Baylor Scott & White Medical Center - Sunnyvale Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baylor Scott & White Medical Center - Sunnyvale, Sunnyvale, TX in 2024, from traditional Medicare claims. Back to the Baylor Scott & White Medical Center - Sunnyvale profile, with quality ratings, finances and negotiated rates.
460
Medicare inpatient discharges
In 21 published DRGs
1.69
Case mix index
IPPS FY 2027
3%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
312
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases138 discharges in 3 DRGs
| 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 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $39,895 | $5,142 | $7,540 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $132,096 | $30,183 | $24,966 | 5.00 |
Circulatory system98 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $39,211 | $6,880 | $7,411 | 1.28 |
| 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 |
| Syncope and collapseMS-DRG 312, medical | 12 | $32,829 | $4,748 | $6,205 | 0.86 |
Respiratory system78 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $40,112 | $7,028 | $7,581 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 16 | $59,937 | $9,404 | $11,328 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $34,371 | $5,833 | $6,496 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $40,458 | $5,739 | $7,646 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $30,972 | $3,204 | $5,854 | 0.82 |
Kidney and urinary tract75 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 19 | $30,635 | $3,881 | $5,790 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $42,119 | $7,826 | $7,961 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $43,637 | $6,448 | $8,247 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $56,514 | $9,684 | $10,681 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $31,712 | $4,362 | $5,993 | 0.81 |
Endocrine, nutritional and metabolic36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 19 | $43,085 | $6,983 | $8,143 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $27,242 | $3,904 | $5,149 | 0.78 |
Digestive system35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $33,450 | $3,905 | $6,322 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $37,176 | $4,730 | $7,026 | 0.98 |
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.
Outpatient services
| 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 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $20,661 | $1,152 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | 11 | $40,080 | $2,037 | $2,141 |
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.