Texas / Baylor Scott and White Medical Center Sunnyvale
CMS certification 670060 · Sunnyvale, TX · 4 entries in CMS's price-transparency list
Baylor Scott and White Medical Center Sunnyvale: charges and Medicare payments
Baylor Scott and White Medical Center Sunnyvale reported 460 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 4.89 times what it was paid — mid-range in Texas, number 107 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: 107 stays at an average charge of $56,644, 37% below the national average. It also billed 312 outpatient services, charging 13.15 times what Medicare paid.
- 1Medicare inpatient stays 460
- 2Charge ÷ paid, inpatient 4.89×
- 3Rank in TX (highest ratio = 1) 107 of 190
- 4CMS price-transparency actions 4
Inpatient stays
For the 21 DRGs that can be compared with the national average, Baylor Scott and White Medical Center Sunnyvale 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 107 | $56,644 | -37% | $12,589 |
| 291 Heart Failure and Shock with MCC | 60 | $39,211 | -30% | $8,334 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $40,112 | -33% | $8,522 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $33,450 | -17% | $5,277 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $43,085 | -29% | $8,826 |
| 683 Renal Failure with CC | 19 | $30,635 | -25% | $6,088 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $27,242 | -26% | $5,152 |
| 682 Renal Failure with MCC | 17 | $42,119 | -36% | $8,882 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $39,895 | -19% | $7,023 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $59,937 | -15% | $10,626 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $43,637 | -15% | $7,731 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $132,096 | -42% | $31,116 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $53,700 | -29% | $9,467 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $49,213 | -13% | $7,919 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $37,176 | -23% | $6,878 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $56,514 | -23% | $10,563 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $34,371 | -32% | $7,192 |
| 312 Syncope and Collapse | 12 | $32,829 | -28% | $5,700 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $31,712 | -16% | $5,314 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $40,458 | -30% | $9,196 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $30,972 | -19% | $5,752 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 52 | $22,921 | $2,463 |
| Level 3 Vascular Procedures | 38 | $26,657 | $2,868 |
| Level 1 Endovascular Procedures | 35 | $25,336 | $2,877 |
| Level 3 Musculoskeletal Procedures | 33 | $50,956 | $2,843 |
| Level 5 Musculoskeletal Procedures | 30 | $142,829 | $11,489 |
| Level 4 Musculoskeletal Procedures | 25 | $99,488 | $6,438 |
| Level 3 Pacemaker and Similar Procedures | 22 | $46,502 | $9,241 |
| Level 3 Endovascular Procedures | 19 | $77,579 | $9,458 |
| Level 2 Endovascular Procedures | 18 | $38,207 | $5,144 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $21,212 | $1,334 |
| Level 2 Musculoskeletal Procedures | 12 | $20,661 | $1,446 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $40,080 | $2,557 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor Scott and White Medical Center Sunnyvale charged $56,644 on average, 49% less than the Texas average of $111,133, and was paid $12,589 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Baylor Scott and White Medical Center Sunnyvale charged $39,211 on average, 42% less than the Texas average of $67,944, and was paid $8,334 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baylor Scott and White Medical Center Sunnyvale charged $40,112 on average, 46% less than the Texas average of $73,756, and was paid $8,522 against a state average of $11,597. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Baylor Scott and White Medical Center Sunnyvale charged $33,450 on average, 30% less than the Texas average of $47,782, and was paid $5,277 against a state average of $7,906. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,921 was 18% below the state average of $27,955. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,657 was 6% below the state average of $28,214. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,336 was 30% below the state average of $36,220. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $50,956 was 67% above the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor Scott and White Medical Center Sunnyvale in Sunnyvale, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-11 (CMS case 2031)
- Warning Notice — 2025-04-23 (CMS case 4011)
- CAP Request — 2025-07-29 (CMS case 4011)
- Closure Notice — 2025-08-11 (CMS case 4011)
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.