How many shoppable procedure prices are published for Baylor Scott & White Hospital Brenham?

Baylor Scott & White Hospital Brenham in Brenham, TX currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baylor Scott & White Hospital Brenham's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baylor Scott & White Hospital Brenham's median negotiated commercial rate is 2.6× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private Updated: 2026-06-12

Baylor Scott & White Hospital Brenham

700 Medical Parkway, Brenham, TX 77833 · 119 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.64×vs. Fair Market Price

Typical commercial prices here are +164% above the fair benchmark (2.64×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 36% of the Time

File Completeness100

Price Logic55

Peer Alignment78

Clean Billing89

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,367), Baylor Scott & White Hospital Brenham commands a 2.64× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#294 of 307 in TX · 95th State Percentile#3,289 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.43× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 36% 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 (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 2.82× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,367) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.0× Medicare

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

Back-Door Captive & ER0.53× Divergence

2.1× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 1.43× · Q50 2.82× · Q75 3.09×

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

4.0× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.4× MedicareGood

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

36% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Baylor Scott & White Hospital Brenham

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$38,527	$30,775	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,811	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,213	$17,936	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,067	$19,087	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,797	$6,109	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,106	$8,223	1.0×
Inguinal hernia repair CPT Code: `49505`	$6,708	$5,038	$3,629	1.4×
Breast lump removal CPT Code: `19120`	$6,027	$4,787	$3,875	1.2×
Trauma team activation HCPCS Code: `G0390`	$4,729	$4,729	$1,453	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,896	$4,667	$3,372	1.4×
Bunion correction surgery CPT Code: `28296`	$4,033	$4,408	$3,446	1.3×
C-section delivery (full package) CPT Code: `59510`	$4,156	$4,156	$2,975	unverified
Cataract surgery with lens implant CPT Code: `66984`	$2,352	$3,447	$2,540	1.4×
Vaginal delivery (full package) CPT Code: `59400`	$2,680	$2,680	$2,680	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$2,426	$1,256	1.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,877	$987	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,865	$981	1.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,659	$1,801	$1,021	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,260	$1,711	$343	5.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,159	$1,711	$369	4.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,480	$1,731	$511	3.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,288	$1,711	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,807	$1,615	$448	3.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,655	$1,454	$160	9.1×
CT scan, pelvis CPT Code: `72192`	$1,456	$1,454	$163	8.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,474	$1,454	$167	8.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,731	$1,454	$168	8.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,060	$1,454	$169	8.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,625	$1,454	$242	6.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,925	$1,454	$258	5.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,837	$1,454	$303	4.8×
CT scan, sinuses CPT Code: `70486`	$1,640	$1,454	$166	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,441	$1,138	$855	1.3×
Neurobehavioral status check CPT Code: `96116`	$466	$778	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,093	$573	$272	2.1×
Blood transfusion CPT Code: `36430`	$1,086	$554	$498	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,590	$487	$583	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	$439	$148	3.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$672	$379	$126	3.0×
Screening mammogram (both breasts) CPT Code: `77067`	$238	$363	$123	3.0×
Ultrasound, pelvis CPT Code: `76856`	$648	$379	$130	2.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$631	$379	$132	2.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$715	$379	$134	2.8×
X-ray, lower back CPT Code: `72110`	$559	$379	$112	unverified
X-ray, pelvis CPT Code: `72170`	$319	$379	$110	unverified
X-ray, chest (single view) CPT Code: `71045`	$327	$270	$92	2.9×
X-ray, shoulder CPT Code: `73030`	$344	$270	$92	2.9×
X-ray, foot CPT Code: `73630`	$384	$270	$92	2.9×
X-ray, chest (two views) CPT Code: `71046`	$341	$270	$93	2.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$378	$270	$93	2.9×
X-ray, hand CPT Code: `73130`	$391	$270	$93	2.9×
X-ray, hip CPT Code: `73502`	$302	$270	$93	2.9×
X-ray, ankle CPT Code: `73610`	$326	$270	$93	2.9×
Speech therapy (language evaluation) CPT Code: `92507`	$302	$243	$86	2.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$262	$123	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$248	$259	$166	1.6×
Family therapy session CPT Code: `90847`	$230	$259	$173	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$275	$259	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$354	$259	$185	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$243	$243	$201	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$290	$180	$64	2.8×
Orthotic fitting and training CPT Code: `97760`	$154	$147	$51	2.9×
Group therapy session CPT Code: `90853`	$158	$172	$100	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$348	$154	$151	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$143	$104	$25	4.2×
Speech therapy (group session) CPT Code: `92508`	$216	$89	$27	3.3×
Physical therapy (gait training) CPT Code: `97116`	$119	$108	$33	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$139	$124	$40	3.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$150	$108	$35	3.1×
Physical therapy (manual therapy) CPT Code: `97140`	$152	$100	$34	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$101	$111	$38	2.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$148	$109	$38	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	$141	$108	$38	2.8×
Prosthetic fitting and training CPT Code: `97761`	$123	$126	$45	2.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$83	$83	$86	1.0×
Psychological testing evaluation CPT Code: `96136`	$225	$80	$128	0.6×
Psychological testing by technician CPT Code: `96138`	$234	$80	$395	0.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$496	$496	$203	2.4×
Typhoid vaccine HCPCS Code: `90675`	$1,101	$347	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$251	$251	$111	2.3×
Blood test, liver function panel CPT Code: `80076`	$150	$150	$9	16.7×
Blood test, vitamin D CPT Code: `82306`	$147	$147	$31	4.7×
Drug screening test HCPCS Code: `G0480`	$172	$172	$116	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$134	$134	$20	unverified
Blood test, calcium CPT Code: `82310`	$63	$63	$5	12.6×
Blood test, potassium CPT Code: `84132`	$63	$63	$5	12.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$85	$85	$14	6.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$88	$88	$19	4.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$99	$39	2.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$56	$4	14.0×
Blood test, sodium CPT Code: `84295`	$58	$58	$5	11.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$67	$67	$14	4.8×
Care planning with family CPT Code: `90887`	$76	$76	$107	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$78	$78	$3	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$49	$5	9.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$39	$5	7.8×
Blood test, lipase CPT Code: `83690`	$52	$52	$7	7.4×
Blood test, amylase CPT Code: `82150`	$43	$43	$7	6.1×
Blood test, vitamin B12 CPT Code: `82607`	$67	$67	$16	4.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$89	$10	unverified
Blood test, magnesium CPT Code: `83735`	$31	$31	$7	4.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$112	$52	$14	3.7×
Culture, bacterial CPT Code: `87070`	$43	$21	$9	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$160	$25	$11	2.3×
Culture, blood CPT Code: `87040`	$163	$25	$11	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$90	$40	$18	2.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$54	$4	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$26	$25	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$102	$37	$37	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$46	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$46	$49	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$167	$43	$56	0.8×
Blood test, hemoglobin CPT Code: `85018`	$48	$48	$3	unverified
Blood antibody screen CPT Code: `86850`	$50	$50	$46	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$19	$8	2.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$14	$6	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$156	$20	$9	2.2×
Hepatitis C antibody test CPT Code: `86803`	$20	$20	$15	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	0.3×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

Audit a Bill or Quote at Baylor Scott & White Hospital Brenham (Zero PHI Required)

CMS CCN: 670343

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,527

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott & White Hospital Brenham’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 501(r) AGB Cap: $46,223 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $46,223

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $46,223).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baylor Scott & White Hospital Brenham'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 +$61,690 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($92,465) is $61,690 above the denoised Fair BaseRate ($30,775) and 3.9× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 742519752

Filing Period: 198910

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.0% 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.

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

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 & White Hospital Brenham.

Price Index: 1.00× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+78.8%

Median Household Income$75,085U.S. Census ACS

Local Uninsured Share15.1%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 83/100 · Corroborated CMS CCN 670343 EIN 742519752

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670343) ↗ Verify IRS Form 990 (EIN 742519752) ↗ CMS HCRIS Cost Reports ↗

Published MRF File742519752_baylor-scott--white-medical-center--brenham_standardcharges.csv

Publication / Vintage2026-06-12 · 609.08 MB

Validated Rate Rows4,553 (CMS v3.0.0)

File Integrity Digest2dd68424f1eb0f8271e6…

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.

Submit MRF Update Correction Policy