▸ Hospital · · CCN 459808
Baylor University Medical Center
Compliance grade
B
87/100
Procedures tracked
77
of 209 target codes
Payers
21
with negotiated rates
Rates published
8,497
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 | $14,129 | $30,480 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 15 | — | — | $53.14 | $58.74 | $892 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $2,778 | $19,084 | $42,370 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $2,778 | $10,946 | $23,559 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $2,778 | $8,255.23 | $17,768 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $2,778 | $16,000 | $34,431 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $2,778 | $11,814 | $25,429 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $2,778 | $9,653.69 | $20,778 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $2,778 | $7,918.72 | $17,044 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $2,778 | $9,333.54 | $20,089 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $2,778 | $7,718.11 | $16,612 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $12,261 | $16,394 | $34,962 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $6,885.67 | $10,167 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $5,416.36 | $8,556.52 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $2,778 | $13,303 | $28,633 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $2,778 | $9,670.87 | $20,815 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $2,778 | $7,112.23 | $15,308 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $2,778 | $12,493 | $26,890 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $2,778 | $8,672.79 | $18,667 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $2,778 | $7,200.65 | $15,499 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $2,778 | $10,692 | $23,013 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $2,778 | $7,832.75 | $16,859 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $2,778 | $9,008.51 | $19,390 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $2,778 | $15,168 | $32,512 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $2,778 | $12,202 | $26,263 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $2,778 | $9,191.09 | $19,783 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $2,778 | $18,875 | $41,793 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $2,778 | $11,061 | $23,808 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | — | — | $8.04 | $8.88 | $41.37 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | — | — | $47.08 | $52.04 | $241.91 |
| maternity | ||||||||
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $1,726.42 | $3,371.91 | $3,901 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | — | — | $334.95 | $974.1 | $4,042 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | — | — | $334.95 | $974.1 | $5,016 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | — | — | $130.67 | $877.65 | $4,042 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | — | — | $328.5 | $961.24 | $4,042 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | — | — | $328.5 | $982.14 | $5,016 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | — | — | $429.26 | $1,268.1 | $5,016 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | — | — | $429.26 | $1,268.1 | $5,016 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 16 | — | — | $2,417.79 | $17,044 | $35,280 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | — | — | $1,886.14 | $6,546 | $16,721 |
| Total hip replacement | CPT | 27130 | 17 | — | — | $6,546 | $13,842 | $40,224 |
| Total knee replacement | CPT | 27447 | 17 | — | — | $6,546 | $13,842 | $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 | 18 | — | — | $2,398.52 | $7,687.7 | $20,219 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $1,088.27 | $3,633.7 | $13,821 |
| ACL reconstruction | CPT | 29888 | 18 | — | — | $3,300.05 | $7,197 | $20,219 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $6,182 | $41,894 | $97,807 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $6,182 | $22,392 | $50,347 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $6,182 | $16,138 | $35,166 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $6,182 | $16,198 | $35,324 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $6,182 | $13,408 | $28,859 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $6,182 | $31,518 | $75,178 |
| Open appendectomy | CPT | 44950 | 16 | — | — | $4,974.94 | $7,265.01 | $14,322 |
| Laparoscopic appendectomy | CPT | 44970 | 16 | — | — | $5,013.07 | $6,235 | $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 | 21 | — | — | $24,417 | $34,770 | $69,623 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 21 | — | — | $14,084 | $20,637 | $40,161 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | — | — | $1,888.85 | $6,068.46 | $16,338 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | — | — | $1,888.85 | $6,068.46 | $16,338 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $9,144 | $26,700 | $62,643 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $9,144 | $19,608 | $44,195 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $9,144 | $15,609 | $33,790 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | — | — | $1,888.85 | $6,151.73 | $16,338 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,677.98 | $5,369 | $16,163 |
| Vaginal hysterectomy | CPT | 58260 | 16 | — | — | $1,526.99 | $5,231.2 | $15,605 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 17 | — | — | $1,888.85 | $6,200.38 | $16,721 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 16 | — | — | $3,110.01 | $9,884.78 | $28,436 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | — | — | $1,888.85 | $6,200.38 | $16,338 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $6,182 | $26,491 | $58,074 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $6,182 | $15,951 | $34,016 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $6,182 | $14,600 | $31,400 |
| Vitrectomy mechanical | CPT | 67042 | 16 | — | — | $1,533.49 | $4,276.16 | $15,605 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $6,182 | $12,434 | $26,763 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $6,182 | $18,618 | $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 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 77 | $12,657 |
| Blue Cross Blue Shield | 76 | $12,014 |
| UnitedHealthcare | 74 | $14,985 |
| Humana | 71 | $6,888.41 |
| Cigna | 71 | $9,741.09 |
| baylor scott & white health plan | 69 | $11,404 |
| corvel | 69 | $9,648.76 |
| procare advantage | 69 | $9,670.87 |
| superior health plan | 69 | $7,832.75 |
| triwest | 69 | $9,210.35 |
| Ambetter | 69 | $20,778 |
| wellpoint (fka amerigroup) | 69 | $7,683.55 |
| healthspring | 69 | $9,670.87 |
| american health plan | 69 | $9,670.87 |
| Molina | 69 | $9,670.87 |
| prime health services | 69 | $9,648.76 |
| healthsmart | 57 | $10,081 |
| 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 |