▸ Hospital · TX · CCN 670108
Baylor Scott & White Medical Center - Marble Falls
810 WEST HIGHWAY 71, MARBLE FALLS, TX, 78654
46 bedsAcute Care Hospitals1
Compliance grade
B
82/100
Procedures tracked
72
of 209 target codes
Payers
18
with negotiated rates
Rates published
6,393
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 | — | — | $2,778 | $13,155 | $24,001 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 17 | — | — | $2,778 | $19,390 | $33,870 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 17 | — | — | $2,778 | $10,553 | $17,315 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 17 | — | — | $2,778 | $7,510.58 | $12,875 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 17 | — | — | $2,778 | $16,155 | $27,524 |
| COPD w MCC | MS-DRG | 190 | 17 | — | — | $2,778 | $11,442 | $19,121 |
| COPD w CC | MS-DRG | 191 | 17 | — | — | $2,778 | $8,842.76 | $15,159 |
| COPD w/o CC/MCC | MS-DRG | 192 | 17 | — | — | $2,778 | $7,173.59 | $12,326 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 17 | — | — | $2,778 | $8,537.78 | $14,636 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 17 | — | — | $2,778 | $6,982.95 | $11,998 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | — | — | $9,027.7 | $17,339 | $27,948 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | — | — | $5,069.9 | $10,128 | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 18 | — | — | $3,988.05 | $7,965.88 | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 17 | — | — | $2,778 | $13,331 | $22,217 |
| Heart failure & shock w CC | MS-DRG | 292 | 17 | — | — | $2,778 | $8,893.04 | $15,187 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 17 | — | — | $2,778 | $6,407.08 | $11,009 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 17 | — | — | $2,778 | $12,482 | $20,533 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 17 | — | — | $2,778 | $7,908.37 | $13,557 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 17 | — | — | $2,778 | $6,491.13 | $11,153 |
| GI hemorrhage w CC | MS-DRG | 378 | 17 | — | — | $2,778 | $10,215 | $16,854 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 17 | — | — | $2,778 | $7,091.89 | $12,185 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 17 | — | — | $2,778 | $8,209.32 | $14,105 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 17 | — | — | $2,778 | $15,372 | $25,964 |
| Kidney/UTI w MCC | MS-DRG | 689 | 17 | — | — | $2,778 | $12,194 | $19,927 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 17 | — | — | $2,778 | $8,402.06 | $14,404 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 17 | — | — | $2,778 | $19,126 | $33,409 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 17 | — | — | $2,778 | $10,693 | $17,555 |
| maternity | ||||||||
| C-section with postpartum | CPT | 59515 | 3 | — | — | $1,941.49 | $2,098.91 | $12,483 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 1 | — | — | $26.61 | $26.75 | $32.42 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | — | — | $334.95 | $1,083.16 | $3,704 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | — | — | $334.95 | $1,083.16 | $4,958 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | — | — | $130.67 | $846.22 | $3,500 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | — | — | $328.5 | $1,011.43 | $3,500 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | — | — | $328.5 | $1,070.99 | $4,958 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | — | — | $429.26 | $1,396.09 | $4,958 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | — | — | $429.26 | $1,396.09 | $4,958 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 14 | — | — | $2,236.46 | $16,433 | $27,115 |
| Total hip replacement | CPT | 27130 | 14 | — | — | $5,388 | $12,790 | $21,421 |
| Total knee replacement | CPT | 27447 | 14 | — | — | $5,388 | $12,790 | $21,421 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $2,162.32 | $2,629.85 | $13,933 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $2,705.82 | $3,290.87 | $13,933 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $1,444 | $5,460 | $11,621 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 15 | — | — | $2,398.52 | $7,006.82 | $12,483 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 15 | — | — | $1,088.27 | $3,816.73 | $11,621 |
| ACL reconstruction | CPT | 29888 | 15 | — | — | $3,300.05 | $6,691.4 | $11,621 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 17 | — | — | $6,182 | $43,379 | $78,186 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 17 | — | — | $6,182 | $23,040 | $40,247 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 17 | — | — | $6,182 | $16,450 | $28,112 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 17 | — | — | $6,182 | $16,513 | $28,238 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 17 | — | — | $6,182 | $13,602 | $22,435 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 17 | — | — | $6,182 | $33,234 | $60,097 |
| Laparoscopic appendectomy | CPT | 44970 | 14 | — | — | $4,833.51 | $6,071.75 | $14,887 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $35,308 | $73,572 | $91,851 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $35,308 | $40,577 | $50,658 |
| Major joint replacement w MCC | MS-DRG | 469 | 18 | — | — | $17,978 | $33,803 | $61,515 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 18 | — | — | $10,370 | $20,033 | $36,028 |
| Laparoscopic cholecystectomy | CPT | 47562 | 14 | — | — | $1,888.85 | $6,385.33 | $14,887 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 14 | — | — | $1,888.85 | $6,385.33 | $14,887 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 18 | — | — | $9,144 | $28,075 | $50,076 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 18 | — | — | $9,144 | $20,148 | $35,329 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 18 | — | — | $8,725.2 | $15,681 | $27,012 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | — | — | $1,888.85 | $6,071.75 | $11,526 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $1,552.14 | $1,887.73 | $15,605 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 14 | — | — | $3,110.01 | $9,530.73 | $15,605 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | — | — | $1,888.85 | $6,245.41 | $12,483 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 18 | — | — | $6,182 | $26,814 | $46,424 |
| OR procedure for obesity w CC | MS-DRG | 620 | 18 | — | — | $6,182 | $16,763 | $28,880 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 18 | — | — | $6,182 | $15,616 | $28,880 |
| Complex cataract surgery | CPT | 66982 | 15 | — | — | $849.94 | $2,785.62 | $12,483 |
| Cataract surgery with lens implant | CPT | 66984 | 15 | — | — | $849.94 | $2,785.62 | $12,483 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 17 | — | — | $6,182 | $12,065 | $20,410 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 17 | — | — | $6,182 | $19,047 | $33,271 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 71 | $13,933 |
| Blue Cross Blue Shield | 71 | $10,156 |
| Humana | 71 | $9,246.36 |
| Cigna | 68 | $8,649 |
| UnitedHealthcare | 68 | $11,586 |
| baylor scott & white health plan | 64 | $12,106 |
| corvel | 64 | $9,659.1 |
| sedgwick | 64 | $11,773 |
| superior health plan | 64 | $7,426.29 |
| triwest | 64 | $9,220.22 |
| american health plan | 64 | $9,681.23 |
| healthspring | 64 | $9,681.23 |
| prime health services | 64 | $9,659.1 |
| procare advantage | 64 | $9,681.23 |
| healthsmart | 58 | $9,984.28 |
| university of mary hardin-baylor | 43 | $11,228 |
| bluebell creameries | 43 | $7,176.4 |
| private health care system | 13 | $28,880 |