Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Baylor Scott and White Health

Lung screening gap across 18 counties in Texas

310,000to630,000adults in its service area qualify for lung cancer screening and are not being screened

About 4,400 people here are diagnosed with lung cancer each year, and 64% are found at a late stage, when it is hardest to treat.

Explore the screening network
TXOK
18 counties25 acute care hospitalsService area
360,000 to 710,000adults likely qualify under USPSTF 2021 criteria (estimate)
2,600lung cancer deaths a year in these counties, 2020 to 2024
12.0%of eligible adults screened in the state, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Baylor Scott and White Health's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Adults likely eligible, per neighborhood

0+160+220+270+320+380+450+

Acute care hospital in this system

Counties in the service area

CountyAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Dallas County88,000 to 187,00026.52,029
Tarrant County79,500 to 146,80027.7789
Travis County32,400 to 84,30018.51,171
Collin County32,900 to 69,90020.4380
Denton County29,100 to 59,40023.769
Williamson County19,700 to 40,60021.180
Bell County13,900 to 22,40034.722
McLennan County10,500 to 18,70032.2385
Hays County8,300 to 15,80021.265
Ellis County8,700 to 13,90032.1None billed locally
Brazos County6,100 to 12,40025.5537
Grayson County7,400 to 10,90041.0325
Kaufman County7,000 to 9,20042.7None billed locally
Rockwall County4,000 to 7,50028.2None billed locally
Burnet County2,900 to 4,80031.556
Washington County1,700 to 3,20024.2None billed locally
Llano County1,400 to 2,60033.581
Milam County1,500 to 2,40030.8None billed locally

5 of the 18 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 12.0% to the national rate of 18.2%, about 22,000 to 44,100 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 64% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

4,400new lung cancers
2,800found at a late stage
2,600lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Baylor Scott and White Health today

Clinicians at Baylor Scott and White Health locations billed 1,663 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 3,400 to 10,900 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 3,626 primary care clinicians, 111 pulmonologists and 70 thoracic surgeons practicing at Baylor Scott and White Health locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Baylor Scott and White Health by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (51%, CMS) and, at the high end, by the share of eligible adults under 65 (69%).

25 acute care hospitals

  • Baylor University Medical CtrDallas, TX
  • Scott and White Memorial HospitalTemple, TX
  • Baylor Scott and White All Saints Medical CenterFort Worth, TX
  • Baylor Medical Center-GrapevineGrapevine, TX
  • Hillcrest Baptist Medical CenterWaco, TX
  • Baylor S&w Medical Center - IrvingIrving, TX
  • Baylor Scott and White Medical Center MckinneyMckinney, TX
  • Baylor Scott and White Medical Center Lake PointeRowlett, TX
  • Round Rock HospitalRound Rock, TX
  • Baylor S&w Medical Center - PlanoPlano, TX
  • College Station HospitalCollege Station, TX
  • Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX

And 13 more acute care hospitals.

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Baylor Scott and White Health patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Baylor Scott and White Health's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.