Texas / Baylor Scott and White Orthopedic and Spine Hospi
CMS certification 670067 · Arlington, TX
Baylor Scott and White Orthopedic and Spine Hospi: charges and Medicare payments
Baylor Scott and White Orthopedic and Spine Hospi reported 534 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 4.24 times what it was paid — among the lower ratios in Texas, number 137 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 409 stays at an average charge of $60,892, 35% below the national average. It also billed 995 outpatient services, charging 6.73 times what Medicare paid.
- 1Medicare inpatient stays 534
- 2Charge ÷ paid, inpatient 4.24×
- 3Rank in TX (highest ratio = 1) 137 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, Baylor Scott and White Orthopedic and Spine Hospi 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 |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 409 | $60,892 | -35% | $14,495 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 60 | $87,404 | -31% | $17,203 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 23 | $126,395 | -38% | $30,550 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $190,634 | -32% | $48,215 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $92,523 | -41% | $29,032 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $83,918 | -32% | $17,611 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Musculoskeletal Procedures | 244 | $37,283 | $6,332 |
| Level 1 Nerve Procedures | 221 | $9,519 | $1,712 |
| Level 3 Musculoskeletal Procedures | 210 | $16,788 | $2,828 |
| Level 5 Musculoskeletal Procedures | 118 | $64,474 | $11,432 |
| Level 2 Musculoskeletal Procedures | 94 | $8,608 | $1,451 |
| Level 2 Neurostimulator and Related Procedures | 32 | $21,546 | $4,477 |
| Level 6 Musculoskeletal Procedures | 29 | $86,679 | $16,266 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $11,344 | $2,295 |
| Level 5 Neurostimulator and Related Procedures | 15 | $122,633 | $27,952 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $9,711 | $1,464 |
Against the Texas average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Baylor Scott and White Orthopedic and Spine Hospi charged $60,892 on average, 48% less than the Texas average of $116,220, and was paid $14,495 against a state average of $15,157. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), Baylor Scott and White Orthopedic and Spine Hospi charged $87,404 on average, 53% less than the Texas average of $184,475, and was paid $17,203 against a state average of $19,757. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Baylor Scott and White Orthopedic and Spine Hospi charged $126,395 on average, 53% less than the Texas average of $268,184, and was paid $30,550 against a state average of $39,409. For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Baylor Scott and White Orthopedic and Spine Hospi charged $190,634 on average, 57% less than the Texas average of $446,825, and was paid $48,215 against a state average of $54,675. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $37,283 was 37% below the state average of $58,833. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,519 was 47% below the state average of $18,063. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $16,788 was 45% below the state average of $30,502. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $64,474 was 35% below the state average of $98,771.
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.