Christus Southeast Texas St. Elizabeth Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Christus Southeast Texas St. Elizabeth, Beaumont, TX in 2024, from traditional Medicare claims. Back to the Christus Southeast Texas St. Elizabeth profile, with quality ratings, finances and negotiated rates.
2,200
Medicare inpatient discharges
In 65 published DRGs
1.74
Case mix index
IPPS FY 2027
15%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,176
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system478 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 142 | $61,420 | $9,590 | $11,608 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $66,093 | $12,175 | $12,492 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $37,964 | $5,874 | $7,175 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 36 | $40,394 | $7,183 | $7,634 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $48,587 | $9,524 | $9,183 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $146,741 | $21,252 | $27,734 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 26 | $100,535 | $13,245 | $19,001 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 25 | $38,888 | $7,521 | $7,350 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 25 | $82,833 | $15,985 | $15,656 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $28,651 | $4,645 | $5,415 | 0.55 |
| Chest painMS-DRG 313, medical | 19 | $31,104 | $5,838 | $5,879 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $49,011 | $8,386 | $9,263 | 1.08 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $201,094 | $26,812 | $38,007 | 4.04 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $40,683 | $8,646 | $7,689 | 1.07 |
Kidney and urinary tract355 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 69 | $38,670 | $6,703 | $7,309 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $92,194 | $13,309 | $17,425 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 58 | $56,320 | $11,255 | $10,645 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 56 | $34,529 | $6,775 | $6,526 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 55 | $43,714 | $9,100 | $8,262 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $43,206 | $6,948 | $8,166 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 18 | $58,230 | $10,093 | $11,005 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 15 | $121,259 | $27,012 | $22,918 | 3.70 |
Respiratory system323 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 72 | $65,380 | $10,081 | $12,357 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 71 | $78,752 | $12,446 | $14,884 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $53,741 | $8,848 | $10,157 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $53,622 | $9,818 | $10,135 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 33 | $131,722 | $20,908 | $24,895 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $39,921 | $6,347 | $7,545 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $46,751 | $7,801 | $8,836 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $51,997 | $10,900 | $9,827 | 1.40 |
Infectious and parasitic diseases272 discharges in 3 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 | 201 | $91,875 | $14,638 | $17,364 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 42 | $218,718 | $36,557 | $41,338 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $49,143 | $7,529 | $9,288 | 1.03 |
Digestive system248 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 46 | $62,639 | $7,712 | $11,839 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 45 | $32,462 | $6,278 | $6,135 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $84,973 | $13,357 | $16,060 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 28 | $144,527 | $17,054 | $27,316 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 27 | $55,766 | $7,241 | $10,540 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $29,515 | $6,383 | $5,578 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $190,223 | $31,403 | $35,952 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $86,938 | $11,032 | $16,431 | 1.75 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $19,066 | $4,675 | $3,603 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $65,696 | $12,777 | $12,417 | 1.62 |
Nervous system157 discharges in 6 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 | 47 | $44,459 | $7,573 | $8,403 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 33 | $77,218 | $13,856 | $14,594 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 26 | $38,309 | $6,445 | $7,240 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 18 | $90,285 | $15,246 | $17,064 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 17 | $42,169 | $7,197 | $7,970 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $47,566 | $8,852 | $8,990 | 1.06 |
Musculoskeletal system and connective tissue151 discharges in 6 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 | 52 | $97,586 | $15,203 | $18,444 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 40 | $89,871 | $15,626 | $16,986 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 23 | $70,631 | $12,051 | $13,349 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $33,188 | $6,694 | $6,273 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $159,253 | $20,951 | $30,099 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $45,101 | $7,643 | $8,524 | 0.90 |
Endocrine, nutritional and metabolic127 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 | 54 | $58,550 | $10,038 | $11,066 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 34 | $35,653 | $6,243 | $6,738 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 22 | $38,992 | $7,308 | $7,370 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $70,923 | $11,560 | $13,404 | 1.45 |
Blood and immune system46 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 19 | $56,374 | $11,223 | $10,655 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $44,451 | $7,479 | $8,401 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 12 | $63,190 | $12,039 | $11,943 | 1.56 |
Liver, gallbladder and pancreas24 discharges in 2 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 | 13 | $89,716 | $12,351 | $16,956 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $80,161 | $15,002 | $15,150 | 1.92 |
Skin, subcutaneous tissue and breast19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 19 | $39,073 | $6,521 | $7,385 | 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 | 338 | 326 | $28,911 | $2,002 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 202 | 178 | $10,438 | $1,425 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 172 | 159 | $18,824 | $1,488 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 159 | 144 | $19,931 | $2,543 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 135 | 129 | $12,580 | $1,189 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 131 | 131 | $40,012 | $4,129 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 120 | 118 | $18,722 | $2,304 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 111 | 111 | $36,990 | $5,150 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 111 | 108 | $97,869 | $10,555 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 94 | 89 | $27,035 | $3,741 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 88 | 86 | $10,696 | $1,187 | $1,196 |
| Level 1 Endovascular ProceduresAPC 5191 | 88 | 88 | $17,982 | $2,120 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 61 | 61 | $12,775 | $2,060 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 49 | 48 | $23,311 | $2,259 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 33 | 30 | $62,032 | $8,040 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 32 | 30 | $16,718 | $1,405 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $122,910 | $14,986 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 23 | $32,410 | $1,134 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 21 | $104,602 | $14,594 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 20 | 18 | $161,194 | $20,334 | $21,117 |
| Level 2 Intraocular ProceduresAPC 5492 | 19 | 17 | $20,496 | $2,999 | $3,116 |
| Level 2 Urology and Related ServicesAPC 5372 | 17 | 17 | $14,105 | $505 | $502 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $26,545 | $2,396 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $25,933 | $3,675 | $3,792 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 15 | 14 | $21,203 | $2,628 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $47,536 | $4,818 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 15 | $60,744 | $7,907 | $8,164 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 13 | $223,814 | $27,077 | $26,719 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $13,888 | $1,254 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $18,100 | $2,767 | $2,833 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $56,146 | $6,908 | $7,291 |
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.