Baylor Scott & White Texas Spine & Joint Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baylor Scott & White Texas Spine & Joint Hospital, Tyler, TX in 2024, from traditional Medicare claims. Back to the Baylor Scott & White Texas Spine & Joint Hospital profile, with quality ratings, finances and negotiated rates.
491
Medicare inpatient discharges
In 12 published DRGs
3.44
Case mix index
IPPS FY 2027
100%
Surgical stays
22%
Stays with complications
In DRGs with a CC or MCC
2,866
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue444 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 157 | $57,953 | $10,440 | $12,460 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 76 | $78,555 | $21,091 | $16,889 | 3.66 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 57 | $89,901 | $26,581 | $19,329 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 49 | $104,652 | $36,480 | $22,500 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 30 | $73,057 | $16,647 | $15,707 | 2.96 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 30 | $64,750 | $13,035 | $13,921 | 2.46 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 18 | $52,331 | $10,740 | $11,251 | 1.97 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 15 | $50,023 | $7,633 | $10,755 | 1.43 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $88,585 | $17,560 | $19,046 | 3.49 |
Other47 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 20 | $100,664 | $24,120 | $21,643 | |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 15 | $91,584 | $23,429 | $19,691 | |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 12 | $67,437 | $18,625 | $14,499 |
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 Nerve ProceduresAPC 5431 | 853 | 663 | $13,092 | $1,306 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 620 | 576 | $62,142 | $9,679 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 424 | 409 | $38,014 | $4,864 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 383 | 366 | $22,114 | $2,190 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 225 | 221 | $10,472 | $1,097 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 125 | 114 | $74,378 | $13,809 | $15,763 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 84 | 84 | $22,589 | $4,665 | $4,524 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 64 | 63 | $82,331 | $23,657 | $26,719 |
| Implantation of Drug Infusion DeviceAPC 5471 | 30 | 30 | $59,685 | $13,812 | $14,829 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 20 | 20 | $29,041 | $2,117 | $2,547 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $16,625 | $1,964 | $2,141 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 13 | $80,494 | $17,304 | $18,465 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 12 | 12 | $17,903 | $1,615 | $1,780 |
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.