Texas / Baylor Scott and White Medical Center Irving
CMS certification 450079 · Irving, TX · 2 entries in CMS's price-transparency list
Baylor Scott and White Medical Center Irving: charges and Medicare payments
Baylor Scott and White Medical Center Irving reported 1,373 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 3.61 times what it was paid — among the lower ratios in Texas, number 161 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: 190 stays at an average charge of $61,755, 32% below the national average. It also billed 626 outpatient services, charging 9.01 times what Medicare paid.
- 1Medicare inpatient stays 1,373
- 2Charge ÷ paid, inpatient 3.61×
- 3Rank in TX (highest ratio = 1) 161 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 47 DRGs that can be compared with the national average, Baylor Scott and White Medical Center Irving charged more than the national average in 2 (4%). 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 | 190 | $61,755 | -32% | $18,540 |
| 189 Pulmonary Edema and Respiratory Failure | 122 | $45,445 | -21% | $11,899 |
| 291 Heart Failure and Shock with MCC | 85 | $42,545 | -25% | $12,232 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $46,715 | -23% | $11,959 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $37,689 | -23% | $10,137 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $50,396 | -34% | $13,999 |
| 682 Renal Failure with MCC | 39 | $45,110 | -32% | $14,838 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $30,064 | -19% | $8,298 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 36 | $45,182 | -20% | $12,848 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $50,782 | -28% | $14,326 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $28,386 | -25% | $8,345 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $48,920 | -3% | $10,583 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $139,942 | -39% | $36,367 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $27,880 | -31% | $8,719 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $41,340 | -19% | $10,781 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $44,053 | -40% | $14,293 |
| 070 Other Cerebrovascular Disorders with MCC | 24 | $44,555 | -41% | $14,642 |
| 683 Renal Failure with CC | 23 | $35,510 | -13% | $9,183 |
| 071 Other Cerebrovascular Disorders with CC | 22 | $37,835 | -25% | $10,081 |
| 304 Hypertension with MCC | 21 | $40,601 | -29% | $10,810 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $32,379 | -33% | $9,597 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $71,218 | -25% | $17,531 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $59,525 | -50% | $19,367 |
| 638 Diabetes with CC | 20 | $31,640 | -24% | $8,999 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $61,638 | +11% | $9,711 |
| 603 Cellulitis without MCC | 19 | $25,890 | -31% | $9,485 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $61,888 | +4% | $12,441 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $27,930 | -23% | $7,930 |
| 312 Syncope and Collapse | 18 | $36,068 | -21% | $8,913 |
| 811 Red Blood Cell Disorders with MCC | 17 | $42,442 | -38% | $12,475 |
| 305 Hypertension without MCC | 16 | $29,671 | -26% | $7,935 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $211,308 | -2% | $54,541 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $42,006 | -31% | $11,650 |
| 637 Diabetes with MCC | 15 | $33,166 | -50% | $13,986 |
| 069 Transient Ischemia without Thrombolytic | 14 | $40,434 | -20% | $8,289 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $67,944 | -34% | $17,278 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $75,008 | -25% | $16,920 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $81,931 | -40% | $22,560 |
| 252 Other Vascular Procedures with MCC | 13 | $80,988 | -53% | $28,629 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $77,405 | -9% | $16,473 |
| 812 Red Blood Cell Disorders without MCC | 13 | $37,214 | -16% | $9,080 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $74,491 | -24% | $18,677 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $31,905 | -17% | $8,443 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 11 | $44,495 | -48% | $15,600 |
| 389 Gastrointestinal Obstruction with CC | 11 | $29,276 | -25% | $9,034 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 11 | $34,536 | -60% | $14,936 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $32,704 | -31% | $9,817 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott and White Medical Center Irving charged $61,755 on average, 44% less than the Texas average of $111,133, and was paid $18,540 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Scott and White Medical Center Irving charged $45,445 on average, 31% less than the Texas average of $65,957, and was paid $11,899 against a state average of $11,822. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott and White Medical Center Irving charged $42,545 on average, 37% less than the Texas average of $67,944, and was paid $12,232 against a state average of $11,820. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Baylor Scott and White Medical Center Irving charged $46,715 on average, 32% less than the Texas average of $68,203, and was paid $11,959 against a state average of $12,119. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,771 was 38% below the state average of $14,089. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,069 was 17% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,166 was 19% below the state average of $36,220. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,830 was 30% below the state average of $28,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor Scott and White Medical Center Irving in Irving, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-03-03 (CMS case 554)
- Met Requirements — 2025-04-04 (CMS case 3611)
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.