Guadalupe Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Guadalupe Regional Medical Center, Seguin, TX in 2024, from traditional Medicare claims. Back to the Guadalupe Regional Medical Center profile, with quality ratings, finances and negotiated rates.
580
Medicare inpatient discharges
In 27 published DRGs
1.52
Case mix index
IPPS FY 2027
14%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,632
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system129 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 87 | $28,308 | $8,569 | $9,851 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $34,994 | $10,085 | $12,178 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $16,799 | $5,475 | $5,846 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $35,664 | $8,060 | $12,411 | 1.20 |
Respiratory system116 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $32,783 | $8,393 | $11,408 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $35,650 | $7,942 | $12,406 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $47,548 | $10,613 | $16,547 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $29,502 | $7,012 | $10,267 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $21,440 | $7,101 | $7,461 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $18,483 | $5,185 | $6,432 | 0.82 |
Kidney and urinary tract97 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $12,674 | $5,275 | $4,411 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 22 | $15,609 | $5,962 | $5,432 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $17,500 | $7,158 | $6,090 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $13,308 | $6,935 | $4,631 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $19,165 | $9,220 | $6,669 | 1.50 |
Musculoskeletal system and connective tissue82 discharges in 4 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 | 26 | $45,351 | $13,341 | $15,782 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $45,347 | $13,764 | $15,781 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $36,775 | $12,581 | $12,798 | 1.88 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $35,966 | $10,458 | $12,516 | 1.59 |
Infectious and parasitic diseases56 discharges in 1 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 | 56 | $48,498 | $12,845 | $16,877 | 1.98 |
Digestive system50 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $24,659 | $6,988 | $8,581 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $16,043 | $5,556 | $5,583 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $44,179 | $12,217 | $15,374 | 1.79 |
Nervous system25 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 | 14 | $23,064 | $6,392 | $8,026 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $40,057 | $11,574 | $13,940 | 2.00 |
Endocrine, nutritional and metabolic25 discharges in 2 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 | 13 | $20,052 | $9,374 | $6,978 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $9,632 | $5,522 | $3,352 | 0.78 |
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 | 363 | 327 | $12,431 | $1,842 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 331 | 203 | $9,543 | $1,572 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 109 | 104 | $31,403 | $9,684 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 75 | 55 | $13,433 | $2,378 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 66 | 63 | $10,106 | $1,365 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 64 | $18,072 | $2,030 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 46 | $15,221 | $2,169 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 55 | $14,623 | $3,513 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 44 | $10,367 | $1,966 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 48 | $18,654 | $3,826 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 44 | 43 | $9,416 | $1,086 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 42 | 37 | $8,560 | $1,094 | $1,220 |
| Level 2 Endovascular ProceduresAPC 5192 | 38 | 32 | $25,819 | $3,951 | $4,338 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 36 | $20,183 | $4,946 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 34 | 32 | $64,248 | $7,907 | $8,874 |
| Level 3 Intraocular ProceduresAPC 5493 | 34 | 22 | $26,202 | $3,613 | $4,004 |
| Level 1 Nerve ProceduresAPC 5431 | 25 | 24 | $9,839 | $1,297 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 21 | $10,999 | $1,326 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $15,942 | $2,278 | $2,636 |
| Level 2 Intraocular ProceduresAPC 5492 | 19 | 14 | $20,850 | $2,811 | $3,116 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 18 | 15 | $11,298 | $1,528 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 14 | $67,382 | $11,162 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $7,380 | $1,107 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 15 | $42,805 | $14,505 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | $15,355 | $2,635 | $2,930 | |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $12,280 | $2,589 | $2,833 |
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.