How many shoppable procedure prices are published for Baylor Scott and White Medical Center Sunnyvale?

Baylor Scott and White Medical Center Sunnyvale in Sunnyvale, TX currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baylor Scott and White Medical Center Sunnyvale's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baylor Scott and White Medical Center Sunnyvale's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Baylor Scott and White Medical Center Sunnyvale's CMS Care Compare overall star rating?

CMS Care Compare assigns Baylor Scott and White Medical Center Sunnyvale an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 70 Beds · urban Updated: 2026-04-01

Baylor Scott and White Medical Center Sunnyvale

231 South Collins Road, Sunnyvale, TX 75182 · 96 Priced Procedures · 50% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.85×vs. Fair Market Price

Typical commercial prices here are +85% above the fair benchmark (1.85×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness85

Price Logic53

Peer Alignment74

Clean Billing72

Real Cash Discount100

High Price · Lower Safety

1-Star CMS clinical quality rating paired with 1.85× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +114% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Baylor Scott and White Medical Center Sunnyvale prices routine shoppable procedures at 3.6× Medicare (median 1.53× Fair BaseRate) while upper-quartile commercial rates jump +114% to 3.28× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#261 of 307 in TX · 84th State Percentile#2,989 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 50% patient recommendation (46/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.85× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.53× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.28×) jump +114% above the median procedure ratio (Q50 1.53×)
Unnegotiated chargemaster list prices average 15.8× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.33× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+114% Upper Tail

Q25 0.89× · Q50 1.53× · Q75 3.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.6× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 46/100Watchout

Procedure Prices at Baylor Scott and White Medical Center Sunnyvale

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,837	$17,936	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,132	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,596	$19,432	0.8×
Total hip replacement CPT Code: `27130`	$39,877	$12,266	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$37,066	$12,266	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$16,436	$8,059	$6,109	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,048	$8,223	0.7×
C-section delivery (full package) CPT Code: `59510`	—	$4,758	$2,975	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,617	$2,540	1.8×
Bunion correction surgery CPT Code: `28296`	$9,686	$4,376	$3,446	1.3×
Inguinal hernia repair CPT Code: `49505`	$10,658	$4,376	$3,629	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,265	$2,680	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$9,686	$4,277	$3,372	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,394	$3,394	$448	unverified
Breast lump removal CPT Code: `19120`	$9,988	$3,109	$3,875	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,735	$2,735	$303	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,571	$2,654	$511	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,429	$2,370	$1,256	1.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,723	$2,370	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,600	$2,370	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,961	$2,252	$855	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,043	$2,109	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,817	$1,876	$343	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,781	$1,839	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,788	$1,846	$338	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,525	$1,574	$168	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,466	$1,514	$242	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,437	$1,483	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,358	$1,402	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,331	$1,374	$160	unverified
CT scan, pelvis CPT Code: `72192`	$1,351	$1,394	$163	unverified
Trauma team activation HCPCS Code: `G0390`	$6,931	$1,247	$1,453	0.9×
CT scan, sinuses CPT Code: `70486`	$1,130	$1,167	$166	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$953	$1,021	0.9×
Blood transfusion CPT Code: `36430`	$966	$966	$498	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$619	$639	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$507	$544	$130	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,846	$503	$583	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$446	$460	$126	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$421	$434	$132	3.3×
Psychological testing by technician CPT Code: `96138`	—	$363	$395	0.9×
X-ray, lower back CPT Code: `72110`	$356	$367	$112	unverified
X-ray, foot CPT Code: `73630`	$319	$329	$92	unverified
Neurobehavioral status check CPT Code: `96116`	—	$286	$231	1.2×
X-ray, ankle CPT Code: `73610`	$247	$255	$93	2.7×
Rabies immune globulin HCPCS Code: `90375`	—	$273	$322	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$254	$263	$93	unverified
X-ray, shoulder CPT Code: `73030`	$255	$264	$92	unverified
X-ray, hand CPT Code: `73130`	$277	$286	$93	unverified
X-ray, pelvis CPT Code: `72170`	$224	$231	$110	2.1×
X-ray, hip CPT Code: `73502`	$189	$201	$93	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$810	$223	$272	0.8×
X-ray, chest (two views) CPT Code: `71046`	$171	$182	$93	2.0×
X-ray, chest (single view) CPT Code: `71045`	$127	$136	$92	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$150	$159	$148	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$122	$130	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$135	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$145	$166	0.9×
Family therapy session CPT Code: `90847`	—	$145	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$145	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$145	$185	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$116	$128	0.9×
Group therapy session CPT Code: `90853`	—	$81	$100	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$97	$97	$201	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$448	$448	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$410	$410	$9	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$338	$338	$18	18.8×
Blood test, vitamin D CPT Code: `82306`	$353	$353	$31	11.4×
Blood test, basic metabolic panel CPT Code: `80048`	$335	$335	$9	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$309	$347	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$296	$296	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$254	$254	$15	unverified
Culture, blood CPT Code: `87040`	$264	$264	$11	unverified
Blood test, vitamin B12 CPT Code: `82607`	$218	$218	$16	13.6×
Blood test, amylase CPT Code: `82150`	$206	$206	$7	unverified
Culture, bacterial CPT Code: `87070`	$208	$208	$9	unverified
Blood test, calcium CPT Code: `82310`	$159	$159	$5	31.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$184	$184	$14	13.1×
Blood test, lipase CPT Code: `83690`	$186	$186	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$136	$136	$5	27.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$147	$147	$19	7.7×
Blood test, magnesium CPT Code: `83735`	$158	$158	$7	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$127	$127	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$100	$100	$4	unverified
Blood test, potassium CPT Code: `84132`	$125	$125	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$149	$149	$6	unverified
Blood test, sodium CPT Code: `84295`	$115	$115	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$122	$122	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$125	$125	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$124	$124	$5	unverified
Blood antibody screen CPT Code: `86850`	$170	$76	$46	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$44	$43	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$137	$43	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$43	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$263	$56	$64	0.9×
Blood test, hemoglobin CPT Code: `85018`	$63	$63	$3	unverified

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Baylor Scott and White Medical Center Sunnyvale (Zero PHI Required)

CMS CCN: 670060

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $21,837

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott and White Medical Center Sunnyvale’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baylor Scott and White Medical Center Sunnyvale's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$34,473 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($52,409) is $34,473 above the denoised Fair BaseRate ($17,936) and 4.1× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 510570864

Public IRS & CMS ownership records classify Baylor Scott and White Medical Center Sunnyvale as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall1/5 Stars (1/5)

Safety Composite46/100

Would Recommend50%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait229 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baylor Scott and White Medical Center Sunnyvale. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-11·administrative_or_closure
Closure Notice
Recorded
2025-07-29·cap_corrective_action
CAP Request
Recorded
2025-04-23·warning_notice
Warning Notice
Recorded
2023-12-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (364 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baylor Scott and White Medical Center Sunnyvale.

Price Index: 1.35× regional baseline

Quality: 29/100 CMS composite

Median Household Income$74,149U.S. Census ACS

Local Uninsured Share21.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 670060 EIN 510570864

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670060) ↗ Verify IRS Form 990 (EIN 510570864) ↗ CMS HCRIS Cost Reports ↗

Published MRF File510570864_texas-regional-medical-center,-llc_standardcharges.json

Publication / Vintage2026-04-01 · 20.98 MB

Validated Rate Rows541 (CMS v3.0.0)

File Integrity Digest01f5334e24c91cd1a071…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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