Hca Houston Healthcare Clear Lake Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hca Houston Healthcare Clear Lake, Webster, TX in 2024, from traditional Medicare claims. Back to the Hca Houston Healthcare Clear Lake profile, with quality ratings, finances and negotiated rates.
3,440
Medicare inpatient discharges
In 109 published DRGs
2.12
Case mix index
IPPS FY 2027
25%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
1,581
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system1,042 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 180 | $108,927 | $9,248 | $7,734 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 115 | $347,440 | $22,453 | $24,668 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 58 | $155,138 | $10,873 | $11,015 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 57 | $77,089 | $6,568 | $5,473 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 39 | $71,460 | $5,341 | $5,074 | 0.75 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 38 | $472,065 | $34,614 | $33,517 | 4.88 |
| Chest painMS-DRG 313, medical | 36 | $62,510 | $4,681 | $4,438 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 35 | $276,405 | $22,324 | $19,625 | 3.35 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 34 | $446,657 | $32,685 | $31,713 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $106,367 | $7,054 | $7,552 | 1.08 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 32 | $664,777 | $32,812 | $47,199 | 5.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $77,268 | $5,356 | $5,486 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $193,161 | $11,642 | $13,714 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $179,861 | $14,417 | $12,770 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $304,002 | $19,470 | $21,584 | 2.87 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 24 | $89,841 | $7,043 | $6,379 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $50,985 | $3,447 | $3,620 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $110,728 | $9,153 | $7,862 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $220,221 | $16,111 | $15,636 | 2.28 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $436,445 | $21,119 | $30,988 | 3.46 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $240,439 | $14,760 | $17,071 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $406,467 | $26,507 | $28,859 | 3.46 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 17 | $94,342 | $11,765 | $6,698 | 1.58 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 16 | $454,242 | $28,180 | $32,251 | 3.90 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 15 | $914,417 | $60,765 | $64,924 | 7.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 15 | $838,246 | $50,324 | $59,515 | 7.80 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $103,842 | $6,295 | $7,373 | 0.91 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 13 | $754,248 | $33,013 | $53,552 | 4.04 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 13 | $519,675 | $31,021 | $36,897 | 4.81 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $674,060 | $34,095 | $47,858 | 5.20 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 11 | $227,519 | $23,774 | $16,154 | 3.27 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $94,154 | $7,019 | $6,685 | 0.97 |
Infectious and parasitic diseases509 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 | 358 | $211,892 | $13,751 | $15,044 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 69 | $534,258 | $34,261 | $37,932 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 46 | $85,408 | $6,997 | $6,064 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $601,440 | $36,683 | $42,702 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $246,938 | $13,985 | $17,533 | 2.04 |
Kidney and urinary tract371 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 81 | $136,059 | $10,424 | $9,660 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 74 | $73,643 | $6,303 | $5,229 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 60 | $67,834 | $5,739 | $4,816 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 58 | $86,678 | $8,132 | $6,154 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 52 | $142,507 | $12,080 | $10,118 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 30 | $90,332 | $7,825 | $6,414 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 16 | $208,616 | $23,998 | $14,812 | 3.70 |
Nervous system339 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 43 | $206,414 | $12,623 | $14,655 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $138,194 | $7,221 | $9,812 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 30 | $88,122 | $5,345 | $6,257 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 28 | $178,712 | $12,891 | $12,689 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 27 | $71,689 | $6,450 | $5,090 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 25 | $87,500 | $9,507 | $6,212 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 21 | $116,231 | $9,191 | $8,252 | 1.32 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 19 | $140,777 | $15,905 | $9,995 | 2.39 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 19 | $152,687 | $11,989 | $10,841 | 1.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 16 | $182,108 | $6,384 | $12,930 | 1.14 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 16 | $88,848 | $7,078 | $6,308 | 1.03 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $475,464 | $38,511 | $33,758 | 5.67 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $167,761 | $12,111 | $11,911 | 1.81 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $186,140 | $13,173 | $13,216 | 1.79 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 11 | $168,072 | $13,171 | $11,933 | 1.87 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $100,810 | $10,185 | $7,157 | 1.36 |
Respiratory system337 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 67 | $153,991 | $9,471 | $10,933 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $127,785 | $8,690 | $9,073 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $143,189 | $11,566 | $10,166 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $300,943 | $18,422 | $21,367 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $82,743 | $5,204 | $5,875 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 20 | $205,161 | $13,028 | $14,566 | 1.74 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $82,065 | $5,435 | $5,827 | 0.85 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 15 | $183,287 | $13,141 | $13,013 | 1.90 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $111,822 | $6,137 | $7,939 | 0.96 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $139,059 | $8,178 | $9,873 | 1.10 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $458,904 | $33,378 | $32,582 | 4.71 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 13 | $632,994 | $44,577 | $44,943 | 6.91 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $309,984 | $16,333 | $22,009 | 2.55 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $100,933 | $7,527 | $7,166 | 1.05 |
Digestive system230 discharges in 9 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 | 76 | $74,688 | $5,672 | $5,303 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $202,700 | $13,032 | $14,392 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $479,440 | $38,143 | $34,040 | 4.52 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $100,480 | $7,405 | $7,134 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $223,110 | $15,104 | $15,841 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $92,731 | $8,965 | $6,584 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $82,968 | $7,093 | $5,891 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $171,779 | $12,460 | $12,196 | 1.62 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $174,593 | $11,029 | $12,396 | 1.67 |
Musculoskeletal system and connective tissue211 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 56 | $83,958 | $7,027 | $5,961 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $215,894 | $14,656 | $15,328 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $214,814 | $14,780 | $15,252 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 27 | $154,297 | $12,371 | $10,955 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $88,245 | $6,475 | $6,265 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $311,996 | $19,791 | $22,152 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $246,343 | $14,916 | $17,490 | 2.40 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 12 | $64,659 | $6,427 | $4,591 | 0.82 |
Endocrine, nutritional and metabolic157 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 | $104,704 | $9,600 | $7,434 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $65,974 | $5,811 | $4,684 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 25 | $83,819 | $6,677 | $5,951 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $95,355 | $10,421 | $6,770 | 1.45 |
Blood and immune system82 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 39 | $70,601 | $6,961 | $5,013 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 32 | $96,060 | $10,082 | $6,820 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 11 | $139,760 | $15,143 | $9,923 | 2.19 |
Liver, gallbladder and pancreas56 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 18 | $181,726 | $14,519 | $12,903 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $96,151 | $13,305 | $6,827 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $187,528 | $11,701 | $13,315 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $254,954 | $13,821 | $18,102 | 2.32 |
Skin, subcutaneous tissue and breast39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $61,082 | $5,718 | $4,337 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $94,069 | $10,333 | $6,679 | 1.49 |
Transplants, ECMO and tracheostomy (pre-MDC)25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 14 | $934,058 | $75,242 | $66,318 | 14.70 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $1,409,939 | $102,644 | $100,106 | 21.32 |
Mental diseases and disorders19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 19 | $74,279 | $12,278 | $5,274 | 1.76 |
Injuries, poisonings and toxic effects of drugs12 discharges in 1 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 | 12 | $134,053 | $10,437 | $9,518 | 1.60 |
Other11 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 | 11 | $445,396 | $25,111 | $31,623 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 267 | 267 | $48,950 | $2,127 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 179 | 167 | $49,970 | $2,021 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 127 | 118 | $136,652 | $8,285 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 114 | 111 | $267,773 | $20,155 | $21,117 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 108 | 104 | $26,825 | $1,184 | $1,220 |
| Level 4 Endovascular ProceduresAPC 5194 | 71 | 61 | $205,053 | $14,588 | $14,606 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 70 | 68 | $144,567 | $10,555 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 61 | 60 | $101,929 | $4,123 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 58 | 56 | $59,152 | $2,349 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 50 | 50 | $81,419 | $8,256 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 36 | $58,346 | $2,096 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $118,108 | $5,142 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 36 | 34 | $14,405 | $1,142 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 34 | 34 | $95,923 | $4,091 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 28 | $66,168 | $2,391 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 27 | $79,044 | $2,668 | $2,833 |
| Level 3 Urology and Related ServicesAPC 5373 | 28 | 25 | $57,292 | $1,397 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 27 | 25 | $101,510 | $4,060 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 25 | $153,096 | $28,782 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 22 | $112,976 | $4,818 | $4,982 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 22 | $37,144 | $1,373 | $1,445 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 22 | 22 | $150,972 | $7,547 | $8,164 |
| Level 3 Airway EndoscopyAPC 5153 | 21 | 20 | $40,543 | $1,254 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 20 | $104,796 | $4,834 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $83,274 | $2,556 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 17 | $76,870 | $2,816 | $2,930 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 16 | $183,050 | $15,370 | $17,052 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 13 | $77,915 | $2,576 | $2,629 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $112,493 | $4,309 | $4,436 |
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.