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 procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 134 | $172,734 | $17,366 | $14,510 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $388,392 | $34,368 | $32,625 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $344,561 | $42,116 | $28,943 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $104,249 | $9,204 | $8,757 | 1.03 |
Respiratory system87 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $124,020 | $12,635 | $10,418 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $114,366 | $14,402 | $9,607 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $175,885 | $23,268 | $14,774 | 2.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $107,343 | $11,582 | $9,017 | 1.23 |
Kidney and urinary tract80 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 27 | $125,029 | $12,942 | $10,502 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 22 | $83,372 | $8,739 | $7,003 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $64,255 | $8,337 | $5,397 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $155,327 | $15,049 | $13,047 | 1.65 |
Circulatory system77 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 | 48 | $100,961 | $11,977 | $8,481 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $139,604 | $14,402 | $11,727 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 11 | $336,286 | $27,860 | $28,248 | 3.24 |
Endocrine, nutritional and metabolic68 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 | 40 | $89,608 | $12,195 | $7,527 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $93,510 | $7,866 | $7,855 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $104,715 | $12,975 | $8,796 | 1.45 |
Nervous system24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 13 | $67,161 | $9,653 | $5,642 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $178,036 | $15,545 | $14,955 | 2.00 |
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 group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 33 | 31 | $44,016 | $2,001 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 23 | 23 | $130,407 | $5,285 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 22 | $64,147 | $2,355 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 21 | $87,717 | $2,391 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 20 | 20 | $360,489 | $20,334 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 19 | 19 | $49,418 | $2,172 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $82,505 | $4,259 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 17 | 16 | $22,215 | $1,189 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 16 | 16 | $96,646 | $3,823 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 12 | 12 | $140,272 | $8,551 | $8,874 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $282,644 | $28,763 | $29,375 |
| Level 4 Urology and Related ServicesAPC 5374 | 12 | 12 | $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.