Citizens Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Citizens Medical Center, Victoria, TX in 2024, from traditional Medicare claims. Back to the Citizens Medical Center profile, with quality ratings, finances and negotiated rates.
1,215
Medicare inpatient discharges
In 43 published DRGs
1.53
Case mix index
IPPS FY 2027
10%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,319
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system381 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 170 | $26,422 | $8,548 | $7,504 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $16,094 | $4,955 | $4,571 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $33,383 | $10,629 | $9,481 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 26 | $17,163 | $5,975 | $4,874 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $27,080 | $7,716 | $7,691 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $101,265 | $18,817 | $28,759 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $40,423 | $13,779 | $11,480 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $11,995 | $3,256 | $3,407 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $22,345 | $6,243 | $6,346 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $23,775 | $6,990 | $6,752 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $71,609 | $11,050 | $20,337 | 1.82 |
Kidney and urinary tract164 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 | 50 | $15,540 | $5,188 | $4,413 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $29,656 | $7,828 | $8,422 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $25,523 | $10,018 | $7,249 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 23 | $19,872 | $5,871 | $5,644 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $24,060 | $10,199 | $6,833 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $16,504 | $6,946 | $4,687 | 1.02 |
Respiratory system160 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $38,413 | $10,164 | $10,909 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $34,759 | $8,542 | $9,872 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $32,618 | $8,529 | $9,263 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $22,683 | $5,409 | $6,442 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $28,487 | $7,221 | $8,090 | 1.10 |
Infectious and parasitic diseases146 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 | 111 | $42,872 | $12,650 | $12,176 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $21,470 | $6,575 | $6,098 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $108,781 | $29,684 | $30,894 | 5.00 |
Digestive system120 discharges in 7 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 | 26 | $16,894 | $5,178 | $4,798 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $25,676 | $6,653 | $7,292 | 0.98 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $26,522 | $7,004 | $7,532 | 1.04 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $89,412 | $29,056 | $25,393 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $20,075 | $5,069 | $5,701 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $74,726 | $14,893 | $21,222 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $19,074 | $6,224 | $5,417 | 0.94 |
Endocrine, nutritional and metabolic112 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 35 | $18,522 | $5,716 | $5,260 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $14,473 | $5,131 | $4,110 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 31 | $24,382 | $8,786 | $6,924 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $22,703 | $9,626 | $6,448 | 1.45 |
Musculoskeletal system and connective tissue56 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 | 28 | $51,575 | $13,382 | $14,647 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $50,234 | $13,848 | $14,266 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $20,152 | $6,257 | $5,723 | 0.97 |
Nervous system35 discharges in 2 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 | 20 | $36,619 | $6,399 | $10,400 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $29,630 | $5,164 | $8,415 | 0.80 |
Skin, subcutaneous tissue and breast27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 27 | $16,243 | $5,584 | $4,613 | 0.88 |
Blood and immune system14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $19,948 | $6,110 | $5,665 | 0.90 |
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 | 298 | 279 | $12,680 | $1,900 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 108 | 104 | $32,641 | $9,676 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 107 | 105 | $7,674 | $1,094 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 73 | 73 | $10,703 | $2,014 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 68 | 61 | $15,845 | $3,542 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 67 | 66 | $22,486 | $3,950 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 63 | 52 | $5,726 | $1,299 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 60 | 54 | $12,837 | $2,417 | $2,629 |
| Level 2 Urology and Related ServicesAPC 5372 | 47 | $1,638 | $471 | $502 | |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 40 | $15,259 | $2,216 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 38 | $20,846 | $1,969 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 35 | 33 | $9,186 | $1,370 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 34 | 33 | $26,766 | $4,973 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 31 | $14,169 | $2,071 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 31 | 30 | $44,908 | $14,159 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 31 | $44,427 | $7,958 | $8,874 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $35,984 | $7,101 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 27 | $16,417 | $2,310 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 17 | $8,836 | $1,342 | $1,407 |
| Level 2 Endovascular ProceduresAPC 5192 | 19 | 19 | $19,949 | $3,869 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $38,300 | $7,679 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 15 | $15,759 | $2,604 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $34,219 | $4,534 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | 11 | $61,720 | $12,666 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $11,050 | $1,987 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 13 | $11,263 | $1,109 | $1,204 |
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.