BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
SUNNYVALE, TX 75182 · Acute Care Hospitals
14 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
14
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
0%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE lists chargemaster rates that average 6.4x the corresponding Medicare reimbursement amount across 14 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 6.4x, this facility’s average ratio is above the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE is ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC (DRG 392). The listed chargemaster rate is $32,757, while Medicare reimburses $3,786 for the same procedure — a ratio of 8.7x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,757 | $3,786 | 8.7x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,262 | $4,247 | 8.3x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $36,709 | $4,442 | 8.3x | 0th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,995 | $6,859 | 7.4x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $28,811 | $4,118 | 7.0x | 0th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $38,641 | $5,848 | 6.6x | 0th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,478 | $6,429 | 6.3x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,354 | $6,589 | 6.3x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $58,401 | $9,737 | 6.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $64,490 | $10,975 | 5.9x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $37,305 | $7,027 | 5.3x | 0th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,196 | $3,739 | 5.1x | 0th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $42,930 | $8,581 | 5.0x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $43,801 | $10,752 | 4.1x | 0th | Compare your bill |
Showing 14 of 14 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 6.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
How much does BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE charge compared to Medicare?
According to CMS IPPS data, BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE's listed chargemaster rates average 6.4x the Medicare reimbursement amount across 14 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE?
The procedure with the highest chargemaster-to-Medicare ratio at BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE is ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC (DRG 392), with a listed charge of $32,757 compared to Medicare reimbursement of $3,786 — a ratio of 8.7x. Source: CMS IPPS Provider Summary.
Is BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE expensive compared to other TX hospitals?
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE's average chargemaster-to-Medicare ratio is 6.4x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE in SUNNYVALE, TX accept Medicare?
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.