PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Hca Houston Healthcare West Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Hca Houston Healthcare West, Houston, TX in 2024, from traditional Medicare claims. Back to the Hca Houston Healthcare West profile, with quality ratings, finances and negotiated rates.

  • 527

    Medicare inpatient discharges

    In 20 published DRGs

  • 1.83

    Case mix index

    IPPS FY 2027

  • 6%

    Surgical stays

  • 77%

    Stays with complications

    In DRGs with a CC or MCC

  • 227

    Medicare outpatient services

    In 12 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases191 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical134$172,734$17,366$14,5101.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical20$388,392$34,368$32,6255.00
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical20$344,561$42,116$28,9436.96
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical17$104,249$9,204$8,7571.03

Respiratory system87 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical33$124,020$12,635$10,4181.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical28$114,366$14,402$9,6071.70
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical14$175,885$23,268$14,7742.70
Pulmonary edema and respiratory failureMS-DRG 189, medical12$107,343$11,582$9,0171.23

Kidney and urinary tract80 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Renal failure with MCCMS-DRG 682, medical27$125,029$12,942$10,5021.50
Renal failure with CCMS-DRG 683, medical22$83,372$8,739$7,0030.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical16$64,255$8,337$5,3970.81
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical15$155,327$15,049$13,0471.65

Circulatory system77 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical48$100,961$11,977$8,4811.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical18$139,604$14,402$11,7271.59
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical11$336,286$27,860$28,2483.24

Endocrine, nutritional and metabolic68 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical40$89,608$12,195$7,5271.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical16$93,510$7,866$7,8550.78
Diabetes with MCCMS-DRG 637, medical12$104,715$12,975$8,7961.45

Nervous system24 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Seizures without MCCMS-DRG 101, medical13$67,161$9,653$5,6420.91
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical11$178,036$15,545$14,9552.00

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Comprehensive Observation ServicesAPC 80113331$44,016$2,001$2,090
Level 4 Musculoskeletal ProceduresAPC 51142323$130,407$5,285$5,339
Level 3 Vascular ProceduresAPC 51832322$64,147$2,355$2,405
Level 3 Musculoskeletal ProceduresAPC 51132121$87,717$2,391$2,373
Level 3 Electrophysiologic ProceduresAPC 52132020$360,489$20,334$21,117
Level 1 Endovascular ProceduresAPC 51911919$49,418$2,172$2,208
Level 1 Laparoscopy and Related ServicesAPC 53611919$82,505$4,259$4,358
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 50721716$22,215$1,189$1,220
Level 5 Urology and Related ServicesAPC 53751616$96,646$3,823$3,918
Level 3 Endovascular ProceduresAPC 51931212$140,272$8,551$8,874
Level 2 ICD and Similar ProceduresAPC 52321212$282,644$28,763$29,375
Level 4 Urology and Related ServicesAPC 53741212$56,743$2,576$2,629

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.