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Short Term Acute Care HospitalProprietary

Carrollton Regional Medical Center

Baylor Scott and White Health · Carrollton, TX

4343 North Josey Lane, Carrollton, TX 75010(972) 394-2255

2 of 5

CMS star rating

89

Beds

3,347

Inpatient discharges a year

$78.1M

Net patient revenue a year

32

In-network payers

About this hospital

Carrollton Regional Medical Center is an 89-bed proprietary hospital in Carrollton, TX, affiliated with Baylor Scott and White Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 316 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450730
NPI
1184262800
Health system
Baylor Scott and White Health
Teaching
No Medicare-funded residents
County
Denton County
Metro area
Dallas-Fort Worth-Arlington, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1985
Last CMS survey
2025

Prices for common services

The 24 services Carrollton Regional Medical Center 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,804 - $9,251

from 4 insurers · median $8,201

Cigna$7,804
Insurer A*$7,980
Insurer B*$8,421
Insurer C*$9,251

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,822 - $13,921

from 4 insurers · median $11,594

Cigna$11,317
Insurer A*$10,822
Insurer B*$11,871
Insurer C*$13,921

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$40,348 - $52,257

from 3 insurers · median $51,967

Aetna$40,348
Insurer A*$51,967
Insurer B*$52,257
Medicare $25,785Nearby hospitals $48,5097% above nearby hospitals

15 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$7,804 - $9,251

from 4 insurers · median $8,201

Cigna$7,804
Insurer A*$7,980
Insurer B*$8,421
Insurer C*$9,251

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Carrollton Regional Medical Center

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*24
242%
109
Insurer B*24
223%
812
Insurer C*24
138%
614
Insurer D*15
97%
39

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 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 Carrollton Regional Medical Center, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health Plan

More about this hospital

  • Quality

    2 of 5 stars

    • 205 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.17%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 23 services
    • 133 affiliated clinicians
    See doctors and services
  • Finances

    $78.1M net patient revenue

    • Operating margin on patient care -15.2%
    • $16M unreimbursed and uncompensated care
    • -$1.5M net income
    See finances
  • Ownership and leadership

    Private (for profit)

    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Carrollton Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
84-3683956Sana Healthcare Carrollton51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more1184262800 Sana Healthcare Carrollton1295695153 Sana Healthcare Carrollton1811857782 Sana Healthcare Carrolltonand 1 more

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

4343 North Josey Lane, Carrollton, TX 75010

(972) 394-2255

Get directions

Frequently asked questions

About Carrollton Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Carrollton Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carrollton Regional Medical Center range from $319 to $2,245 across 4 insurers. UnitedHealthcare's rate is $2,245. The median at nearby comparable hospitals is $1,159. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Carrollton Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Carrollton Regional Medical Center range from $318 to $1,800 across 4 insurers. Blue Cross Blue Shield's rate is $1,275. The median at nearby comparable hospitals is $1,389. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Carrollton Regional Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Carrollton Regional Medical Center range from $2,641 to $6,136 across 3 insurers. UnitedHealthcare's rate is $2,641. The median at nearby comparable hospitals is $2,895. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Carrollton Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Carrollton Regional Medical Center range from $7,804 to $9,251 across 4 insurers. Cigna's rate is $7,804. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Carrollton Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carrollton Regional Medical Center range from $109 to $305 across 4 insurers. Blue Cross Blue Shield's rate is $227. The median at nearby comparable hospitals is $238. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Carrollton Regional Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Carrollton Regional Medical Center range from $22,364 to $30,825 across 4 insurers. Aetna's rate is $22,364. The median at nearby comparable hospitals is $41,934. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Carrollton Regional Medical Center's CMS star rating?

Carrollton Regional Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Carrollton Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Carrollton Regional Medical Center for fiscal year 2027.

Does Medicare penalize Carrollton Regional Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Carrollton Regional Medical Center's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Carrollton Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (41 discharges), simple pneumonia and pleurisy with mcc (23 discharges), heart failure and shock with mcc (23 discharges).

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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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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.

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