Baylor Scott & White Medical Center – Marble Falls Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baylor Scott & White Medical Center – Marble Falls, Marble Falls, TX in 2024, from traditional Medicare claims. Back to the Baylor Scott & White Medical Center – Marble Falls profile, with quality ratings, finances and negotiated rates.
406
Medicare inpatient discharges
In 19 published DRGs
1.46
Case mix index
IPPS FY 2027
11%
Surgical stays
55%
Stays with complications
In DRGs with a CC or MCC
1,601
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Respiratory system110 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 83 | $48,246 | $7,647 | $12,158 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $41,560 | $10,109 | $10,473 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 13 | $42,019 | $8,560 | $10,589 | 1.33 |
Infectious and parasitic diseases102 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 | 79 | $52,950 | $12,490 | $13,343 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 23 | $33,399 | $6,047 | $8,417 | 1.03 |
Circulatory system46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $35,250 | $8,122 | $8,883 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $52,174 | $7,050 | $13,148 | 1.20 |
Musculoskeletal system and connective tissue43 discharges in 3 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 | 15 | $53,428 | $13,468 | $13,464 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 14 | $63,298 | $12,674 | $15,951 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $68,643 | $14,232 | $17,298 | 2.11 |
Nervous system33 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 | 11 | $43,861 | $6,164 | $11,053 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $52,914 | $10,466 | $13,334 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $39,417 | $6,712 | $9,933 | 1.06 |
Endocrine, nutritional and metabolic25 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 without MCCMS-DRG 641, medical | 13 | $27,294 | $5,045 | $6,878 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $41,539 | $7,595 | $10,468 | 1.32 |
Kidney and urinary tract22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $35,160 | $7,150 | $8,860 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $37,059 | $4,512 | $9,339 | 0.81 |
Digestive system14 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 | 14 | $30,329 | $4,865 | $7,643 | 0.79 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $25,292 | $4,998 | $6,374 | 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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 247 | 143 | $8,441 | $1,672 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 202 | 164 | $2,756 | $500 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 160 | 155 | $26,987 | $2,001 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 117 | 111 | $56,626 | $10,581 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 88 | 84 | $11,413 | $1,428 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 87 | 84 | $8,647 | $1,199 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 78 | 66 | $8,963 | $1,176 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 70 | 61 | $8,345 | $1,430 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 66 | 65 | $28,043 | $5,136 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 56 | 47 | $7,064 | $1,508 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 46 | $14,571 | $2,581 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 46 | 45 | $27,448 | $2,177 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 37 | $22,440 | $3,831 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 35 | $15,951 | $2,104 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 35 | $12,748 | $2,263 | $2,373 |
| Level 3 Lower GI ProceduresAPC 5313 | 35 | 35 | $12,673 | $2,164 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 35 | $20,091 | $2,562 | $2,636 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 34 | 20 | $15,652 | $3,128 | $4,524 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 11 | $5,095 | $1,257 | $1,264 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $58,589 | $15,648 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 21 | 21 | $21,187 | $2,360 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 15 | 15 | $70,504 | $8,010 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 14 | 14 | $33,560 | $4,272 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | $106,000 | $14,630 | $14,606 |
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.