CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Baylor Scott and White Medical Center Lake Pointe

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,385

about 1.5× the $5,676 Medicare rate · typically $6,565–$10,592

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,794

About the fair price

about $591 under the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $8,385 This hospital $7,794

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $2,812 Priciest $7,794

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,385 (about 1.5× the $5,676 Medicare rate). Baylor Scott and White Medical Center Lake Pointe charges insurers about $7,794 — about the fair price. Located in Rowlett, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,860 - $17,791	138%
Blue Cross Blue Shieldmajor	$7,027 - $11,389	124%
Aetnamajor	$10,880	192%
Cignamajor	$7,794 - $9,169	137%
Humanamajor	$2,778 - $6,835	49%
Ambetter (Centene)	$15,447	272%
Baylor Scott & White	$5,829 - $12,303	103%
Cigna HealthSpring	$7,177	126%
Health Net	$7,997	141%
Molina	$7,177	126%
+ 3 smaller / regional plans	$6,714 - $7,177

Government programs also on file: Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott and White Medical Center Lake Pointe is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott and White Medical Center Lake Pointe

Compare: Digestive disorders treatment (inpatient stay) at other TX hospitals

Childrens Medical Ctr of Dallas · Dallas $2,812
Childrens Medical Center Plano · Plano $2,812
Memorial Medical Center · Port Lavaca $3,056
Hendrick Medical Center Brownwood · Brownwood $4,163
Coon Memorial Hospital · Dalhart $4,433
Comanche County Medical Center · Comanche $4,497
Guadalupe Regional Medical Center · Seguin $4,745
Ascension Seton Southwest · Austin $4,884

Insurance negotiated median for the same procedure, sorted lowest first.