▸ Hospital · TX · CCN 450054
Baylor Scott & White Medical Center - Temple
2401 SOUTH 31ST STREET, TEMPLE, TX, 76508-
616 bedsAcute Care Hospitals2
Compliance grade
B
87/100
Procedures tracked
81
of 209 target codes
Payers
21
with negotiated rates
Rates published
8,895
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 19 | — | — | $2,778 | $14,878 | $26,286 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $2,778 | $21,871 | $37,095 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $2,778 | $11,275 | $18,963 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $2,778 | $7,953.87 | $13,666 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $2,778 | $17,773 | $30,144 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $2,778 | $12,224 | $20,942 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $2,778 | $9,460.33 | $16,218 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $2,778 | $7,596.6 | $13,053 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $2,778 | $9,120.66 | $15,634 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $2,778 | $7,383.61 | $12,687 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $9,027.7 | $17,937 | $30,609 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $5,069.9 | $10,353 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $3,988.05 | $8,304 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $2,778 | $14,242 | $24,332 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $2,778 | $9,501.15 | $16,249 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $2,778 | $6,740.3 | $11,581 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $2,778 | $13,336 | $22,488 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $2,778 | $8,416.49 | $14,428 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $2,778 | $6,834.2 | $11,743 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $2,778 | $10,913 | $18,385 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $2,778 | $7,505.31 | $12,896 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $2,778 | $8,753.66 | $15,041 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $2,778 | $16,939 | $28,436 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $2,778 | $13,028 | $21,824 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $2,778 | $8,968.04 | $15,374 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $2,778 | $21,573 | $36,589 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $2,778 | $11,425 | $19,226 |
| lab | ||||||||
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | — | — | $47.75 | $61.37 | $292.86 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | — | — | $15.78 | $194.05 | $2,866 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $3,573.64 | $3,597.78 | $7,006 |
| office | ||||||||
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 2 | — | — | $97.17 | $227.23 | $276.83 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | — | — | $334.95 | $1,163.16 | $4,419 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | — | — | $334.95 | $1,163.16 | $4,958 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | — | — | $130.67 | $890.04 | $4,419 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | — | — | $328.5 | $1,130.54 | $4,419 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | — | — | $328.5 | $1,130.54 | $4,958 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | — | — | $429.26 | $1,486.25 | $4,958 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | — | — | $429.26 | $1,486.25 | $4,958 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 15 | — | — | $2,236.46 | $17,284 | $28,519 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | — | — | $1,744.68 | $5,388 | $13,933 |
| Total hip replacement | CPT | 27130 | 15 | — | — | $5,388 | $14,887 | $21,421 |
| Total knee replacement | CPT | 27447 | 15 | — | — | $5,388 | $14,887 | $21,421 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $2,162.32 | $5,388 | $17,086 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $2,705.82 | $5,388 | $17,086 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $2,579 | $4,856.5 | $11,621 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 16 | — | — | $2,398.52 | $8,240.86 | $12,483 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | — | — | $1,088.27 | $4,051.43 | $11,621 |
| ACL reconstruction | CPT | 29888 | 16 | — | — | $3,300.05 | $8,240.86 | $11,621 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $6,182 | $47,983 | $85,630 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $6,182 | $25,795 | $44,078 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $6,182 | $18,153 | $30,788 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $6,182 | $18,134 | $30,926 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $6,182 | $14,567 | $24,571 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $6,182 | $35,506 | $65,818 |
| Open appendectomy | CPT | 44950 | 15 | — | — | $4,601.82 | $7,016.81 | $14,887 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | — | — | $5,083.89 | $6,716.08 | $14,887 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $35,308 | $73,572 | $91,851 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $35,308 | $40,577 | $50,658 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $17,978 | $36,025 | $61,515 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $10,370 | $21,696 | $36,028 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | — | — | $1,888.85 | $7,153.89 | $14,887 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | — | — | $1,888.85 | $7,153.89 | $14,887 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $9,144 | $31,081 | $54,844 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $9,144 | $22,389 | $38,693 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $8,725.2 | $17,372 | $29,583 |
| Lap inguinal hernia repair | CPT | 49650 | 16 | — | — | $1,888.85 | $6,716.08 | $11,526 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $1,552.14 | $5,388 | $15,605 |
| Vaginal hysterectomy | CPT | 58260 | 15 | — | — | $1,526.99 | $5,759.5 | $14,887 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 16 | — | — | $1,888.85 | $7,153.89 | $13,933 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | — | — | $3,110.01 | $10,430 | $15,753 |
| Lap salpingo-oophorectomy | CPT | 58661 | 16 | — | — | $1,888.85 | $6,716.08 | $12,483 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $6,182 | $28,714 | $50,844 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $6,182 | $17,995 | $29,781 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $6,182 | $16,788 | $28,880 |
| Complex cataract surgery | CPT | 66982 | 16 | — | — | $849.94 | $2,992.35 | $12,483 |
| Cataract surgery with lens implant | CPT | 66984 | 16 | — | — | $849.94 | $2,992.35 | $12,483 |
| Intravitreal injection | CPT | 67028 | 15 | — | — | $48.45 | $329.81 | $3,500 |
| Vitrectomy mechanical | CPT | 67042 | 15 | — | — | $1,533.49 | $5,637.54 | $14,887 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $6,182 | $12,890 | $22,353 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $6,182 | $20,881 | $36,438 |
| PCI with drug-eluting stent | CPT | 92928 | 15 | — | — | $6,379 | $12,672 | $23,216 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 80 | $9,246.36 |
| Blue Cross Blue Shield | 80 | $9,120.16 |
| Aetna | 77 | $13,625 |
| UnitedHealthcare | 77 | $13,401 |
| Cigna | 75 | $8,649 |
| corvel | 72 | $9,447.83 |
| superior health plan | 72 | $6,825.98 |
| injury management organization | 72 | $11,201 |
| prime health services | 72 | $9,447.83 |
| procare advantage | 72 | $9,469.47 |
| sedgwick | 72 | $11,201 |
| american health plan | 72 | $9,469.47 |
| baylor scott & white health plan | 72 | $11,749 |
| triwest | 72 | $9,018.55 |
| careworks fka rockport | 72 | $11,201 |
| healthsmart | 59 | $9,887.46 |
| employers health network | 45 | $13,367 |
| bluebell creameries | 43 | $7,176.4 |
| university of mary hardin-baylor | 43 | $11,228 |
| private health care system | 13 | $28,880 |
| bell county public health district | 1 | $97.17 |