Ascension Seton Northwest Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Seton Northwest, Austin, TX in 2024, from traditional Medicare claims. Back to the Ascension Seton Northwest profile, with quality ratings, finances and negotiated rates.
299
Medicare inpatient discharges
In 12 published DRGs
1.46
Case mix index
IPPS FY 2027
6%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
779
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases112 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 | 79 | $88,015 | $15,024 | $12,674 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 17 | $97,344 | $15,889 | $14,018 | 2.04 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $70,594 | $9,811 | $10,166 | 1.03 |
Respiratory system79 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $67,781 | $10,947 | $9,760 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 26 | $59,307 | $12,861 | $8,540 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $66,938 | $11,122 | $9,639 | 1.23 |
Kidney and urinary tract35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $44,070 | $8,603 | $6,346 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $67,493 | $13,269 | $9,719 | 1.65 |
Endocrine, nutritional and metabolic28 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 | 15 | $56,101 | $11,109 | $8,079 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $31,186 | $7,734 | $4,491 | 0.78 |
Circulatory system24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 24 | $69,241 | $11,528 | $9,971 | 1.28 |
Digestive system21 discharges in 1 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 | 21 | $52,233 | $7,630 | $7,522 | 0.79 |
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 5 Musculoskeletal ProceduresAPC 5115 | 123 | 114 | $194,711 | $9,938 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 115 | 110 | $45,692 | $3,629 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 113 | 103 | $34,762 | $2,443 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 92 | 90 | $27,788 | $1,918 | $2,090 |
| Level 6 Urology and Related ServicesAPC 5376 | 65 | 65 | $47,151 | $6,476 | $7,291 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 59 | 59 | $61,438 | $4,046 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 46 | $30,453 | $1,374 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 33 | 33 | $103,960 | $7,199 | $8,164 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 33 | 29 | $104,712 | $17,577 | $18,465 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $32,966 | $2,192 | $2,389 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 15 | $82,057 | $5,017 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $29,513 | $1,127 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $155,929 | $14,737 | $15,763 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | 13 | $86,331 | $4,612 | $4,524 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $52,777 | $3,488 | $3,792 |
| Level 6 Gynecologic ProceduresAPC 5416 | 11 | 11 | $83,266 | $5,299 | $5,836 |
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.