Texas / Baylor Scott and White Medical Center Lake Pointe
CMS certification 450742 · Rowlett, TX · 1 entry in CMS's price-transparency list
Baylor Scott and White Medical Center Lake Pointe: charges and Medicare payments
Baylor Scott and White Medical Center Lake Pointe reported 1,515 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 4.11 times what it was paid — among the lower ratios in Texas, number 148 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 189 stays at an average charge of $56,473, 37% below the national average. It also billed 1,240 outpatient services, charging 7.9 times what Medicare paid.
- 1Medicare inpatient stays 1,515
- 2Charge ÷ paid, inpatient 4.11×
- 3Rank in TX (highest ratio = 1) 148 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 50 DRGs that can be compared with the national average, Baylor Scott and White Medical Center Lake Pointe charged more than the national average in 1 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 189 | $56,473 | -37% | $15,195 |
| 189 Pulmonary Edema and Respiratory Failure | 121 | $50,317 | -13% | $11,120 |
| 291 Heart Failure and Shock with MCC | 94 | $40,570 | -28% | $10,277 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $45,039 | -25% | $10,185 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $46,651 | -22% | $10,623 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $28,734 | -24% | $6,740 |
| 177 Respiratory Infections and Inflammations with MCC | 46 | $50,154 | -29% | $12,898 |
| 689 Kidney and Urinary Tract Infections with MCC | 46 | $34,931 | -32% | $9,143 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 44 | $27,418 | -32% | $7,005 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $27,548 | -26% | $6,722 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 39 | $43,460 | -23% | $9,440 |
| 682 Renal Failure with MCC | 39 | $50,421 | -24% | $11,393 |
| 481 Hip and Femur Procedures except Major Joint with CC | 32 | $68,870 | -32% | $15,401 |
| 683 Renal Failure with CC | 32 | $28,899 | -29% | $7,599 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $118,876 | -48% | $33,499 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $46,101 | -9% | $8,771 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $35,487 | -28% | $8,653 |
| 312 Syncope and Collapse | 26 | $36,535 | -20% | $7,316 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $34,904 | -9% | $7,046 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $35,833 | -26% | $7,992 |
| 603 Cellulitis without MCC | 23 | $27,129 | -27% | $8,619 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $44,414 | -40% | $12,514 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $39,997 | -28% | $8,570 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $74,194 | -27% | $16,386 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $58,586 | -37% | $15,161 |
| 812 Red Blood Cell Disorders without MCC | 19 | $36,698 | -17% | $8,309 |
| 070 Other Cerebrovascular Disorders with MCC | 18 | $46,836 | -38% | $13,044 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $102,677 | -10% | $14,718 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $66,902 | -22% | $12,990 |
| 202 Bronchitis and Asthma with CC/MCC | 17 | $36,425 | -21% | $7,958 |
| 389 Gastrointestinal Obstruction with CC | 17 | $28,645 | -26% | $7,118 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 17 | $106,127 | -51% | $33,782 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $72,222 | -47% | $20,759 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $30,596 | -15% | $6,858 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $72,005 | -36% | $15,557 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $26,300 | -8% | $5,261 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $62,055 | +2% | $10,145 |
| 069 Transient Ischemia without Thrombolytic | 13 | $42,396 | -16% | $6,818 |
| 100 Seizures with MCC | 13 | $44,923 | -52% | $14,505 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $121,243 | -26% | $37,179 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $30,610 | -28% | $7,149 |
| 638 Diabetes with CC | 13 | $30,666 | -26% | $7,530 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $36,263 | -14% | $6,048 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $61,334 | -48% | $16,985 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $29,321 | -38% | $8,096 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $53,265 | -18% | $10,467 |
| 304 Hypertension with MCC | 11 | $25,294 | -56% | $10,926 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $23,889 | -14% | $5,375 |
| 394 Other Digestive System Diagnoses with CC | 11 | $30,845 | -34% | $8,057 |
| 637 Diabetes with MCC | 11 | $48,272 | -27% | $10,794 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott and White Medical Center Lake Pointe charged $56,473 on average, 49% less than the Texas average of $111,133, and was paid $15,195 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Scott and White Medical Center Lake Pointe charged $50,317 on average, 24% less than the Texas average of $65,957, and was paid $11,120 against a state average of $11,822. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott and White Medical Center Lake Pointe charged $40,570 on average, 40% less than the Texas average of $67,944, and was paid $10,277 against a state average of $11,820. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Baylor Scott and White Medical Center Lake Pointe charged $45,039 on average, 34% less than the Texas average of $68,203, and was paid $10,185 against a state average of $12,119. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,559 was 9% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,993 was 48% below the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,511 was 32% below the state average of $14,089. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $28,541 was 44% below the state average of $50,995.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor Scott and White Medical Center Lake Pointe in Rowlett, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-08 (CMS case 5549)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.