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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Baylor Scott & White Medical Center – Austin

Baylor Scott and White Health · Austin, TX

5245 W US Hwy 290 Service Rd, Austin, TX 75071None

Not rated by CMS

CMS star rating

15

Beds

425

Inpatient discharges a year

$57.1M

Net patient revenue a year

28

In-network payers

About this hospital

Baylor Scott & White Medical Center – Austin is a 15-bed voluntary non-profit - private hospital in Austin, TX, affiliated with Baylor Scott and White Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 454 disclosed rate categories.

  • ACO participant
CCN
670136
NPI
1902366305
Health system
Baylor Scott and White Health
Teaching
No Medicare-funded residents
County
Travis County
Metro area
Austin-Round Rock-San Marcos, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2020
Last CMS survey
2023

Prices for common services

The 24 services Baylor Scott & White Medical Center – Austin most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,596 - $2,008

from 4 insurers · median $1,806

Blue Cross$1,615
Insurer A*$1,596
Insurer B*$1,997
Insurer C*$2,008
Medicare $327Nearby hospitals $1,21748% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$281 - $2,008

from 4 insurers · median $1,032

Blue Cross$468
Insurer A*$281
Insurer B*$1,596
Insurer C*$2,008
Medicare $98Nearby hospitals $492110% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,637 - $12,544

from 4 insurers · median $9,582

Aetna$12,544
Insurer A*$7,637
Insurer B*$9,412
Insurer C*$9,751
Medicare $5,675Nearby hospitals $6,11857% above nearby hospitals

12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,509 - $8,168

from 4 insurers · median $3,908

Cigna$3,723
Insurer A*$1,509
Insurer B*$4,093
Insurer C*$8,168
Medicare $851Nearby hospitals $2,04591% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Baylor Scott & White Medical Center – Austin

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
563%
201
Insurer B*23
389%
111
Insurer C*23
279%
170
Insurer D*23
159%
191

How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Baylor Scott & White Medical Center – Austin, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanEMI Health

More about this hospital

  • Quality

    Not rated by CMS

    • 117 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.11%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 16 services
    • 187 affiliated clinicians
    See doctors and services
  • Finances

    $57.1M net patient revenue

    • Operating margin on patient care 7.8%
    • $3.8M unreimbursed and uncompensated care
    • $6.2M net income
    See finances
  • Ownership and leadership

    Owned by Baylor Scott & White Health

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baylor Scott & White Medical Center – Austin in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
81-3040663Baylor Scott White Medical Centers56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1346729159 Baylor Scott & White Medical Centers - Capitol Area1902366305 Baylor Scott & White Medical Centers - Capitol Area1144781501 Baylor Scott & White Medical Centers - Capitol Area

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

5245 W US Hwy 290 Service Rd, Austin, TX 75071

None

Get directions

Frequently asked questions

About Baylor Scott & White Medical Center – Austin's rates and hospital price transparency.

How much does an MRI cost at Baylor Scott & White Medical Center – Austin?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baylor Scott & White Medical Center – Austin range from $792 to $2,509 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,451. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Baylor Scott & White Medical Center – Austin?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baylor Scott & White Medical Center – Austin range from $1,596 to $2,008 across 4 insurers. Blue Cross Blue Shield's rate is $1,615. The median at nearby comparable hospitals is $1,217. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Baylor Scott & White Medical Center – Austin?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Baylor Scott & White Medical Center – Austin range from $1,781 to $8,168 across 4 insurers. Cigna's rate is $3,723. The median at nearby comparable hospitals is $1,856. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Baylor Scott & White Medical Center – Austin?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baylor Scott & White Medical Center – Austin range from $170 to $361 across 4 insurers. Aetna's rate is $216. The median at nearby comparable hospitals is $352. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Baylor Scott & White Medical Center – Austin a teaching hospital?

CMS reports no Medicare-funded interns or residents at Baylor Scott & White Medical Center – Austin for fiscal year 2027.

Does Medicare penalize Baylor Scott & White Medical Center – Austin for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baylor Scott & White Medical Center – Austin's base inpatient payments by an estimated 0.11% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Baylor Scott & White Medical Center – Austin?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (14 discharges).

What is Baylor Scott & White Medical Center – Austin's case mix index?

Baylor Scott & White Medical Center – Austin's Medicare case mix index is 1.42 for fiscal year 2027, higher than 19% of hospitals paid under the inpatient prospective payment system.

How many patients does Baylor Scott & White Medical Center – Austin admit?

Baylor Scott & White Medical Center – Austin reported 425 inpatient discharges and 1,197 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Baylor Scott & White Medical Center – Austin have?

Baylor Scott & White Medical Center – Austin reported 133 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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