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

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

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

Across scored shoppable procedures, Baylor Scott & White Medical Center - Marble Falls's median negotiated commercial rate is 2.4× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Baylor Scott & White Medical Center - Marble Falls an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 46 Beds · rural Updated: 2026-06-13

Baylor Scott & White Medical Center - Marble Falls

810 W Highway 71, Marble Falls, TX 78654 · 119 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.40×vs. Fair Market Price

Typical commercial prices here are +140% above the fair benchmark (2.40×) even after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 44% of the Time

File Completeness95

Price Logic90

Peer Alignment80

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.40× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +39% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Baylor Scott & White Medical Center - Marble Falls prices routine shoppable procedures at 4.2× Medicare (median 2.28× Fair BaseRate) while upper-quartile commercial rates jump +39% to 3.18× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#287 of 307 in TX · 93rd State Percentile#3,228 of 3,385 in U.S. · 95th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.33× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 44% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 79% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.4% 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 2.28× Fair BaseRate (4.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.18×) jump +39% above the median procedure ratio (Q50 2.28×)
Unnegotiated chargemaster list prices average 12.0× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.2× Medicare

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

Back-Door Captive & ER0.88× Divergence

3.7× Medicare

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

Quantile Tail Spread+39% Upper Tail

Q25 1.33× · Q50 2.28× · Q75 3.18×

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

4.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.3× MedicareGood

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

44% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Baylor Scott & White Medical Center - Marble Falls

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`	—	$31,327	$30,775	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,944	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Total hip replacement CPT Code: `27130`	—	$14,961	$13,413	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,671	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,438	$6,109	1.2×
Breast lump removal CPT Code: `19120`	$6,027	$4,960	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$6,708	$4,913	$3,629	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,896	$4,325	$3,372	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$3,685	$4,300	$19,087	unverified
C-section delivery (full package) CPT Code: `59510`	$4,156	$4,087	$2,975	1.4×
Bunion correction surgery CPT Code: `28296`	$4,033	$3,921	$3,446	1.1×
Trauma team activation HCPCS Code: `G0390`	$4,729	$3,119	$1,453	2.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,659	$2,825	$1,021	2.8×
Vaginal delivery (full package) CPT Code: `59400`	$2,680	$2,636	$2,680	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$2,352	$2,491	$2,540	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,159	$2,013	$369	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,480	$1,947	$511	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,260	$1,731	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,288	$1,731	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,807	$1,742	$448	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,590	$1,570	$583	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,509	$1,256	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,655	$1,480	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,625	$1,480	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,925	$1,480	$258	unverified
CT scan, sinuses CPT Code: `70486`	$1,640	$1,480	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,060	$1,480	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,731	$1,480	$168	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,837	$1,480	$303	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,474	$1,351	$167	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,441	$1,321	$855	1.5×
CT scan, pelvis CPT Code: `72192`	$1,456	$1,335	$163	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,172	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,143	$987	1.2×
Blood transfusion CPT Code: `36430`	$1,086	$934	$498	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,093	$779	$272	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$715	$510	$134	unverified
X-ray, lower back CPT Code: `72110`	$559	$458	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$631	$458	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$672	$479	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$648	$462	$130	unverified
Neurobehavioral status check CPT Code: `96116`	$466	$427	$231	1.8×
X-ray, hand CPT Code: `73130`	$391	$378	$93	4.1×
X-ray, foot CPT Code: `73630`	$384	$371	$92	4.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	$369	$148	unverified
X-ray, shoulder CPT Code: `73030`	$344	$333	$92	3.6×
X-ray, ankle CPT Code: `73610`	$326	$320	$93	3.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$378	$317	$93	3.4×
X-ray, chest (two views) CPT Code: `71046`	$341	$310	$93	3.3×
X-ray, chest (single view) CPT Code: `71045`	$327	$300	$92	3.3×
X-ray, hip CPT Code: `73502`	$302	$302	$93	3.2×
X-ray, pelvis CPT Code: `72170`	$319	$293	$110	2.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$354	$312	$185	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$302	$294	$86	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$454	$263	$151	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$275	$252	$181	1.4×
Psychological testing by technician CPT Code: `96138`	$234	$274	$395	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$238	$258	$123	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$248	$227	$166	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$243	$246	$201	1.2×
Psychological testing evaluation CPT Code: `96136`	$225	$206	$128	1.6×
Family therapy session CPT Code: `90847`	$230	$211	$173	1.2×
Speech therapy (group session) CPT Code: `92508`	$216	$204	$27	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$290	$207	$64	unverified
Group therapy session CPT Code: `90853`	$158	$145	$100	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$143	$143	$25	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$150	$150	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$148	$148	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$152	$151	$34	unverified
Orthotic fitting and training CPT Code: `97760`	$154	$162	$51	unverified
Physical therapy (gait training) CPT Code: `97116`	$119	$119	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$139	$143	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$141	$141	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$101	$109	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$123	$133	$45	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$83	$91	$86	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$112	$112	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,175	$941	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$496	$483	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$251	$245	$111	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$168	$161	$56	unverified
Drug screening test HCPCS Code: `G0480`	$152	$152	$116	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$93	$39	2.4×
Care planning with family CPT Code: `90887`	$76	$75	$107	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$102	$99	$37	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$134	$112	$20	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$156	$51	$9	5.7×
Blood test, liver function panel CPT Code: `80076`	$150	$49	$9	5.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$46	$49	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$46	$49	$49	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$160	$63	$11	unverified
Blood test, vitamin D CPT Code: `82306`	$208	$52	$31	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$117	$52	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$58	$10	unverified
Culture, blood CPT Code: `87040`	$163	$62	$11	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$78	$19	$3	6.3×
Blood test, vitamin B12 CPT Code: `82607`	$121	$23	$16	1.4×
Hepatitis C antibody test CPT Code: `86803`	$47	$21	$15	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$26	$25	1.0×
Blood antibody screen CPT Code: `86850`	$130	$27	$46	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$106	$28	$14	unverified
Blood test, amylase CPT Code: `82150`	$104	$14	$7	unverified
Blood test, calcium CPT Code: `82310`	$63	$31	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$65	$30	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$57	$24	$4	unverified
Blood test, lipase CPT Code: `83690`	$94	$14	$7	unverified
Blood test, magnesium CPT Code: `83735`	$95	$19	$7	unverified
Blood test, potassium CPT Code: `84132`	$63	$29	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$138	$44	$19	unverified
Blood test, sodium CPT Code: `84295`	$58	$29	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$144	$40	$18	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$47	$8	unverified
Culture, bacterial CPT Code: `87070`	$145	$45	$9	unverified
Blood test, hemoglobin CPT Code: `85018`	$48	$14	$3	4.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$64	$24	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$66	$12	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$115	$19	$6	unverified
Flu vaccine injection HCPCS Code: `G0008`	$15	$19	$48	unverified

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 53.4%

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

CMS CCN: 670108

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,327

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott & White Medical Center - Marble Falls’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: $40,149 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,149

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.4% of gross = $40,149).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baylor Scott & White Medical Center - Marble Falls'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 +$44,410 Above Fair BaseRate

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

Your bill ($75,185) is $44,410 above the denoised Fair BaseRate ($30,775) and 3.2× 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: 464007700

Filing Period: 201503

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 (53.4% 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait159 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

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 - Marble Falls. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (420 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 - Marble Falls.

Price Index: 1.45× regional baseline

Quality: 69/100 CMS composite

Median Household Income$77,158U.S. Census ACS

Local Uninsured Share16.2%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 90/100 · Verified CMS CCN 670108 EIN 464007700

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 670108) ↗ Verify IRS Form 990 (EIN 464007700) ↗ CMS HCRIS Cost Reports ↗

Published MRF File464007700_baylor-scott--white-medical-center--marble-falls_standardcharges.csv

Publication / Vintage2026-06-13 · 486.68 MB

Validated Rate Rows6,586 (CMS v3.0.0)

File Integrity Digest995fa853c568a173262b…

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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