▸ Hospital · TX · CCN 450890
Baylor Regional Medical Center At Plano
4700 ALLIANCE BLVD, PLANO, TX, 75093-
150 bedsAcute Care Hospitals1
Compliance grade
B
82/100
Procedures tracked
70
of 209 target codes
Payers
19
with negotiated rates
Rates published
6,935
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 17 | — | — | $1,458 | $10,217 | $30,024 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 13 | — | — | $53.14 | $61.54 | $892 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 17 | — | — | $2,778 | $17,175 | $42,370 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 17 | — | — | $2,778 | $8,780.16 | $21,660 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 17 | — | — | $2,778 | $5,942.95 | $14,661 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | — | — | $2,778 | $13,957 | $34,431 |
| COPD w MCC | MS-DRG | 190 | 17 | — | — | $2,778 | $9,696.26 | $23,920 |
| COPD w CC | MS-DRG | 191 | 17 | — | — | $2,778 | $7,417.68 | $18,299 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | — | — | $2,778 | $5,588.09 | $13,785 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | — | — | $2,778 | $7,080.07 | $17,466 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | — | — | $2,778 | $5,376.55 | $13,264 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | — | — | $10,764 | $15,256 | $34,962 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | — | — | $6,045.17 | $8,779.41 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | — | — | $4,755.21 | $6,905.25 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | — | — | $2,778 | $11,266 | $27,792 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | — | — | $2,778 | $7,435.81 | $18,344 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | — | — | $2,778 | $4,737.6 | $11,687 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | — | — | $2,778 | $10,412 | $25,686 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | — | — | $2,778 | $6,383.29 | $15,747 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | — | — | $2,778 | $4,830.86 | $11,917 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | — | — | $2,778 | $8,512.5 | $21,000 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | — | — | $2,778 | $5,497.42 | $13,562 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | — | — | $2,778 | $6,737.3 | $16,620 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 17 | — | — | $2,778 | $13,166 | $32,480 |
| Kidney/UTI w MCC | MS-DRG | 689 | 17 | — | — | $2,778 | $10,105 | $24,927 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 17 | — | — | $2,778 | $6,929.84 | $17,095 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 17 | — | — | $2,778 | $16,941 | $41,793 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 17 | — | — | $2,778 | $8,901.9 | $21,960 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | — | — | $334.95 | $1,040.42 | $4,042 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | — | — | $334.95 | $1,040.42 | $5,016 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | — | — | $130.67 | $877.65 | $4,042 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | — | — | $328.5 | $1,026.02 | $4,042 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | — | — | $328.5 | $1,049 | $5,016 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | — | — | $429.26 | $1,354.43 | $5,016 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | — | — | $429.26 | $1,354.43 | $5,016 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 14 | — | — | $2,417.79 | $17,044 | $35,280 |
| Total hip replacement | CPT | 27130 | 15 | — | — | $6,546 | $14,444 | $40,224 |
| Total knee replacement | CPT | 27447 | 15 | — | — | $6,546 | $14,444 | $40,224 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $2,337.65 | $6,546 | $16,721 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $2,925.22 | $7,702 | $29,741 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $1,772 | $5,668 | $11,704 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 16 | — | — | $2,398.52 | $8,069 | $20,219 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | — | — | $1,088.27 | $4,379.92 | $13,821 |
| ACL reconstruction | CPT | 29888 | 16 | — | — | $3,300.05 | $7,851.26 | $20,219 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | — | — | $6,182 | $39,648 | $97,807 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | — | — | $6,182 | $20,409 | $50,347 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | — | — | $6,182 | $14,255 | $35,166 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | — | — | $6,182 | $14,319 | $35,324 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | — | — | $6,182 | $11,376 | $28,065 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | — | — | $6,182 | $30,475 | $75,178 |
| Laparoscopic appendectomy | CPT | 44970 | 14 | — | — | $5,013.07 | $6,332.3 | $16,338 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $35,308 | $80,553 | $103,364 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $35,174 | $44,427 | $62,455 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $21,436 | $34,770 | $69,623 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $12,365 | $19,649 | $40,161 |
| Laparoscopic cholecystectomy | CPT | 47562 | 14 | — | — | $1,888.85 | $6,477.42 | $16,338 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 14 | — | — | $1,888.85 | $6,477.42 | $16,338 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | — | — | $9,144 | $25,307 | $62,643 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | — | — | $9,144 | $17,855 | $44,195 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | — | — | $9,144 | $13,651 | $33,790 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | — | — | $1,888.85 | $6,332.3 | $16,338 |
| Vaginal hysterectomy | CPT | 58260 | 14 | — | — | $1,526.99 | $5,369 | $15,605 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 14 | — | — | $3,110.01 | $9,884.78 | $28,436 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | — | — | $1,888.85 | $6,622.53 | $16,338 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $6,182 | $23,961 | $58,074 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $6,182 | $14,034 | $34,016 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $6,182 | $12,846 | $31,136 |
| Vitrectomy mechanical | CPT | 67042 | 14 | — | — | $1,533.49 | $4,564.34 | $15,605 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 17 | — | — | $6,182 | $10,350 | $25,532 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 17 | — | — | $6,182 | $16,871 | $41,620 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 70 | $11,387 |
| Blue Cross Blue Shield | 69 | $12,209 |
| UnitedHealthcare | 68 | $14,958 |
| Cigna | 67 | $10,042 |
| Humana | 67 | $6,182 |
| healthspring | 65 | $7,146.12 |
| Ambetter | 65 | $15,381 |
| american health plan | 65 | $7,146.12 |
| baylor scott & white health plan | 65 | $9,123.37 |
| corvel | 65 | $7,129.79 |
| prime health services | 65 | $7,129.79 |
| procare advantage | 65 | $7,146.12 |
| superior health plan | 65 | $5,598.33 |
| triwest | 65 | $6,805.83 |
| 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 |
| optum | 10 | $29,741 |