▸ Hospital · TX · CCN 450851
Baylor Scott And White Heart And Vascular Hospital
621 NORTH HALL ST SUITE 150, DALLAS, TX, 75246-
55 bedsAcute Care Hospitals5
Compliance grade
C
77/100
Procedures tracked
51
of 209 target codes
Payers
13
with negotiated rates
Rates published
3,764
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $1,458 | $10,691 | $30,024 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 9 | — | — | $53.14 | $67.13 | $892 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $2,778 | $17,481 | $42,370 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $2,778 | $8,936.53 | $21,660 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $2,778 | $6,048.79 | $14,661 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $2,778 | $14,206 | $34,431 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $2,778 | $9,868.94 | $23,920 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $2,778 | $7,549.78 | $18,299 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $2,778 | $5,687.6 | $13,785 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $2,778 | $7,206.17 | $17,466 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $2,778 | $5,472.29 | $13,264 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $11,263 | $15,371 | $34,962 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | — | $6,325.41 | $8,742.19 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | — | $4,975.64 | $6,876.33 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $2,778 | $11,467 | $27,792 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $2,778 | $7,568.23 | $18,344 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $2,778 | $4,821.98 | $11,687 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $2,778 | $10,597 | $25,686 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $2,778 | $6,496.98 | $15,747 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $2,778 | $4,916.89 | $11,917 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $2,778 | $8,664.1 | $21,000 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $2,778 | $5,595.33 | $13,562 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $2,778 | $6,857.28 | $16,620 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $2,778 | $13,401 | $32,480 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $2,778 | $10,285 | $24,927 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $2,778 | $7,053.26 | $17,095 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $2,778 | $17,243 | $41,793 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $2,778 | $9,060.44 | $21,960 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $787.57 | $1,148.95 | $5,189 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $787.57 | $1,148.95 | $5,303 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $794.07 | $1,135.61 | $5,303 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $1,025.27 | $1,480.59 | $5,303 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $6,182 | $40,354 | $97,807 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $6,182 | $20,772 | $50,347 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $6,182 | $14,509 | $35,166 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $6,182 | $14,574 | $35,324 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $6,182 | $11,579 | $28,065 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $6,182 | $31,017 | $75,178 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $35,308 | $72,007 | $107,476 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $35,308 | $39,714 | $59,276 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | — | $22,430 | $31,461 | $69,623 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | — | $12,938 | $17,953 | $40,161 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | — | $9,144 | $25,669 | $62,643 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | — | $9,144 | $18,110 | $44,195 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | — | $9,144 | $13,846 | $33,790 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | — | $6,182 | $24,716 | $58,074 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | — | $6,182 | $14,477 | $34,016 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | — | $6,182 | $13,251 | $31,136 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $6,182 | $10,534 | $25,532 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $6,182 | $17,172 | $41,620 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | — | — | $2,831.1 | $4,917.18 | $22,293 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 51 | $13,158 |
| Humana | 51 | $6,182 |
| Aetna | 51 | $16,649 |
| corvel | 49 | $8,855.68 |
| healthspring | 49 | $8,875.97 |
| american health plan | 49 | $8,875.97 |
| baylor scott & white health plan | 49 | $10,532 |
| prime health services | 49 | $8,855.68 |
| procare advantage | 49 | $8,875.97 |
| UnitedHealthcare | 48 | $23,048 |
| employers health network | 45 | $13,367 |
| university of mary hardin-baylor | 44 | $11,283 |
| private health care system | 13 | $28,880 |