Baylor Medical Center-Grapevine Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baylor Medical Center-Grapevine, Grapevine, TX in 2024, from traditional Medicare claims. Back to the Baylor Medical Center-Grapevine profile, with quality ratings, finances and negotiated rates.
3,131
Medicare inpatient discharges
In 92 published DRGs
1.66
Case mix index
IPPS FY 2027
15%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
2,286
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system592 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 146 | $41,134 | $7,158 | $8,638 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 55 | $29,298 | $3,572 | $6,153 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 45 | $37,849 | $4,359 | $7,948 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 36 | $54,749 | $6,635 | $11,497 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $49,280 | $5,536 | $10,349 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $113,377 | $10,098 | $23,809 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 29 | $24,405 | $2,182 | $5,125 | 0.55 |
| Hypertension without MCCMS-DRG 305, medical | 26 | $29,979 | $3,427 | $6,296 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 22 | $150,776 | $21,748 | $31,663 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 21 | $96,907 | $13,500 | $20,350 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $135,422 | $15,173 | $28,439 | 2.87 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 20 | $37,119 | $5,102 | $7,795 | 0.97 |
| Chest painMS-DRG 313, medical | 18 | $29,270 | $3,170 | $6,147 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $81,780 | $9,950 | $17,174 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $58,677 | $8,446 | $12,322 | 1.59 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $32,579 | $5,960 | $6,842 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $155,156 | $17,952 | $32,583 | 3.35 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $31,640 | $4,226 | $6,644 | 0.86 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $51,615 | $5,916 | $10,839 | 1.15 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $58,206 | $10,294 | $12,223 | 2.09 |
Respiratory system489 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 172 | $57,680 | $6,947 | $12,113 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 96 | $49,084 | $9,486 | $10,308 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $41,891 | $7,117 | $8,797 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 42 | $32,735 | $3,897 | $6,874 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 27 | $33,491 | $4,948 | $7,033 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $52,637 | $6,284 | $11,054 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 16 | $34,081 | $5,034 | $7,157 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $59,907 | $7,812 | $12,580 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $115,589 | $16,398 | $24,274 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $32,830 | $3,981 | $6,894 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $54,423 | $5,542 | $11,429 | 1.05 |
Infectious and parasitic diseases360 discharges in 4 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 | 251 | $60,160 | $10,933 | $12,634 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $36,089 | $5,393 | $7,579 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 30 | $160,052 | $31,130 | $33,611 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 19 | $92,410 | $12,545 | $19,406 | 2.04 |
Nervous system360 discharges in 15 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 | 55 | $42,338 | $4,931 | $8,891 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 48 | $37,671 | $5,720 | $7,911 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 39 | $79,840 | $10,228 | $16,766 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $83,721 | $10,192 | $17,581 | 2.00 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 23 | $52,621 | $7,007 | $11,050 | 1.32 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 20 | $37,009 | $5,364 | $7,772 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $52,641 | $7,665 | $11,055 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 19 | $78,730 | $10,273 | $16,533 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $44,639 | $3,803 | $9,374 | 0.80 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $49,456 | $7,772 | $10,386 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 15 | $143,921 | $24,417 | $30,223 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $179,797 | $34,864 | $37,757 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $107,282 | $14,224 | $22,529 | 2.28 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $39,793 | $9,928 | $8,357 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 11 | $39,964 | $4,728 | $8,392 | 0.91 |
Kidney and urinary tract328 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 102 | $28,059 | $3,829 | $5,892 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 58 | $34,947 | $6,551 | $7,339 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 50 | $27,575 | $4,089 | $5,791 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 46 | $43,435 | $8,905 | $9,121 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 44 | $50,036 | $8,242 | $10,508 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $29,074 | $5,394 | $6,106 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $42,337 | $6,666 | $8,891 | 1.35 |
Digestive system315 discharges in 11 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 | 68 | $27,116 | $3,572 | $5,694 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 48 | $34,271 | $4,868 | $7,197 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 35 | $65,679 | $11,835 | $13,793 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $23,302 | $4,134 | $4,894 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $78,540 | $11,071 | $16,493 | 1.79 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 21 | $21,066 | $2,128 | $4,424 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $28,827 | $4,764 | $6,054 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 20 | $37,206 | $5,456 | $7,813 | 1.04 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $119,897 | $28,671 | $25,178 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $50,921 | $7,662 | $10,693 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $77,168 | $9,968 | $16,205 | 1.45 |
Musculoskeletal system and connective tissue263 discharges in 9 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 | 70 | $76,112 | $11,793 | $15,984 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 47 | $37,989 | $4,772 | $7,978 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 41 | $89,489 | $12,392 | $18,793 | 2.11 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 37 | $90,537 | $14,025 | $19,013 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $31,992 | $4,200 | $6,718 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 14 | $64,270 | $10,937 | $13,497 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $134,760 | $17,648 | $28,300 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $31,406 | $3,527 | $6,595 | 0.79 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $86,026 | $10,614 | $18,065 | 2.04 |
Endocrine, nutritional and metabolic219 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 85 | $28,655 | $3,780 | $6,018 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 62 | $47,059 | $6,784 | $9,882 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 25 | $31,384 | $4,214 | $6,591 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $48,896 | $7,197 | $10,268 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $65,477 | $9,604 | $13,750 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $47,095 | $5,218 | $9,890 | 1.06 |
Skin, subcutaneous tissue and breast72 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 58 | $23,702 | $4,329 | $4,977 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $42,308 | $8,648 | $8,885 | 1.49 |
Blood and immune system51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $52,493 | $8,362 | $11,024 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 25 | $33,999 | $4,315 | $7,140 | 0.90 |
Other40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 28 | $137,235 | $27,148 | $28,819 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $81,343 | $12,476 | $17,082 | 2.49 |
Factors influencing health status19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 19 | $29,388 | $4,246 | $6,171 | 0.80 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $40,974 | $5,644 | $8,605 | 0.95 |
Mental diseases and disorders11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 11 | $36,180 | $9,803 | $7,598 | 1.76 |
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 | 468 | 445 | $25,842 | $1,909 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 168 | 168 | $28,847 | $2,077 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 165 | 128 | $10,896 | $1,371 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 132 | 128 | $29,584 | $4,056 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 125 | $7,894 | $1,154 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 97 | 91 | $77,326 | $8,292 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 88 | 87 | $59,240 | $9,885 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 83 | 77 | $22,934 | $2,447 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 81 | 77 | $18,188 | $2,179 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 77 | 74 | $13,215 | $1,962 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 72 | 72 | $57,939 | $7,997 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 66 | 63 | $146,648 | $19,455 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 63 | 61 | $27,062 | $3,663 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 53 | 52 | $37,039 | $5,146 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 53 | 47 | $11,196 | $1,369 | $1,445 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 43 | 43 | $33,937 | $6,111 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 38 | 36 | $19,100 | $2,489 | $2,636 |
| Level 5 Airway EndoscopyAPC 5155 | 37 | 35 | $31,275 | $4,918 | $5,183 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 32 | 32 | $73,777 | $13,736 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 30 | $9,766 | $1,146 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 30 | 29 | $15,370 | $1,118 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 26 | 25 | $102,731 | $13,622 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 24 | 23 | $156,139 | $27,981 | $29,375 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 22 | $25,516 | $2,227 | $2,373 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 22 | $14,170 | $1,221 | $1,264 |
| Level 4 Vascular ProceduresAPC 5184 | 22 | 18 | $41,373 | $3,773 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 20 | $20,798 | $2,611 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 21 | 21 | $49,940 | $7,656 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 20 | 18 | $44,776 | $3,696 | $4,338 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 20 | 20 | $89,352 | $15,920 | $17,052 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 19 | $18,088 | $1,465 | $1,516 |
| Level 4 Airway EndoscopyAPC 5154 | 19 | 19 | $19,743 | $2,694 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $36,039 | $4,378 | $4,982 |
| Level 5 ENT ProceduresAPC 5165 | 13 | 13 | $29,126 | $4,212 | $4,436 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $24,713 | $3,302 | $3,792 |
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.