Memorial Hermann Memorial City Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hermann Memorial City Medical Center, Houston, TX in 2024, from traditional Medicare claims. Back to the Memorial Hermann Memorial City Medical Center profile, with quality ratings, finances and negotiated rates.
2,422
Medicare inpatient discharges
In 74 published DRGs
2.43
Case mix index
IPPS FY 2027
31%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,931
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system864 discharges in 25 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 162 | $50,518 | $10,060 | $15,762 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 108 | $110,049 | $23,517 | $34,335 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 85 | $158,828 | $46,651 | $49,554 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 64 | $55,500 | $12,585 | $17,316 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 44 | $136,401 | $34,902 | $42,557 | 4.88 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 40 | $217,771 | $38,802 | $67,944 | 5.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 35 | $310,765 | $59,503 | $96,959 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 32 | $88,299 | $16,417 | $27,549 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 30 | $60,449 | $9,537 | $18,860 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $75,137 | $11,024 | $23,443 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $33,424 | $6,200 | $10,428 | 0.74 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 20 | $104,676 | $25,852 | $32,659 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $52,239 | $8,063 | $16,299 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 17 | $222,525 | $68,245 | $69,428 | 9.71 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 17 | $136,937 | $35,109 | $42,724 | 5.06 |
| Other heart assist system implantMS-DRG 215, surgical | 16 | $317,275 | $77,651 | $98,990 | 10.21 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $55,555 | $16,371 | $17,333 | 2.28 |
| Hypertension with MCCMS-DRG 304, medical | 16 | $57,699 | $9,968 | $18,002 | 1.15 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 15 | $268,508 | $52,929 | $83,774 | 7.80 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 15 | $165,529 | $32,252 | $51,645 | 3.90 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $95,944 | $12,745 | $29,934 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $89,139 | $25,321 | $27,811 | 3.35 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $38,080 | $5,433 | $11,881 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $99,779 | $21,508 | $31,131 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $26,419 | $4,414 | $8,243 | 0.55 |
Infectious and parasitic diseases435 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 | 308 | $76,314 | $15,041 | $23,810 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 59 | $48,192 | $8,055 | $15,036 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 48 | $172,012 | $38,187 | $53,668 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $168,995 | $50,167 | $52,726 | 6.96 |
Digestive system229 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 34 | $46,990 | $7,910 | $14,661 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 27 | $101,597 | $15,208 | $31,698 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $185,989 | $35,493 | $58,029 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 26 | $38,442 | $6,015 | $11,994 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $58,696 | $13,548 | $18,313 | 1.79 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 16 | $85,973 | $11,063 | $26,823 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $36,701 | $6,204 | $11,451 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $44,956 | $9,646 | $14,026 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $61,680 | $11,975 | $19,244 | 1.62 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $109,799 | $20,409 | $34,257 | 2.50 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $63,334 | $15,530 | $19,760 | 2.10 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $37,299 | $8,131 | $11,637 | 0.94 |
Nervous system224 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 68 | $87,198 | $14,655 | $27,206 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 55 | $51,293 | $7,560 | $16,003 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 28 | $88,313 | $15,273 | $27,554 | 1.98 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 19 | $254,237 | $43,319 | $79,322 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 19 | $147,803 | $31,006 | $46,115 | 4.42 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 13 | $86,512 | $14,024 | $26,992 | 1.87 |
| Extracranial procedures with MCCMS-DRG 037, surgical | 11 | $94,382 | $23,546 | $29,447 | 3.38 |
| Seizures without MCCMS-DRG 101, medical | 11 | $43,835 | $7,550 | $13,677 | 0.91 |
Kidney and urinary tract205 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 | 51 | $46,692 | $9,562 | $14,568 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $41,239 | $6,640 | $12,867 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 41 | $61,119 | $11,389 | $19,069 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $60,719 | $12,894 | $18,944 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 26 | $36,276 | $7,428 | $11,318 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $43,972 | $7,334 | $13,719 | 1.02 |
Respiratory system197 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 75 | $52,402 | $12,702 | $16,349 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 53 | $45,760 | $10,261 | $14,277 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $47,557 | $10,301 | $14,838 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $39,968 | $9,115 | $12,470 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $35,223 | $6,501 | $10,990 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $74,073 | $20,262 | $23,111 | 2.70 |
Endocrine, nutritional and metabolic100 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 | 58 | $50,616 | $10,390 | $15,792 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $42,592 | $6,820 | $13,289 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $43,188 | $6,742 | $13,475 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $46,145 | $10,380 | $14,397 | 1.45 |
Musculoskeletal system and connective tissue73 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 31 | $88,591 | $18,177 | $27,640 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 18 | $98,153 | $23,608 | $30,624 | 3.49 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $75,559 | $9,697 | $23,575 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $84,154 | $14,099 | $26,256 | 2.11 |
Blood and immune system40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $48,191 | $10,292 | $15,036 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $32,692 | $7,335 | $10,200 | 0.90 |
Skin, subcutaneous tissue and breast25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 25 | $32,674 | $6,606 | $10,194 | 0.88 |
Other16 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 | 16 | $194,768 | $41,711 | $60,768 | 4.74 |
Liver, gallbladder and pancreas14 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 | 14 | $83,994 | $12,824 | $26,206 | 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 | 543 | 502 | $29,090 | $2,003 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 309 | 305 | $22,654 | $2,141 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 282 | 272 | $62,046 | $10,405 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 186 | 179 | $15,012 | $1,181 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 129 | 121 | $40,607 | $3,775 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 127 | 107 | $14,249 | $1,410 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 117 | 109 | $42,796 | $5,150 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 95 | 90 | $46,169 | $8,557 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 94 | 93 | $142,717 | $20,331 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 89 | 89 | $39,488 | $4,166 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 81 | 80 | $72,565 | $15,611 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 80 | 72 | $26,164 | $2,252 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 71 | 67 | $22,713 | $2,539 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 55 | 54 | $24,601 | $2,309 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 55 | 55 | $70,109 | $7,763 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 46 | 46 | $21,166 | $2,054 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 46 | 46 | $56,713 | $4,816 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 44 | 44 | $25,498 | $8,066 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 41 | $30,507 | $2,549 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 42 | 41 | $58,091 | $14,594 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 41 | 40 | $35,016 | $4,057 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 32 | $28,649 | $4,220 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 20 | $14,642 | $1,505 | $1,516 |
| Level 6 Urology and Related ServicesAPC 5376 | 27 | 25 | $82,177 | $6,652 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 25 | 25 | $26,072 | $2,309 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 21 | $20,187 | $1,128 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 22 | $14,972 | $1,179 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 22 | 22 | $19,656 | $2,097 | $2,176 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $64,606 | $28,768 | $29,375 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 18 | $36,810 | $2,816 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $30,013 | $2,767 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $13,988 | $1,254 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 17 | 17 | $34,049 | $5,056 | $5,183 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $20,588 | $6,253 | $6,514 |
| Level 1 Nerve ProceduresAPC 5431 | 16 | 12 | $25,670 | $1,147 | $1,407 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $40,451 | $16,395 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $96,438 | $27,077 | $26,719 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | $52,122 | $3,660 | $3,792 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $64,660 | $18,602 | $18,465 |
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.