Ascension Providence Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Providence, Waco, TX in 2024, from traditional Medicare claims. Back to the Ascension Providence profile, with quality ratings, finances and negotiated rates.
1,862
Medicare inpatient discharges
In 57 published DRGs
2.06
Case mix index
IPPS FY 2027
24%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
2,037
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system639 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 165 | $32,686 | $8,942 | $7,224 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 99 | $42,658 | $11,029 | $9,427 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 87 | $214,107 | $23,104 | $47,318 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 49 | $104,753 | $12,003 | $23,150 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 29 | $44,214 | $6,186 | $9,771 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $34,026 | $8,231 | $7,520 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $147,857 | $21,940 | $32,676 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 19 | $21,099 | $6,146 | $4,663 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $40,252 | $5,301 | $8,896 | 0.55 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $143,818 | $29,158 | $31,784 | 4.04 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $19,125 | $5,200 | $4,227 | 0.74 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 16 | $152,921 | $34,896 | $33,796 | 5.88 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 16 | $142,222 | $22,243 | $31,431 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $46,435 | $13,855 | $10,262 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $42,403 | $14,824 | $9,371 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $119,731 | $15,821 | $26,460 | 2.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 11 | $378,946 | $48,029 | $83,747 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $50,087 | $7,157 | $11,069 | 1.08 |
Infectious and parasitic diseases289 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 | 220 | $43,264 | $13,459 | $9,561 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $99,760 | $30,533 | $22,047 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $27,437 | $7,170 | $6,064 | 1.03 |
Respiratory system246 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 | 96 | $34,872 | $8,935 | $7,707 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 61 | $30,285 | $8,734 | $6,693 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 50 | $41,862 | $12,196 | $9,252 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 21 | $70,066 | $18,996 | $15,485 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $23,807 | $5,687 | $5,261 | 0.82 |
Digestive system199 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $27,113 | $6,614 | $5,992 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $26,926 | $5,307 | $5,951 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $54,373 | $12,593 | $12,016 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $19,841 | $5,649 | $4,385 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 17 | $53,257 | $11,585 | $11,770 | 1.67 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $17,508 | $4,320 | $3,869 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $157,688 | $31,601 | $34,849 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $72,716 | $15,003 | $16,070 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $29,914 | $8,996 | $6,611 | 1.28 |
Kidney and urinary tract151 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 44 | $34,043 | $10,215 | $7,524 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 36 | $25,035 | $5,968 | $5,533 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $24,023 | $8,595 | $5,309 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $36,454 | $11,205 | $8,056 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $18,688 | $5,697 | $4,130 | 0.81 |
Nervous system136 discharges in 6 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 | 50 | $26,488 | $6,704 | $5,854 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $23,903 | $5,579 | $5,283 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $33,339 | $13,937 | $7,368 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $53,165 | $8,099 | $11,749 | 1.14 |
| Seizures with MCCMS-DRG 100, medical | 14 | $39,589 | $13,754 | $8,749 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $35,089 | $10,979 | $7,755 | 1.79 |
Musculoskeletal system and connective tissue88 discharges in 4 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 | 26 | $71,433 | $12,689 | $15,787 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 25 | $157,336 | $31,036 | $34,771 | 4.61 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $88,649 | $12,209 | $19,591 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $76,478 | $13,273 | $16,902 | 2.11 |
Endocrine, nutritional and metabolic57 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 | 22 | $24,457 | $9,163 | $5,405 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $17,780 | $5,056 | $3,929 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $21,476 | $6,065 | $4,746 | 0.90 |
Liver, gallbladder and pancreas28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 15 | $43,003 | $8,332 | $9,504 | 1.31 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $55,340 | $10,241 | $12,230 | 1.63 |
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 | $19,984 | $5,759 | $4,417 | 0.88 |
Blood and immune system14 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 | 14 | $36,169 | $9,859 | $7,993 | 1.40 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 288 | 200 | $10,911 | $1,660 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 123 | 117 | $82,715 | $10,035 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 114 | 113 | $32,748 | $4,111 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 112 | 108 | $7,114 | $1,135 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 112 | 108 | $175,994 | $19,694 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 111 | 94 | $22,876 | $2,264 | $2,405 |
| Comprehensive Observation ServicesAPC 8011 | 90 | 89 | $18,036 | $1,958 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 87 | 83 | $45,235 | $5,124 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 86 | 79 | $7,979 | $1,351 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 75 | 74 | $83,294 | $8,089 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 69 | 67 | $23,159 | $2,321 | $2,373 |
| Level 2 Intraocular ProceduresAPC 5492 | 65 | 55 | $28,740 | $2,916 | $3,116 |
| Level 5 Urology and Related ServicesAPC 5375 | 62 | 56 | $27,910 | $3,652 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 61 | 61 | $30,551 | $2,101 | $2,208 |
| Level 5 Airway EndoscopyAPC 5155 | 57 | 55 | $34,749 | $4,823 | $5,183 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 56 | 54 | $16,156 | $2,017 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 45 | $22,416 | $2,490 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 50 | 45 | $42,482 | $3,977 | $4,338 |
| Level 2 Vascular ProceduresAPC 5182 | 36 | 31 | $8,821 | $1,145 | $1,204 |
| Level 1 Nerve ProceduresAPC 5431 | 34 | 31 | $18,118 | $1,344 | $1,407 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $29,303 | $2,482 | $2,636 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 26 | $28,585 | $3,942 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 24 | $25,257 | $2,734 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 27 | $118,525 | $15,101 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $15,039 | $1,153 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $19,539 | $2,559 | $2,833 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 22 | $126,065 | $13,703 | $14,606 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 19 | 17 | $44,672 | $4,906 | $4,524 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 16 | $39,215 | $4,677 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $63,793 | $7,630 | $8,164 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 16 | 16 | $147,369 | $26,242 | $26,719 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $83,021 | $6,911 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | 13 | $16,672 | $1,461 | $1,516 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $5,189 | $1,217 | $1,264 |
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.