John Peter Smith Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for John Peter Smith Hospital, Fort Worth, TX in 2024, from traditional Medicare claims. Back to the John Peter Smith Hospital profile, with quality ratings, finances and negotiated rates.
1,069
Medicare inpatient discharges
In 43 published DRGs
1.97
Case mix index
IPPS FY 2027
14%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,589
Medicare outpatient services
In 23 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 | 113 | $73,536 | $45,331 | $19,708 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $192,591 | $74,413 | $51,614 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $39,121 | $38,173 | $10,484 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $68,167 | $41,613 | $18,269 | 2.04 |
Kidney and urinary tract168 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $37,167 | $35,089 | $9,961 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $46,945 | $39,252 | $12,581 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $57,301 | $43,428 | $15,357 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 25 | $31,700 | $35,221 | $8,496 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $38,803 | $37,792 | $10,399 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $61,536 | $40,230 | $16,492 | 1.50 |
Circulatory system165 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 97 | $62,948 | $39,250 | $16,870 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $54,685 | $42,521 | $14,656 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $76,691 | $46,476 | $20,553 | 2.09 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $125,378 | $58,836 | $33,601 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $144,060 | $38,870 | $38,608 | 2.16 |
Respiratory system158 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 47 | $60,939 | $39,477 | $16,332 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $61,570 | $36,617 | $16,501 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 20 | $95,466 | $42,792 | $25,585 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $156,639 | $43,843 | $41,979 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 15 | $132,465 | $60,054 | $35,501 | 4.71 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $34,560 | $38,416 | $9,262 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $49,580 | $36,582 | $13,288 | 1.10 |
Nervous system89 discharges in 5 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 | 34 | $49,449 | $37,317 | $13,252 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $82,438 | $44,001 | $22,093 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $183,274 | $60,939 | $49,117 | 4.42 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $82,612 | $41,695 | $22,140 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 11 | $32,214 | $36,315 | $8,633 | 0.91 |
Musculoskeletal system and connective tissue63 discharges in 4 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 | 26 | $94,347 | $46,234 | $25,285 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $172,471 | $50,725 | $46,222 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $40,760 | $36,148 | $10,924 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $104,228 | $41,193 | $27,933 | 2.40 |
Endocrine, nutritional and metabolic56 discharges in 2 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 | $65,512 | $40,273 | $17,557 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 15 | $31,209 | $36,634 | $8,364 | 0.90 |
Digestive system55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $45,981 | $37,892 | $12,323 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $39,009 | $35,720 | $10,454 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $72,724 | $43,704 | $19,490 | 1.79 |
Mental diseases and disorders45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 31 | $43,819 | $42,049 | $11,744 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 14 | $79,972 | $40,539 | $21,432 | 1.76 |
Injuries, poisonings and toxic effects of drugs39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 25 | $44,873 | $40,566 | $12,026 | 1.60 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 14 | $45,221 | $37,370 | $12,119 | 0.86 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $27,418 | $37,482 | $7,348 | 0.88 |
Transplants, ECMO and tracheostomy (pre-MDC)11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 11 | $487,669 | $144,416 | $130,695 | 14.70 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $84,343 | $46,096 | $22,604 | 1.92 |
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 | 898 | 688 | $18,086 | $1,962 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 83 | 65 | $23,986 | $1,676 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 63 | 59 | $10,369 | $1,094 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 58 | 38 | $13,497 | $1,406 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 56 | 45 | $9,428 | $1,386 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 39 | 39 | $27,898 | $2,110 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 36 | 32 | $21,350 | $2,282 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 35 | 31 | $3,739 | $456 | $502 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 32 | $16,791 | $1,939 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 32 | 25 | $11,758 | $1,367 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 26 | $52,473 | $10,234 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 27 | $26,563 | $2,165 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 19 | $21,481 | $2,694 | $2,833 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 25 | 25 | $43,875 | $4,010 | $4,358 |
| Level 5 ENT ProceduresAPC 5165 | 23 | 22 | $41,734 | $4,029 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 18 | $12,900 | $1,101 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 21 | 19 | $36,195 | $4,519 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $18,287 | $778 | $1,204 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 15 | 15 | $81,627 | $19,747 | $21,117 |
| Level 2 Intraocular ProceduresAPC 5492 | 14 | 13 | $28,171 | $2,911 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 11 | $22,039 | $2,489 | $2,636 |
| Level 4 ENT ProceduresAPC 5164 | 11 | $16,671 | $2,299 | $2,217 | |
| Level 5 Urology and Related ServicesAPC 5375 | 11 | $26,536 | $3,705 | $3,918 |
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.