Covenant Health System Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Covenant Health System, Lubbock, TX in 2024, from traditional Medicare claims. Back to the Covenant Health System profile, with quality ratings, finances and negotiated rates.
3,886
Medicare inpatient discharges
In 103 published DRGs
2.00
Case mix index
IPPS FY 2027
25%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
2,845
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system692 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 208 | $134,790 | $8,567 | $12,670 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 86 | $137,760 | $10,357 | $12,949 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 59 | $170,781 | $20,429 | $16,053 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $119,973 | $7,972 | $11,277 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 37 | $162,622 | $13,450 | $15,286 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 35 | $91,941 | $6,230 | $8,642 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $71,814 | $4,949 | $6,751 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 29 | $250,217 | $17,260 | $23,520 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $201,251 | $10,779 | $18,918 | 1.82 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 21 | $370,161 | $35,140 | $34,795 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $167,819 | $13,352 | $15,775 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $91,366 | $5,470 | $8,588 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $168,986 | $15,227 | $15,885 | 2.28 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 13 | $410,612 | $35,349 | $38,597 | 5.04 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $121,418 | $6,191 | $11,413 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $75,679 | $5,108 | $7,114 | 0.75 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $296,390 | $32,066 | $27,861 | 4.88 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 11 | $296,343 | $25,611 | $27,856 | 4.81 |
Infectious and parasitic diseases682 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 | 492 | $183,167 | $13,377 | $17,218 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 95 | $391,921 | $33,487 | $36,841 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 69 | $111,806 | $6,687 | $10,510 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $542,576 | $39,667 | $51,002 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $178,961 | $13,352 | $16,822 | 2.04 |
Respiratory system513 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 160 | $158,860 | $11,184 | $14,933 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 116 | $123,978 | $8,548 | $11,654 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 85 | $111,530 | $7,902 | $10,484 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 33 | $232,757 | $18,234 | $21,879 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $72,873 | $5,021 | $6,850 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $115,802 | $9,561 | $10,885 | 1.40 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $503,910 | $40,664 | $47,368 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $488,297 | $27,303 | $45,900 | 4.71 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 13 | $295,051 | $23,841 | $27,735 | 4.06 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $96,389 | $5,935 | $9,061 | 0.99 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 12 | $158,289 | $13,249 | $14,879 | 1.90 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $110,429 | $7,492 | $10,380 | 1.10 |
Nervous system479 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 112 | $174,048 | $13,247 | $16,361 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 88 | $97,566 | $6,234 | $9,171 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 35 | $407,070 | $28,800 | $38,265 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 32 | $160,847 | $12,962 | $15,120 | 1.98 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 29 | $361,972 | $33,936 | $34,025 | 5.67 |
| Seizures without MCCMS-DRG 101, medical | 29 | $91,202 | $5,903 | $8,573 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 19 | $92,975 | $5,542 | $8,740 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $136,996 | $12,080 | $12,878 | 1.79 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 17 | $177,761 | $10,615 | $16,709 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $82,904 | $4,053 | $7,793 | 0.69 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 14 | $228,141 | $19,276 | $21,445 | 2.95 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 13 | $158,014 | $14,269 | $14,853 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 12 | $258,066 | $23,733 | $24,258 | 3.79 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $92,166 | $8,743 | $8,664 | 1.36 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 11 | $553,091 | $49,014 | $51,991 | 8.45 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 11 | $145,161 | $15,252 | $13,645 | 2.30 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $102,127 | $6,905 | $9,600 | 1.03 |
Digestive system417 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 80 | $108,783 | $6,692 | $10,226 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 57 | $176,033 | $13,022 | $16,547 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 57 | $84,870 | $5,406 | $7,978 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 36 | $350,495 | $30,162 | $32,946 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 36 | $212,687 | $14,152 | $19,993 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 31 | $73,368 | $5,431 | $6,897 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 24 | $119,493 | $9,063 | $11,232 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 21 | $159,732 | $10,032 | $15,015 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $100,101 | $10,082 | $9,409 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $118,289 | $11,198 | $11,119 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $107,067 | $4,961 | $10,064 | 0.94 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 14 | $362,469 | $32,516 | $34,072 | 4.28 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $157,427 | $13,102 | $14,798 | 2.10 |
Kidney and urinary tract356 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 95 | $153,084 | $10,113 | $14,390 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 67 | $104,719 | $7,544 | $9,844 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 64 | $105,547 | $5,974 | $9,921 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 48 | $82,502 | $5,468 | $7,755 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $158,630 | $10,793 | $14,911 | 1.65 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 20 | $286,421 | $23,853 | $26,924 | 3.70 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 16 | $163,938 | $14,910 | $15,410 | 2.38 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $83,261 | $6,964 | $7,827 | 1.02 |
Musculoskeletal system and connective tissue355 discharges in 10 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 | 110 | $188,608 | $13,143 | $17,729 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 77 | $182,947 | $13,484 | $17,197 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 34 | $251,148 | $19,425 | $23,608 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 33 | $99,657 | $6,236 | $9,368 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 25 | $257,031 | $20,299 | $24,161 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $240,997 | $18,636 | $22,654 | 2.99 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 18 | $174,278 | $15,926 | $16,382 | 2.40 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $156,651 | $11,889 | $14,725 | 1.70 |
| Shoulder, elbow or forearm procedures, except major joint procedures with CCMS-DRG 511, surgical | 12 | $150,693 | $12,257 | $14,165 | 1.99 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $183,083 | $13,385 | $17,210 | 2.04 |
Liver, gallbladder and pancreas132 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 28 | $180,138 | $13,259 | $16,933 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 25 | $196,677 | $15,601 | $18,488 | 2.32 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 20 | $200,483 | $13,854 | $18,845 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $183,911 | $11,054 | $17,288 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $184,021 | $10,830 | $17,298 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $140,256 | $11,432 | $13,184 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $117,171 | $7,590 | $11,014 | 1.09 |
Endocrine, nutritional and metabolic121 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 | 64 | $119,606 | $8,765 | $11,243 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 30 | $133,916 | $9,704 | $12,588 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $76,866 | $4,991 | $7,225 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 11 | $75,118 | $6,246 | $7,061 | 0.90 |
Injuries, poisonings and toxic effects of drugs42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 17 | $180,820 | $11,700 | $16,997 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 14 | $208,069 | $23,350 | $19,558 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $163,674 | $10,784 | $15,385 | 1.60 |
Skin, subcutaneous tissue and breast37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 22 | $75,547 | $5,990 | $7,101 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $127,648 | $9,578 | $11,999 | 1.49 |
Blood and immune system30 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 | 15 | $87,617 | $6,472 | $8,236 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 15 | $141,888 | $11,629 | $13,337 | 1.56 |
Factors influencing health status16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 16 | $37,105 | $4,778 | $3,488 | 0.59 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $296,725 | $30,818 | $27,892 | 4.74 |
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 | 908 | 829 | $50,097 | $1,871 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 176 | 175 | $47,331 | $2,015 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 176 | 156 | $34,448 | $1,289 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 155 | 146 | $164,716 | $18,582 | $21,117 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 139 | 136 | $18,217 | $1,120 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 112 | 110 | $86,849 | $3,918 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 97 | 85 | $45,545 | $2,385 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 94 | 90 | $29,649 | $2,178 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 82 | 82 | $154,509 | $7,114 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 67 | 62 | $56,072 | $2,586 | $2,833 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 56 | 55 | $158,911 | $14,505 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 54 | 53 | $81,777 | $4,942 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 53 | 52 | $46,728 | $1,961 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 53 | 50 | $57,449 | $3,576 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 52 | 49 | $101,032 | $7,439 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 45 | 43 | $124,060 | $9,344 | $10,772 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 44 | $86,485 | $4,508 | $4,982 |
| Level 4 Vascular ProceduresAPC 5184 | 41 | 36 | $72,764 | $3,794 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 40 | 39 | $61,178 | $2,392 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 38 | 27 | $27,107 | $1,111 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 38 | 38 | $63,262 | $7,617 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 37 | 34 | $118,124 | $13,554 | $14,606 |
| Level 3 Upper GI ProceduresAPC 5303 | 33 | 32 | $49,014 | $2,648 | $2,888 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 26 | 26 | $41,884 | $5,873 | $6,514 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 20 | $36,524 | $1,404 | $1,516 |
| Level 6 Urology and Related ServicesAPC 5376 | 23 | 23 | $102,336 | $6,369 | $7,291 |
| Level 1 Nerve ProceduresAPC 5431 | 21 | 19 | $34,170 | $1,335 | $1,407 |
| Level 3 Airway EndoscopyAPC 5153 | 18 | 18 | $39,237 | $1,173 | $1,264 |
| Complex GI ProceduresAPC 5331 | 18 | 15 | $76,809 | $3,502 | $4,263 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $13,123 | $1,107 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 13 | $73,875 | $3,944 | $4,338 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $80,519 | $4,728 | $5,183 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $198,452 | $26,831 | $29,375 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $139,701 | $15,232 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $153,322 | $25,235 | $26,719 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 12 | $62,508 | $2,635 | $2,930 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $82,324 | $4,049 | $4,436 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | $160,993 | $17,304 | $18,465 |
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.