▸ Hospital · TX · CCN 450742
Baylor Scott And White Medical Center Lake Pointe
6800 SCENIC DR, ROWLETT, TX, 75088
164 bedsAcute Care Hospitals1
Compliance grade
B
82/100
Procedures tracked
72
of 209 target codes
Payers
21
with negotiated rates
Rates published
7,440
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 | — | — | $1,458 | $11,863 | $32,139 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 15 | — | — | $53.14 | $58.74 | $892 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $2,778 | $17,721 | $45,354 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $2,778 | $9,091.7 | $23,185 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $2,778 | $6,491.34 | $15,693 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $2,778 | $14,681 | $36,856 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $2,778 | $9,868.94 | $25,604 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $2,778 | $7,763.41 | $19,587 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $2,778 | $6,185.25 | $14,756 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $2,778 | $7,472.19 | $18,696 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $2,778 | $6,002.77 | $14,198 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $12,261 | $15,470 | $37,424 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $6,885.67 | $9,110.59 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $5,416.36 | $7,275.92 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $2,778 | $11,484 | $29,749 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $2,778 | $7,779.05 | $19,635 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $2,778 | $5,451.64 | $12,510 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $2,778 | $10,754 | $27,495 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $2,778 | $6,871.16 | $16,856 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $2,778 | $5,532.07 | $12,757 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $2,778 | $8,800.09 | $22,479 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $2,778 | $6,107.03 | $14,517 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $2,778 | $7,176.54 | $17,791 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $2,778 | $13,934 | $34,768 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $2,778 | $10,505 | $26,683 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $2,778 | $7,342.62 | $18,299 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $2,778 | $17,500 | $44,736 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $2,778 | $9,212.46 | $23,507 |
| lab | ||||||||
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | — | — | $47.08 | $52.04 | $360.14 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 16 | — | — | $2,716.24 | $3,359.56 | $7,702 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | — | — | $334.95 | $953.37 | $4,042 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | — | — | $334.95 | $953.37 | $5,016 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | — | — | $130.67 | $877.65 | $4,042 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | — | — | $328.5 | $931.31 | $4,042 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | — | — | $328.5 | $961.24 | $5,016 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | — | — | $429.26 | $1,241.11 | $5,016 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | — | — | $429.26 | $1,241.11 | $5,016 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 16 | — | — | $1,783.12 | $17,299 | $35,280 |
| Total hip replacement | CPT | 27130 | 16 | — | — | $6,546 | $13,240 | $29,633 |
| Total knee replacement | CPT | 27447 | 16 | — | — | $6,546 | $13,240 | $29,633 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $1,724.02 | $6,546 | $16,721 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | — | — | $2,157.35 | $6,546 | $16,721 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $1,704 | $5,668 | $11,704 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 17 | — | — | $2,398.52 | $7,058.7 | $15,605 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $1,088.27 | $3,478.29 | $13,821 |
| ACL reconstruction | CPT | 29888 | 18 | — | — | $3,300.05 | $6,964.28 | $14,895 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $6,182 | $40,354 | $104,695 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $6,182 | $20,776 | $53,892 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $6,182 | $14,956 | $37,643 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $6,182 | $14,622 | $37,812 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $6,182 | $11,747 | $30,041 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $6,182 | $30,371 | $80,473 |
| Open appendectomy | CPT | 44950 | 16 | — | — | $3,669.02 | $7,265.01 | $14,322 |
| Laparoscopic appendectomy | CPT | 44970 | 16 | — | — | $5,013.07 | $6,151.73 | $12,036 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $35,308 | $65,965 | $96,148 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $32,720 | $36,812 | $53,029 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $23,261 | $30,257 | $74,526 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $13,940 | $17,943 | $42,989 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | — | — | $1,888.85 | $5,886.12 | $15,605 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | — | — | $1,888.85 | $5,886.12 | $15,605 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $9,144 | $25,665 | $67,055 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $9,144 | $18,327 | $47,308 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $9,144 | $14,075 | $36,170 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | — | — | $1,888.85 | $6,068.46 | $13,821 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,237.51 | $5,162 | $16,163 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 16 | — | — | $3,110.01 | $9,884.78 | $20,949 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | — | — | $1,888.85 | $6,068.46 | $15,605 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $6,182 | $24,364 | $62,164 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $6,182 | $14,838 | $36,412 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $6,182 | $13,787 | $33,329 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $6,182 | $10,534 | $27,330 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $6,182 | $17,172 | $44,551 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 71 | $10,828 |
| Aetna | 71 | $15,605 |
| UnitedHealthcare | 70 | $14,519 |
| Humana | 68 | $6,182.23 |
| Cigna | 68 | $9,187.73 |
| wellpoint (fka amerigroup) | 66 | $6,740.28 |
| corvel | 66 | $8,449.73 |
| procare advantage | 66 | $8,469.09 |
| superior health plan | 66 | $6,871.16 |
| triwest | 66 | $8,065.8 |
| Ambetter | 66 | $18,229 |
| baylor scott & white health plan | 66 | $10,499 |
| healthspring | 66 | $8,469.09 |
| american health plan | 66 | $8,469.09 |
| Molina | 66 | $8,469.09 |
| prime health services | 66 | $8,449.73 |
| healthsmart | 56 | $10,361 |
| employers health network | 45 | $13,367 |
| university of mary hardin-baylor | 43 | $11,228 |
| private health care system | 13 | $28,880 |
| texas a&m commerce | 2 | $7,950 |