Houston Healthcare Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Houston Healthcare, Warner Robins, GA in 2024, from traditional Medicare claims. Back to the Houston Healthcare profile, with quality ratings, finances and negotiated rates.
2,506
Medicare inpatient discharges
In 65 published DRGs
1.57
Case mix index
IPPS FY 2027
9%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,747
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system617 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 203 | $28,165 | $8,333 | $10,449 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 86 | $41,398 | $9,671 | $15,359 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $19,062 | $4,976 | $7,072 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $26,549 | $7,938 | $9,850 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 37 | $21,853 | $5,783 | $8,108 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $86,078 | $11,887 | $31,935 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 27 | $18,565 | $4,683 | $6,888 | 0.75 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $32,853 | $5,861 | $12,188 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $101,645 | $18,516 | $37,710 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $50,146 | $13,951 | $18,604 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $49,561 | $12,660 | $18,387 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $12,211 | $3,465 | $4,530 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $36,105 | $6,889 | $13,395 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $27,316 | $5,775 | $10,134 | 1.07 |
| Chest painMS-DRG 313, medical | 13 | $17,388 | $4,752 | $6,451 | 0.72 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $16,830 | $4,817 | $6,244 | 0.72 |
Infectious and parasitic diseases565 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 | 456 | $42,791 | $12,361 | $15,875 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 67 | $22,464 | $6,403 | $8,334 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 42 | $74,896 | $30,289 | $27,786 | 5.00 |
Respiratory system334 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 91 | $39,297 | $10,591 | $14,579 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 88 | $28,822 | $8,312 | $10,693 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $30,304 | $8,297 | $11,243 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 31 | $30,584 | $6,630 | $11,347 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $24,872 | $5,333 | $9,228 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $29,340 | $9,193 | $10,885 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $61,106 | $17,260 | $22,670 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $28,789 | $6,378 | $10,681 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $27,110 | $6,163 | $10,058 | 0.96 |
Kidney and urinary tract247 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 54 | $17,867 | $5,875 | $6,629 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $28,127 | $9,914 | $10,435 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $32,786 | $10,484 | $12,164 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $18,770 | $5,265 | $6,964 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $23,827 | $7,721 | $8,840 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $22,978 | $6,894 | $8,525 | 1.02 |
Nervous system208 discharges in 10 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 | 38 | $28,516 | $6,551 | $10,580 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 33 | $25,835 | $4,749 | $9,585 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 26 | $40,172 | $13,735 | $14,904 | 1.98 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 25 | $41,679 | $12,304 | $15,463 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $20,500 | $7,975 | $7,606 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 17 | $20,569 | $6,084 | $7,631 | 0.91 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $55,180 | $12,499 | $20,472 | 1.79 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $47,825 | $14,150 | $17,743 | 1.79 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 11 | $70,889 | $10,911 | $26,300 | 1.87 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $28,167 | $6,793 | $10,450 | 1.03 |
Digestive system177 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 42 | $24,349 | $6,216 | $9,033 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $38,144 | $11,654 | $14,151 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $18,095 | $4,993 | $6,713 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 24 | $15,571 | $5,329 | $5,777 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $81,035 | $15,704 | $30,064 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $109,895 | $30,893 | $40,771 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $29,298 | $9,698 | $10,870 | 1.62 |
Musculoskeletal system and connective tissue141 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 49 | $49,894 | $12,155 | $18,511 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $52,171 | $13,683 | $19,356 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $59,131 | $13,410 | $21,938 | 2.07 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $17,200 | $5,403 | $6,381 | 0.79 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 11 | $53,378 | $16,172 | $19,803 | 2.48 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $21,358 | $6,123 | $7,924 | 0.97 |
Endocrine, nutritional and metabolic84 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 | 41 | $26,015 | $8,638 | $9,651 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $18,489 | $5,023 | $6,860 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $28,003 | $9,514 | $10,389 | 1.45 |
Blood and immune system59 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 31 | $23,691 | $6,203 | $8,789 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 28 | $36,601 | $9,167 | $13,579 | 1.40 |
Mental diseases and disorders33 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 33 | $21,041 | $9,005 | $7,806 | 1.37 |
Skin, subcutaneous tissue and breast28 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $18,355 | $5,638 | $6,810 | 0.88 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $27,758 | $11,818 | $10,298 | 1.82 |
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 | 469 | 437 | $12,683 | $1,819 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 174 | 174 | $23,126 | $1,987 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 113 | 113 | $25,895 | $3,729 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 105 | 102 | $42,303 | $9,272 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 82 | 74 | $8,289 | $1,102 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 79 | 71 | $7,751 | $1,226 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 70 | $12,447 | $2,078 | $2,405 |
| Level 2 Vascular ProceduresAPC 5182 | 64 | 60 | $9,729 | $1,073 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 59 | 59 | $27,561 | $4,859 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 49 | $9,795 | $1,303 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 53 | 48 | $14,585 | $2,327 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 52 | 52 | $16,169 | $2,117 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 44 | 43 | $23,888 | $1,801 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 37 | $18,440 | $3,373 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 38 | 36 | $67,437 | $7,758 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 32 | 32 | $43,858 | $14,250 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 26 | $38,327 | $4,437 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 27 | $23,503 | $2,270 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 23 | $19,544 | $2,546 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 23 | 23 | $23,985 | $5,039 | $6,514 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 21 | $8,458 | $1,094 | $1,196 |
| Complex GI ProceduresAPC 5331 | 22 | 19 | $20,222 | $3,878 | $4,263 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 15 | $9,304 | $1,311 | $1,407 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $13,194 | $2,009 | $2,389 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $34,436 | $7,148 | $8,164 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $18,467 | $6,268 | $7,291 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | $97,781 | $12,105 | $14,606 |
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.