20/100
#2,164 nationally
Baylor St Lukes Medical Center
6720 Bertner Ave, Ste Mc1-266, Houston, TX 77030 · (832) 355-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Baylor St Lukes Medical Center billed $6.68 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.7x
- volume-weighted across all its priced work
- Procedures priced
- 151
- inpatient and outpatient combined
- Rank in TX
- #130
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 20% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 20% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
806 | $11,341 | $2,145 | -4% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
292 | $24,520 | $3,740 | +19% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
259 | $31,381 | $2,981 | +24% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
250 | $14,272 | $1,742 | +21% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
211 | $185,510 | $21,873 | +40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
193 | $133,936 | $19,824 | +105% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
170 | $30,219 | $2,514 | +56% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
166 | $20,233 | $1,482 | +101% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
130 | $74,180 | $13,137 | +71% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
122 | $80,226 | $10,071 | +19% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$116,926 | $26,295 | +183% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$73,141 | $5,496 | +179% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$311,432 | $28,299 | +176% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$217,932 | $18,994 | +170% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
$326,275 | $31,001 | +167% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$93,352 | $10,448 | +160% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$473,822 | $75,289 | +158% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$121,354 | $17,662 | +156% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$12,330 | $2,167 | -15% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,341 | $2,145 | -4% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay |
$93,394 | $19,413 | -4% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$66,788 | $14,270 | about average |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
$73,471 | $15,576 | about average |
|
Level 4 Extraocular, Repair, and Plastic Eye Procedures
APC 5504 · Hospital outpatient visit |
$24,369 | $3,585 | +4% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$39,980 | $6,183 | +4% |
|
Pancreas, Liver and Shunt Procedures with Complications
MS-DRG 406 · Inpatient stay |
$148,435 | $24,736 | +5% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.