Baylor Scott and White Medical Center Mckinney
Baylor Scott and White Medical Center McKinney in McKinney, Texas charges 6.4x the Medicare reimbursement rate across 77 analyzed procedures, reflecting the pricing structure at this nonprofit hospital.
Mc Kinney, TX 75071 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.4x
Charge / Medicare rate
Max markup
11.2x
Worst procedure
Procedures analyzed
77
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $40,301 | $20,151 | — | 11.2x |
| DYSEQUILIBRIUM | 149 | $35,732 | $17,866 | — | 10.6x |
| CHEST PAIN | 313 | $34,609 | $17,305 | — | 9.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,607 | $27,803 | — | 9.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $56,326 | $28,163 | — | 9.1x |
| HEADACHES WITHOUT MCC | 103 | $38,142 | $19,071 | — | 9.1x |
| HYPERTENSION WITHOUT MCC | 305 | $31,155 | $15,578 | — | 8.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $41,092 | $20,546 | — | 8.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $30,611 | $15,305 | — | 8.5x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $74,393 | $37,197 | — | 8.4x |
| SYNCOPE AND COLLAPSE | 312 | $34,073 | $17,037 | — | 8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,655 | $15,328 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,550 | $13,775 | — | 7.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $36,804 | $18,402 | — | 7.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,184 | $15,592 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,680 | $9,840 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $60,443 | $30,222 | — | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,614 | $18,807 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,129 | $14,565 | — | 7.4x |
| DIABETES WITH CC | 638 | $32,476 | $16,238 | — | 7.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $63,613 | $31,807 | — | 7.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,672 | $24,836 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,301 | $22,151 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,956 | $13,478 | — | 7x |
| RENAL FAILURE WITH CC | 683 | $33,774 | $16,887 | — | 7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $83,736 | $41,868 | — | 7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $57,655 | $28,828 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $45,821 | $22,910 | — | 7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $89,609 | $44,804 | — | 6.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $40,435 | $20,217 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $46,379 | $23,189 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,809 | $23,404 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $76,054 | $38,027 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,979 | $14,490 | — | 6.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $105,099 | $52,549 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $71,809 | $35,904 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $78,012 | $39,006 | — | 6.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $77,471 | $38,735 | — | 6.1x |
| ENDOCRINE DISORDERS WITH CC | 644 | $32,033 | $16,017 | — | 6.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $43,595 | $21,798 | — | 6x |
| RENAL FAILURE WITH MCC | 682 | $50,248 | $25,124 | — | 6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,066 | $14,033 | — | 6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,927 | $25,963 | — | 5.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $63,994 | $31,997 | — | 5.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $103,545 | $51,773 | — | 5.6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $42,755 | $21,378 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $35,170 | $17,585 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $53,449 | $26,725 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $23,259 | $11,629 | — | 5.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $28,996 | $14,498 | — | 5.5x |
Showing 50 of 77 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