How many shoppable procedure prices are published for Baylor Scott & White Medical Center - Frisco?

Baylor Scott & White Medical Center - Frisco in Frisco, TX currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baylor Scott & White Medical Center - Frisco's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baylor Scott & White Medical Center - Frisco's median negotiated commercial rate is 2.3× the regionally adjusted fair BaseRate benchmark.

What is Baylor Scott & White Medical Center - Frisco's CMS Care Compare overall star rating?

CMS Care Compare assigns Baylor Scott & White Medical Center - Frisco 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 Proprietary 68 Beds · urban Updated: 2026-09-29

Baylor Scott & White Medical Center - Frisco

5601 Warren Parkway, Frisco, TX 75034 · 98 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.25×vs. Fair Market Price

Typical commercial prices here are +125% above the fair benchmark (2.25×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness90

Price Logic44

Peer Alignment69

Clean Billing72

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.25× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Baylor Scott & White Medical Center - Frisco prices routine shoppable procedures at 4.0× Medicare (median 2.50× Fair BaseRate) while upper-quartile commercial rates jump +34% to 3.36× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#279 of 307 in TX · 90th State Percentile#3,189 of 3,385 in U.S. · 94th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.55× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 79% 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 (2.25× 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 2.50× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.36×) jump +34% above the median procedure ratio (Q50 2.50×)
Unnegotiated chargemaster list prices average 13.2× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.0× Medicare

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

Back-Door Captive & ER0.38× Divergence

1.5× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 1.55× · Q50 2.50× · Q75 3.36×

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

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.0× MedicareWatchout

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

0.7× MedicareGood

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

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Baylor Scott & White Medical Center - Frisco

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 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`	—	$30,390	$30,775	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,802	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,110	$17,936	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,580	$19,087	1.0×
Total hip replacement CPT Code: `27130`	—	$12,723	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,723	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,564	$6,109	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,989	$8,223	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,718	$2,540	unverified
C-section delivery (full package) CPT Code: `59510`	—	$5,898	$2,975	2.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,724	$2,680	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,452	$3,372	1.6×
Inguinal hernia repair CPT Code: `49505`	—	$5,452	$3,629	1.5×
Bunion correction surgery CPT Code: `28296`	—	$5,327	$3,446	1.5×
Breast lump removal CPT Code: `19120`	—	$3,828	$3,875	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,165	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,165	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$3,165	$1,256	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,990	$2,990	$303	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,874	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,406	$2,325	$1,021	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,809	$2,341	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,199	$2,199	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,247	$2,218	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,986	$2,151	$343	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,730	$2,176	$448	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,959	$1,845	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,567	$1,698	$242	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,506	$1,682	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,676	$1,676	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,486	$1,660	$163	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,593	$1,593	$167	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,465	$1,465	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,211	$1,392	$166	unverified
Blood transfusion CPT Code: `36430`	$977	$1,140	$498	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$602	$602	$272	2.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$684	$627	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$583	$534	$130	4.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$578	$559	$583	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$493	$468	$126	3.7×
X-ray, lower back CPT Code: `72110`	$441	$426	$112	3.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$466	$450	$132	3.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$440	$148	3.0×
X-ray, pelvis CPT Code: `72170`	—	$433	$110	unverified
X-ray, foot CPT Code: `73630`	$354	$342	$92	3.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$379	$366	$123	3.0×
Screening mammogram (both breasts) CPT Code: `77067`	—	$365	$123	3.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$319	$309	$87	3.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$326	$323	$93	3.5×
X-ray, hand CPT Code: `73130`	$308	$308	$93	3.3×
New patient office visit (30-44 min) CPT Code: `99203`	$319	$319	$110	2.9×
X-ray, shoulder CPT Code: `73030`	$285	$284	$92	3.1×
X-ray, ankle CPT Code: `73610`	$275	$275	$93	3.0×
X-ray, hip CPT Code: `73502`	$229	$224	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$190	$86	2.2×
X-ray, chest (single view) CPT Code: `71045`	$180	$180	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$187	$183	$93	unverified
Orthotic fitting and training CPT Code: `97760`	—	$143	$51	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$164	$155	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$117	$113	$33	3.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$112	$35	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$113	$109	$40	2.7×
Physical therapy (manual therapy) CPT Code: `97140`	$82	$82	$34	2.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$150	$100	$64	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$117	$121	$201	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$95	$93	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$95	$94	$38	unverified
Blood test, liver function panel CPT Code: `80076`	$169	$169	$9	unverified
Hepatitis C antibody test CPT Code: `86803`	$168	$168	$15	unverified
Blood test, vitamin D CPT Code: `82306`	$127	$127	$31	4.1×
Pneumococcal vaccine HCPCS Code: `90732`	$155	$150	$140	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$142	$142	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$123	$123	$14	unverified
Culture, blood CPT Code: `87040`	$142	$142	$11	unverified
Blood test, amylase CPT Code: `82150`	$115	$115	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$107	$107	$16	unverified
Blood test, lipase CPT Code: `83690`	$130	$130	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$131	$131	$19	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$97	$97	$14	unverified
Blood test, magnesium CPT Code: `83735`	$120	$120	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$107	$107	$18	unverified
Culture, bacterial CPT Code: `87070`	$112	$112	$9	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$62	$62	$10	6.2×
Blood antibody screen CPT Code: `86850`	$81	$75	$46	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$74	$9	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$87	$87	$8	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$60	$60	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$79	$79	$6	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	$19	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$19	$49	0.4×
Blood test, calcium CPT Code: `82310`	$30	$30	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$46	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$50	$4	unverified
Blood test, potassium CPT Code: `84132`	$38	$38	$5	unverified
Blood test, sodium CPT Code: `84295`	$38	$38	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$28	$28	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$46	$5	unverified

Showing top 25 high-impact procedures of 98 total

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

Audit a Bill or Quote at Baylor Scott & White Medical Center - Frisco (Zero PHI Required)

CMS CCN: 450853

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,390

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott & White Medical Center - Frisco’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 & White Medical Center - Frisco'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 +$42,161 Above Fair BaseRate

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

Your bill ($72,936) is $42,161 above the denoised Fair BaseRate ($30,775) and 3.1× 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) For-Profit / Non-501(c)(3)

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

EIN: 752865177

Public IRS & CMS ownership records classify Baylor Scott & White Medical Center - Frisco 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 Overall4/5 Stars (4/5)

Safety Composite70/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait112 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

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 & White Medical Center - Frisco. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-14·administrative_or_closure
Closure Notice
Recorded
2025-02-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (272 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.17× regional baseline

Quality: 69/100 CMS composite

Median Household Income$117,588U.S. Census ACS

Local Uninsured Share9.9%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 73/100 · Corroborated CMS CCN 450853 EIN 752865177

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450853) ↗ Verify IRS Form 990 (EIN 752865177) ↗ CMS HCRIS Cost Reports ↗

Published MRF File752865177_frisco-medical-center-llp_standardcharges.json

Publication / Vintage2026-09-29 · 165.34 MB

Validated Rate Rows2,017 (CMS v3.0.0)

File Integrity Digestb73f9e1a35e5ec85030c…

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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