Baylor Scott & White Medical Center Plano
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO in Plano, TX charges 5.6x the Medicare reimbursement rate across 75 analyzed procedures, reflecting this nonprofit hospital's pricing structure.
Plano, TX 75093 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.61x
Charge / Medicare rate
Max markup
10.51x
Worst procedure
Procedures analyzed
75
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 |
|---|---|---|---|---|---|
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $55,537 | $27,768 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,285 | $16,143 | — | 8.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $68,763 | $34,381 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,075 | $19,037 | — | 7.8x |
| DYSEQUILIBRIUM | 149 | $24,144 | $12,072 | — | 7.7x |
| DIABETES WITH MCC | 637 | $59,416 | $29,708 | — | 7.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $33,897 | $16,948 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $51,971 | $25,985 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,660 | $13,330 | — | 6.9x |
| SEIZURES WITHOUT MCC | 101 | $28,950 | $14,475 | — | 6.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $32,637 | $16,318 | — | 6.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $23,886 | $11,943 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $46,015 | $23,008 | — | 6.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $59,371 | $29,686 | — | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $31,079 | $15,539 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $67,065 | $33,532 | — | 6.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $36,730 | $18,365 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,902 | $12,451 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $25,618 | $12,809 | — | 6.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $26,994 | $13,497 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $15,326 | $7,663 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $24,460 | $12,230 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $32,716 | $16,358 | — | 6.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,765 | $14,382 | — | 6.2x |
| HYPERTENSION WITHOUT MCC | 305 | $22,701 | $11,351 | — | 6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $64,647 | $32,324 | — | 6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $40,225 | $20,113 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,405 | $16,203 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $114,570 | $57,285 | — | 5.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $74,448 | $37,224 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $52,148 | $26,074 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,683 | $16,342 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $34,729 | $17,365 | — | 5.6x |
| DIABETES WITH CC | 638 | $25,961 | $12,981 | — | 5.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $29,485 | $14,742 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $61,935 | $30,968 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,953 | $10,477 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,596 | $19,298 | — | 5.5x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $43,777 | $21,889 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,669 | $11,834 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $24,935 | $12,468 | — | 5.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $186,961 | $93,480 | — | 5.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,484 | $21,242 | — | 5.3x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $107,609 | $53,804 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $42,427 | $21,213 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $50,529 | $25,265 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,807 | $30,903 | — | 5.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,566 | $22,783 | — | 5.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $114,169 | $57,084 | — | 5.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $34,648 | $17,324 | — | 5.1x |
Showing 50 of 75 procedures
How BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO 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