Texas / Baylor Scott & White Medical Center - Marble Falls
CMS certification 670108 · Marble Falls, TX · 1 entry in CMS's price-transparency list
Baylor Scott & White Medical Center - Marble Falls: charges and Medicare payments
Baylor Scott & White Medical Center - Marble Falls reported 406 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 4.26 times what it was paid — among the lower ratios in Texas, number 136 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 189, Pulmonary Edema and Respiratory Failure: 83 stays at an average charge of $48,246, 16% below the national average. It also billed 1,601 outpatient services, charging 6.43 times what Medicare paid.
- 1Medicare inpatient stays 406
- 2Charge ÷ paid, inpatient 4.26×
- 3Rank in TX (highest ratio = 1) 136 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 19 DRGs that can be compared with the national average, Baylor Scott & White Medical Center - Marble Falls charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 189 Pulmonary Edema and Respiratory Failure | 83 | $48,246 | -16% | $9,833 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 79 | $52,950 | -41% | $14,686 |
| 291 Heart Failure and Shock with MCC | 34 | $35,250 | -37% | $9,469 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $33,399 | -32% | $7,868 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $53,428 | -47% | $14,665 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $41,560 | -41% | $11,391 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $30,329 | -24% | $6,264 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $63,298 | -32% | $14,190 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $68,643 | -33% | $15,631 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $42,019 | -30% | $9,690 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $27,294 | -26% | $6,174 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $52,174 | -8% | $8,546 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $41,539 | -31% | $9,851 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $43,861 | -21% | $7,499 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $52,914 | -30% | $11,504 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $39,417 | -22% | $7,898 |
| 603 Cellulitis without MCC | 11 | $25,292 | -32% | $7,029 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $35,160 | -31% | $8,482 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $37,059 | -2% | $5,847 |
Outpatient services
Against the Texas average
For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor Scott & White Medical Center - Marble Falls charged $48,246 on average, 27% less than the Texas average of $65,957, and was paid $9,833 against a state average of $11,822. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott & White Medical Center - Marble Falls charged $52,950 on average, 52% less than the Texas average of $111,133, and was paid $14,686 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott & White Medical Center - Marble Falls charged $35,250 on average, 48% less than the Texas average of $67,944, and was paid $9,469 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Baylor Scott & White Medical Center - Marble Falls charged $33,399 on average, 43% less than the Texas average of $58,253, and was paid $7,868 against a state average of $10,103. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,441 was 49% below the state average of $16,442. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,756 was 25% below the state average of $3,679. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,987 was 3% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,626 was 43% below the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor Scott & White Medical Center - Marble Falls in Marble Falls, 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 5552)
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.