Memorial Hermann Sugarland Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hermann Sugarland, Sugar Land, TX in 2024, from traditional Medicare claims. Back to the Memorial Hermann Sugarland profile, with quality ratings, finances and negotiated rates.
1,070
Medicare inpatient discharges
In 39 published DRGs
1.84
Case mix index
IPPS FY 2027
17%
Surgical stays
84%
Stays with complications
In DRGs with a CC or MCC
1,531
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases284 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 | 216 | $72,966 | $13,923 | $14,812 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $47,168 | $6,536 | $9,575 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $160,188 | $35,297 | $32,518 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $197,173 | $46,981 | $40,026 | 6.96 |
Circulatory system266 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 114 | $45,811 | $9,098 | $9,300 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $74,467 | $10,754 | $15,117 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $41,655 | $5,503 | $8,456 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $76,154 | $11,848 | $15,459 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $52,546 | $8,831 | $10,667 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 17 | $40,590 | $6,274 | $8,240 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $93,662 | $14,999 | $19,013 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $113,970 | $19,671 | $23,136 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $82,836 | $14,821 | $16,816 | 2.09 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $137,235 | $33,603 | $27,859 | 5.06 |
Respiratory system128 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 77 | $51,285 | $11,449 | $10,411 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $50,156 | $8,827 | $10,182 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $44,039 | $9,331 | $8,940 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $44,350 | $6,833 | $9,003 | 1.10 |
Digestive system118 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $48,912 | $7,558 | $9,929 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 22 | $70,908 | $11,211 | $14,394 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $119,835 | $16,732 | $24,327 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $131,091 | $25,711 | $26,611 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $48,708 | $5,645 | $9,888 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $40,547 | $9,988 | $8,231 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $47,654 | $7,722 | $9,674 | 0.94 |
Kidney and urinary tract108 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 35 | $45,627 | $8,437 | $9,262 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $58,491 | $10,800 | $11,874 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $42,915 | $6,153 | $8,712 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $51,727 | $9,801 | $10,501 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $40,684 | $5,766 | $8,259 | 0.90 |
Musculoskeletal system and connective tissue81 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $88,849 | $14,747 | $18,036 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $77,467 | $14,826 | $15,726 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $104,516 | $20,623 | $21,217 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $115,906 | $20,687 | $23,529 | 2.99 |
Endocrine, nutritional and metabolic49 discharges in 3 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 | 20 | $49,521 | $10,061 | $10,053 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $33,871 | $5,866 | $6,876 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $53,704 | $11,026 | $10,902 | 1.45 |
Nervous system36 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 | 19 | $52,002 | $6,758 | $10,557 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $107,198 | $15,119 | $21,761 | 2.00 |
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 | 571 | 515 | $33,261 | $1,997 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 113 | 104 | $14,683 | $1,127 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 92 | 92 | $22,493 | $2,147 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 83 | 79 | $66,663 | $10,173 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 70 | 60 | $21,379 | $1,392 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 52 | 52 | $25,931 | $2,351 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 52 | 52 | $40,042 | $4,108 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 43 | 42 | $67,630 | $7,907 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 42 | 41 | $22,563 | $2,099 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 41 | 37 | $45,876 | $8,351 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 41 | 37 | $31,133 | $3,756 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 32 | 32 | $47,656 | $5,120 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $25,990 | $2,391 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 26 | $21,631 | $1,505 | $1,516 |
| Level 3 Airway EndoscopyAPC 5153 | 26 | 25 | $18,791 | $1,254 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 25 | 24 | $25,931 | $2,052 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $23,785 | $2,310 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 18 | $53,625 | $14,594 | $14,606 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $25,194 | $6,267 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $24,407 | $8,260 | $8,569 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $20,009 | $1,032 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 15 | $31,494 | $2,576 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $52,722 | $4,496 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 14 | 13 | $26,868 | $4,223 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 12 | $35,582 | $2,816 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $73,833 | $15,611 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $16,845 | $1,187 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $38,617 | $2,556 | $2,636 |
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.