Texas / Baylor University Medical Center
CMS certification 450021 · Dallas, TX · 3 entries in CMS's price-transparency list
Baylor University Medical Center: charges and Medicare payments
Baylor University Medical Center reported 6,209 Medicare inpatient stays across 183 DRGs in 2024. Across them it charged 3.44 times what it was paid — among the lower ratios in Texas, number 165 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: 475 stays at an average charge of $70,780, 22% below the national average. It also billed 4,052 outpatient services, charging 6.96 times what Medicare paid.
- 1Medicare inpatient stays 6,209
- 2Charge ÷ paid, inpatient 3.44×
- 3Rank in TX (highest ratio = 1) 165 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 183 DRGs that can be compared with the national average, Baylor University Medical Center charged more than the national average in 13 (7%). 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 | 475 | $70,780 | -22% | $20,768 |
| 291 Heart Failure and Shock with MCC | 213 | $47,863 | -15% | $13,762 |
| 189 Pulmonary Edema and Respiratory Failure | 212 | $63,746 | +11% | $14,092 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 89 | $32,521 | -34% | $11,344 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 88 | $47,447 | -21% | $13,936 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 88 | $200,059 | -13% | $50,676 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 87 | $31,386 | -15% | $10,017 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $27,722 | -27% | $9,902 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 83 | $65,863 | -10% | $19,348 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 82 | $87,509 | -12% | $20,657 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 82 | $28,567 | -29% | $9,519 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 77 | $150,381 | -49% | $56,837 |
| 467 Revision of Hip or Knee Replacement with CC | 76 | $98,366 | -38% | $31,623 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $44,177 | -21% | $11,574 |
| 682 Renal Failure with MCC | 74 | $53,249 | -19% | $16,602 |
| 330 Major Small and Large Bowel Procedures with CC | 70 | $68,691 | -42% | $22,696 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $32,724 | -33% | $11,064 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $64,896 | -8% | $18,516 |
| 329 Major Small and Large Bowel Procedures with MCC | 62 | $136,802 | -36% | $43,610 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 62 | $29,339 | -38% | $12,373 |
| 377 Gastrointestinal Hemorrhage with MCC | 57 | $60,354 | -29% | $17,080 |
| 070 Other Cerebrovascular Disorders with MCC | 56 | $64,857 | -15% | $23,778 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 56 | $246,272 | -38% | $79,843 |
| 689 Kidney and Urinary Tract Infections with MCC | 56 | $37,342 | -27% | $13,277 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 56 | $150,025 | -31% | $46,075 |
| 552 Medical Back Problems without MCC | 55 | $48,754 | 0% | $12,447 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $71,064 | -29% | $19,531 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 54 | $104,564 | -17% | $21,790 |
| 205 Other Respiratory System Diagnoses with MCC | 53 | $91,240 | +3% | $24,505 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 52 | $125,712 | -40% | $37,371 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 51 | $874,311 | -17% | $258,794 |
| 683 Renal Failure with CC | 50 | $29,452 | -28% | $10,442 |
| 312 Syncope and Collapse | 49 | $40,759 | -10% | $10,661 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 46 | $68,363 | -27% | $19,039 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 45 | $83,854 | -18% | $22,097 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 42 | $188,957 | -18% | $55,472 |
| 603 Cellulitis without MCC | 42 | $26,007 | -30% | $10,280 |
| 652 Kidney Transplant | 41 | $208,033 | -38% | $48,908 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $43,911 | -28% | $14,649 |
| 811 Red Blood Cell Disorders with MCC | 39 | $46,314 | -32% | $17,425 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 39 | $74,617 | +10% | $16,665 |
| 071 Other Cerebrovascular Disorders with CC | 38 | $31,137 | -38% | $11,243 |
| 165 Major Chest Procedures without CC/MCC | 37 | $67,888 | -34% | $19,429 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 37 | $148,206 | -14% | $41,885 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 36 | $56,106 | -23% | $14,047 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 36 | $45,738 | -30% | $14,718 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $33,030 | -35% | $11,797 |
| 314 Other Circulatory System Diagnoses with MCC | 35 | $67,343 | -29% | $20,657 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 35 | $55,816 | -42% | $20,584 |
| 092 Other Disorders of Nervous System with CC | 34 | $34,306 | -33% | $10,968 |
| 101 Seizures without MCC | 34 | $36,827 | -24% | $10,114 |
| 164 Major Chest Procedures with CC | 34 | $73,861 | -42% | $24,064 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $49,087 | -18% | $17,632 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 33 | $138,995 | -50% | $53,289 |
| 328 Stomach, Esophageal and Duodenal Procedures without CC/MCC | 33 | $45,776 | -47% | $14,520 |
| 638 Diabetes with CC | 33 | $29,492 | -29% | $10,093 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 32 | $48,877 | -43% | $16,185 |
| 389 Gastrointestinal Obstruction with CC | 32 | $22,586 | -42% | $8,593 |
| 393 Other Digestive System Diagnoses with MCC | 32 | $52,702 | -31% | $16,722 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 31 | $67,977 | -46% | $22,767 |
Showing the 60 most frequent of 183 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baylor University Medical Center charged $70,780 on average, 36% less than the Texas average of $111,133, and was paid $20,768 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Baylor University Medical Center charged $47,863 on average, 30% less than the Texas average of $67,944, and was paid $13,762 against a state average of $11,820. For Pulmonary Edema and Respiratory Failure (DRG 189), Baylor University Medical Center charged $63,746 on average, 3% less than the Texas average of $65,957, and was paid $14,092 against a state average of $11,822. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Baylor University Medical Center charged $32,521 on average, 44% less than the Texas average of $58,253, and was paid $11,344 against a state average of $10,103. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,923 was 27% below the state average of $16,236. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,951 was 36% below the state average of $14,089. For Level 4 Airway Endoscopy (outpatient APC 5154), its average charge of $22,207 was 29% below the state average of $31,323. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $49,162 was 39% below the state average of $80,984.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baylor University Medical Center in Dallas, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-07-20 (CMS case 381)
- Closure Notice — 2022-01-06 (CMS case 381)
- Met Requirements — 2025-07-08 (CMS case 5542)
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.