Hill Country Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hill Country Memorial Hospital, Fredericksburg, TX in 2024, from traditional Medicare claims. Back to the Hill Country Memorial Hospital profile, with quality ratings, finances and negotiated rates.
408
Medicare inpatient discharges
In 17 published DRGs
1.62
Case mix index
IPPS FY 2027
18%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
2,005
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases184 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 | 127 | $80,633 | $17,508 | $10,885 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 44 | $67,103 | $9,562 | $9,059 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $118,510 | $22,264 | $15,999 | 2.04 |
Respiratory system77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $60,928 | $12,151 | $8,225 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $82,683 | $13,222 | $11,162 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $81,000 | $11,962 | $10,935 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $57,474 | $6,812 | $7,759 | 0.82 |
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 | 16 | $94,806 | $17,987 | $12,799 | 2.07 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $76,178 | $11,166 | $10,284 | 1.59 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $105,600 | $22,690 | $14,256 | 2.11 |
Digestive system38 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $107,459 | $24,354 | $14,507 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $53,117 | $8,092 | $7,171 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $32,235 | $6,788 | $4,352 | 0.79 |
Circulatory system26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 26 | $63,496 | $10,476 | $8,572 | 1.28 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $37,856 | $6,846 | $5,110 | 0.88 |
Kidney and urinary tract13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $52,712 | $6,420 | $7,116 | 0.81 |
Nervous system12 discharges in 1 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 | 12 | $59,621 | $8,576 | $8,049 | 1.02 |
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 Intraocular ProceduresAPC 5491 | 331 | 195 | $13,133 | $1,606 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 232 | 218 | $95,645 | $9,690 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 228 | 220 | $38,773 | $1,890 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 165 | 159 | $18,732 | $1,324 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 84 | 78 | $15,886 | $1,120 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 77 | 77 | $35,701 | $3,978 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 74 | 74 | $41,386 | $2,025 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 70 | 68 | $49,869 | $4,922 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 59 | 56 | $28,870 | $3,577 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 57 | 56 | $16,821 | $1,111 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 55 | 53 | $126,960 | $14,503 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 54 | 54 | $26,612 | $2,238 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 34 | $17,274 | $1,406 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 53 | 49 | $16,561 | $1,335 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 45 | $23,597 | $2,412 | $2,629 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 47 | 47 | $65,295 | $5,871 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 45 | 45 | $19,037 | $1,980 | $2,176 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 45 | 44 | $15,820 | $1,612 | $1,780 |
| Level 5 ENT ProceduresAPC 5165 | 42 | 39 | $27,030 | $4,049 | $4,436 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 17 | $18,059 | $2,806 | $3,116 |
| Level 3 Vascular ProceduresAPC 5183 | 30 | 27 | $23,207 | $2,057 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 28 | 27 | $24,138 | $1,962 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 16 | $10,178 | $1,105 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $25,049 | $2,392 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 14 | $43,028 | $4,508 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 15 | 15 | $53,341 | $3,951 | $4,338 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $39,315 | $4,729 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 11 | $15,036 | $2,572 | $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.