How many shoppable procedure prices are published for Baylor Scott & White Texas Spine & Joint Hospital?

Baylor Scott & White Texas Spine & Joint Hospital in Tyler, TX currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Baylor Scott & White Texas Spine & Joint Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Baylor Scott & White Texas Spine & Joint Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Baylor Scott & White Texas Spine & Joint Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Physician 20 Beds · urban Updated: 2026-04-01

Baylor Scott & White Texas Spine & Joint Hospital

1814 Roseland Boulevard, Tyler, TX 75701 · 107 Priced Procedures · 87% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness90

Price Logic53

Peer Alignment74

Clean Billing62

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +81% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Baylor Scott & White Texas Spine & Joint Hospital prices routine shoppable procedures at 2.7× Medicare (median 1.14× Fair BaseRate) while upper-quartile commercial rates jump +81% to 2.06× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#216 of 307 in TX · 70th State Percentile#2,485 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 87% patient recommendation (73/100 safety score)
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 (1.41× 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 1.14× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.06×) jump +81% above the median procedure ratio (Q50 1.14×)
Consolidated metro market (HHI 4,605) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.7× Medicare

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

Back-Door Captive & ER0.37× Divergence

1.0× Medicare

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

Quantile Tail Spread+81% Upper Tail

Q25 0.86× · Q50 1.14× · Q75 2.06×

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

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

0.7× MedicareGood

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

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at Baylor Scott & White Texas Spine & Joint Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	—	$14,021	$17,936	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,379	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,698	$19,432	0.7×
Total hip replacement CPT Code: `27130`	$8,063	$10,719	$13,413	0.8×
Total knee replacement CPT Code: `27447`	$6,440	$10,719	$13,523	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,326	$6,326	$303	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,326	$6,326	$448	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,301	$8,223	0.6×
C-section delivery (full package) CPT Code: `59510`	—	$4,758	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$4,265	$2,680	1.6×
Bunion correction surgery CPT Code: `28296`	$2,653	$4,067	$3,446	1.2×
Inguinal hernia repair CPT Code: `49505`	$2,653	$4,067	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,653	$3,969	$3,372	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,938	$2,540	1.6×
Breast lump removal CPT Code: `19120`	$3,789	$3,202	$3,875	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,022	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,022	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$2,022	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,707	$1,921	$855	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,764	$1,874	$511	3.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,707	$1,707	$6,109	unverified
Blood transfusion CPT Code: `36430`	$1,534	$1,534	$498	unverified
MRI, knee or other leg joint CPT Code: `73721`	$4,834	$1,489	$369	4.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,652	$1,324	$343	3.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,649	$1,298	$258	5.0×
MRI, lower back (no contrast) CPT Code: `72148`	$4,834	$1,303	$338	3.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,235	$1,453	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,308	$1,111	$168	6.6×
CT scan, chest (no contrast) CPT Code: `71250`	$2,365	$1,047	$167	6.3×
CT scan, head (with contrast) CPT Code: `70460`	$3,164	$1,069	$242	4.4×
CT scan, pelvis CPT Code: `72192`	$2,365	$984	$163	6.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,308	$990	$169	5.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,373	$970	$160	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,035	$943	$1,021	0.9×
CT scan, sinuses CPT Code: `70486`	$2,365	$824	$166	5.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$626	$498	$583	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,019	$451	$134	3.4×
Ultrasound, pelvis CPT Code: `76856`	$829	$384	$130	3.0×
Psychological testing by technician CPT Code: `96138`	—	$360	$395	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$504	$325	$126	2.6×
Neurobehavioral status check CPT Code: `96116`	$304	$283	$231	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$247	$247	$38	6.5×
New patient office visit (30-44 min) CPT Code: `99203`	$269	$269	$110	2.4×
Rabies immune globulin HCPCS Code: `90375`	—	$271	$322	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$241	$241	$38	6.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$249	$249	$123	2.0×
Physical therapy (gait training) CPT Code: `97116`	$201	$201	$33	6.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$205	$205	$87	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,805	$221	$272	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$174	$174	$40	4.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$236	$186	$93	2.0×
X-ray, ankle CPT Code: `73610`	$161	$180	$93	1.9×
X-ray, pelvis CPT Code: `72170`	$105	$169	$110	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$170	$148	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$222	$192	$201	1.0×
X-ray, hip CPT Code: `73502`	$302	$142	$93	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$166	$166	$132	1.3×
X-ray, chest (two views) CPT Code: `71046`	$105	$128	$93	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	—	$139	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$134	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$144	$166	0.9×
Family therapy session CPT Code: `90847`	—	$144	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$144	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$144	$185	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$117	$117	$35	3.3×
X-ray, shoulder CPT Code: `73030`	$105	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$105	$105	$92	1.1×
X-ray, hand CPT Code: `73130`	$105	$105	$93	1.1×
X-ray, chest (single view) CPT Code: `71045`	$90	$96	$92	1.0×
X-ray, lower back CPT Code: `72110`	$105	$105	$112	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$115	$128	0.9×
Group therapy session CPT Code: `90853`	—	$80	$100	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$496	$496	$6	82.7×
Blood test, basic metabolic panel CPT Code: `80048`	$371	$371	$9	41.2×
Blood test, liver function panel CPT Code: `80076`	$379	$379	$9	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$326	$326	$5	65.2×
Hepatitis C antibody test CPT Code: `86803`	$307	$307	$15	20.5×
Typhoid vaccine HCPCS Code: `90675`	—	$306	$347	0.9×
Blood test, amylase CPT Code: `82150`	$294	$294	$7	unverified
Blood test, lipase CPT Code: `83690`	$267	$267	$7	38.1×
Culture, blood CPT Code: `87040`	$275	$275	$11	25.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$204	$204	$4	51.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$227	$227	$14	16.2×
Blood test, calcium CPT Code: `82310`	$187	$187	$5	37.4×
Blood test, sodium CPT Code: `84295`	$185	$185	$5	37.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$201	$201	$11	18.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$174	$174	$5	34.8×
Culture, bacterial CPT Code: `87070`	$168	$168	$9	18.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$135	$135	$4	33.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$135	$135	$8	16.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$152	$152	$3	unverified
Blood test, hemoglobin CPT Code: `85018`	$97	$97	$3	32.3×
Blood test, magnesium CPT Code: `83735`	$119	$119	$7	17.0×
Blood test, vitamin B12 CPT Code: `82607`	$137	$137	$16	8.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$106	$106	$19	5.6×
Blood test, vitamin D CPT Code: `82306`	$91	$91	$31	2.9×
Drug screening test HCPCS Code: `G0480`	—	$103	$116	0.9×
Blood test, potassium CPT Code: `84132`	$33	$33	$5	6.6×
Blood antibody screen CPT Code: `86850`	$221	$53	$46	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$38	$35	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$31	$43	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$43	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$43	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$74	$55	$64	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$17	$17	$14	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$416	$10	$10	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$10	$10	$18	0.6×

Showing top 25 high-impact procedures of 107 total

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

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

CMS CCN: 450864

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $14,021

1. Amount on Your Bill or Quote ($) Pre-filled with Baylor Scott & White Texas Spine & Joint Hospital’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 Texas Spine & Joint Hospital'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 +$15,714 Above Fair BaseRate

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

Your bill ($33,650) is $15,714 above the denoised Fair BaseRate ($17,936) and 2.6× 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: 752951355

Public IRS & CMS ownership records classify Baylor Scott & White Texas Spine & Joint Hospital 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 Composite73/100

Would Recommend87%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait145 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

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 Texas Spine & Joint Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-17·administrative_or_closure
Met Requirements
Recorded
2023-09-26·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (407 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baylor Scott & White Texas Spine & Joint Hospital.

Price Index: 1.00× regional baseline

Quality: 72/100 CMS composite

Median Household Income$71,923U.S. Census ACS

Local Uninsured Share16.7%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 75/100 · Corroborated CMS CCN 450864 EIN 752951355

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450864) ↗ Verify IRS Form 990 (EIN 752951355) ↗ CMS HCRIS Cost Reports ↗

Published MRF File752951355_texas-spine-&-joint-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 24.32 MB

Validated Rate Rows682 (CMS v3.0.0)

File Integrity Digestf9c9ddfb1ce744100e71…

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

Baylor Scott & White Texas Spine & Joint Hospital

Wide Procedure Spread · Upper-Quartile Skew Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Baylor Scott & White Texas Spine & Joint Hospital

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

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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