Texas / Baptist Medical Center
CMS certification 450058 · San Antonio, TX · 4 entries in CMS's price-transparency list
Baptist Medical Center: charges and Medicare payments
Baptist Medical Center reported 7,692 Medicare inpatient stays across 185 DRGs in 2024. Across them it charged 11.45 times what it was paid — among the higher ratios in Texas, number 19 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: 805 stays at an average charge of $157,028, 74% above the national average. It also billed 4,288 outpatient services, charging 20.38 times what Medicare paid.
- 1Medicare inpatient stays 7,692
- 2Charge ÷ paid, inpatient 11.45×
- 3Rank in TX (highest ratio = 1) 19 of 190
- 4CMS price-transparency actions 4
Inpatient stays
For the 185 DRGs that can be compared with the national average, Baptist Medical Center charged more than the national average in 183 (99%). 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 | 805 | $157,028 | +74% | $14,564 |
| 291 Heart Failure and Shock with MCC | 279 | $99,000 | +76% | $10,205 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 204 | $89,420 | +48% | $10,159 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 194 | $129,708 | +71% | $11,973 |
| 193 Simple Pneumonia and Pleurisy with MCC | 181 | $112,621 | +88% | $10,363 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 158 | $412,154 | +80% | $35,408 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 157 | $163,642 | +64% | $13,900 |
| 177 Respiratory Infections and Inflammations with MCC | 136 | $130,108 | +84% | $12,696 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 128 | $130,689 | +78% | $12,200 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 118 | $110,757 | +99% | $8,639 |
| 682 Renal Failure with MCC | 115 | $117,855 | +79% | $11,326 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 112 | $105,716 | +116% | $8,607 |
| 683 Renal Failure with CC | 108 | $82,458 | +103% | $7,549 |
| 689 Kidney and Urinary Tract Infections with MCC | 103 | $96,510 | +88% | $9,331 |
| 378 Gastrointestinal Hemorrhage with CC | 83 | $103,577 | +113% | $8,916 |
| 481 Hip and Femur Procedures except Major Joint with CC | 83 | $202,109 | +101% | $15,508 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 79 | $200,997 | +116% | $14,934 |
| 252 Other Vascular Procedures with MCC | 77 | $214,415 | +25% | $25,015 |
| 330 Major Small and Large Bowel Procedures with CC | 76 | $230,227 | +93% | $17,540 |
| 377 Gastrointestinal Hemorrhage with MCC | 73 | $140,331 | +64% | $13,514 |
| 690 Kidney and Urinary Tract Infections without MCC | 73 | $79,524 | +110% | $7,083 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 71 | $326,720 | +108% | $24,021 |
| 329 Major Small and Large Bowel Procedures with MCC | 71 | $371,261 | +73% | $37,085 |
| 069 Transient Ischemia without Thrombolytic | 70 | $89,973 | +78% | $7,044 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 69 | $70,832 | +76% | $6,972 |
| 189 Pulmonary Edema and Respiratory Failure | 66 | $104,345 | +81% | $10,069 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 66 | $61,067 | +69% | $6,761 |
| 552 Medical Back Problems without MCC | 66 | $74,248 | +52% | $8,153 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 63 | $529,307 | +139% | $33,716 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 62 | $67,417 | +82% | $6,971 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 60 | $112,365 | +123% | $7,851 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 59 | $368,748 | +125% | $21,341 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 59 | $282,411 | +147% | $15,691 |
| 312 Syncope and Collapse | 58 | $83,499 | +83% | $7,484 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 58 | $208,541 | +104% | $15,405 |
| 305 Hypertension without MCC | 55 | $68,890 | +72% | $8,566 |
| 314 Other Circulatory System Diagnoses with MCC | 55 | $108,837 | +15% | $14,136 |
| 100 Seizures with MCC | 53 | $154,621 | +64% | $14,717 |
| 101 Seizures without MCC | 53 | $84,275 | +73% | $7,843 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 53 | $78,974 | +66% | $8,817 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 50 | $463,407 | +65% | $36,092 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 49 | $97,466 | +72% | $9,490 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 48 | $357,789 | +11% | $40,695 |
| 603 Cellulitis without MCC | 46 | $77,073 | +107% | $7,810 |
| 270 Other Major Cardiovascular Procedures with MCC | 44 | $386,808 | +49% | $35,981 |
| 638 Diabetes with CC | 44 | $84,326 | +102% | $7,645 |
| 389 Gastrointestinal Obstruction with CC | 41 | $86,088 | +121% | $6,999 |
| 394 Other Digestive System Diagnoses with CC | 41 | $84,006 | +78% | $7,881 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 41 | $150,098 | +57% | $14,471 |
| 811 Red Blood Cell Disorders with MCC | 41 | $108,452 | +59% | $10,989 |
| 467 Revision of Hip or Knee Replacement with CC | 39 | $343,349 | +118% | $23,030 |
| 637 Diabetes with MCC | 39 | $132,385 | +99% | $11,627 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 39 | $360,913 | +67% | $31,229 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 38 | $452,915 | +96% | $35,143 |
| 313 Chest Pain | 38 | $61,295 | +53% | $6,432 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 37 | $470,625 | +61% | $36,953 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $201,699 | +80% | $16,509 |
| 239 Amputation for Circulatory System Disorders except Upper... | 36 | $289,830 | +35% | $29,533 |
| 253 Other Vascular Procedures with CC | 36 | $264,766 | +101% | $18,508 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 36 | $149,405 | +134% | $9,321 |
Showing the 60 most frequent of 185 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Medical Center charged $157,028 on average, 41% more than the Texas average of $111,133, and was paid $14,564 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Baptist Medical Center charged $99,000 on average, 46% more than the Texas average of $67,944, and was paid $10,205 against a state average of $11,820. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Baptist Medical Center charged $89,420 on average, 31% more than the Texas average of $68,203, and was paid $10,159 against a state average of $12,119. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Baptist Medical Center charged $129,708 on average, 40% more than the Texas average of $92,713, and was paid $11,973 against a state average of $13,694. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $154,236 was 56% above the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $81,232 was 124% above the state average of $36,220. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $83,122 was 63% above the state average of $50,995. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $53,157 was 90% above the state average of $27,955.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Medical Center in San Antonio, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-14 (CMS case 1032)
- Met Requirements — 2025-03-26 (CMS case 3230)
- Warning Notice — 2026-04-08 (CMS case 7406)
- Closure Notice — 2026-07-10 (CMS case 7406)
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.