Tenet Healthcare Corporation · Sunnyvale, TX
2 of 5
CMS star rating
70
Beds
4,598
Inpatient discharges a year
$124.8M
Net patient revenue a year
30
In-network payers
Baylor Scott & White Medical Center - Sunnyvale is a 70-bed proprietary hospital in Sunnyvale, TX, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 438 disclosed rate categories.
The 24 services Baylor Scott & White Medical Center - Sunnyvale 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.
Childbirth · Inpatient
MS-DRG 807
$5,066 - $9,710
from 3 insurers · median $8,941
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,973 - $13,747
from 3 insurers · median $12,714
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$2,077 - $4,822
from 4 insurers · median $3,137
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$71,869 - $180,502
from 4 insurers · median $121,209
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 70450
$281 - $1,651
from 4 insurers · median $1,265
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$2,077 - $3,066
from 4 insurers · median $2,465
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,066 - $9,710
from 3 insurers · median $8,941
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 71275
$1,656 - $2,252
from 4 insurers · median $1,971
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,336 - $3,017
from 4 insurers · median $2,609
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,276 - $2,046
from 4 insurers · median $1,699
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$23,394 - $48,220
from 4 insurers · median $39,319
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 29881
$5,177 - $9,363
from 4 insurers · median $5,559
33 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$2,585 - $3,398
from 4 insurers · median $3,022
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,085 - $3,315
from 4 insurers · median $2,801
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $3,266
from 4 insurers · median $2,410
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$18,930 - $35,162
from 4 insurers · median $28,953
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$14,957 - $35,511
from 4 insurers · median $24,412
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$400 - $2,349
from 4 insurers · median $1,828
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$387 - $2,706
from 4 insurers · median $1,679
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,513 - $3,017
from 4 insurers · median $2,644
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,305 - $5,068
from 4 insurers · median $3,180
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,051 - $13,111
from 3 insurers · median $9,483
Typical for a hospital with this service line
Mammography
CPT 77067
$135 - $375
from 4 insurers · median $168
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$181 - $332
from 4 insurers · median $215
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* | 20 | 410% | 6 | 11 |
| Insurer B* | 24 | 318% | 13 | 7 |
| Insurer C* | 24 | 252% | 7 | 14 |
| Insurer D* | 24 | 213% | 5 | 12 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 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 Medical Center - Sunnyvale, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$124.8M net patient revenue
Ownership and leadership
Owned by Trmc Holdings Inc
The employer identification numbers (EINs) health plans and networks list for Baylor Scott & White Medical Center - Sunnyvale 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 |
|---|---|---|
| 51-0570864Texas Regional Medical Center LLC | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more | 1255579389 Texas Regional Medical Center LLC |
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.
231 South Collins Road, Sunnyvale, TX 75182
(972) 892-3000
How Baylor Scott & White Medical Center - Sunnyvale compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 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 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
51%
Lower than 97% 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)
0.87
Lower than 82% 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
Time in the ER before going home
228 min
Higher than 91% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
42%
Lower than 90% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | No different on 6 measures | |
| Readmissions | Mixed on 6 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 51% | 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) | 0.87 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: 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 better | 228 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 42% | 2024-10-01 to 2025-09-30 |
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 Medical Center - Sunnyvale's inpatient payments for its readmissions, quality and cost results.
-0.52% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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 Medical Center - Sunnyvale, 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 · 1,353 cases | 4.6 | 3.9 | 3.887 | Worse than 80% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 44 cases | 12.6 | 11.8 | 11.91 | Worse than 75% 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 · 42 cases | 8.4 | 8.5 | 8.703 | Better than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 111 cases | 12.7 | 11 | 10.52 | Worse than 80% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 162 cases | 14.7 | 15.2 | 14.69 | Better than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 86 cases | 12.5 | 11.6 | 12.01 | Worse than 63% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,125 cases | 0.37 | 0.51 | 0.52 | No Different Than the National Rate | Better than 71% 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 · 1,651 cases | 0.19 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,660 cases | 0.26 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 267 cases | 2.2 | 2.29 | 2.31 | No Different Than the National Rate | Better than 66% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 55 cases | 1.65 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 64 cases | 8.33 | 8.88 | 10.06 | No Different Than the National Rate | Better than 64% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 276 cases | 3.2 | 3.4 | 3.337 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 44 cases | 5.11 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 51 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 · 192 cases | 1.02 | 1.02 | 1.035 | No Different Than the National Rate | Better than 48% 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 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 126 cases | -30.6 | 1.25 | -1.323 | Better than 88% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 174 cases | 7.1 | 3.85 | 2.422 | Worse than 55% of US hospitals | |
| 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 · 34 cases | 12.7 | 12.9 | 13.1 | No Different Than the National Rate | Better than 63% of US hospitals |
| 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 · 95 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 · 103 cases | 14.7 | 14.4 | 14.48 | Worse than 65% 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 · 101 cases | 19.7 | 19.8 | 19.85 | Better than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 286 cases | 19.5 | 21.3 | 21.26 | Better than 93% 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 · 410 cases | 17.9 | 17.2 | 17.32 | Worse than 74% of US hospitals |
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 | 0.153 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.012 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 3,520 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.194 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.912 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 80% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.751 | 0.138 | 0.1526 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.699 | 1.392 | 1.474 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,267 | 1,799 | 4,197 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.693 | 1.377 | 5.155 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 4 | 0 | 1.82 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 2.363 | 0.399 | 0.3671 | No Different than National Benchmark | Worse than 99% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.05 | 0.2345 | 0.2931 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.902 | 2.135 | 2.124 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 34 | 61 | 131 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.006 | 1.591 | 3.62 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.647 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.994 | 0.7155 | 0.6967 | No Different than National Benchmark | Worse than 68% of US hospitals |
| 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 | 15 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.123 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 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 | 0.038 | 0.193 | 0.2282 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.725 | 1.855 | 2.053 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 22,587 | 14,451 | 42,649 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.324 | 0.567 | 2.717 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.635 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.755 | 0.597 | 0.6545 | No Different than National Benchmark | Worse than 64% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.048 | 0.127 | 0.1195 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.951 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 22,587 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 6.945 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.288 | 0.279 | 0.2623 | Better than the National Benchmark | Worse than 51% 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 · 388 cases | 61 | 73 | 75.97 | Worse than 92% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 388 cases | 16 | 8 | 7.771 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 388 cases | 23 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 80 | 87 | 87.82 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 388 cases | 2 | 4 | 3.712 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 388 cases | 65 | 80 | 79.96 | Worse than 99% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 83 | 91 | 90.97 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 388 cases | 13 | 4 | 4.535 | Worse than 99% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 388 cases | 1 | 3 | 3.275 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 388 cases | 22 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 388 cases | 71 | 79 | 79.72 | Worse than 93% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 87 | 91 | 90.24 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 388 cases | 9 | 5 | 5.687 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 388 cases | 2 | 3 | 2.956 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 388 cases | 20 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 388 cases | 49 | 61 | 62.66 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 66 | 77 | 76.88 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 388 cases | 33 | 19 | 19.26 | Worse than 99% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 388 cases | 1 | 3 | 2.672 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 388 cases | 18 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 78 | 86 | 84.56 | Worse than 95% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 388 cases | 21 | 13 | 13.98 | Worse than 94% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 388 cases | 2 | 3 | 3.07 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 388 cases | 79 | 87 | 86.02 | Worse than 94% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 388 cases | 24 | 14 | 16.2 | Worse than 94% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 388 cases | 76 | 86 | 83.8 | Worse than 94% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 66 | 74 | 74.6 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 11 | 7 | 7.327 | Worse than 90% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 23 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 70 | 77 | 77.72 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 10 | 6 | 6.395 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 20 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 77 | 85 | 85.15 | Worse than 95% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 5 | 3 | 4.015 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 18 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 388 cases | 20 | 8 | 8.293 | Worse than 98% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 388 cases | 25 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 388 cases | 55 | 72 | 73.52 | Worse than 96% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 79 | 88 | 88.12 | Worse than 98% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 388 cases | 1 | 3 | 3.319 | The lowest rating, shared by 2% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 388 cases | 61 | 74 | 74.97 | Worse than 99% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 388 cases | 21 | 9 | 9.68 | Worse than 99% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 388 cases | 18 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 60 | 75 | 75.27 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 14 | 5 | 6.154 | Worse than 98% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 388 cases | 26 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 62 | 77 | 76.85 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 14 | 4 | 5 | Worse than 99% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 388 cases | 24 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 72 | 86 | 85.92 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 11 | 3 | 3.094 | Worse than 99% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 388 cases | 17 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 388 cases | 54 | 59 | 65.6 | Worse than 67% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 388 cases | 18 | 9 | 7.774 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 388 cases | 28 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 77 | 82 | 84.26 | Worse than 76% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 388 cases | 2 | 3 | 3.821 | Worse than 76% 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 · 388 cases | 16 | 5 | 6.017 | Worse than 98% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 388 cases | 51 | 71 | 72.87 | Worse than 97% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 388 cases | 75 | 87 | 87.21 | Worse than 98% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 388 cases | 33 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 388 cases | 1 | 4 | 3.694 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 388 cases | 36 | 47 | 49.46 | Worse than 95% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 388 cases | 45 | 30 | 29.64 | Worse than 98% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 388 cases | 19 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 388 cases | 2 | 3 | 3.266 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 388 cases | 19 | 12 | 12.55 | Worse than 93% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 388 cases | 81 | 88 | 87.45 | Worse than 93% 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 | medium | ||||
| 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 · 8,276 cases | 13 | 8 | 6.38 | Worse than 84% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,728 cases | 7 | 1 | 1.192 | Worse than 99% of US hospitals | |
| 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 · 687 cases | 89 | 79 | 72.24 | Better than 69% 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 · 420 cases | 229 | 154 | 151 | Worse than 89% of US hospitals | |
| 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 · 407 cases | 228 | 148 | 146 | Worse than 91% of US hospitals | |
| 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 · 33,224 cases | 2 | 1 | 1.372 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 67 | 74 | 69.2 | Worse than 63% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 26 cases | 100 | 97 | 90.54 | The best result, shared by 27% of US hospitals | |
| 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 · 607 cases | 18 | 15 | 13.94 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 318 cases | 42 | 65 | 66.54 | Worse than 90% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 79 cases | 72 | 73 | 71.35 | Worse than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases | 63 | 88 | 89.11 | Worse than 93% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 318 cases | 64 | 82 | 82.14 | Worse than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 144 cases | 76 | 94 | 92.38 | Worse than 95% of US hospitals | |
| 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 · 2,307 cases | 75 | 90 | 78.56 | Worse than 76% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
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 | 2.5 | 5 | 7.719 | Better than 80% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5 | 6.6 | 6.859 | Better than 71% of US hospitals |
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 | 1.02 | 0.99 | 1.034 | Worse than 64% of US hospitals |
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 | 0.9878 | 0.9995 | 1.013 | Better than 58% 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 | 0.9764 | 0.9969 | 0.999 | Better than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 132 cases | 1.008 | 0.9983 | 1 | Worse than 56% 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 · 143 cases | 1.081 | 0.9955 | 1.003 | Worse than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.011 | 0.9912 | 0.949 | 0.984 | 0.9978 | 0.9878 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.065 | 1.038 | 1.07 | 0.9597 | 0.9874 | 0.9764 |
| READM-30-HF-HRRP | 1.063 | 1.121 | 1.03 | 0.9683 | 0.9458 | 1.008 |
| READM-30-HIP-KNEE-HRRP | 0.9585 | 1.037 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9429 | 0.9722 | 1.019 | 1.032 | 1.069 | 1.081 |
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 | 0.619 | 0.489 | 0.4327 | Worse than 63% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.7 | 0.346 | 0.2562 | Worse than 87% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.834 | 0.559 | 0.5596 | Worse than 73% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.6118 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8676 | 0.9628 | 0.9684 | Better than 82% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.312 | 0.7945 | 0.7483 | Better than 81% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2122 | -0.0453 | -0.1734 | Better than 62% 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 | -0.7437 | -0.9102 | 0 | -0.5478 | -0.4904 | -0.2122 |
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 2025)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
70
Medicare-certified beds
2009
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Baylor Scott & White Medical Center - Sunnyvale reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,598
Inpatient discharges
Medicare 19%, Medicaid 1%
22,203
Inpatient days
87% of available bed days used
339
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837371). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Baylor Scott & White Medical Center - Sunnyvale reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,542 | 166 | 17,495 | 22,203 |
| Discharges | 865 | 25 | 3,708 | 4,598 |
| Average length of stay | 5.3 days | 6.6 days | 4.7 days | 4.8 days |
| Average daily census | 12.4 | 0.5 | 47.9 | 60.8 |
5,856
Medicare Advantage days
1,367 discharges
1,417
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 62 | 19,796 | 4,001 | 87% |
| Intensive care unit | 8 | 2,407 | 541 | 82% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Baylor Scott & White Medical Center - Sunnyvale treats Medicare patients for most often, in 2024. 460 Medicare discharges in 21 published DRGs; 3% surgical; 80% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 107 | $56,644 | $11,276 | $10,706 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $39,211 | $6,880 | $7,411 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $40,112 | $7,028 | $7,581 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $33,450 | $3,905 | $6,322 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 19 | $43,085 | $6,983 | $8,143 | 1.32 |
| Renal failure with CCMS-DRG 683, medical | 19 | $30,635 | $3,881 | $5,790 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $27,242 | $3,904 | $5,149 | 0.78 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $42,119 | $7,826 | $7,961 | 1.50 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $39,895 | $5,142 | $7,540 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 16 | $59,937 | $9,404 | $11,328 | 1.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $43,637 | $6,448 | $8,247 | 1.17 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $132,096 | $30,183 | $24,966 | 5.00 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $53,700 | $8,214 | $10,149 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $49,213 | $6,412 | $9,301 | 1.20 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $37,176 | $4,730 | $7,026 | 0.98 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $56,514 | $9,684 | $10,681 | 1.65 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $34,371 | $5,833 | $6,496 | 1.10 |
| Syncope and collapseMS-DRG 312, medical | 12 | $32,829 | $4,748 | $6,205 | 0.86 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $31,712 | $4,362 | $5,993 | 0.81 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $40,458 | $5,739 | $7,646 | 1.23 |
See all 21 Medicare inpatient DRGs at Baylor Scott & White Medical Center - Sunnyvale
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 Medical Center - Sunnyvale billed Medicare for most in 2024: 312 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 52 | 51 | $22,921 | $1,959 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 38 | 34 | $26,657 | $2,285 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 35 | 35 | $25,336 | $2,023 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 32 | $50,956 | $2,245 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 30 | 30 | $142,829 | $9,852 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 25 | $99,488 | $5,130 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 22 | 22 | $46,502 | $7,598 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 19 | 17 | $77,579 | $7,813 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 18 | 17 | $38,207 | $4,093 | $4,338 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 17 | 17 | $21,212 | $1,015 | $1,220 |
See all 12 Medicare outpatient services at Baylor Scott & White Medical Center - Sunnyvale
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 Medical Center - Sunnyvale 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 1,569 in 2020 to 1,948 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75149 | 381 | 20% | 1,743 | $22.3M | 18% | 15% |
| 75150 | 228 | 12% | 1,099 | $13.2M | 11% | 11% |
| 75126 | 226 | 12% | 1,108 | $13.3M | 13% | 22% |
| 75181 | 173 | 9% | 725 | $8.7M | 21% | 22% |
| 75180 | 144 | 7% | 680 | $7.6M | 17% | 18% |
| 75217 | 128 | 7% | 566 | $6.4M | 5% | 4% |
| 75160 | 123 | 6% | 544 | $6.6M | 10% | 19% |
| 75159 | 101 | 5% | 432 | $4.9M | 12% | 14% |
| 75043 | 69 | 4% | 264 | $3.2M | 3% | 4% |
| 75182 | 69 | 4% | 320 | $3.6M | 30% | 33% |
| 75227 | 68 | 3% | 318 | $3.7M | 4% | 2% |
| 75253 | 54 | 3% | 268 | $3.4M | 12% | 10% |
| 75142 | 37 | 2% | 149 | $2M | 4% | 7% |
| 75169 | 37 | 2% | 152 | $1.6M | 4% | 7% |
| 75228 | 33 | 2% | 132 | $1.3M | 2% | 1% |
| 75161 | 27 | 1% | 107 | $1.3M | 8% | 25% |
| 75114 | 20 | 1% | 91 | $1.2M | 7% | |
| 75088 | 18 | 1% | 134 | $1.6M | 1% | |
| 75041 | 12 | 1% | 68 | $659,458 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,948 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 Medical Center - Sunnyvale reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
7
Operating rooms
2
Endoscopy rooms
2
Cardiac catheterization rooms
3
Off-site locations
30
Nurse practitioners
2
Pharmacists
5
Respiratory therapists
5
Radiology technicians
1
Nuclear medicine technicians
4
Medical technologists
1
Dietitians
87
Other personnel
Source: CMS Provider of Services file.
166 clinicians who bill Medicare list Baylor Scott & White Medical Center - Sunnyvale 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.
Sudha Teerdhala, MD
Medical Oncology Physician
NPI 1700828548
See commercial rates for Sudha Teerdhala, MDDavid Yin
Hematology & Oncology Physician
NPI 1992151153
See commercial rates for David YinYousef Kayyas, MD
Pulmonary Disease Physician
NPI 1326034802
See commercial rates for Yousef Kayyas, MDFahad Najeeb, M.D.
Internal Medicine Physician
NPI 1154353696
See commercial rates for Fahad Najeeb, M.D.Ashley Joseph, MD
Pain Medicine (Anesthesiology) Physician
NPI 1548618606
See commercial rates for Ashley Joseph, MDRobert Rinkenberger, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1194769133
See commercial rates for Robert Rinkenberger, M.D.Archana Rao, M.D
Nephrology Physician
NPI 1063615136
See commercial rates for Archana Rao, M.DAdeniran Ariyo, MD
Specialist
NPI 1578510921
See commercial rates for Adeniran Ariyo, MDJeff Zhao, D.O.
Orthopaedic Surgery Physician
NPI 1598828758
See commercial rates for Jeff Zhao, D.O.Mustafa Sardini, M.D.
Internal Medicine Physician
NPI 1891979175
See commercial rates for Mustafa Sardini, M.D.Fadi Nemeh, MD
Diagnostic Radiology Physician
NPI 1750815171
See commercial rates for Fadi Nemeh, MDAhmed Rizvi, MD
Diagnostic Radiology Physician
NPI 1376930131
See commercial rates for Ahmed Rizvi, MDEthan Colby, M.D.
Diagnostic Radiology Physician
NPI 1841450376
See commercial rates for Ethan Colby, M.D.Muhammad Chaudhry, MD
Nephrology Physician
NPI 1912191545
See commercial rates for Muhammad Chaudhry, MDSurachit Kumar, MD
Nephrology Physician
NPI 1598996993
See commercial rates for Surachit Kumar, MDMichael Sze, M.D.
Diagnostic Radiology Physician
NPI 1073503447
See commercial rates for Michael Sze, M.D.Prasad Maddukuri, MD
Cardiovascular Disease Physician
NPI 1902857295
See commercial rates for Prasad Maddukuri, MDYasser Etman, MD
Pulmonary Disease Physician
NPI 1295949980
See commercial rates for Yasser Etman, MDBrian Mcelaney, MD
Diagnostic Radiology Physician
NPI 1780638932
See commercial rates for Brian Mcelaney, MDZiad Sayedahmad, MD
Cardiovascular Disease Physician
NPI 1679987481
See commercial rates for Ziad Sayedahmad, MDLy Huynh, MD
Diagnostic Radiology Physician
NPI 1366505125
See commercial rates for Ly Huynh, MDShalini Paturi, M.D
Endocrinology, Diabetes & Metabolism Physician
NPI 1215191754
See commercial rates for Shalini Paturi, M.DIulian Burtea, MD
Diagnostic Radiology Physician
NPI 1871773507
See commercial rates for Iulian Burtea, MDMatthew Pompeo, MD
Surgery Physician
NPI 1821036542
See commercial rates for Matthew Pompeo, MDSource: 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 Medical Center - Sunnyvale reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $694.2M | 556.3% |
| Inpatient | $291M | 233.2% |
| Outpatient | $403.2M | 323.1% |
| Contractual allowances and discounts | -$569.4M | -456.3% |
| Net patient revenue | $124.8M | 100.0% |
| Operating expenses | -$103.6M | -83.0% |
| Operating income from patient care | $21.2M | 17.0% |
| Other income | $197,281 | 0.2% |
| Investment income | $51,165 | 0.0% |
| Other | $146,116 | 0.1% |
| Other expenses | -$271,307 | -0.2% |
| Net income | $21.1M | 16.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $91.2M | 13.1% |
| Medicaid (including managed care) | $32M | 4.6% |
| Other payers and self-pay | $571M | 82.2% |
| Total charges | $694.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, 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 Medical Center - Sunnyvale's latest cost report.
17.0%
Operating margin
Operating income from patient care / net patient revenue
16.9%
Total margin
Net income / net patient revenue plus other income
24.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
41% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$47.17
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
29.8%
Return on assets
Net income for a year / total assets
81.9%
Return on equity
Net income for a year / fund balance
1.40
Current ratio
Current assets / current liabilities
1.12
Quick ratio
Cash, temporary investments and net receivables / current liabilities
66 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
30 days
Days in patient receivables
Net patient receivables / daily net patient revenue
91 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.76
Asset turnover
Total revenue for a year / total assets
8.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Baylor Scott & White Medical Center - Sunnyvale owned and owed at the end of its reporting period (Dec 2025), across all fund types: $70.9M in total assets and a $25.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $18.4M | 26.0% |
| Patient receivables, net | $10.1M | 14.3% |
| Inventory | $2.1M | 2.9% |
| Total current assets | $35.4M | 50.0% |
| Property and equipment, net of depreciation | $7.8M | 11.1% |
| Investments and other assets | $27.6M | 38.9% |
| Total assets | $70.9M | 100.0% |
| Current liabilities | $25.4M | 35.8% |
| Total liabilities | $45.1M | 63.6% |
| Fund balance (net assets) | $25.8M | 36.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Baylor Scott & White Medical Center - Sunnyvale provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$45.5M
Bad debt
Patient bills written off as uncollectible, at charges
$680,721
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8.9M
Total unreimbursed and uncompensated care
8.6% 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 837371, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Baylor Scott & White Medical Center - Sunnyvale's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $89.6M | $109.3M | $87.6M | $95.4M | $111.8M | $124.8M |
| Operating expenses | $80.2M | $93.9M | $90.9M | $86.2M | $97.6M | $103.6M |
| Operating margin | 10.4% | 14.1% | -3.9% | 9.6% | 12.7% | 17.0% |
| Net income | $13.5M | $15.6M | -$3.6M | $8.8M | $13.8M | $21.1M |
| Total assets | $93.8M | $86.1M | $72.2M | $79.7M | $74M | $70.9M |
| Discharges | 3,939 | 4,021 | 3,438 | 3,847 | 4,421 | 4,598 |
| Inpatient days | 19,716 | 22,574 | 16,644 | 17,347 | 21,180 | 22,203 |
| Medicare Advantage days | 2,242 | 2,568 | 3,466 | 5,811 | 6,400 | 5,856 |
| Beds | 70 | 70 | 70 | 70 | 70 | 70 |
| Employees (FTE) | 303 | 301 | 284 | 284 | 318 | 339 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Baylor Scott & White Medical Center - Sunnyvale 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 |
|---|---|---|---|---|---|
| Operating room | $2.2M | $12.3M | $144.9M | 0.09 | 18,220 |
| Emergency | $3.3M | $9.8M | $149.6M | 0.07 | 7,764 |
| Impl. dev. charged to patients | $9.8M | $30.6M | 0.32 | ||
| Medical supplies charged to patient | $8.3M | $11M | 0.75 | ||
| Drugs charged to patients | $1.3M | $5.8M | $47.6M | 0.12 | |
| Laboratory | $1.5M | $5.5M | $108M | 0.05 | 886 |
| Radiology-diagnostic | $1.2M | $4.4M | $15.3M | 0.29 | 2,830 |
| Recovery room | $725,103 | $3.1M | $7.6M | 0.41 | 8,425 |
| Cardiac catheterization | $1.1M | $3M | $43.7M | 0.07 | 3,670 |
| Physical therapy | $1M | $1.8M | $6.8M | 0.26 | |
| Observation beds (non-distinct part | $1.5M | $3.1M | 0.47 | ||
| Respiratory therapy | $737,251 | $1.4M | $13.3M | 0.10 | 446 |
| Ct scan | $402,655 | $1.3M | $56.4M | 0.02 | 870 |
| Mri | $196,624 | $573,631 | $4.3M | 0.13 | 718 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7.3M | $22.2M | $39.8M | 0.56 | 30,452 |
| Intensive care unit | $2.6M | $6.1M | $12M | 0.51 | 4,970 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.8M | $13.3M | 116,046 | $40.27 | 3,342 |
| Cap rel costs-bldg & fixt | $7.6M | 115,522 | |||
| Employee benefits department | $7.4M | 559 | |||
| Operation of plant | $3.2M | 8,233 | $42.08 | 22,255 | |
| Cap rel costs-mvble equip | $2.9M | ||||
| Pharmacy | $1.4M | 27,655 | $50.90 | 886 | |
| Dietary | $1.3M | 1,185 | |||
| Nursing administration | $1.2M | 18,520 | $64.12 | 561 | |
| Housekeeping | $1.2M | 686 | |||
| Laundry & linen service | $642,666 | ||||
| Central services & supply | $571,252 | 18,340 | $31.15 | 3,100 | |
| Medical records & library | $398,920 | 11,972 | $32.97 | 1,491 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837371, 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 Medical Center - Sunnyvale for an inpatient stay.
1.69
Case mix index
Higher than 51% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
8.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
861
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 | 1.56 | 1.56 | 1.66 | 1.65 | 1.69 | 1.74 | 1.69 |
| Wage index | 0.961 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | -0.06% | -0.80% | -0.91% | -0.40% | -0.20% | -0.34% | -0.52% |
| Value-based purchasing adjustment | +0.43% | +0.35% | +0.35% | +0.50% | -0.74% | 0.00% | 0.00% |
| Medicare inpatient stays | 1,567 | 1,567 | 1,043 | 776 | 842 | 910 | 861 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Baylor Scott & White Medical Center - Sunnyvale reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Trmc Holdings Inc
5% or greater direct ownership interest, 63%, since 2014
Baylor University Medical Center
5% or greater indirect ownership interest, since 2016
Hcn Sunnyvale Holdings LLC
5% or greater indirect ownership interest, since 2014
Hcn Surgery Center Holdings Inc
5% or greater indirect ownership interest, since 2018
Houston Northwest Partners Ltd
5% or greater indirect ownership interest, since 2018
Tenet Healthcare Corporation
5% or greater indirect ownership interest, since 2014
Texas Health Ventures Group LLC
5% or greater indirect ownership interest, since 2018
United Surgical Partners International Inc
5% or greater indirect ownership interest, since 2018
Usp Domestic Holdings Inc
5% or greater indirect ownership interest, since 2018
Usp North Texas Inc
5% or greater indirect ownership interest, since 2018
Uspi Group Holdings Inc
5% or greater indirect ownership interest, since 2018
Uspi Holding Company Inc
5% or greater indirect ownership interest, since 2018
Uspi Holdings Inc
5% or greater indirect ownership interest, since 2018
Vhs San Antonio Partners LLC
5% or greater indirect ownership interest, since 2018
Sources: CMS Hospital All Owners.
The officers and board members on Baylor Scott & White Medical Center - Sunnyvale'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 3 of 8 are shown.
About Baylor Scott & White Medical Center - Sunnyvale's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baylor Scott & White Medical Center - Sunnyvale range from $792 to $3,266 across 4 insurers. Blue Cross Blue Shield's rate is $3,266. The median at nearby comparable hospitals is $1,706. 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 Medical Center - Sunnyvale range from $2,077 to $4,822 across 4 insurers. Blue Cross Blue Shield's rate is $4,822. The median at nearby comparable hospitals is $1,759. 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 Medical Center - Sunnyvale range from $2,585 to $3,398 across 4 insurers. UnitedHealthcare's rate is $2,585. The median at nearby comparable hospitals is $2,693. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Baylor Scott & White Medical Center - Sunnyvale range from $5,066 to $9,710 across 3 insurers. Aetna's rate is $9,710. 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 Medical Center - Sunnyvale range from $135 to $375 across 4 insurers. Cigna's rate is $375. The median at nearby comparable hospitals is $281. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Baylor Scott & White Medical Center - Sunnyvale range from $14,957 to $35,511 across 4 insurers. Aetna's rate is $35,511. The median at nearby comparable hospitals is $44,245. What a patient pays depends on their plan's deductible, coinsurance and network status.
Baylor Scott & White Medical Center - Sunnyvale has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Baylor Scott & White Medical Center - Sunnyvale for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baylor Scott & White Medical Center - Sunnyvale's base inpatient payments by an estimated 0.52% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (107 discharges), heart failure and shock with mcc (60 discharges), simple pneumonia and pleurisy with mcc (28 discharges).
Baylor Scott & White Medical Center - Sunnyvale's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% of hospitals paid under the inpatient prospective payment system.
Baylor Scott & White Medical Center - Sunnyvale reported 4,598 inpatient discharges and 22,203 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Baylor Scott & White Medical Center - Sunnyvale reported 339 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Baylor Scott & White Medical Center - Sunnyvale reported $124.8M in net patient revenue on $694.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 17.0%, and net income of $21.1M.
Baylor Scott & White Medical Center - Sunnyvale reported $8.9M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.9M of charity care at cost.
Insurers' price transparency files list Baylor Scott & White Medical Center - Sunnyvale under employer identification number 51-0570864 (Texas Regional Medical Center LLC). 48 health plans and networks list 51-0570864 for it.
166 clinicians who bill Medicare list Baylor Scott & White Medical Center - Sunnyvale as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (18), certified registered nurse anesthetist (16), diagnostic radiology physician (13).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Baylor Scott & White Medical Center - Sunnyvale, effective 2025.
In its Medicare enrollment, Baylor Scott & White Medical Center - Sunnyvale reports Trmc Holdings Inc as 5% or greater direct ownership interest (63%).
CMS lists 29 services at Baylor Scott & White Medical Center - Sunnyvale, including Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Baylor Scott & White Medical Center - Sunnyvale came from ZIP codes 75149 (381), 75150 (228), 75126 (226).
Baylor Scott & White Medical Center - Sunnyvale has 70 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Baylor Scott & White Medical Center - Sunnyvale is located at 231 South Collins Road, Sunnyvale, TX 75182. Its main phone number is (972) 892-3000.
Baylor Scott & White Medical Center - Sunnyvale's CMS Certification Number (CCN), also called its Medicare provider number, is 670060.
The National Provider Identifier (NPI) on file for Baylor Scott & White Medical Center - Sunnyvale is 1255579389.
Baylor Scott & White Medical Center - Sunnyvale is affiliated with Tenet Healthcare Corporation.
Baylor Scott & White Medical Center - Sunnyvale lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
438 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