Baylor Scott & White Medical Center - Marble Falls
Baylor Scott & White Medical Center - Marble Falls charges 5.9x the Medicare reimbursement rate across 17 analyzed procedures, positioning this Marble Falls nonprofit among Texas hospitals with moderate pricing premiums.
Marble Falls, TX 78654 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.92x
Charge / Medicare rate
Max markup
7.6x
Worst procedure
Procedures analyzed
17
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 |
|---|---|---|---|---|---|
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,009 | $16,004 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,982 | $14,491 | — | 7.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,746 | $19,873 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,053 | $17,027 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,957 | $18,478 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,030 | $20,515 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $43,619 | $21,809 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,326 | $22,163 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,651 | $20,325 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $58,046 | $29,023 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,488 | $16,744 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,819 | $18,410 | — | 5.2x |
| RENAL FAILURE WITH CC | 683 | $25,070 | $12,535 | — | 4.9x |
| RENAL FAILURE WITH MCC | 682 | $45,160 | $22,580 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,657 | $28,329 | — | 4.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $51,286 | $25,643 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $54,382 | $27,191 | — | 4.2x |
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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