Texas / Baylor Regional Medical Center at Plano
CMS certification 450890 · Plano, TX
Baylor Regional Medical Center at Plano: charges and Medicare payments
Baylor Regional Medical Center at Plano reported 2,254 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 4.52 times what it was paid — mid-range in Texas, number 125 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: 234 stays at an average charge of $61,964, 31% below the national average. It also billed 1,933 outpatient services, charging 7.57 times what Medicare paid.
- 1Medicare inpatient stays 2,254
- 2Charge ÷ paid, inpatient 4.52×
- 3Rank in TX (highest ratio = 1) 125 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 71 DRGs that can be compared with the national average, Baylor Regional Medical Center at Plano charged more than the national average in 2 (3%). 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 | 234 | $61,964 | -31% | $13,164 |
| 189 Pulmonary Edema and Respiratory Failure | 171 | $51,446 | -11% | $8,927 |
| 291 Heart Failure and Shock with MCC | 93 | $42,663 | -24% | $9,001 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $23,144 | -39% | $5,649 |
| 378 Gastrointestinal Hemorrhage with CC | 77 | $36,285 | -25% | $6,559 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 69 | $35,845 | -27% | $7,832 |
| 177 Respiratory Infections and Inflammations with MCC | 63 | $46,367 | -34% | $11,330 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $28,336 | -24% | $5,140 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 54 | $25,749 | -36% | $5,665 |
| 603 Cellulitis without MCC | 51 | $23,391 | -37% | $5,875 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 50 | $41,478 | -44% | $10,816 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $37,435 | -37% | $8,891 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 44 | $62,772 | -37% | $14,394 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $42,853 | -23% | $6,888 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $45,390 | -25% | $9,802 |
| 683 Renal Failure with CC | 42 | $27,977 | -31% | $6,126 |
| 330 Major Small and Large Bowel Procedures with CC | 39 | $55,425 | -53% | $16,788 |
| 682 Renal Failure with MCC | 34 | $47,561 | -28% | $9,790 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $27,964 | -46% | $7,902 |
| 389 Gastrointestinal Obstruction with CC | 33 | $25,489 | -35% | $5,699 |
| 811 Red Blood Cell Disorders with MCC | 33 | $37,795 | -45% | $9,359 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $119,369 | -48% | $35,016 |
| 552 Medical Back Problems without MCC | 31 | $26,639 | -45% | $6,578 |
| 312 Syncope and Collapse | 30 | $29,206 | -36% | $5,785 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $54,484 | -36% | $11,806 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $33,316 | -45% | $9,150 |
| 071 Other Cerebrovascular Disorders with CC | 27 | $39,595 | -22% | $7,007 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $29,681 | -23% | $5,437 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $30,150 | -33% | $6,814 |
| 394 Other Digestive System Diagnoses with CC | 24 | $36,290 | -23% | $7,306 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 22 | $130,160 | -44% | $31,541 |
| 070 Other Cerebrovascular Disorders with MCC | 22 | $43,804 | -42% | $10,622 |
| 644 Endocrine Disorders with CC | 22 | $32,263 | -33% | $7,692 |
| 393 Other Digestive System Diagnoses with MCC | 21 | $43,352 | -44% | $10,928 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $29,649 | -18% | $4,947 |
| 460 Spinal Fusion except Cervical without MCC | 20 | $109,654 | -36% | $24,282 |
| 057 Degenerative Nervous System Disorders without MCC | 19 | $25,822 | -54% | $10,100 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $38,690 | -24% | $7,248 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $147,899 | -31% | $34,723 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 19 | $167,591 | -40% | $50,296 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $28,950 | -39% | $7,166 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 16 | $46,033 | -46% | $12,145 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $66,781 | -35% | $13,987 |
| 637 Diabetes with MCC | 16 | $44,376 | -33% | $9,552 |
| 812 Red Blood Cell Disorders without MCC | 16 | $32,091 | -28% | $6,047 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $39,975 | -13% | $6,440 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 15 | $31,771 | -33% | $7,745 |
| 390 Gastrointestinal Obstruction without CC/MCC | 15 | $19,376 | -31% | $4,328 |
| 445 Disorders of The Biliary Tract with CC | 15 | $31,465 | -46% | $7,681 |
| 638 Diabetes with CC | 15 | $26,804 | -36% | $6,128 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $140,398 | -27% | $24,700 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $66,939 | +18% | $8,471 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $69,510 | -25% | $11,768 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $61,872 | -39% | $13,690 |
| 149 Dysequilibrium | 12 | $31,452 | -29% | $4,980 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $32,640 | -18% | $5,541 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $78,396 | -30% | $16,129 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 12 | $93,892 | -25% | $16,209 |
| 472 Cervical Spinal Fusion with CC | 12 | $93,081 | -35% | $19,624 |
| 602 Cellulitis with MCC | 12 | $42,055 | -30% | $9,523 |
Showing the 60 most frequent of 71 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Regional Medical Center at Plano charged $61,964 on average, 44% less than the Texas average of $111,133, and was paid $13,164 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Regional Medical Center at Plano charged $51,446 on average, 22% less than the Texas average of $65,957, and was paid $8,927 against a state average of $11,822. For Heart Failure and Shock with MCC (DRG 291), Baylor Regional Medical Center at Plano charged $42,663 on average, 37% less than the Texas average of $67,944, and was paid $9,001 against a state average of $11,820. For Kidney and Urinary Tract Infections without MCC (DRG 690), Baylor Regional Medical Center at Plano charged $23,144 on average, 46% less than the Texas average of $42,965, and was paid $5,649 against a state average of $8,372. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,236 was 13% below the state average of $27,955. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,238 was 42% below the state average of $14,089. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,364 was 30% below the state average of $16,236. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,395 was 43% below the state average of $98,771.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.