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

Houston Methodist The Woodlands Hospital Medicare inpatient and outpatient services

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

  • 4,155

    Medicare inpatient discharges

    In 113 published DRGs

  • 1.87

    Case mix index

    IPPS FY 2027

  • 17%

    Surgical stays

  • 76%

    Stays with complications

    In DRGs with a CC or MCC

  • 4,496

    Medicare outpatient services

    In 39 service groups

Inpatient stays by major diagnostic category

Circulatory system1,099 discharges in 28 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical217$62,159$7,656$10,8161.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical187$75,236$9,686$13,0911.59
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical74$249,089$21,151$43,3423.24
Syncope and collapseMS-DRG 312, medical61$48,257$4,946$8,3970.86
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical55$50,058$3,867$8,7100.74
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical36$52,688$5,064$9,1680.91
Chest painMS-DRG 313, medical35$48,899$3,851$8,5080.72
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical35$119,825$10,022$20,8501.82
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical30$64,486$6,244$11,2211.08
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical30$69,403$7,498$12,0761.20
Other vascular procedures with MCCMS-DRG 252, surgical29$208,102$27,186$36,2103.35
Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical26$369,738$41,778$64,3345.88
Hypertension without MCCMS-DRG 305, medical26$43,781$3,994$7,6180.75
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical24$84,389$12,744$14,6842.16
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical24$35,367$2,494$6,1540.55
Other vascular procedures with CCMS-DRG 253, surgical22$155,269$15,687$27,0172.55
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical22$181,533$19,575$31,5872.87
Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical21$443,874$54,352$77,2347.80
Other major cardiovascular procedures with MCCMS-DRG 270, surgical19$249,759$36,737$43,4585.06
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical17$132,171$14,209$22,9982.28
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical16$194,151$21,528$33,7823.46
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical16$407,067$33,136$70,8304.88
Peripheral vascular disorders with CCMS-DRG 300, medical15$45,947$5,976$7,9951.07
Other major cardiovascular procedures with CCMS-DRG 271, surgical13$210,344$23,176$36,6003.46
Hypertension with MCCMS-DRG 304, medical13$48,897$7,391$8,5081.15
Other circulatory system diagnoses with MCCMS-DRG 314, medical13$89,321$13,285$15,5422.09
Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical12$53,341$3,835$9,2810.72
Other circulatory system o.r. proceduresMS-DRG 264, surgical11$123,646$17,734$21,5143.27

Infectious and parasitic diseases546 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical418$93,955$11,981$16,3481.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical77$53,237$5,517$9,2631.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical51$220,292$30,460$38,3315.00

Respiratory system546 discharges in 12 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical210$88,914$10,196$15,4711.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical72$72,830$8,119$12,6721.33
Pulmonary edema and respiratory failureMS-DRG 189, medical61$76,704$7,343$13,3461.23
Respiratory infections and inflammations with CCMS-DRG 178, medical34$58,401$5,849$10,1620.99
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical31$68,995$8,595$12,0051.40
Major chest procedures with MCCMS-DRG 163, surgical23$216,610$28,171$37,6904.71
Simple pneumonia and pleurisy with CCMS-DRG 194, medical23$54,403$4,148$9,4660.82
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical23$134,844$17,411$23,4632.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical21$55,858$6,354$9,7191.10
Bronchitis and asthma with cc/mccMS-DRG 202, medical19$45,544$5,464$7,9250.96
Respiratory neoplasms with MCCMS-DRG 180, medical18$87,951$11,335$15,3041.74
Major chest procedures with CCMS-DRG 164, surgical11$179,113$15,200$31,1662.55

Digestive system501 discharges in 15 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical98$47,649$3,841$8,2910.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical55$86,948$11,335$15,1291.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical54$61,602$7,846$10,7191.28
Gastrointestinal hemorrhage with CCMS-DRG 378, medical53$50,667$5,680$8,8160.98
Gastrointestinal obstruction with CCMS-DRG 389, medical35$40,110$3,926$6,9790.80
Major small and large bowel procedures with MCCMS-DRG 329, surgical31$184,179$25,739$32,0474.52
Gastrointestinal obstruction with MCCMS-DRG 388, medical26$67,463$8,923$11,7391.45
Major small and large bowel procedures with CCMS-DRG 330, surgical25$138,979$13,478$24,1822.37
Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical24$49,848$6,191$8,6741.04
Other digestive system diagnoses with CCMS-DRG 394, medical21$52,729$5,617$9,1750.94
Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical20$89,017$11,202$15,4891.75
Digestive malignancy with MCCMS-DRG 374, medical17$119,284$12,539$20,7552.10
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical15$33,553$2,371$5,8380.56
Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical14$96,383$7,689$16,7711.36
Other digestive system diagnoses with MCCMS-DRG 393, medical13$115,282$12,355$20,0591.62

Kidney and urinary tract492 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Kidney and urinary tract infections without MCCMS-DRG 690, medical110$42,038$4,408$7,3150.81
Kidney and urinary tract infections with MCCMS-DRG 689, medical106$56,309$6,638$9,7981.17
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical95$78,522$10,154$13,6631.65
Renal failure with MCCMS-DRG 682, medical79$62,050$8,787$10,7971.50
Renal failure with CCMS-DRG 683, medical53$48,194$5,006$8,3860.90
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical37$50,493$6,214$8,7861.02
Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical12$98,461$7,569$17,1321.35

Nervous system359 discharges in 17 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical55$110,180$12,509$19,1712.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical45$57,375$5,437$9,9831.02
Transient ischemia without thrombolyticMS-DRG 069, medical32$51,275$4,197$8,9220.80
Other disorders of nervous system with MCCMS-DRG 091, medical32$76,092$10,329$13,2401.79
Other disorders of nervous system with CCMS-DRG 092, medical25$57,336$5,914$9,9761.03
Other cerebrovascular disorders with CCMS-DRG 071, medical21$54,333$5,340$9,4541.06
Seizures with MCCMS-DRG 100, medical16$81,793$11,598$14,2321.98
Degenerative nervous system disorders with MCCMS-DRG 056, medical15$109,581$15,038$19,0672.39
Other cerebrovascular disorders with MCCMS-DRG 070, medical15$67,974$11,256$11,8271.79
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical14$298,231$29,245$51,8924.42
Carotid artery stent procedures with CCMS-DRG 035, surgical14$163,574$15,169$28,4622.30
Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical14$55,532$5,974$9,6631.03
Carotid artery stent procedures without cc/mccMS-DRG 036, surgical13$154,430$11,567$26,8711.81
Degenerative nervous system disorders without MCCMS-DRG 057, medical13$101,319$10,355$17,6291.36
Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical12$327,612$36,430$57,0045.67
Nervous system neoplasms with MCCMS-DRG 054, medical12$80,195$8,939$13,9541.47
Seizures without MCCMS-DRG 101, medical11$45,883$4,443$7,9840.91

Endocrine, nutritional and metabolic149 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical39$55,862$7,740$9,7201.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical27$39,145$4,198$6,8110.78
Endocrine disorders with MCCMS-DRG 643, medical24$66,142$9,600$11,5091.65
Diabetes with MCCMS-DRG 637, medical17$68,754$8,694$11,9631.45
Endocrine disorders with CCMS-DRG 644, medical16$56,985$5,555$9,9151.06
Diabetes with CCMS-DRG 638, medical14$50,909$5,685$8,8580.90
O.r. procedures for obesity without cc/mccMS-DRG 621, surgical12$67,209$9,024$11,6941.52

Musculoskeletal system and connective tissue145 discharges in 6 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Medical back problems without MCCMS-DRG 552, medical33$51,589$5,496$8,9760.97
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical30$152,150$12,024$26,4741.88
Hip and femur procedures except major joint with CCMS-DRG 481, surgical25$131,464$11,764$22,8752.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical21$180,435$13,991$31,3962.11
Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical19$133,006$12,802$23,1432.04
Medical back problems with MCCMS-DRG 551, medical17$65,433$8,463$11,3851.70

Liver, gallbladder and pancreas139 discharges in 8 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical27$88,190$12,701$15,3451.92
Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical21$102,083$10,125$17,7621.63
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical20$83,556$11,578$14,5391.83
Disorders of pancreas except malignancy with CCMS-DRG 439, medical19$53,092$5,037$9,2380.86
Disorders of pancreas except malignancy with MCCMS-DRG 438, medical16$71,348$8,488$12,4151.67
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical14$82,559$10,972$14,3651.76
Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical11$125,553$14,980$21,8462.32
Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical11$53,521$5,999$9,3131.03

Skin, subcutaneous tissue and breast73 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical45$46,719$4,540$8,1290.88
Cellulitis with MCCMS-DRG 602, medical16$57,991$8,653$10,0901.49
Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical12$37,820$4,656$6,5810.91

Injuries, poisonings and toxic effects of drugs46 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Complications of treatment with MCCMS-DRG 919, medical18$99,544$11,019$17,3211.82
Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical15$61,936$10,109$10,7771.60
Other o.r. procedures for injuries with MCCMS-DRG 907, surgical13$159,645$20,737$27,7783.72

Blood and immune system35 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Red blood cell disorders with MCCMS-DRG 811, medical20$57,653$8,919$10,0321.40
Red blood cell disorders without MCCMS-DRG 812, medical15$52,605$5,015$9,1530.90

Ear, nose, mouth and throat14 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
DysequilibriumMS-DRG 149, medical14$45,152$4,118$7,8570.74

Other11 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical11$211,144$32,911$36,7394.74

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 80111,007919$28,850$1,996$2,090
Level 1 Endovascular ProceduresAPC 5191341340$20,532$2,133$2,208
Level 5 Musculoskeletal ProceduresAPC 5115292274$129,989$10,266$10,772
Level 1 Nerve ProceduresAPC 5431232210$27,090$1,426$1,407
Level 2 Upper GI ProceduresAPC 5302229203$12,147$1,394$1,445
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072228210$17,379$1,187$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361218210$57,754$4,164$4,358
Level 4 Musculoskeletal ProceduresAPC 5114180177$95,217$5,227$5,339
Level 3 Endovascular ProceduresAPC 5193168148$76,437$8,560$8,874
Level 3 Vascular ProceduresAPC 5183134126$33,086$2,353$2,405
Level 5 Urology and Related ServicesAPC 5375120115$49,537$3,694$3,918
Level 6 Musculoskeletal ProceduresAPC 5116110108$215,542$15,611$15,763
Level 4 Urology and Related ServicesAPC 537410996$52,497$2,551$2,629
Level 3 Electrophysiologic ProceduresAPC 5213106104$164,310$20,142$21,117
Level 2 Musculoskeletal ProceduresAPC 51129282$25,891$1,159$1,196
Level 3 Musculoskeletal ProceduresAPC 51139291$52,048$2,388$2,373
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 50738677$30,785$2,001$2,141
Level 2 Endovascular ProceduresAPC 51928479$41,951$4,220$4,338
Level 2 Laparoscopy and Related ServicesAPC 53628080$91,645$7,808$8,164
Level 2 Vascular ProceduresAPC 51827467$16,777$1,151$1,204
Level 4 Endovascular ProceduresAPC 51946455$115,439$14,134$14,606
Level 3 Urology and Related ServicesAPC 53736147$25,345$1,455$1,516
Level 4 Vascular ProceduresAPC 51845648$68,374$3,968$3,946
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53413331$56,795$2,324$2,636
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50923230$71,022$4,818$4,982
Level 4 Airway EndoscopyAPC 51543130$45,256$2,677$2,833
Level 3 Pacemaker and Similar ProceduresAPC 52232626$96,331$8,262$8,569
Level 4 Neurostimulator and Related ProceduresAPC 54642524$167,568$18,602$18,465
Level 4 Gynecologic ProceduresAPC 54142422$35,558$2,310$2,389
Level 2 Pacemaker and Similar ProceduresAPC 52222121$63,166$6,276$6,514
Level 3 Lower GI ProceduresAPC 53132121$25,388$2,115$2,176
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50912019$45,704$2,816$2,930
Level 3 Airway EndoscopyAPC 51532020$41,389$1,254$1,264
Level 3 Upper GI ProceduresAPC 53031817$40,520$2,829$2,888
Level 4 Pacemaker and Similar ProceduresAPC 52241413$166,571$16,395$17,052
Level 2 Neurostimulator and Related ProceduresAPC 54621311$60,554$4,275$4,524
Level 5 Airway EndoscopyAPC 51551212$76,648$4,635$5,183
Level 5 Neurostimulator and Related ProceduresAPC 54651212$290,012$27,077$26,719
Complex GI ProceduresAPC 533111$58,341$3,815$4,263

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.