BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO
PLANO, TX 75093 · Acute Care Hospitals
52 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
52
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Physician
Above 90th Percentile
0%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO lists chargemaster rates that average 6.1x the corresponding Medicare reimbursement amount across 52 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 6.1x, this facility’s average ratio is above the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $43,354, while Medicare reimburses $3,796 for the same procedure — a ratio of 11.4x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO is a physician acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,354 | $3,796 | 11.4x | 1th | Compare your bill |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | 306 | $96,059 | $9,033 | 10.6x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $106,355 | $10,380 | 10.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $113,973 | $12,056 | 9.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,184 | $5,134 | 9.4x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $52,409 | $5,696 | 9.2x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $173,184 | $22,514 | 7.7x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $39,655 | $5,208 | 7.6x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $33,267 | $4,471 | 7.4x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $160,060 | $21,762 | 7.4x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,087 | $2,513 | 7.2x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $98,289 | $14,088 | 7.0x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $150,967 | $21,868 | 6.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $65,105 | $9,457 | 6.9x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $142,073 | $20,926 | 6.8x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $48,754 | $7,295 | 6.7x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $86,191 | $13,469 | 6.4x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $74,875 | $11,751 | 6.4x | 0th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $145,187 | $23,941 | 6.1x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,580 | $3,773 | 6.0x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $188,516 | $31,814 | 5.9x | 1th | Compare your bill |
| OTHER HEART ASSIST SYSTEM IMPLANT | 215 | $458,403 | $77,689 | 5.9x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $39,868 | $6,794 | 5.9x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,474 | $12,193 | 5.9x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $136,808 | $23,936 | 5.7x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $88,681 | $15,703 | 5.7x | 0th | Compare your bill |
| CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | 226 | $249,523 | $44,895 | 5.6x | 0th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $119,723 | $21,688 | 5.5x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $40,945 | $7,435 | 5.5x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,166 | $6,122 | 5.4x | 0th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $119,282 | $22,327 | 5.3x | 0th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $169,375 | $32,467 | 5.2x | 0th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $143,538 | $27,494 | 5.2x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $40,906 | $7,876 | 5.2x | 0th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $172,122 | $34,172 | 5.0x | 0th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $171,347 | $34,352 | 5.0x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $117,524 | $23,617 | 5.0x | 0th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $331,185 | $68,395 | 4.8x | 0th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $109,708 | $22,936 | 4.8x | 0th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $217,742 | $45,620 | 4.8x | 0th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $65,478 | $13,726 | 4.8x | 0th | Compare your bill |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 001 | $896,806 | $188,261 | 4.8x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $61,696 | $13,137 | 4.7x | 0th | Compare your bill |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $633,805 | $135,428 | 4.7x | 0th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $215,794 | $47,025 | 4.6x | 0th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $53,047 | $11,776 | 4.5x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $53,028 | $11,836 | 4.5x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $184,768 | $42,532 | 4.3x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $74,413 | $17,437 | 4.3x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $128,376 | $30,545 | 4.2x | 0th | Compare your bill |
Showing 50 of 52 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 6.1x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO
How much does BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO charge compared to Medicare?
According to CMS IPPS data, BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO's listed chargemaster rates average 6.1x the Medicare reimbursement amount across 52 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO?
The procedure with the highest chargemaster-to-Medicare ratio at BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $43,354 compared to Medicare reimbursement of $3,796 — a ratio of 11.4x. Source: CMS IPPS Provider Summary.
Is BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO expensive compared to other TX hospitals?
BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO's average chargemaster-to-Medicare ratio is 6.1x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO in PLANO, TX accept Medicare?
BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.