Baylor Scott & White Medical Center – Hillcrest Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baylor Scott & White Medical Center – Hillcrest, Waco, TX in 2024, from traditional Medicare claims. Back to the Baylor Scott & White Medical Center – Hillcrest profile, with quality ratings, finances and negotiated rates.
1,936
Medicare inpatient discharges
In 59 published DRGs
1.84
Case mix index
IPPS FY 2027
17%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
2,115
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases414 discharges in 5 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 | 282 | $44,842 | $13,509 | $9,372 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 69 | $30,713 | $7,760 | $6,419 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 37 | $113,082 | $32,689 | $23,634 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $67,278 | $13,131 | $14,061 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $183,788 | $44,156 | $38,412 | 6.96 |
Respiratory system302 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 194 | $40,467 | $9,036 | $8,458 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 33 | $31,404 | $11,880 | $6,563 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $39,884 | $9,526 | $8,336 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $87,879 | $17,667 | $18,367 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $39,236 | $8,874 | $8,200 | 1.10 |
| Major chest trauma with MCCMS-DRG 183, medical | 11 | $60,862 | $9,959 | $12,720 | 1.57 |
Circulatory system256 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 62 | $41,835 | $9,748 | $8,743 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 33 | $38,911 | $9,451 | $8,132 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $107,516 | $11,398 | $22,471 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $53,667 | $10,946 | $11,216 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 24 | $122,636 | $23,491 | $25,631 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $150,943 | $19,377 | $31,547 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 20 | $32,320 | $6,228 | $6,755 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $29,601 | $5,797 | $6,187 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $44,827 | $6,945 | $9,369 | 0.91 |
Kidney and urinary tract233 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 56 | $28,444 | $6,373 | $5,945 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 48 | $35,718 | $8,564 | $7,465 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 42 | $46,289 | $11,206 | $9,675 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 37 | $38,435 | $9,944 | $8,033 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 31 | $27,918 | $6,808 | $5,835 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $31,007 | $7,388 | $6,480 | 1.02 |
Musculoskeletal system and connective tissue220 discharges in 8 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 | 51 | $60,528 | $14,267 | $12,650 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 40 | $70,473 | $13,976 | $14,729 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 35 | $59,885 | $13,504 | $12,516 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $82,863 | $19,829 | $17,318 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 20 | $28,152 | $6,910 | $5,884 | 0.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 19 | $152,111 | $30,944 | $31,791 | 4.61 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 17 | $27,574 | $5,487 | $5,763 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $33,197 | $6,632 | $6,938 | 0.90 |
Nervous system191 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 39 | $56,006 | $12,126 | $11,705 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 37 | $34,921 | $7,469 | $7,299 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 34 | $34,921 | $7,439 | $7,298 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 18 | $48,964 | $11,804 | $10,234 | 2.00 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $47,636 | $16,062 | $9,956 | 2.28 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $34,656 | $9,492 | $7,243 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $37,488 | $8,189 | $7,835 | 1.03 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $48,519 | $9,930 | $10,141 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $43,916 | $9,852 | $9,179 | 1.36 |
Digestive system108 discharges in 5 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 | 34 | $33,289 | $6,040 | $6,957 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 32 | $38,115 | $7,528 | $7,966 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $23,460 | $5,912 | $4,903 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $44,563 | $9,814 | $9,314 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $76,598 | $16,593 | $16,009 | 2.37 |
Endocrine, nutritional and metabolic106 discharges in 4 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 | 45 | $27,921 | $5,917 | $5,835 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 30 | $35,394 | $9,826 | $7,397 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 17 | $25,223 | $6,429 | $5,272 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $44,986 | $11,197 | $9,402 | 1.45 |
Blood and immune system28 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 | 17 | $43,653 | $9,880 | $9,123 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $42,212 | $7,188 | $8,822 | 0.90 |
Liver, gallbladder and pancreas27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 16 | $47,514 | $13,991 | $9,930 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $42,407 | $8,293 | $8,863 | 1.09 |
Other22 discharges in 1 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 | 22 | $123,908 | $30,418 | $25,897 | 4.74 |
Factors influencing health status16 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 | 16 | $40,245 | $6,211 | $8,411 | 0.80 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $24,658 | $5,692 | $5,154 | 0.88 |
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 | 351 | 331 | $22,666 | $1,924 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 213 | 200 | $53,238 | $9,803 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 169 | 165 | $14,723 | $2,179 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 123 | 120 | $30,516 | $5,073 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 108 | 98 | $9,466 | $1,096 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 97 | 89 | $15,567 | $2,449 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 90 | 90 | $33,611 | $4,047 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 86 | 82 | $10,091 | $1,157 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 81 | 81 | $29,672 | $2,055 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 80 | 75 | $27,285 | $3,665 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 67 | 52 | $9,929 | $1,438 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 63 | 63 | $16,229 | $2,006 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 49 | 49 | $144,327 | $19,293 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 46 | 46 | $51,980 | $7,801 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 41 | 41 | $17,182 | $2,230 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 41 | 21 | $2,718 | $490 | $502 |
| Level 4 Airway EndoscopyAPC 5154 | 38 | 37 | $16,066 | $2,383 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 38 | 38 | $20,273 | $4,089 | $4,436 |
| Level 1 Intraocular ProceduresAPC 5491 | 32 | 25 | $9,745 | $1,619 | $1,752 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 29 | $14,364 | $4,909 | $5,183 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 28 | 28 | $67,464 | $15,110 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 25 | $9,815 | $1,219 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 21 | $20,969 | $2,266 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 22 | 22 | $16,654 | $1,940 | $2,176 |
| Level 3 Endovascular ProceduresAPC 5193 | 20 | 20 | $76,163 | $8,264 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $37,385 | $5,789 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 17 | $35,128 | $4,677 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $49,713 | $7,181 | $8,164 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 17 | 17 | $66,480 | $18,014 | $18,465 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 14 | $10,692 | $974 | $1,264 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $10,505 | $2,155 | $2,217 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 13 | $16,261 | $2,055 | $2,389 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 13 | $10,414 | $1,278 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $12,450 | $1,149 | $1,204 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $96,136 | $15,871 | $17,052 |
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.