How many shoppable procedure prices are published for The Heart Hospital Baylor Denton?

The Heart Hospital Baylor Denton in Denton, TX currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do The Heart Hospital Baylor Denton's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, The Heart Hospital Baylor Denton's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is The Heart Hospital Baylor Denton's CMS Care Compare overall star rating?

CMS Care Compare assigns The Heart Hospital Baylor Denton 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 22 Beds · urban Updated: 2026-06-29

The Heart Hospital Baylor Denton

2801 South Mayhill Road, Denton, TX 76208 · 108 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

91/100 · Verified

91/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness100

Price Logic90

Peer Alignment85

Clean Billing81

Real Cash Discount100

Premium Quality Tier

5-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

The Heart Hospital Baylor Denton maintains elevated commercial insurance contracts (1.26× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 42% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#192 of 307 in TX · 62nd State Percentile#2,174 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.14× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 86% patient recommendation (82/100 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 (1.26× 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 1.20× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.52×) jump +27% above the median procedure ratio (Q50 1.20×)
Unnegotiated chargemaster list prices average 11.9× Medicare (19¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.74× Divergence

1.4× Medicare

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

Quantile Tail Spread+27% Upper Tail

Q25 1.14× · Q50 1.20× · Q75 1.52×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.6× MedicareGood

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

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at The Heart Hospital Baylor Denton

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 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`	—	$31,365	$30,775	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,963	$17,936	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,345	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,862	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,986	$8,223	1.0×
Breast lump removal CPT Code: `19120`	$4,921	$4,405	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$6,211	$4,028	$3,629	1.1×
Trauma team activation HCPCS Code: `G0390`	$4,729	$3,135	$1,453	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,582	$1,115	$855	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,659	$1,088	$1,021	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,149	$853	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,891	$853	$448	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,590	$659	$583	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,209	$561	$369	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,190	$561	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,190	$561	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,538	$561	$303	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	$457	$148	3.1×
Blood transfusion CPT Code: `36430`	$1,099	$481	$498	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,681	$417	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,042	$417	$258	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$227	$378	$123	3.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$203	$277	$201	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,201	$302	$272	1.1×
Psychological testing by technician CPT Code: `96138`	$277	$277	$395	unverified
Neurobehavioral status check CPT Code: `96116`	$466	$243	$231	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,907	$249	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,705	$249	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,680	$249	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,042	$249	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,055	$249	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,622	$249	$163	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$293	$202	$86	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$275	$201	$166	1.2×
Family therapy session CPT Code: `90847`	$181	$201	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$287	$201	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$384	$200	$185	1.1×
Orthotic fitting and training CPT Code: `97760`	$136	$144	$51	2.8×
Care planning with family CPT Code: `90887`	$136	$136	$107	1.3×
Psychological testing evaluation CPT Code: `96136`	$225	$141	$128	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$348	$154	$151	1.0×
Physical therapy (gait training) CPT Code: `97116`	$116	$118	$33	3.6×
Physical therapy (manual therapy) CPT Code: `97140`	$137	$118	$34	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$125	$118	$35	3.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$112	$124	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$123	$125	$40	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$118	$38	3.1×
Occupational therapy (self-care training) CPT Code: `97535`	$119	$118	$38	3.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$108	$108	$86	1.3×
X-ray, foot CPT Code: `73630`	$365	$110	$92	1.2×
X-ray, hand CPT Code: `73130`	$318	$110	$93	1.2×
X-ray, hip CPT Code: `73502`	$296	$110	$93	1.2×
X-ray, ankle CPT Code: `73610`	$296	$110	$93	1.2×
X-ray, lower back CPT Code: `72110`	$475	$132	$112	1.2×
Group therapy session CPT Code: `90853`	$402	$115	$100	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$629	$132	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$761	$132	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$631	$132	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$863	$132	$134	1.0×
X-ray, chest (single view) CPT Code: `71045`	$220	$110	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$394	$110	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$326	$110	$93	unverified
X-ray, pelvis CPT Code: `72170`	$271	$132	$110	unverified
X-ray, shoulder CPT Code: `73030`	$307	$110	$92	unverified
Prosthetic fitting and training CPT Code: `97761`	$108	$126	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$87	$87	$14	6.2×
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×
Drug screening test HCPCS Code: `G0480`	$177	$140	$116	1.2×
Speech therapy (group session) CPT Code: `92508`	$77	$77	$27	2.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$99	$39	2.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$43	$59	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$67	$59	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$272	$75	$64	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$102	$37	$37	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$167	$43	$56	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$9	$6	1.5×
Blood test, sodium CPT Code: `84295`	$62	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$110	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$45	$11	$9	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$102	$12	$10	1.2×
Blood test, vitamin D CPT Code: `82306`	$147	$36	$31	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$78	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$58	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$6	$4	1.5×
Blood test, lipase CPT Code: `83690`	$71	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$32	$10	$7	1.4×
Blood test, amylase CPT Code: `82150`	$91	$9	$7	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$150	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$101	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$94	$23	$19	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$6	$5	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$148	$24	$20	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$79	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$236	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$204	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$104	$21	$18	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$67	$16	$14	1.1×
Blood test, liver function panel CPT Code: `80076`	$194	$10	$9	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$27	$26	$25	1.0×
Blood test, hemoglobin CPT Code: `85018`	$43	$3	$3	1.0×
Blood antibody screen CPT Code: `86850`	$51	$12	$46	0.3×
Blood test, potassium CPT Code: `84132`	$60	$7	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$20	$18	$15	unverified
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	unverified

Showing top 25 high-impact procedures of 108 total

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

Audit a Bill or Quote at The Heart Hospital Baylor Denton (Zero PHI Required)

CMS CCN: 450893

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,365

1. Amount on Your Bill or Quote ($) Pre-filled with The Heart Hospital Baylor Denton’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 The Heart Hospital Baylor Denton'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 +$44,501 Above Fair BaseRate

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

Your bill ($75,276) is $44,501 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) For-Profit / Non-501(c)(3)

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

EIN: 263603862

Public IRS & CMS ownership records classify The Heart Hospital Baylor Denton 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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait120 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (318 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for The Heart Hospital Baylor Denton.

Price Index: 1.13× regional baseline

Quality: 84/100 CMS composite

Median Household Income$108,185U.S. Census ACS

Local Uninsured Share10.8%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 91/100 · Verified CMS CCN 450893 EIN 263603862

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450893) ↗ Verify IRS Form 990 (EIN 263603862) ↗ CMS HCRIS Cost Reports ↗

Published MRF File263603862_baylor-scott--white-the-heart-hospital--denton_standardcharges.csv

Publication / Vintage2026-06-29 · 448.42 MB

Validated Rate Rows5,781 (CMS v3.0.0)

File Integrity Digest5a1de3d42405a6daa08d…

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