Adventhealth Central Texas Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventhealth Central Texas, Killeen, TX in 2024, from traditional Medicare claims. Back to the Adventhealth Central Texas profile, with quality ratings, finances and negotiated rates.
867
Medicare inpatient discharges
In 31 published DRGs
1.51
Case mix index
IPPS FY 2027
1%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
695
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Circulatory system193 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 109 | $35,845 | $8,745 | $8,173 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 32 | $45,607 | $11,068 | $10,398 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $29,716 | $5,569 | $6,775 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $39,765 | $6,690 | $9,066 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $56,664 | $9,702 | $12,919 | 1.20 |
Respiratory system164 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 | 70 | $38,511 | $9,359 | $8,781 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 34 | $30,814 | $7,350 | $7,026 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $46,738 | $11,632 | $10,656 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $30,708 | $9,167 | $7,001 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $24,114 | $6,216 | $5,498 | 0.82 |
Infectious and parasitic diseases143 discharges in 2 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 | 131 | $55,047 | $12,473 | $12,551 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $33,814 | $6,941 | $7,709 | 1.03 |
Kidney and urinary tract109 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 30 | $32,851 | $8,444 | $7,490 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $39,248 | $10,308 | $8,949 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $41,717 | $11,080 | $9,511 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 19 | $26,917 | $6,736 | $6,137 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $27,160 | $5,789 | $6,193 | 0.81 |
Endocrine, nutritional and metabolic69 discharges in 3 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 | 40 | $27,153 | $9,508 | $6,191 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $32,456 | $5,961 | $7,400 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $34,688 | $7,665 | $7,909 | 1.45 |
Digestive system65 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $34,067 | $7,506 | $7,767 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $34,503 | $5,691 | $7,867 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $53,018 | $12,435 | $12,088 | 1.79 |
Nervous system44 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 21 | $39,300 | $6,961 | $8,960 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $59,431 | $13,798 | $13,550 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $37,075 | $5,559 | $8,453 | 0.80 |
Mental diseases and disorders29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 29 | $28,664 | $10,385 | $6,535 | 1.37 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $23,299 | $6,569 | $5,312 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $48,325 | $8,978 | $11,018 | 1.40 |
Musculoskeletal system and connective tissue12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $104,841 | $14,095 | $23,904 | 2.07 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $46,218 | $9,617 | $10,538 | 1.60 |
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 | 104 | 94 | $21,262 | $1,964 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 88 | 80 | $10,672 | $1,161 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 76 | 74 | $89,648 | $10,363 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 64 | 63 | $16,993 | $2,242 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 63 | 63 | $25,744 | $2,073 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 48 | $29,890 | $2,316 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 26 | $14,016 | $2,066 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 23 | $17,391 | $1,161 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 23 | $9,311 | $1,157 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $35,380 | $3,876 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 20 | $24,632 | $2,504 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 18 | $55,748 | $5,202 | $5,339 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $28,916 | $2,273 | $2,389 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 17 | $17,791 | $1,404 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 14 | $13,423 | $1,380 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 16 | 14 | $69,288 | $8,400 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | $15,131 | $1,267 | $1,516 | |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 12 | $14,079 | $1,224 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $41,084 | $4,156 | $4,338 |
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.