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▸ Hospital · · CCN 459808

Baylor University Medical Center

Compliance grade
B
87/100
Rates published
8,497
last crawl 2026-05-24
Procedures tracked
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Payers
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▸ Compare with other hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/751837454_baylor-university-medical-center_standardcharges.csv · CSV

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Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

ProcedureTypeCodePayersGrossCashNeg minNeg medianvs nat'lNeg max
behavioral
PsychosesMS-DRG88519——$1,458$14,1291.1×$30,480
imaging
EKG tracing onlyCPT9300515——$53.14$58.740.50×$892
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06419——$2,778$19,0840.95×$42,370
Intracranial hemorrhage/CVA w CCMS-DRG06519——$2,778$10,9461.0×$23,559
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06619——$2,778$8,255.231.1×$17,768
Respiratory infections & inflammations w MCCMS-DRG17719——$2,778$16,0001.0×$34,431
COPD w MCCMS-DRG19019——$2,778$11,8141.1×$25,429
COPD w CCMS-DRG19119——$2,778$9,653.691.1×$20,778
COPD w/o CC/MCCMS-DRG19219——$2,778$7,918.721.1×$17,044
Simple pneumonia & pleurisy w CCMS-DRG19419——$2,778$9,333.541.1×$20,089
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19519——$2,778$7,718.111.2×$16,612
AMI discharged alive w MCCMS-DRG28020——$12,261$16,3941.0×$34,962
AMI discharged alive w CCMS-DRG28120——$6,885.67$10,1671.1×$26,466
AMI discharged alive w/o CC/MCCMS-DRG28220——$5,416.36$8,556.521.1×$19,849
Heart failure & shock w MCCMS-DRG29119——$2,778$13,3031.0×$28,633
Heart failure & shock w CCMS-DRG29219——$2,778$9,670.871.1×$20,815
Heart failure & shock w/o CC/MCCMS-DRG29319——$2,778$7,112.231.1×$15,308
Cardiac arrhythmia w MCCMS-DRG30819——$2,778$12,4931.0×$26,890
Cardiac arrhythmia w CCMS-DRG30919——$2,778$8,672.791.1×$18,667
Cardiac arrhythmia w/o CC/MCCMS-DRG31019——$2,778$7,200.651.2×$15,499
GI hemorrhage w CCMS-DRG37819——$2,778$10,6921.1×$23,013
GI hemorrhage w/o CC/MCCMS-DRG37919——$2,778$7,832.751.1×$16,859
Esophagitis/gastroenteritis w/o MCCMS-DRG39219——$2,778$9,008.511.1×$19,390
Fractures of femur w/o MCCMS-DRG53319——$2,778$15,1681.00×$32,512
Kidney/UTI w MCCMS-DRG68919——$2,778$12,2021.1×$26,263
Kidney/UTI w/o MCCMS-DRG69019——$2,778$9,191.091.1×$19,783
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87119——$2,778$18,8751.0×$41,793
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87219——$2,778$11,0611.1×$23,808
lab
Basic metabolic panel (BMP)CPT8004815——$8.04$8.880.27×$41.37
Tissue exam by pathologist level IVCPT8830515——$47.08$52.040.51×$241.91
maternity
Vaginal delivery with postpartumCPT594102——$1,726.42$3,371.913.2×$3,901
preventive
Upper GI endoscopy diagnosticCPT4323517——$334.95$974.11.1×$4,042
Upper GI endoscopy with biopsyCPT4323917——$334.95$974.11.0×$5,016
Sigmoidoscopy diagnosticCPT4533016——$130.67$877.651.0×$4,042
Sigmoidoscopy with biopsyCPT4533116——$328.5$961.241.1×$4,042
Colonoscopy diagnosticCPT4537817——$328.5$982.141.1×$5,016
Colonoscopy with biopsyCPT4538017——$429.26$1,268.11.0×$5,016
Colonoscopy with polyp removalCPT4538517——$429.26$1,268.11.1×$5,016
surgery
Total shoulder arthroplastyCPT2347216——$2,417.79$17,0444.1×$35,280
Hip hemiarthroplastyCPT271254——$1,886.14$6,5465.2×$16,721
Total hip replacementCPT2713017——$6,546$13,8423.2×$40,224
Total knee replacementCPT2744717——$6,546$13,8423.3×$40,224
Knee revision arthroplasty single componentCPT274864——$2,337.65$6,5463.9×$16,721
Knee revision arthroplasty all componentsCPT274875——$2,925.22$7,7023.8×$29,741
Shoulder arthroscopy with decompressionCPT298264——$1,772$5,66817.3×$11,704
Shoulder arthroscopy with rotator cuff repairCPT2982718——$2,398.52$7,687.72.3×$20,219
Knee arthroscopy with meniscectomyCPT2988118——$1,088.27$3,633.71.8×$13,821
ACL reconstructionCPT2988818——$3,300.05$7,1972.2×$20,219
Major small/large bowel procedures w MCCMS-DRG32919——$6,182$41,8940.97×$97,807
Major small/large bowel procedures w CCMS-DRG33019——$6,182$22,3920.96×$50,347
Major small/large bowel procedures w/o CC/MCCMS-DRG33119——$6,182$16,1380.98×$35,166
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41819——$6,182$16,1980.98×$35,324
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41919——$6,182$13,4080.99×$28,859
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42019——$6,182$31,5180.97×$75,178
Open appendectomyCPT4495016——$4,974.94$7,265.016.4×$14,322
Laparoscopic appendectomyCPT4497016——$5,013.07$6,2354.0×$16,338
Spinal fusion (non-cervical) w MCCMS-DRG4597——$35,308$80,5531.6×$103,364
Spinal fusion (non-cervical) w/o MCCMS-DRG4607——$35,174$44,4271.3×$62,455
Major joint replacement w MCCMS-DRG46921——$24,417$34,7701.2×$69,623
Major joint replacement w/o MCCMS-DRG47021——$14,084$20,6371.1×$40,161
Laparoscopic cholecystectomyCPT4756216——$1,888.85$6,068.463.4×$16,338
Lap cholecystectomy with cholangiographyCPT4756316——$1,888.85$6,068.463.2×$16,338
Hip & femur procedures except major joint w MCCMS-DRG48020——$9,144$26,7000.95×$62,643
Hip & femur procedures except major joint w CCMS-DRG48120——$9,144$19,6080.97×$44,195
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48220——$9,144$15,6090.98×$33,790
Lap inguinal hernia repairCPT4965017——$1,888.85$6,151.735.5×$16,338
Total abdominal hysterectomyCPT581504——$1,677.98$5,3695.5×$16,163
Vaginal hysterectomyCPT5826016——$1,526.99$5,231.22.9×$15,605
Lap-assisted vaginal hysterectomyCPT5855017——$1,888.85$6,200.384.2×$16,721
Lap-assisted vaginal hysterectomy >250gCPT5855216——$3,110.01$9,884.784.4×$28,436
Lap salpingo-oophorectomyCPT5866117——$1,888.85$6,200.383.1×$16,338
OR procedure for obesity w MCCMS-DRG61920——$6,182$26,4910.98×$58,074
OR procedure for obesity w CCMS-DRG62020——$6,182$15,9510.98×$34,016
OR procedure for obesity w/o CC/MCCMS-DRG62120——$6,182$14,6000.96×$31,400
Vitrectomy mechanicalCPT6704216——$1,533.49$4,276.161.7×$15,605
Uterine & adnexa procedures w CC/MCCMS-DRG74319——$6,182$12,4341.0×$26,763
Uterine & adnexa procedures w/o CC/MCCMS-DRG74419——$6,182$18,6180.97×$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)

PayerCodes coveredMedian rate
Aetna77$12,657
Blue Cross Blue Shield76$12,014
UnitedHealthcare74$14,985
Humana71$6,888.41
Cigna71$9,741.09
baylor scott & white health plan69$11,404
corvel69$9,648.76
procare advantage69$9,670.87
superior health plan69$7,832.75
triwest69$9,210.35
Ambetter69$20,778
wellpoint (fka amerigroup)69$7,683.55
healthspring69$9,670.87
american health plan69$9,670.87
Molina69$9,670.87
prime health services69$9,648.76
healthsmart57$10,081
employers health network45$13,367
university of mary hardin-baylor43$11,228
private health care system13$28,880
optum10$29,741
Procedures tracked
77
of 209 target codes
Payers
21
with negotiated rates