Christus Santa Rosa Hospital - Westover Hills Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Christus Santa Rosa Hospital - Westover Hills, San Antonio, TX in 2024, from traditional Medicare claims. Back to the Christus Santa Rosa Hospital - Westover Hills profile, with quality ratings, finances and negotiated rates.
4,217
Medicare inpatient discharges
In 105 published DRGs
1.97
Case mix index
IPPS FY 2027
23%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
3,691
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system1,174 discharges in 34 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 216 | $45,075 | $8,756 | $9,240 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 189 | $61,651 | $11,146 | $12,638 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 60 | $134,972 | $18,681 | $27,669 | 2.87 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 56 | $209,979 | $22,239 | $43,046 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 47 | $91,055 | $12,055 | $18,666 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 42 | $47,383 | $6,532 | $9,713 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 42 | $30,954 | $5,509 | $6,346 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $39,701 | $8,451 | $8,139 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $71,200 | $14,255 | $14,596 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 28 | $33,955 | $6,250 | $6,961 | 0.86 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 25 | $240,537 | $27,705 | $49,310 | 4.14 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 24 | $292,713 | $42,988 | $60,006 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 24 | $57,405 | $7,182 | $11,768 | 1.08 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 23 | $114,663 | $22,572 | $23,506 | 3.35 |
| Chest painMS-DRG 313, medical | 23 | $33,224 | $5,338 | $6,811 | 0.72 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 22 | $229,785 | $39,958 | $47,106 | 5.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $27,340 | $4,107 | $5,605 | 0.55 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $33,273 | $5,282 | $6,821 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 19 | $129,223 | $21,789 | $26,491 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $102,804 | $15,347 | $21,075 | 2.28 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 19 | $35,834 | $4,886 | $7,346 | 0.72 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 18 | $166,453 | $22,104 | $34,123 | 3.46 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 18 | $166,997 | $19,798 | $34,234 | 2.97 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 17 | $216,772 | $35,781 | $44,438 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $39,082 | $7,336 | $8,012 | 1.07 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $52,777 | $13,890 | $10,819 | 2.09 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $198,928 | $27,991 | $40,780 | 4.04 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 14 | $226,856 | $27,541 | $46,505 | 3.90 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 14 | $45,257 | $9,988 | $9,278 | 1.58 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 13 | $361,923 | $50,609 | $74,194 | 7.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 13 | $297,147 | $46,837 | $60,915 | 7.80 |
| Other heart assist system implantMS-DRG 215, surgical | 12 | $456,758 | $68,656 | $93,635 | 10.21 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $93,785 | $17,651 | $19,226 | 2.55 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 11 | $71,965 | $13,095 | $14,753 | 1.97 |
Infectious and parasitic diseases832 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 | 587 | $71,972 | $13,010 | $14,754 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 107 | $178,099 | $31,564 | $36,510 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 88 | $44,306 | $6,766 | $9,083 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 26 | $99,475 | $12,337 | $20,392 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $204,088 | $42,334 | $41,838 | 6.96 |
Respiratory system505 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 148 | $63,094 | $11,328 | $12,934 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 140 | $48,111 | $8,947 | $9,863 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 70 | $48,215 | $8,675 | $9,884 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $46,816 | $7,172 | $9,597 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 30 | $34,428 | $5,986 | $7,058 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $80,176 | $17,681 | $16,436 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $46,539 | $8,554 | $9,541 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $41,853 | $6,554 | $8,580 | 0.99 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $166,301 | $29,262 | $34,092 | 4.71 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $41,867 | $6,909 | $8,583 | 0.96 |
Kidney and urinary tract458 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 87 | $40,693 | $7,985 | $8,342 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 82 | $35,280 | $6,187 | $7,232 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 77 | $43,446 | $10,335 | $8,907 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 76 | $32,773 | $5,572 | $6,718 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 65 | $51,092 | $10,683 | $10,474 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $35,847 | $6,484 | $7,349 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $51,531 | $9,308 | $10,564 | 1.35 |
| Major bladder procedures with CCMS-DRG 654, surgical | 13 | $267,931 | $21,500 | $54,926 | 2.74 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $38,930 | $7,104 | $7,981 | 1.05 |
Digestive system335 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 71 | $50,151 | $6,839 | $10,281 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 43 | $71,210 | $12,209 | $14,598 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 41 | $29,164 | $5,326 | $5,979 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 35 | $46,151 | $8,965 | $9,461 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 32 | $32,372 | $5,048 | $6,636 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $194,990 | $25,543 | $39,973 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 22 | $103,790 | $16,247 | $21,277 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $61,372 | $11,424 | $12,581 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $33,907 | $6,608 | $6,951 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $27,682 | $3,867 | $5,675 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $51,033 | $10,306 | $10,462 | 1.45 |
Musculoskeletal system and connective tissue277 discharges in 12 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 | 48 | $99,309 | $13,677 | $20,358 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 42 | $101,091 | $13,957 | $20,724 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 25 | $71,484 | $10,148 | $14,654 | 1.59 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 22 | $196,893 | $25,375 | $40,363 | 3.49 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 22 | $171,014 | $18,527 | $35,058 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $126,053 | $18,768 | $25,841 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $40,156 | $6,216 | $8,232 | 0.90 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $184,132 | $17,178 | $37,747 | 2.67 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $24,016 | $5,515 | $4,923 | 0.79 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $39,758 | $6,316 | $8,150 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $111,657 | $18,350 | $22,890 | 2.99 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 14 | $181,462 | $16,418 | $37,200 | 2.48 |
Nervous system224 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 34 | $53,341 | $12,011 | $10,935 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 31 | $38,354 | $6,645 | $7,863 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 24 | $56,918 | $7,851 | $11,668 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $37,681 | $5,837 | $7,725 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 22 | $60,186 | $11,301 | $12,338 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 22 | $41,069 | $7,385 | $8,419 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 21 | $56,030 | $12,630 | $11,486 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $40,848 | $7,577 | $8,374 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 16 | $39,876 | $6,362 | $8,175 | 0.91 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $47,513 | $11,533 | $9,740 | 1.79 |
Endocrine, nutritional and metabolic212 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 with MCCMS-DRG 640, medical | 82 | $47,227 | $9,072 | $9,681 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 48 | $34,114 | $5,428 | $6,993 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 41 | $50,450 | $10,251 | $10,342 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 41 | $37,415 | $6,099 | $7,670 | 0.90 |
Blood and immune system52 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 28 | $43,496 | $6,947 | $8,917 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 24 | $52,465 | $10,164 | $10,755 | 1.40 |
Liver, gallbladder and pancreas52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 22 | $100,495 | $10,935 | $20,601 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 18 | $77,811 | $11,420 | $15,951 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $62,421 | $7,741 | $12,796 | 1.09 |
Skin, subcutaneous tissue and breast45 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 45 | $29,582 | $6,220 | $6,064 | 0.88 |
Injuries, poisonings and toxic effects of drugs29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 18 | $74,633 | $10,849 | $15,300 | 1.60 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 11 | $90,113 | $13,751 | $18,473 | 2.00 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $32,153 | $5,389 | $6,591 | 0.74 |
Male reproductive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major male pelvic procedures without cc/mccMS-DRG 708, surgical | 11 | $92,115 | $9,329 | $18,884 | 1.46 |
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 | 870 | 819 | $26,542 | $1,876 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 425 | 409 | $104,013 | $9,612 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 325 | 323 | $24,366 | $2,011 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 213 | 206 | $56,845 | $4,899 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 151 | 137 | $171,506 | $18,477 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 143 | 142 | $57,521 | $3,940 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 140 | 136 | $68,898 | $7,906 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 122 | $21,957 | $1,111 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 117 | 111 | $31,650 | $3,553 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 111 | 100 | $25,097 | $2,405 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 91 | 90 | $28,254 | $2,198 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 72 | $23,853 | $2,204 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 73 | 73 | $66,180 | $7,628 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 73 | 72 | $35,928 | $2,388 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 72 | 70 | $145,475 | $14,505 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 67 | 62 | $33,173 | $1,963 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 61 | 48 | $25,428 | $1,386 | $1,516 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 46 | 45 | $240,581 | $23,588 | $26,719 |
| Level 2 Upper GI ProceduresAPC 5302 | 40 | 37 | $14,726 | $1,315 | $1,445 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 33 | $39,085 | $3,949 | $4,338 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 33 | $14,806 | $1,107 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 31 | 31 | $226,895 | $26,823 | $29,375 |
| Level 4 Vascular ProceduresAPC 5184 | 30 | 25 | $43,549 | $3,799 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 30 | 29 | $107,558 | $13,554 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 28 | $83,923 | $6,793 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 23 | $15,977 | $1,111 | $1,196 |
| Level 6 Urology and Related ServicesAPC 5376 | 24 | 24 | $50,993 | $6,367 | $7,291 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 23 | 23 | $62,157 | $4,714 | $5,682 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 20 | $33,540 | $2,626 | $2,930 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 21 | 21 | $180,440 | $17,304 | $18,465 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 20 | 20 | $140,372 | $14,477 | $17,052 |
| Level 1 Nerve ProceduresAPC 5431 | 19 | 18 | $17,841 | $1,266 | $1,407 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 18 | 18 | $62,483 | $4,508 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $50,192 | $2,449 | $2,833 |
| Level 8 Urology and Related ServicesAPC 5378 | 18 | 18 | $158,916 | $15,832 | $17,428 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $85,652 | $5,873 | $6,514 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $88,789 | $4,732 | $5,183 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $89,785 | $1,170 | $1,264 |
| Level 2 Urology and Related ServicesAPC 5372 | 14 | 14 | $7,821 | $449 | $502 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $25,206 | $1,944 | $2,176 |
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.