▸ Hospital · TX · CCN 670025
Baylor Sott & White The Heart Hospital Plano
1100 ALLIED DRIVE, PLANO, TX, 75093
108 bedsAcute Care Hospitals5
Compliance grade
C
77/100
Procedures tracked
54
of 209 target codes
Payers
18
with negotiated rates
Rates published
5,348
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 | $11,366 | $47,454 |
| imaging | ||||||||
| EKG tracing only | CPT | 93005 | 13 | — | — | $53.14 | $61.54 | $892 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 17 | — | — | $2,778 | $17,949 | $66,966 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 17 | — | — | $2,778 | $9,175.76 | $34,234 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 17 | — | — | $2,778 | $6,210.74 | $23,172 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | — | — | $2,778 | $14,586 | $54,419 |
| COPD w MCC | MS-DRG | 190 | 17 | — | — | $2,778 | $10,133 | $37,806 |
| COPD w CC | MS-DRG | 191 | 17 | — | — | $2,778 | $7,751.89 | $28,922 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | — | — | $2,778 | $5,839.88 | $21,788 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | — | — | $2,778 | $7,399.08 | $27,605 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | — | — | $2,778 | $5,618.78 | $20,963 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | — | — | $11,975 | $15,862 | $55,258 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | — | — | $6,724.92 | $9,128.17 | $31,032 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | — | — | $5,289.9 | $7,179.56 | $24,410 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | — | — | $2,778 | $11,774 | $43,926 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | — | — | $2,778 | $7,770.85 | $28,992 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | — | — | $2,778 | $4,951.06 | $18,472 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | — | — | $2,778 | $10,881 | $40,597 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | — | — | $2,778 | $6,670.91 | $24,889 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | — | — | $2,778 | $5,048.52 | $18,836 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | — | — | $2,778 | $8,896.07 | $33,190 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | — | — | $2,778 | $5,745.13 | $21,435 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | — | — | $2,778 | $7,040.87 | $26,269 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 17 | — | — | $2,778 | $13,760 | $51,336 |
| Kidney/UTI w MCC | MS-DRG | 689 | 17 | — | — | $2,778 | $10,560 | $39,398 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 17 | — | — | $2,778 | $7,242.08 | $27,020 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 17 | — | — | $2,778 | $17,705 | $66,054 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 17 | — | — | $2,778 | $9,303.01 | $34,709 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | — | — | $334.95 | $1,040.42 | $5,189 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | — | — | $334.95 | $1,040.42 | $5,303 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | — | — | $328.5 | $1,049 | $5,303 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | — | — | $429.26 | $1,354.43 | $5,303 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | — | — | $429.26 | $1,354.43 | $5,303 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | — | — | $6,182 | $41,434 | $154,586 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | — | — | $6,182 | $21,328 | $79,574 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | — | — | $6,182 | $14,897 | $55,581 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $2,380 | $6,546 | $17,834 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $2,380 | $6,546 | $17,834 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | — | — | $6,182 | $14,964 | $55,830 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | — | — | $6,182 | $11,889 | $44,357 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | — | — | $6,182 | $31,586 | $118,821 |
| Laparoscopic appendectomy | CPT | 44970 | 14 | — | — | $5,013.07 | $6,332.3 | $16,338 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $35,308 | $69,759 | $107,476 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $35,308 | $38,474 | $59,276 |
| Major joint replacement w MCC | MS-DRG | 469 | 18 | — | — | $23,847 | $33,291 | $110,041 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 18 | — | — | $13,756 | $18,813 | $63,475 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | — | — | $9,144 | $25,973 | $99,009 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | — | — | $9,144 | $18,324 | $69,852 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | — | — | $9,144 | $14,010 | $53,406 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $6,182 | $25,880 | $91,788 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $6,182 | $15,391 | $53,763 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $6,182 | $14,088 | $49,212 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 17 | — | — | $6,182 | $10,816 | $40,354 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 17 | — | — | $6,182 | $17,631 | $65,781 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 54 | $12,022 |
| Blue Cross Blue Shield | 54 | $13,073 |
| UnitedHealthcare | 52 | $26,030 |
| Humana | 52 | $6,182 |
| Cigna | 51 | $11,961 |
| healthsmart | 50 | $9,424 |
| prime health services | 50 | $9,224.72 |
| healthspring | 50 | $9,245.85 |
| Ambetter | 50 | $19,901 |
| american health plan | 50 | $9,245.85 |
| baylor scott & white health plan | 50 | $10,805 |
| corvel | 50 | $9,224.72 |
| procare advantage | 50 | $9,245.85 |
| superior health plan | 50 | $8,199.62 |
| triwest | 50 | $8,805.57 |
| employers health network | 45 | $13,367 |
| university of mary hardin-baylor | 43 | $11,228 |
| private health care system | 13 | $28,880 |