Memorial Hermann Katy Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hermann Katy, Katy, TX in 2024, from traditional Medicare claims. Back to the Memorial Hermann Katy profile, with quality ratings, finances and negotiated rates.
1,943
Medicare inpatient discharges
In 55 published DRGs
1.94
Case mix index
IPPS FY 2027
20%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
1,795
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases557 discharges in 5 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 | 383 | $66,417 | $13,649 | $15,210 | 1.98 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 65 | $147,868 | $43,955 | $33,862 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 62 | $50,694 | $7,091 | $11,609 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $182,568 | $32,052 | $41,808 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $118,151 | $14,342 | $27,057 | 2.04 |
Circulatory system309 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 117 | $50,543 | $9,377 | $11,574 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 41 | $59,743 | $11,709 | $13,681 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $44,216 | $5,652 | $10,125 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $46,870 | $5,928 | $10,733 | 0.91 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 17 | $129,738 | $33,382 | $29,710 | 5.06 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $68,761 | $9,289 | $15,746 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $85,142 | $12,143 | $19,497 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $81,770 | $13,949 | $18,725 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $62,118 | $14,748 | $14,225 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $99,764 | $16,963 | $22,846 | 2.87 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $87,837 | $24,019 | $20,115 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $78,957 | $15,134 | $18,081 | 2.16 |
Musculoskeletal system and connective tissue276 discharges in 9 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 | 93 | $88,691 | $14,586 | $20,310 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 48 | $94,741 | $14,615 | $21,696 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 29 | $108,496 | $19,288 | $24,846 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 26 | $110,947 | $14,394 | $25,407 | 2.40 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 23 | $121,897 | $20,355 | $27,914 | 2.99 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $42,891 | $6,935 | $9,822 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $133,845 | $21,214 | $30,650 | 3.49 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $89,006 | $13,279 | $20,382 | 2.04 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $42,310 | $5,715 | $9,689 | 0.79 |
Kidney and urinary tract215 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $42,983 | $8,165 | $9,843 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 43 | $39,626 | $6,138 | $9,074 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 39 | $53,859 | $10,342 | $12,334 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 36 | $34,524 | $6,759 | $7,906 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $63,213 | $11,469 | $14,476 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $45,679 | $7,580 | $10,460 | 1.02 |
Respiratory system208 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 60 | $56,687 | $11,886 | $12,981 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $48,917 | $9,286 | $11,202 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $45,333 | $9,511 | $10,381 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 21 | $81,102 | $18,523 | $18,572 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $43,366 | $8,172 | $9,931 | 1.10 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $49,203 | $7,978 | $11,268 | 1.05 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $34,286 | $6,385 | $7,852 | 0.82 |
Digestive system182 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 58 | $54,926 | $7,540 | $12,578 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 42 | $36,405 | $5,219 | $8,337 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 27 | $60,427 | $12,241 | $13,838 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $36,718 | $5,374 | $8,408 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $54,618 | $9,998 | $12,508 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $116,812 | $16,036 | $26,750 | 2.37 |
Endocrine, nutritional and metabolic88 discharges in 4 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 | 36 | $56,442 | $9,428 | $12,925 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $40,224 | $5,738 | $9,211 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $44,241 | $10,245 | $10,131 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 16 | $36,775 | $5,993 | $8,421 | 0.90 |
Nervous system48 discharges in 2 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 | 26 | $51,706 | $6,846 | $11,841 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $57,475 | $12,233 | $13,162 | 2.00 |
Blood and immune system32 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 | 20 | $41,191 | $5,614 | $9,433 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $50,301 | $10,504 | $11,519 | 1.40 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $33,474 | $6,375 | $7,666 | 0.88 |
Other11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 11 | $130,838 | $29,165 | $29,962 | 4.74 |
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 group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 817 | 739 | $34,832 | $1,991 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 121 | $15,492 | $1,168 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 115 | 112 | $64,972 | $10,371 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 77 | 69 | $36,980 | $3,727 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 67 | 66 | $48,344 | $5,128 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 59 | 57 | $22,620 | $2,128 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 53 | 48 | $27,162 | $2,266 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 44 | 44 | $49,132 | $3,972 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 39 | 37 | $21,879 | $1,385 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 38 | 37 | $23,197 | $1,500 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 38 | 34 | $28,720 | $2,372 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 36 | 34 | $23,711 | $2,099 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 35 | 34 | $11,387 | $1,182 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 33 | 33 | $28,394 | $4,084 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 28 | 26 | $46,203 | $8,560 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 23 | $29,971 | $2,207 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $25,177 | $1,164 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 22 | 22 | $26,025 | $8,262 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 18 | 18 | $147,482 | $20,334 | $21,117 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | 15 | $28,593 | $2,829 | $2,888 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 13 | $20,301 | $2,556 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 15 | $17,026 | $1,251 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 14 | $17,982 | $1,722 | $1,752 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $62,554 | $7,907 | $8,164 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $40,228 | $4,060 | $3,946 |
| Complex GI ProceduresAPC 5331 | 11 | $46,861 | $4,211 | $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.