Baylor Scott & White Continuing Care Hospital
546 N Kegley Rd, Temple, TX 76502 · 114 Priced Procedures
Typical commercial prices here are +350% above the fair benchmark (4.50×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Baylor Scott & White Continuing Care Hospital prices routine shoppable procedures near 5.9× Medicare (p50 4.05×) while skewing captive emergency, lab, and upper-quartile codes to 11.3× Medicare (p75 7.55×, +86% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.97× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
- Captive ER (2.3×) & laboratory (3.3×) services average 1.92× higher multiples than routine shoppable care (5.9×)
- Upper-quartile procedures (Q75 7.55×) jump +86% above the median procedure ratio (Q50 4.05×)
- Unnegotiated chargemaster list prices average 12.0× Medicare (24¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baylor Scott & White Continuing Care Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $32,082 | 1.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $22,630 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | — | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,983 | 1.2× |
| Inguinal hernia repair CPT Code: 49505 | $7,602 | 2.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $6,683 | 2.0× |
| Breast lump removal CPT Code: 19120 | $6,529 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,280 | unverified |
| Trauma team activation HCPCS Code: G0390 | $4,750 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $4,606 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $4,570 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $4,300 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,124 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,770 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,074 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,971 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,935 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $2,665 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,593 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,562 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,447 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,232 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,181 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,962 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,876 | unverified |
Audit a Bill or Quote at Baylor Scott & White Continuing Care Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $49,994
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.9% of gross = $49,994).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Baylor Scott & White Continuing Care Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($76,997) is $46,222 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (64.9% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baylor Scott & White Continuing Care Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.