How many shoppable procedure prices are published for Baylor Scott and White Surgical Hospital at Sherma?

Baylor Scott and White Surgical Hospital at Sherma in Sherman, TX currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baylor Scott and White Surgical Hospital at Sherma's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baylor Scott and White Surgical Hospital at Sherma's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Baylor Scott and White Surgical Hospital at Sherma's CMS Care Compare overall star rating?

CMS Care Compare assigns Baylor Scott and White Surgical Hospital at Sherma an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Physician 12 Beds · urban Updated: 2026-04-01

Baylor Scott and White Surgical Hospital at Sherma

3601 Calais Drive, Sherman, TX 75090 · 126 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness100

Price Logic56

Peer Alignment65

Clean Billing69

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +67% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Baylor Scott and White Surgical Hospital at Sherma prices routine shoppable procedures at 3.2× Medicare (median 1.26× Fair BaseRate) while upper-quartile commercial rates jump +67% to 2.10× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#231 of 307 in TX · 74th State Percentile#2,677 of 3,385 in U.S. · 79th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.08× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 86% patient recommendation
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 (1.52× 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 1.26× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.10×) jump +67% above the median procedure ratio (Q50 1.26×)
Consolidated metro market (HHI 7,056) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER0.37× Divergence

1.2× Medicare

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

Quantile Tail Spread+67% Upper Tail

Q25 1.08× · Q50 1.26× · Q75 2.10×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

0.7× MedicareGood

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

43% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Baylor Scott and White Surgical Hospital at Sherma

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 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`	—	$16,914	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,983	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,496	$19,432	0.6×
Total hip replacement CPT Code: `27130`	$8,100	$11,355	$13,413	0.8×
Total knee replacement CPT Code: `27447`	$8,100	$11,355	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,183	$8,223	0.6×
C-section delivery (full package) CPT Code: `59510`	—	$4,758	$2,975	1.6×
Cataract surgery with lens implant CPT Code: `66984`	$3,102	$4,617	$2,540	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,265	$2,680	1.6×
Inguinal hernia repair CPT Code: `49505`	$3,102	$4,265	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	$3,102	$4,265	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,980	$4,068	$3,372	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,980	$3,980	$6,109	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,343	$2,654	$511	5.2×
Breast lump removal CPT Code: `19120`	$2,354	$2,638	$3,875	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,354	$2,370	$987	2.4×
Colonoscopy with biopsy CPT Code: `45380`	$3,102	$2,370	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,496	$2,252	$855	2.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,555	$2,109	$369	5.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,705	$1,876	$343	5.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,703	$1,846	$338	5.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,185	$1,839	$258	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,867	$1,574	$168	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,709	$1,514	$242	6.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,085	$1,483	$167	8.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,487	$1,453	1.0×
CT scan, pelvis CPT Code: `72192`	$1,658	$1,394	$163	8.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,877	$1,402	$169	8.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,399	$1,374	$160	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,121	$1,294	$1,021	1.3×
CT scan, sinuses CPT Code: `70486`	$1,501	$1,167	$166	7.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,157	$1,157	$981	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$900	$900	$448	unverified
Blood transfusion CPT Code: `36430`	$712	$712	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,337	$679	$583	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$566	$566	$303	unverified
Psychological testing by technician CPT Code: `96138`	—	$512	$395	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$326	$460	$126	3.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$326	$434	$132	3.3×
X-ray, lower back CPT Code: `72110`	$517	$367	$112	3.3×
Neurobehavioral status check CPT Code: `96116`	—	$388	$231	1.7×
Rabies immune globulin HCPCS Code: `90375`	—	$345	$322	1.1×
X-ray, foot CPT Code: `73630`	$438	$329	$92	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$326	$326	$134	unverified
X-ray, hand CPT Code: `73130`	$413	$286	$93	3.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$698	$310	$272	1.1×
Ultrasound, pelvis CPT Code: `76856`	$301	$301	$130	unverified
X-ray, shoulder CPT Code: `73030`	$500	$264	$92	2.9×
X-ray, ankle CPT Code: `73610`	$450	$255	$93	2.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$198	$265	$201	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$341	$263	$93	unverified
X-ray, pelvis CPT Code: `72170`	$233	$231	$110	2.1×
X-ray, hip CPT Code: `73502`	$326	$201	$93	2.2×
X-ray, chest (two views) CPT Code: `71046`	$292	$182	$93	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$200	$166	1.2×
Family therapy session CPT Code: `90847`	—	$200	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$200	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$200	$185	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$160	$128	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$171	$151	1.1×
X-ray, chest (single view) CPT Code: `71045`	$216	$136	$92	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$159	$148	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$111	$86	1.3×
Group therapy session CPT Code: `90853`	—	$107	$100	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$130	$123	1.1×
Mental health services (assessment) HCPCS Code: `H0031`	—	$100	$140	0.7×
Typhoid vaccine HCPCS Code: `90675`	—	$401	$347	1.2×
Blood test, vitamin D CPT Code: `82306`	$370	$370	$31	11.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$292	$292	$14	20.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$252	$252	$11	22.9×
Blood test, basic metabolic panel CPT Code: `80048`	$221	$221	$9	24.6×
Hepatitis C antibody test CPT Code: `86803`	$213	$213	$15	14.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$236	$236	$19	12.4×
Blood test, liver function panel CPT Code: `80076`	$229	$229	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$181	$181	$14	12.9×
Blood test, vitamin B12 CPT Code: `82607`	$198	$198	$16	12.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$183	$203	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$198	$198	$18	unverified
Drug screening test HCPCS Code: `G0480`	$175	$172	$116	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$148	$152	$140	1.1×
Blood test, lipase CPT Code: `83690`	$110	$110	$7	15.7×
Culture, bacterial CPT Code: `87070`	$119	$119	$9	13.2×
Culture, blood CPT Code: `87040`	$124	$124	$11	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$85	$85	$6	14.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$95	$8	11.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$63	$63	$4	15.8×
Blood test, calcium CPT Code: `82310`	$63	$63	$5	12.6×
Blood test, magnesium CPT Code: `83735`	$79	$79	$7	11.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$72	$72	$3	unverified
Blood test, amylase CPT Code: `82150`	$85	$85	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$55	$4	13.8×
Blood test, potassium CPT Code: `84132`	$55	$55	$5	11.0×
Blood test, sodium CPT Code: `84295`	$55	$55	$5	11.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$73	$35	2.1×
Blood antibody screen CPT Code: `86850`	$178	$76	$46	1.7×
Orthotic fitting and training CPT Code: `97760`	—	$69	$51	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$183	$77	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$94	$111	0.8×
Prosthetic fitting and training CPT Code: `97761`	—	$60	$45	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$229	$53	$40	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$75	$75	$123	0.6×
Physical therapy (gait training) CPT Code: `97116`	$72	$43	$33	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$49	$38	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$48	$38	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$34	$27	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	—	$47	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$79	$43	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$39	$34	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$53	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$53	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$53	$49	1.1×
Mental health services (therapy) HCPCS Code: `H0032`	—	$65	$65	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$34	$37	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$53	$53	$87	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$22	$25	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$369	$44	$56	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$59	$59	$110	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$17	$14	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$29	$39	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$103	$39	$86	0.5×
Blood test, hemoglobin CPT Code: `85018`	$46	$46	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$63	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$61	$12	$10	1.2×
Behavioral health living support HCPCS Code: `H2019`	—	$10	$34	0.3×
Behavioral health day program HCPCS Code: `H2012`	—	$25	$100	0.3×

Showing top 25 high-impact procedures of 126 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 Surgical Hospital at Sherma (Zero PHI Required)

CMS CCN: 670076

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $16,914

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott and White Surgical Hospital at Sherma’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 Surgical Hospital at Sherma'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 +$22,658 Above Fair BaseRate

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

Your bill ($40,594) is $22,658 above the denoised Fair BaseRate ($17,936) and 3.2× 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: 611762781

Public IRS & CMS ownership records classify Baylor Scott and White Surgical Hospital at Sherma 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 Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait120 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5%

Source: CMS Hospital Care Compare (69 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baylor Scott and White Surgical Hospital at Sherma.

Price Index: 1.00× regional baseline

Quality: 58/100 CMS composite

Median Household Income$70,455U.S. Census ACS

Local Uninsured Share15.7%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 77/100 · Corroborated CMS CCN 670076 EIN 611762781

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670076) ↗ Verify IRS Form 990 (EIN 611762781) ↗ CMS HCRIS Cost Reports ↗

Published MRF File611762781_baylor-scott-&-white-surgical-hospital-at-sherman_standardcharges.json

Publication / Vintage2026-04-01 · 22.71 MB

Validated Rate Rows541 (CMS v3.0.0)

File Integrity Digest038a2a7750cd09731f95…

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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