Baylor Scott & White Medical Center Grapevine: charges and Medicare payments

Baylor Scott & White Medical Center Grapevine reported 3,131 Medicare inpatient stays across 92 DRGs in 2024. Across them it charged 5.04 times what it was paid — mid-range in Texas, number 104 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: 251 stays at an average charge of $60,160, 33% below the national average. It also billed 2,286 outpatient services, charging 8.07 times what Medicare paid.

1Medicare inpatient stays 3,131
2Charge ÷ paid, inpatient 5.04×
3Rank in TX (highest ratio = 1) 104 of 190
4CMS price-transparency actions 0

Average charge per stay at Baylor Scott & White Medical Center Grapevine, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 92 DRGs that can be compared with the national average, Baylor Scott & White Medical Center Grapevine charged more than the national average in 3 (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	251	$60,160	-33%	$13,421
189 Pulmonary Edema and Respiratory Failure	172	$57,680	0%	$8,718
291 Heart Failure and Shock with MCC	146	$41,134	-27%	$9,038
690 Kidney and Urinary Tract Infections without MCC	102	$28,059	-26%	$5,563
177 Respiratory Infections and Inflammations with MCC	96	$49,084	-30%	$11,778
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	85	$28,655	-23%	$5,547
481 Hip and Femur Procedures except Major Joint with CC	70	$76,112	-24%	$14,114
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	68	$27,116	-32%	$5,700
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	62	$47,059	-22%	$8,506
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	60	$36,089	-26%	$7,118
603 Cellulitis without MCC	58	$23,702	-36%	$6,029
689 Kidney and Urinary Tract Infections with MCC	58	$34,947	-32%	$7,803
193 Simple Pneumonia and Pleurisy with MCC	57	$41,891	-30%	$9,254
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	55	$42,338	-24%	$7,316
309 Cardiac Arrhythmia and Conduction Disorders with CC	55	$29,298	-19%	$5,042
683 Renal Failure with CC	50	$27,575	-32%	$6,532
071 Other Cerebrovascular Disorders with CC	48	$37,670	-25%	$6,985
378 Gastrointestinal Hemorrhage with CC	48	$34,271	-29%	$7,495
552 Medical Back Problems without MCC	47	$37,989	-22%	$6,640
698 Other Kidney and Urinary Tract Diagnoses with MCC	46	$43,435	-41%	$11,554
312 Syncope and Collapse	45	$37,849	-17%	$5,737
682 Renal Failure with MCC	44	$50,036	-24%	$9,976
194 Simple Pneumonia and Pleurisy with CC	42	$32,735	-15%	$5,858
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	41	$89,489	-13%	$13,905
070 Other Cerebrovascular Disorders with MCC	39	$79,840	+5%	$22,910
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$83,721	-16%	$14,018
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	37	$90,537	-24%	$16,356
308 Cardiac Arrhythmia and Conduction Disorders with MCC	36	$54,749	-3%	$7,948
330 Major Small and Large Bowel Procedures with CC	35	$65,679	-45%	$15,848
287 Circulatory Disorders except AMI, with Cardiac...	34	$49,280	-23%	$7,237
322 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$113,377	-1%	$12,678
389 Gastrointestinal Obstruction with CC	30	$23,302	-40%	$5,474
853 Infectious and Parasitic Diseases with O.R. Procedures with...	30	$160,052	-30%	$40,287
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	29	$24,405	-15%	$3,702
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	28	$137,235	-37%	$36,331
178 Respiratory Infections and Inflammations with CC	27	$33,491	-26%	$7,572
305 Hypertension without MCC	26	$29,979	-25%	$5,193
811 Red Blood Cell Disorders with MCC	26	$52,493	-23%	$9,304
190 Chronic Obstructive Pulmonary Disease with MCC	25	$52,637	+4%	$7,326
638 Diabetes with CC	25	$31,384	-25%	$7,155
812 Red Blood Cell Disorders without MCC	25	$33,999	-23%	$6,564
086 Traumatic Stupor and Coma <1 Hour with CC	23	$52,621	-23%	$8,952
377 Gastrointestinal Hemorrhage with MCC	23	$78,540	-8%	$11,780
637 Diabetes with MCC	23	$48,896	-26%	$11,234
242 Permanent Cardiac Pacemaker Implant with MCC	22	$150,776	-6%	$23,009
243 Permanent Cardiac Pacemaker Implant with CC	21	$96,907	-13%	$14,744
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$135,422	-17%	$36,977
390 Gastrointestinal Obstruction without CC/MCC	21	$21,066	-25%	$3,893
394 Other Digestive System Diagnoses with CC	21	$28,827	-39%	$6,635
092 Other Disorders of Nervous System with CC	20	$37,009	-28%	$6,686
315 Other Circulatory System Diagnoses with CC	20	$37,119	-23%	$6,743
372 Major Gastrointestinal Disorders and Peritoneal Infections...	20	$37,206	-22%	$9,847
057 Degenerative Nervous System Disorders without MCC	19	$52,641	-7%	$9,039
100 Seizures with MCC	19	$78,730	-17%	$15,098
329 Major Small and Large Bowel Procedures with MCC	19	$119,897	-44%	$29,959
854 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$92,410	-6%	$16,978
948 Signs and Symptoms without MCC	19	$29,388	-23%	$5,806
069 Transient Ischemia without Thrombolytic	18	$44,639	-12%	$5,519
313 Chest Pain	18	$29,270	-27%	$5,211
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$50,921	-17%	$8,478

Showing the 60 most frequent of 92 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	468	$25,842	$2,411
Level 1 Endovascular Procedures	168	$28,847	$2,910
Level 1 Nerve Procedures	165	$10,896	$1,724
Level 1 Laparoscopy and Related Services	132	$29,584	$5,116
Level 2 Excision/ Biopsy/ Incision and Drainage	130	$7,894	$1,455
Level 3 Endovascular Procedures	97	$77,326	$9,924
Level 5 Musculoskeletal Procedures	88	$59,240	$11,520
Level 4 Urology and Related Services	83	$22,934	$3,089
Level 3 Vascular Procedures	81	$18,188	$2,764
Level 3 Excision/ Biopsy/ Incision and Drainage	77	$13,215	$2,486
Level 3 Pacemaker and Similar Procedures	72	$57,939	$9,634
Level 3 Electrophysiologic Procedures	66	$146,648	$21,088
Level 5 Urology and Related Services	63	$27,062	$4,612
Level 4 Musculoskeletal Procedures	53	$37,039	$6,459
Level 2 Upper GI Procedures	53	$11,196	$1,718
Level 2 Pacemaker and Similar Procedures	43	$33,937	$7,670
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	38	$19,100	$3,123
Level 5 Airway Endoscopy	37	$31,275	$6,179
Level 6 Musculoskeletal Procedures	32	$73,777	$15,368
Level 2 Vascular Procedures	31	$9,766	$1,446
Level 2 Musculoskeletal Procedures	30	$15,370	$1,412
Level 4 Endovascular Procedures	26	$102,731	$15,254
Level 2 ICD and Similar Procedures	24	$156,139	$29,613
Level 3 Musculoskeletal Procedures	23	$25,516	$2,821
Level 3 Airway Endoscopy	22	$14,170	$1,532

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott & White Medical Center Grapevine charged $60,160 on average, 46% less than the Texas average of $111,133, and was paid $13,421 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Scott & White Medical Center Grapevine charged $57,680 on average, 13% less than the Texas average of $65,957, and was paid $8,718 against a state average of $11,822. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott & White Medical Center Grapevine charged $41,134 on average, 39% less than the Texas average of $67,944, and was paid $9,038 against a state average of $11,820. For Kidney and Urinary Tract Infections without MCC (DRG 690), Baylor Scott & White Medical Center Grapevine charged $28,059 on average, 35% less than the Texas average of $42,965, and was paid $5,563 against a state average of $8,372. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,842 was 8% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,847 was 20% below the state average of $36,220. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,896 was 40% below the state average of $18,063. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $29,584 was 42% below the state average of $50,995.

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.