,217 | — | 4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $54,178 | $27,089 | — | 3.7x |
| RENAL FAILURE WITH MCC | 682 | $39,336 | $19,668 | — | 3.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $113,786 | $56,893 | — | 3.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $44,245 | $22,123 | — | 3.7x |
| HYPERTENSION WITH MCC | 304 | $29,976 | $14,988 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $112,495 | $56,248 | — | 3.6x |
| DIABETES WITH MCC | 637 | $33,482 | $16,741 | — | 3.6x |
| HYPERTENSION WITHOUT MCC | 305 | $17,902 | $8,951 | — | 3.5x |
Showing 50 of 51 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use