Medical City Denton Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Medical City Denton, Denton, TX in 2024, from traditional Medicare claims. Back to the Medical City Denton profile, with quality ratings, finances and negotiated rates.
2,872
Medicare inpatient discharges
In 91 published DRGs
1.81
Case mix index
IPPS FY 2027
17%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,713
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system619 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 122 | $110,435 | $9,354 | $7,951 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 65 | $160,370 | $10,851 | $11,547 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 37 | $92,545 | $6,010 | $6,663 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $281,920 | $12,448 | $20,298 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 34 | $68,467 | $5,361 | $4,930 | 0.75 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $94,775 | $5,398 | $6,824 | 0.74 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 26 | $290,592 | $22,889 | $20,923 | 3.35 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 25 | $73,052 | $3,774 | $5,260 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $138,967 | $6,461 | $10,006 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 24 | $136,438 | $6,826 | $9,824 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $98,346 | $8,078 | $7,081 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $322,130 | $21,479 | $23,193 | 2.87 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 20 | $226,128 | $10,128 | $16,281 | 1.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $121,198 | $15,076 | $8,726 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $179,259 | $15,777 | $12,907 | 2.16 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $297,898 | $23,085 | $21,449 | 3.46 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $118,628 | $11,117 | $8,541 | 1.58 |
| Chest painMS-DRG 313, medical | 15 | $69,318 | $5,184 | $4,991 | 0.72 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $839,407 | $51,684 | $60,437 | 7.80 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $86,887 | $7,103 | $6,256 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $72,967 | $7,000 | $5,254 | 0.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $323,516 | $15,079 | $23,293 | 2.28 |
Respiratory system426 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 153 | $118,408 | $9,427 | $8,525 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 93 | $120,119 | $10,971 | $8,649 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 74 | $111,762 | $8,788 | $8,047 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 29 | $222,976 | $18,827 | $16,054 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $83,405 | $5,792 | $6,005 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $521,226 | $32,233 | $37,528 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $78,383 | $6,935 | $5,644 | 0.99 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 13 | $395,815 | $45,609 | $28,499 | 6.91 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $113,423 | $7,750 | $8,166 | 1.05 |
Infectious and parasitic diseases361 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 | 277 | $155,504 | $13,786 | $11,196 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $100,744 | $7,462 | $7,254 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $499,402 | $32,413 | $35,957 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $554,362 | $50,551 | $39,914 | 6.96 |
Musculoskeletal system and connective tissue334 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 68 | $94,281 | $6,593 | $6,788 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 57 | $314,173 | $14,393 | $22,620 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 49 | $267,734 | $14,148 | $19,277 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 28 | $337,647 | $20,448 | $24,311 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 24 | $226,580 | $11,439 | $16,314 | 1.59 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $326,198 | $16,346 | $23,486 | 2.40 |
| Medical back problems with MCCMS-DRG 551, medical | 22 | $155,136 | $10,438 | $11,170 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $82,826 | $6,325 | $5,963 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 16 | $276,015 | $12,721 | $19,873 | 1.87 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $291,745 | $13,554 | $21,006 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $702,818 | $45,002 | $50,603 | 6.12 |
Nervous system320 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 37 | $151,837 | $13,688 | $10,932 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 34 | $105,283 | $6,870 | $7,580 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 33 | $87,979 | $5,646 | $6,334 | 0.80 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 31 | $116,601 | $7,755 | $8,395 | 1.14 |
| Seizures with MCCMS-DRG 100, medical | 26 | $131,998 | $12,947 | $9,504 | 1.98 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 25 | $137,263 | $8,462 | $9,883 | 1.32 |
| Seizures without MCCMS-DRG 101, medical | 22 | $98,324 | $6,266 | $7,079 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $85,842 | $8,553 | $6,181 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $109,249 | $12,251 | $7,866 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $113,243 | $15,832 | $8,154 | 2.39 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 12 | $166,576 | $9,802 | $11,993 | 1.36 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 12 | $200,330 | $16,458 | $14,424 | 2.27 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 11 | $554,059 | $32,898 | $39,892 | 4.42 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $94,575 | $5,124 | $6,809 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 11 | $192,575 | $15,877 | $13,865 | 2.28 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 11 | $117,396 | $6,250 | $8,452 | 0.89 |
Kidney and urinary tract296 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 94 | $95,675 | $10,652 | $6,889 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $77,542 | $8,016 | $5,583 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 47 | $71,530 | $6,080 | $5,150 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 47 | $114,815 | $11,508 | $8,267 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $67,979 | $5,427 | $4,894 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 18 | $71,026 | $7,817 | $5,114 | 1.02 |
Digestive system247 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 51 | $71,003 | $5,648 | $5,112 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 37 | $116,781 | $6,969 | $8,408 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $254,012 | $17,384 | $18,289 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $168,732 | $12,667 | $12,149 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $73,841 | $6,990 | $5,317 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $91,461 | $8,613 | $6,585 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $200,076 | $13,638 | $14,405 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 17 | $468,893 | $29,753 | $33,760 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $68,890 | $5,809 | $4,960 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $48,065 | $3,766 | $3,461 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $87,114 | $11,016 | $6,272 | 1.45 |
Endocrine, nutritional and metabolic144 discharges in 5 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 | 52 | $96,644 | $9,504 | $6,958 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $71,364 | $5,683 | $5,138 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 25 | $96,091 | $6,090 | $6,919 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $125,215 | $7,747 | $9,016 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $118,485 | $11,470 | $8,531 | 1.65 |
Skin, subcutaneous tissue and breast45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 32 | $68,680 | $6,367 | $4,945 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $103,217 | $6,738 | $7,432 | 0.91 |
Blood and immune system40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $87,556 | $6,566 | $6,304 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $133,742 | $10,386 | $9,629 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $148,850 | $19,057 | $10,717 | 1.56 |
Mental diseases and disorders29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 29 | $88,088 | $11,551 | $6,342 | 1.76 |
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 | $125,336 | $14,350 | $9,024 | 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 | 212 | 209 | $49,727 | $1,966 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 157 | 153 | $351,894 | $10,234 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 108 | 99 | $15,476 | $1,161 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 107 | 105 | $92,726 | $2,328 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 97 | 95 | $53,318 | $2,268 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 97 | 92 | $90,164 | $3,645 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 96 | 94 | $164,125 | $5,090 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 83 | 79 | $185,946 | $8,189 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 79 | 79 | $63,028 | $2,112 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 73 | 65 | $73,284 | $2,406 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 58 | 54 | $94,308 | $3,953 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 53 | 50 | $35,171 | $1,368 | $1,445 |
| Level 5 Airway EndoscopyAPC 5155 | 49 | 45 | $92,433 | $4,851 | $5,183 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 47 | 46 | $153,067 | $7,826 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 42 | 40 | $39,593 | $1,154 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $112,325 | $4,150 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 39 | 31 | $57,011 | $1,465 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 37 | 36 | $85,743 | $4,111 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 34 | $39,351 | $2,042 | $2,141 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 28 | $30,592 | $1,221 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 27 | $64,916 | $2,694 | $2,833 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 22 | $53,851 | $1,377 | $1,407 |
| Level 4 Endovascular ProceduresAPC 5194 | 23 | 22 | $309,583 | $14,167 | $14,606 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 22 | $390,049 | $15,157 | $15,763 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $153,283 | $7,656 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 15 | $24,203 | $1,152 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 11 | $54,452 | $2,742 | $2,930 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $433,798 | $27,981 | $29,375 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $63,936 | $4,212 | $4,436 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | 11 | $137,738 | $6,111 | $6,514 |
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.