Texas / Baylor Scott & White Medical Center - Hillcrest
CMS certification 450101 · Waco, TX · 1 entry in CMS's price-transparency list
Baylor Scott & White Medical Center - Hillcrest: charges and Medicare payments
Baylor Scott & White Medical Center - Hillcrest reported 1,936 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 3.56 times what it was paid — among the lower ratios in Texas, number 162 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: 282 stays at an average charge of $44,842, 50% below the national average. It also billed 2,115 outpatient services, charging 6.91 times what Medicare paid.
- 1Medicare inpatient stays 1,936
- 2Charge ÷ paid, inpatient 3.56×
- 3Rank in TX (highest ratio = 1) 162 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 59 DRGs that can be compared with the national average, Baylor Scott & White Medical Center - Hillcrest 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 | 282 | $44,842 | -50% | $15,832 |
| 189 Pulmonary Edema and Respiratory Failure | 194 | $40,467 | -30% | $10,832 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 69 | $30,713 | -37% | $9,449 |
| 291 Heart Failure and Shock with MCC | 62 | $41,835 | -26% | $11,149 |
| 690 Kidney and Urinary Tract Infections without MCC | 56 | $28,444 | -25% | $7,676 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $60,528 | -40% | $17,701 |
| 689 Kidney and Urinary Tract Infections with MCC | 48 | $35,718 | -30% | $9,657 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $27,921 | -25% | $7,719 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $46,289 | -37% | $13,827 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 40 | $70,473 | -31% | $18,762 |
| 070 Other Cerebrovascular Disorders with MCC | 39 | $56,006 | -26% | $13,837 |
| 071 Other Cerebrovascular Disorders with CC | 37 | $34,921 | -31% | $9,825 |
| 682 Renal Failure with MCC | 37 | $38,435 | -42% | $11,829 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 37 | $113,082 | -51% | $40,392 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 35 | $59,885 | -36% | $16,032 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $34,921 | -37% | $9,029 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $33,289 | -17% | $7,879 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $31,404 | -56% | $13,551 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 33 | $38,911 | -31% | $10,725 |
| 378 Gastrointestinal Hemorrhage with CC | 32 | $38,115 | -21% | $9,252 |
| 683 Renal Failure with CC | 31 | $27,918 | -31% | $8,418 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $35,394 | -41% | $10,939 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $107,516 | -6% | $17,409 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $53,667 | -29% | $12,507 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 24 | $122,636 | -22% | $25,643 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 24 | $82,863 | -40% | $22,754 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $39,884 | -33% | $11,733 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $87,879 | -35% | $23,380 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $150,943 | -8% | $33,320 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 22 | $123,908 | -43% | $36,024 |
| 312 Syncope and Collapse | 20 | $32,320 | -29% | $7,733 |
| 552 Medical Back Problems without MCC | 20 | $28,152 | -42% | $8,352 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $29,601 | -18% | $7,503 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 19 | $152,111 | -25% | $45,262 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $31,007 | -35% | $9,718 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $48,964 | -51% | $14,408 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $39,236 | -22% | $9,602 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $44,827 | -11% | $8,419 |
| 536 Fractures of Hip and Pelvis without MCC | 17 | $27,574 | -27% | $7,290 |
| 638 Diabetes with CC | 17 | $25,223 | -39% | $8,872 |
| 811 Red Blood Cell Disorders with MCC | 17 | $43,653 | -36% | $12,671 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 16 | $47,514 | -45% | $14,428 |
| 948 Signs and Symptoms without MCC | 16 | $40,245 | +6% | $7,732 |
| 389 Gastrointestinal Obstruction with CC | 15 | $23,460 | -40% | $7,558 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $67,278 | -32% | $15,759 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 14 | $47,636 | -59% | $18,896 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $44,563 | -27% | $11,101 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $33,197 | -22% | $8,216 |
| 637 Diabetes with MCC | 14 | $44,986 | -32% | $12,486 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $34,656 | -39% | $10,741 |
| 092 Other Disorders of Nervous System with CC | 13 | $37,488 | -27% | $9,157 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $76,598 | -36% | $20,151 |
| 603 Cellulitis without MCC | 13 | $24,658 | -34% | $8,793 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 12 | $48,519 | -29% | $11,532 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 11 | $43,916 | -40% | $13,090 |
| 183 Major Chest Trauma with MCC | 11 | $60,862 | -18% | $11,219 |
| 445 Disorders of The Biliary Tract with CC | 11 | $42,407 | -27% | $9,858 |
| 812 Red Blood Cell Disorders without MCC | 11 | $42,212 | -5% | $8,445 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $183,788 | -43% | $45,483 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott & White Medical Center - Hillcrest charged $44,842 on average, 60% less than the Texas average of $111,133, and was paid $15,832 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Scott & White Medical Center - Hillcrest charged $40,467 on average, 39% less than the Texas average of $65,957, and was paid $10,832 against a state average of $11,822. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Baylor Scott & White Medical Center - Hillcrest charged $30,713 on average, 47% less than the Texas average of $58,253, and was paid $9,449 against a state average of $10,103. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott & White Medical Center - Hillcrest charged $41,835 on average, 38% less than the Texas average of $67,944, and was paid $11,149 against a state average of $11,820. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,666 was 19% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,238 was 46% below the state average of $98,771. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $14,723 was 52% below the state average of $30,502. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $30,516 was 48% below the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor Scott & White Medical Center - Hillcrest in Waco, 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 5548)
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.