Baylor Scott and White Health · Dallas, TX
5 of 5
CMS star rating
55
Beds
1,218
Inpatient discharges a year
$110.2M
Net patient revenue a year
27
In-network payers
Baylor Scott & White Heart And Vascular Hospital - Dallas is a 55-bed proprietary hospital in Dallas, TX, affiliated with Baylor Scott and White Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 441 disclosed rate categories.
The 24 services Baylor Scott & White Heart And Vascular Hospital - Dallas most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$1,821 - $2,642
from 4 insurers · median $2,011
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $2,062
from 4 insurers · median $1,278
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,347 - $2,062
from 4 insurers · median $1,890
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,426 - $11,887
from 4 insurers · median $3,519
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,426 - $11,887
from 4 insurers · median $4,003
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,261 - $1,959
from 4 insurers · median $1,887
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$835 - $2,684
from 4 insurers · median $1,604
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,126 - $20,107
from 3 insurers · median $19,674
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,426 - $11,887
from 3 insurers · median $2,617
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,908 - $6,383
from 4 insurers · median $4,943
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$226 - $408
from 4 insurers · median $336
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $2,577
from 4 insurers · median $1,948
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$167 - $375
from 4 insurers · median $245
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,426 - $11,887
from 4 insurers · median $3,505
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,669 - $5,068
from 4 insurers · median $4,216
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,628 - $18,070
from 3 insurers · median $6,358
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,509
from 4 insurers · median $1,828
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $2,577
from 4 insurers · median $1,828
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$1,800 - $15,855
from 3 insurers · median $15,139
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,628 - $15,855
from 3 insurers · median $11,593
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 216
$123,050 - $180,502
from 4 insurers · median $136,307
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$9,126 - $18,070
from 3 insurers · median $11,553
21 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58661
$7,556 - $18,070
from 3 insurers · median $11,553
Typical for a hospital with this service line
MRI imaging
CPT 73721
$393 - $2,441
from 4 insurers · median $1,715
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 745% | 22 | 1 |
| Insurer B* | 17 | 494% | 14 | 2 |
| Insurer C* | 24 | 288% | 21 | 1 |
| Insurer D* | 24 | 210% | 13 | 4 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Baylor Scott & White Heart And Vascular Hospital - Dallas, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$110.2M net patient revenue
Ownership and leadership
Owned by Baylor Regional Medical Center At Plano
The employer identification numbers (EINs) health plans and networks list for Baylor Scott & White Heart And Vascular Hospital - Dallas in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 75-2834135Baylor Heart And Vascular Center LLP | 36Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, Aspirus Health Plan and 31 more | 1609855139 Texas Heart Hospital Of The Southwest LLC1023486057 Baylor Heart & Vascular Center LLP |
| 41-2101361Texas Heart Hospital Of The Southwest | 43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 38 more | 1962504340 Texas Heart Hospital Of The Southwest LLC1609855139 Texas Heart Hospital Of The Southwest LLC1104164755 Texas Heart Hospital Of The Southwest LLPand 2 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
621 NORTH HALL STREET, Dallas, TX 75226
(214) 820-0670
How Baylor Scott & White Heart And Vascular Hospital - Dallas compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 4 measures
0 better, 2 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
87%
Higher than 94% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.84
Lower than 88% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | No different on 3 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 2 of 4 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 87% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.84 | 2022-07-01 to 2024-06-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Baylor Scott & White Heart And Vascular Hospital - Dallas's inpatient payments for its readmissions, quality and cost results.
-0.56% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.91% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Baylor Scott & White Heart And Vascular Hospital - Dallas, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 989 cases | 3.7 | 3.9 | 3.887 | Better than 62% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 114 cases | 10.2 | 11.8 | 11.91 | Better than 93% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 153 cases | 9.3 | 11 | 10.52 | Better than 81% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 14.69 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 930 cases | 0.36 | 0.51 | 0.52 | No Different Than the National Rate | Better than 72% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,860 cases | 0.26 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 85% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,960 cases | 0.25 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 953 cases | 2.17 | 2.29 | 2.31 | No Different Than the National Rate | Better than 70% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 460 cases | 1.35 | 1.63 | 1.619 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 528 cases | 8.46 | 8.88 | 10.06 | No Different Than the National Rate | Better than 61% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 944 cases | 2.84 | 3.4 | 3.337 | No Different Than the National Rate | Better than 87% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 502 cases | 4.35 | 5.105 | 5.234 | No Different Than the National Rate | Better than 86% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 35 cases | 1.74 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 167 cases | 1.29 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 88% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 138 cases | 35.5 | 4.2 | 11.3 | Worse than 88% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 191 cases | 7.9 | 1.25 | -1.323 | Worse than 59% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 2.422 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 13.1 | Number of Cases Too Small | ||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 326 cases | 1 | 1 | 1.017 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 191 cases | 15.4 | 14.4 | 14.48 | Worse than 88% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.85 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 240 cases | 21.7 | 21.3 | 21.26 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.32 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 5,045 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.124 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.481 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 4,197 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.155 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.82 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 131 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.62 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.647 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 121 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.047 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9659 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 13,475 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.376 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.149 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 13,475 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.608 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 647 cases | 83 | 73 | 75.97 | Better than 84% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 647 cases | 4 | 8 | 7.771 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 647 cases | 13 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 92 | 87 | 87.82 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 647 cases | 5 | 4 | 3.712 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 647 cases | 87 | 80 | 79.96 | Better than 87% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 95 | 91 | 90.97 | Better than 91% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 647 cases | 2 | 4 | 4.535 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 647 cases | 5 | 3 | 3.275 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 647 cases | 11 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 647 cases | 84 | 79 | 79.72 | Better than 76% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 93 | 91 | 90.24 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 647 cases | 4 | 5 | 5.687 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 647 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 647 cases | 12 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 647 cases | 71 | 61 | 62.66 | Better than 86% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 83 | 77 | 76.88 | Better than 88% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 647 cases | 15 | 19 | 19.26 | Better than 74% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 647 cases | 4 | 3 | 2.672 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 647 cases | 14 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 89 | 86 | 84.56 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 647 cases | 11 | 13 | 13.98 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 647 cases | 4 | 3 | 3.07 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 647 cases | 89 | 87 | 86.02 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 647 cases | 13 | 14 | 16.2 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 647 cases | 87 | 86 | 83.8 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 79 | 74 | 74.6 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 6 | 7 | 7.327 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 15 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 84 | 77 | 77.72 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 4 | 6 | 6.395 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 12 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 90 | 85 | 85.15 | Better than 83% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 2 | 3 | 4.015 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 8 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 647 cases | 4 | 8 | 8.293 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 647 cases | 12 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 647 cases | 84 | 72 | 73.52 | Better than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 94 | 88 | 88.12 | Better than 96% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 647 cases | 5 | 3 | 3.319 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 647 cases | 84 | 74 | 74.97 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 647 cases | 7 | 9 | 9.68 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 647 cases | 9 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 81 | 75 | 75.27 | Better than 84% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 4 | 5 | 6.154 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 647 cases | 15 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 87 | 77 | 76.85 | Better than 93% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 2 | 4 | 5 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 647 cases | 11 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 92 | 86 | 85.92 | Better than 87% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 1 | 3 | 3.094 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 647 cases | 7 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 647 cases | 66 | 59 | 65.6 | Better than 72% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 647 cases | 6 | 9 | 7.774 | Better than 70% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 647 cases | 28 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 86 | 82 | 84.26 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 647 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 647 cases | 2 | 5 | 6.017 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 647 cases | 87 | 71 | 72.87 | Better than 94% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 647 cases | 94 | 87 | 87.21 | Better than 94% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 647 cases | 11 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 647 cases | 5 | 4 | 3.694 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 647 cases | 58 | 47 | 49.46 | Better than 88% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 647 cases | 23 | 30 | 29.64 | Better than 81% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 647 cases | 19 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 647 cases | 4 | 3 | 3.266 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 647 cases | 9 | 12 | 12.55 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 647 cases | 91 | 88 | 87.45 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,540 cases | 95 | 79 | 72.24 | Better than 86% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 151 | |||
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 146 | |||
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 331 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 1.372 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.54 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,250 cases | 15 | 15 | 13.94 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 66.54 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 71.35 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.14 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.38 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 3,811 cases | 85 | 90 | 78.56 | Worse than 62% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,440 cases | 89 | 97 | 93.78 | Worse than 83% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 7.719 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.859 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 1.034 | Better than 58% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 55 | 20 | 25.32 | Better than 93% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 18.33 | 5 | 6.413 | Better than 98% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 6.145 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 6.667 | 2.5 | 1.611 | Better than 67% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 95 | 34 | 39.47 | Better than 99% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 31.67 | 8.75 | 10.13 | Better than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 48.35 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 12.26 | |||
| VBP total performance scoreFY 2026 | 56.67 | 29.5 | 29.94 | Better than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 80 | 85 | 60 | 30 | 25 | 55 |
| VBP clinical outcomes weighted domain score | 26.67 | 21.25 | 15 | 10 | 8.333 | 18.33 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 0 | 20 | 20 | 20 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 0 | 6.667 | 6.667 | 6.667 |
| VBP person and community engagement domain score | 72 | Not Available | Not Available | 69 | 82 | 95 |
| VBP person and community engagement weighted domain score | 24 | Not Available | Not Available | 23 | 27.33 | 31.67 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP total performance score | 60.67 | Not Available | Not Available | 39.67 | 42.33 | 56.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 153 cases | 1.157 | 0.9995 | 1.013 | Worse than 98% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 183 cases | 0.9387 | 0.9983 | 1 | Better than 85% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9986 | 0.9498 | 1.048 | 0.9955 | 1.093 | 1.157 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | 0.9746 | 0.9809 | 0.9701 | 0.9779 | 0.9269 | 0.9387 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.425 | 0.346 | 0.2562 | Worse than 62% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8361 | 0.9628 | 0.9684 | Better than 88% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | -0.44 | -0.0453 | -0.1734 | Better than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -1.427 | -1.485 | 0 | -0.5108 | -0.2766 | -0.44 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
61
Medicare-certified beds
117
Registered nurses (full-time equivalent)
2002
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Baylor Scott & White Heart And Vascular Hospital - Dallas reported to Medicare in its latest cost report, covering Feb 1, 2025 to Jun 30, 2025.
1,218
Inpatient discharges
Medicare 41%, Medicaid 0%
4,719
Inpatient days
57% of available bed days used
576
Employees (full-time equivalent)
8
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824199). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Baylor Scott & White Heart And Vascular Hospital - Dallas reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,541 | 5 | 3,173 | 4,719 |
| Discharges | 495 | 1 | 722 | 1,218 |
| Average length of stay | 3.1 days | 5.0 days | 4.4 days | 3.9 days |
| Average daily census | 10.3 | 0.0 | 21.2 | 31.5 |
303
Medicare Advantage days
58 discharges
295
Medicaid managed care days
69 discharges
529
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 55 | 4,719 | 1,541 | 57% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Baylor Scott & White Heart And Vascular Hospital - Dallas treats Medicare patients for most often, in 2024. 911 Medicare discharges in 25 published DRGs; 75% surgical; 48% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 179 | $122,423 | $20,923 | $22,403 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 113 | $207,930 | $43,151 | $38,051 | 6.25 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 88 | $187,920 | $31,810 | $34,389 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 50 | $47,712 | $5,426 | $8,731 | 1.08 |
| Heart failure and shock with MCCMS-DRG 291, medical | 45 | $37,716 | $6,557 | $6,902 | 1.28 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 43 | $75,218 | $20,897 | $13,765 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $108,851 | $10,044 | $19,920 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 37 | $128,649 | $17,777 | $23,543 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 33 | $67,859 | $11,328 | $12,418 | 2.16 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 30 | $134,608 | $19,301 | $24,633 | 3.18 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $14,949 | $3,445 | $2,736 | 0.74 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 27 | $62,301 | $11,519 | $11,401 | 1.81 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $12,460 | $2,197 | $2,280 | 0.55 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 17 | $70,457 | $14,406 | $12,894 | 2.30 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 17 | $127,348 | $27,741 | $23,305 | 4.16 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 16 | $34,465 | $6,817 | $6,307 | 1.14 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 16 | $90,442 | $21,533 | $16,551 | 3.46 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 16 | $152,914 | $25,110 | $27,983 | 3.90 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $108,447 | $14,094 | $19,846 | 2.28 |
| Other vascular procedures with CCMS-DRG 253, surgical | 14 | $91,035 | $16,928 | $16,659 | 2.55 |
See all 25 Medicare inpatient DRGs at Baylor Scott & White Heart And Vascular Hospital - Dallas
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Baylor Scott & White Heart And Vascular Hospital - Dallas billed Medicare for most in 2024: 2,498 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 807 | 804 | $30,615 | $2,045 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 380 | 370 | $143,852 | $19,375 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 374 | 350 | $79,624 | $8,102 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 188 | 187 | $56,689 | $7,928 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 152 | 145 | $44,009 | $3,990 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 109 | 106 | $22,116 | $2,201 | $2,405 |
| Level 4 Endovascular ProceduresAPC 5194 | 104 | 97 | $103,619 | $14,116 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 90 | 77 | $33,522 | $3,896 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 87 | 87 | $143,996 | $27,079 | $29,375 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 70 | 70 | $92,238 | $15,858 | $17,052 |
See all 15 Medicare outpatient services at Baylor Scott & White Heart And Vascular Hospital - Dallas
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Baylor Scott & White Heart And Vascular Hospital - Dallas in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 648 in 2020 to 1,215 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75165 | 112 | 9% | 411 | $13.1M | 5% | 4% |
| 75119 | 63 | 5% | 257 | $6.7M | 5% | 4% |
| 75154 | 55 | 5% | 159 | $5.5M | 3% | 3% |
| 75110 | 50 | 4% | 162 | $5.1M | 3% | 5% |
| 75217 | 50 | 4% | 256 | $6.6M | 2% | 1% |
| 76065 | 48 | 4% | 139 | $5M | 3% | 2% |
| 75126 | 44 | 4% | 137 | $5.4M | 3% | 2% |
| 75227 | 41 | 3% | 154 | $4M | 2% | 3% |
| 75228 | 39 | 3% | 195 | $4M | 2% | 1% |
| 75043 | 33 | 3% | 106 | $3.1M | 1% | 1% |
| 75150 | 32 | 3% | 130 | $2.6M | 2% | 1% |
| 75189 | 30 | 2% | 80 | $3.9M | 2% | |
| 75149 | 29 | 2% | 114 | $3.4M | 1% | 1% |
| 75216 | 29 | 2% | 95 | $2.3M | 1% | 1% |
| 75214 | 27 | 2% | 57 | $2.7M | 3% | 2% |
| 75402 | 27 | 2% | 72 | $2.9M | 2% | 2% |
| 75142 | 26 | 2% | 73 | $2.7M | 3% | 2% |
| 75087 | 25 | 2% | 53 | $4M | 2% | 2% |
| 75115 | 24 | 2% | 107 | $2.4M | 1% | 1% |
| 75160 | 24 | 2% | 90 | $2.5M | 2% | 2% |
| 75167 | 23 | 2% | 74 | $2.5M | 6% | |
| 75215 | 23 | 2% | 112 | $1.9M | 2% | 2% |
| 75205 | 20 | 2% | 37 | $2.1M | 4% | 3% |
| 75225 | 20 | 2% | 36 | $2M | 2% | |
| 75152 | 19 | 2% | 68 | $1.9M | 9% | 8% |
Source: CMS Hospital Service Area file. Shares are of the 1,215 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Baylor Scott & White Heart And Vascular Hospital - Dallas reported at its latest Medicare certification survey (2015). Counts are people, not full-time equivalents.
4
Operating rooms
8
Cardiac catheterization rooms
2
Off-site locations
117
Registered nurses
3
Nurse practitioners
11
Pharmacists
3
Radiology technicians
7
Laboratory technicians
1
Social workers
160
Other personnel
Source: CMS Provider of Services file.
567 clinicians who bill Medicare list Baylor Scott & White Heart And Vascular Hospital - Dallas as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Robert Berryman, M.D.
Medical Oncology Physician
NPI 1871535823
See commercial rates for Robert Berryman, M.D.Mezgebe Berhe, MD
Infectious Disease Physician
NPI 1831155787
See commercial rates for Mezgebe Berhe, MDWaleed El-Feky, M.D.
Neurology Physician
NPI 1528033362
See commercial rates for Waleed El-Feky, M.D.Christopher Bettacchi, MD
Infectious Disease Physician
NPI 1083669543
See commercial rates for Christopher Bettacchi, MDAmy Haberman, MD
Diagnostic Radiology Physician
NPI 1467778944
See commercial rates for Amy Haberman, MDNina Sandhu, DO
Interventional Pain Medicine Physician
NPI 1790929263
See commercial rates for Nina Sandhu, DORaymon Aggarwal, M.D.
Internal Medicine Physician
NPI 1821007279
See commercial rates for Raymon Aggarwal, M.D.Patrick Cox, M.D., PH.D.
Diagnostic Radiology Physician
NPI 1255478525
See commercial rates for Patrick Cox, M.D., PH.D.Cedric Spak, MD
Infectious Disease Physician
NPI 1063575199
See commercial rates for Cedric Spak, MDAdam Sheffield, MD
Clinical Neurophysiology Physician
NPI 1316478373
See commercial rates for Adam Sheffield, MDSrirekha Maddukuri, MD
Neurology Physician
NPI 1952591059
See commercial rates for Srirekha Maddukuri, MDRohit Parmar, MD
Nuclear Cardiology Physician
NPI 1114985405
See commercial rates for Rohit Parmar, MDClinton Haley, M.D.
Infectious Disease Physician
NPI 1871733188
See commercial rates for Clinton Haley, M.D.Courtney Campbell, MD
Cardiovascular Disease Physician
NPI 1295129187
See commercial rates for Courtney Campbell, MDAmir Khan, MD
Pulmonary Disease Physician
NPI 1467680868
See commercial rates for Amir Khan, MDHakam Asaad, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician
NPI 1871603241
See commercial rates for Hakam Asaad, MDMohanakrishnan Sathyamoorthy, M.D.
Cardiovascular Disease Physician
NPI 1134233588
See commercial rates for Mohanakrishnan Sathyamoorthy, M.D.Ravi Vallabhan, MD
Interventional Cardiology Physician
NPI 1184672602
See commercial rates for Ravi Vallabhan, MDRajjit Abrol, MD
Clinical Cardiac Electrophysiology Physician
NPI 1164530739
See commercial rates for Rajjit Abrol, MDChristopher French, MD, PHD
Cardiovascular Disease Physician
NPI 1457641466
See commercial rates for Christopher French, MD, PHDDavid Lofthus, M.D.
Cardiovascular Disease Physician
NPI 1851568968
See commercial rates for David Lofthus, M.D.Aleem Mughal, MD
Clinical Cardiac Electrophysiology Physician
NPI 1770804981
See commercial rates for Aleem Mughal, MDAlan Donsky, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1699734731
See commercial rates for Alan Donsky, M.D.Jay Franklin, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1932173945
See commercial rates for Jay Franklin, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Baylor Scott & White Heart And Vascular Hospital - Dallas reported to Medicare for Feb 1, 2025 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $419.7M | 381.0% |
| Inpatient | $131.4M | 119.3% |
| Outpatient | $288.3M | 261.7% |
| Contractual allowances and discounts | -$309.5M | -281.0% |
| Net patient revenue | $110.2M | 100.0% |
| Operating expenses | -$93.1M | -84.5% |
| Operating income from patient care | $17M | 15.5% |
| Other income | $24.4M | 22.1% |
| Investment income | $1.3M | 1.2% |
| Other | $23M | 20.9% |
| Net income | $41.4M | 37.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $150.9M | 36.0% |
| Medicaid (including managed care) | $742,089 | 0.2% |
| Other payers and self-pay | $268M | 63.9% |
| Total charges | $419.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Baylor Scott & White Heart And Vascular Hospital - Dallas's latest cost report, which covers 150 days; income and expense figures are scaled to a year.
15.5%
Operating margin
Operating income from patient care / net patient revenue
30.8%
Total margin
Net income / net patient revenue plus other income
35.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
31% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$48.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
41.4%
Return on assets
Net income for a year / total assets
61.6%
Return on equity
Net income for a year / fund balance
4.88
Current ratio
Current assets / current liabilities
4.13
Quick ratio
Cash, temporary investments and net receivables / current liabilities
132 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
58 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.35
Asset turnover
Total revenue for a year / total assets
9.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Baylor Scott & White Heart And Vascular Hospital - Dallas owned and owed at the end of its reporting period (Jun 2025), across all fund types: $243.3M in total assets and a $163.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $78M | 32.1% |
| Patient receivables, net | $42.3M | 17.4% |
| Inventory | $12.4M | 5.1% |
| Total current assets | $142M | 58.3% |
| Property and equipment, net of depreciation | $48.8M | 20.1% |
| Investments and other assets | $52.5M | 21.6% |
| Total assets | $243.3M | 100.0% |
| Current liabilities | $29.1M | 12.0% |
| Total liabilities | $79.8M | 32.8% |
| Fund balance (net assets) | $163.5M | 67.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Baylor Scott & White Heart And Vascular Hospital - Dallas provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$56,987
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8,827
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$1.8M
Total unreimbursed and uncompensated care
1.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Baylor Scott & White Heart And Vascular Hospital - Dallas's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $200.9M | $220M | $241.8M | $255M | $283.7M |
| Operating expenses | $147.3M | $149.5M | $163.1M | $178.4M | $197.1M |
| Operating margin | 26.7% | 32.1% | 32.5% | 30.0% | 30.5% |
| Net income | $60.4M | $74.7M | $81.2M | $80.4M | $90.6M |
| Total assets | $183.6M | $201.7M | $192.3M | $207.4M | $205.1M |
| Discharges | 2,284 | 2,550 | 2,623 | 2,813 | 2,820 |
| Inpatient days | 7,360 | 9,524 | 9,781 | 9,928 | 10,586 |
| Medicare Advantage days | 1,234 | 2,052 | 2,404 | 2,810 | 3,221 |
| Beds | 53 | 53 | 53 | 53 | 56 |
| Employees (FTE) | 460 | 454 | 460 | 487 | 535 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Baylor Scott & White Heart And Vascular Hospital - Dallas reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $13.9M | $44.1M | 0.32 | ||
| Cardiac catheterization | $3.5M | $8.9M | $109.9M | 0.08 | 57,565 |
| Impl. dev. charged to patients | $7.8M | $45.1M | 0.17 | ||
| Electrocardiology | $2.8M | $6.1M | $113.2M | 0.05 | 30,638 |
| Drugs charged to patients | $3.1M | $13M | 0.24 | ||
| Operating room | $1.2M | $3.1M | $13.2M | 0.23 | 11,562 |
| Pre/post recovery room | $2.1M | $2.7M | $2.3M | 1.17 | 18,272 |
| Anesthesiology | $142,367 | $2.1M | $8.5M | 0.25 | 256 |
| Radiology-diagnostic | $777,835 | $1.1M | $22.6M | 0.05 | 4,040 |
| Respiratory therapy | $408,089 | $1.1M | $10.1M | 0.11 | 5,407 |
| Laboratory | $524,056 | $983,607 | $13.8M | 0.07 | 1,208 |
| Recovery room | $679,862 | $921,354 | $3.6M | 0.26 | 5,637 |
| Observation beds (non-distinct part | $728,629 | $2.3M | 0.32 | ||
| Cardiac rehabilitation | $953,260 | $516,646 | $1.7M | 0.30 | 6,186 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6M | $10.5M | $16.3M | 0.64 | 51,701 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.2M | $9.7M | 56,724 | $52.31 | 16,312 |
| Cap rel costs-bldg & fixt | $3.7M | 255,451 | |||
| Cap rel costs-mvble equip | $2.8M | ||||
| Employee benefits department | $50,958 | $2.1M | 880 | $57.91 | |
| Pharmacy | $965,466 | $2M | 14,369 | $67.19 | 1,441 |
| Dietary | $444,231 | 3,005 | |||
| Central services & supply | $325,980 | $347,499 | 9,344 | $34.89 | 2,229 |
| Laundry & linen service | $246,974 | 80 | |||
| Social service | $153,495 | $204,380 | 3,448 | $44.51 | 136 |
| I&r services-other prgm costs apprv | $138,763 | 2,527 | |||
| Medical records & library | $113,921 | $126,266 | 3,760 | $30.30 | 597 |
| Operation of plant | $26,964 | 22,503 | |||
| Nursing administration | $938 | $2,421 | 12 | $80.03 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824199, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Baylor Scott & White Heart And Vascular Hospital - Dallas for an inpatient stay.
3.33
Case mix index
Higher than 98% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.07 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
12.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,212
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 3.02 | 3.02 | 3.00 | 2.86 | 2.83 | 3.10 | 3.33 |
| Wage index | 0.961 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | -0.03% | 0.00% | -0.31% | 0.00% | -0.37% | -0.56% |
| Value-based purchasing adjustment | +0.51% | +1.89% | +1.89% | +0.45% | +1.76% | +1.79% | +1.91% |
| Medicare inpatient stays | 1,258 | 1,258 | 1,141 | 1,001 | 1,147 | 1,090 | 1,212 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Baylor Scott & White Heart And Vascular Hospital - Dallas reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Baylor Regional Medical Center At Plano
5% or greater direct ownership interest, 51%, since 2025
Baylor Health Care System
Operational/managerial control, since 2025
Baylor Scott & White Health
Operational/managerial control, since 2025
Texas Heart Hospital Of The Southwest LLC
Operational/managerial control, since 2025
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Baylor Scott & White Heart And Vascular Hospital - Dallas's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 17 of 18 are shown.
About Baylor Scott & White Heart And Vascular Hospital - Dallas's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baylor Scott & White Heart And Vascular Hospital - Dallas range from $792 to $2,577 across 4 insurers. Cigna's rate is $2,125. The median at nearby comparable hospitals is $1,037. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baylor Scott & White Heart And Vascular Hospital - Dallas range from $1,821 to $2,642 across 4 insurers. Blue Cross Blue Shield's rate is $2,642. The median at nearby comparable hospitals is $983. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Baylor Scott & White Heart And Vascular Hospital - Dallas range from $2,426 to $11,887 across 4 insurers. UnitedHealthcare's rate is $2,426. The median at nearby comparable hospitals is $1,806. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baylor Scott & White Heart And Vascular Hospital - Dallas range from $167 to $375 across 4 insurers. Aetna's rate is $208. The median at nearby comparable hospitals is $167. What a patient pays depends on their plan's deductible, coinsurance and network status.
Baylor Scott & White Heart And Vascular Hospital - Dallas has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
Yes. CMS counts 0.07 Medicare-funded residents per bed at Baylor Scott & White Heart And Vascular Hospital - Dallas for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baylor Scott & White Heart And Vascular Hospital - Dallas's base inpatient payments by an estimated 0.56% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were percutaneous and other intracardiac procedures without mcc (179 discharges), endovascular cardiac valve replacement and supplement procedures with mcc (113 discharges), endovascular cardiac valve replacement and supplement procedures without mcc (88 discharges).
Baylor Scott & White Heart And Vascular Hospital - Dallas's Medicare case mix index is 3.33 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.
Baylor Scott & White Heart And Vascular Hospital - Dallas reported 1,218 inpatient discharges and 4,719 inpatient days from Feb 1, 2025 to Jun 30, 2025.
Baylor Scott & White Heart And Vascular Hospital - Dallas reported 576 full-time-equivalent employees on payroll from Feb 1, 2025 to Jun 30, 2025.
Baylor Scott & White Heart And Vascular Hospital - Dallas reported $110.2M in net patient revenue on $419.7M of gross charges for Feb 1, 2025 to Jun 30, 2025, an operating margin of 15.5%, and net income of $41.4M.
Baylor Scott & White Heart And Vascular Hospital - Dallas reported $1.8M of unreimbursed and uncompensated care for Feb 1, 2025 to Jun 30, 2025, including $1.3M of charity care at cost.
Insurers' price transparency files list Baylor Scott & White Heart And Vascular Hospital - Dallas under employer identification number 75-2834135 (Baylor Heart And Vascular Center LLP), and 1 other tax ID. 36 health plans and networks list 75-2834135 for it.
567 clinicians who bill Medicare list Baylor Scott & White Heart And Vascular Hospital - Dallas as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are certified registered nurse anesthetist (74), diagnostic radiology physician (54), internal medicine physician (46).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Baylor Scott & White Heart And Vascular Hospital - Dallas, effective 2023.
In its Medicare enrollment, Baylor Scott & White Heart And Vascular Hospital - Dallas reports Baylor Regional Medical Center At Plano as 5% or greater direct ownership interest (51%).
CMS lists 28 services at Baylor Scott & White Heart And Vascular Hospital - Dallas, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Baylor Scott & White Heart And Vascular Hospital - Dallas came from ZIP codes 75165 (112), 75119 (63), 75154 (55).
Baylor Scott & White Heart And Vascular Hospital - Dallas has 55 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 61 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Baylor Scott & White Heart And Vascular Hospital - Dallas is located at 621 NORTH HALL STREET, Dallas, TX 75226. Its main phone number is (214) 820-0670.
Baylor Scott & White Heart And Vascular Hospital - Dallas's CMS Certification Number (CCN), also called its Medicare provider number, is 450851.
The National Provider Identifier (NPI) on file for Baylor Scott & White Heart And Vascular Hospital - Dallas is 1609855139.
Baylor Scott & White Heart And Vascular Hospital - Dallas is affiliated with Baylor Scott and White Health.
Baylor Scott & White Heart And Vascular Hospital - Dallas lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
441 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers