Baylor Scott & White Medical Center Hillcrest
Baylor Scott & White Medical Center Hillcrest in Waco, TX charges 4.5x the Medicare reimbursement rate across 53 analyzed procedures, representing a significant markup for this nonprofit hospital.
Waco, TX 76712 · Acute Care Hospitals · CMS Rating: 4/5
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
4.47x
Charge / Medicare rate
Max markup
9.39x
Worst procedure
Procedures analyzed
53
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 | $94,331 | $47,166 | — | 9.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,147 | $23,574 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,928 | $18,464 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,098 | $16,049 | — | 5.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,897 | $19,448 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,698 | $15,849 | — | 5.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $192,379 | $96,189 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,946 | $18,973 | — | 5.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $61,350 | $30,675 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,047 | $12,024 | — | 5.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $141,188 | $70,594 | — | 5.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $49,632 | $24,816 | — | 4.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $28,776 | $14,388 | — | 4.8x |
| DIABETES WITH CC | 638 | $32,005 | $16,002 | — | 4.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $80,184 | $40,092 | — | 4.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $70,239 | $35,119 | — | 4.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $54,646 | $27,323 | — | 4.6x |
| PNEUMOTHORAX WITH CC | 200 | $35,276 | $17,638 | — | 4.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $122,586 | $61,293 | — | 4.5x |
| SYNCOPE AND COLLAPSE | 312 | $28,894 | $14,447 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,412 | $19,706 | — | 4.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $46,539 | $23,270 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,960 | $19,480 | — | 4.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $42,600 | $21,300 | — | 4.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $73,254 | $36,627 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $35,277 | $17,639 | — | 4.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $47,519 | $23,760 | — | 4.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,981 | $19,490 | — | 4.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,202 | $13,101 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,272 | $12,136 | — | 4.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,073 | $11,036 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,914 | $11,957 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,719 | $13,360 | — | 4.1x |
| RENAL FAILURE WITH MCC | 682 | $38,330 | $19,165 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $51,833 | $25,917 | — | 3.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,210 | $21,105 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $40,461 | $20,231 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,282 | $18,141 | — | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $70,524 | $35,262 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $49,957 | $24,978 | — | 3.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $50,059 | $25,029 | — | 3.7x |
| CELLULITIS WITHOUT MCC | 603 | $23,968 | $11,984 | — | 3.7x |
| DIABETES WITH MCC | 637 | $34,309 | $17,155 | — | 3.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,699 | $16,850 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $23,154 | $11,577 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $106,282 | $53,141 | — | 3.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $27,042 | $13,521 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $27,275 | $13,638 | — | 3.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $30,846 | $15,423 | — | 3.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $25,033 | $12,516 | — | 3.2x |
Showing 50 of 53 procedures
How BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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