Hca Houston Healthcare Northwest Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hca Houston Healthcare Northwest, Houston, TX in 2024, from traditional Medicare claims. Back to the Hca Houston Healthcare Northwest profile, with quality ratings, finances and negotiated rates.
661
Medicare inpatient discharges
In 26 published DRGs
2.00
Case mix index
IPPS FY 2027
9%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
182
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases207 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 | 169 | $194,025 | $17,354 | $12,224 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $754,985 | $48,577 | $47,564 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $118,635 | $11,796 | $7,474 | 1.03 |
Circulatory system114 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 53 | $95,592 | $14,301 | $6,022 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 49 | $152,718 | $14,516 | $9,621 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 12 | $123,668 | $10,412 | $7,791 | 0.86 |
Kidney and urinary tract110 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 34 | $124,071 | $14,451 | $7,816 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 26 | $100,347 | $10,808 | $6,322 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $187,182 | $16,440 | $11,792 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $122,835 | $9,397 | $7,739 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $148,455 | $11,636 | $9,353 | 1.17 |
Endocrine, nutritional and metabolic57 discharges in 3 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 | 32 | $129,841 | $14,558 | $8,180 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $73,887 | $8,448 | $4,655 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $128,180 | $14,361 | $8,075 | 1.45 |
Respiratory system56 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $97,959 | $13,542 | $6,171 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 13 | $127,505 | $13,919 | $8,033 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 12 | $145,442 | $15,630 | $9,163 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $305,768 | $22,550 | $19,263 | 2.70 |
Musculoskeletal system and connective tissue43 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 | 18 | $390,826 | $18,356 | $24,622 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $156,440 | $10,674 | $9,856 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $272,607 | $12,900 | $17,174 | 1.88 |
Nervous system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $274,546 | $17,243 | $17,296 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 11 | $792,580 | $41,524 | $49,933 | 4.42 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $113,035 | $13,991 | $7,121 | 1.40 |
Digestive system12 discharges in 1 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 | 12 | $93,152 | $9,169 | $5,869 | 0.79 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $107,458 | $18,767 | $6,770 | 1.92 |
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 3 Urology and Related ServicesAPC 5373 | 28 | 25 | $58,116 | $1,448 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 20 | 13 | $48,963 | $1,722 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 19 | 17 | $41,843 | $1,407 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 18 | 18 | $36,806 | $1,198 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 17 | 16 | $40,382 | $2,022 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 12 | $72,552 | $2,576 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 15 | $152,572 | $5,284 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 14 | 13 | $122,512 | $4,263 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 13 | $118,152 | $2,391 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 11 | 11 | $268,548 | $10,555 | $10,772 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | $115,291 | $4,060 | $3,946 |
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.