Methodist Richardson Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Methodist Richardson Medical Center, Richardson, TX in 2024, from traditional Medicare claims. Back to the Methodist Richardson Medical Center profile, with quality ratings, finances and negotiated rates.
2,023
Medicare inpatient discharges
In 73 published DRGs
2.13
Case mix index
IPPS FY 2027
19%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
2,468
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases408 discharges in 6 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 | 275 | $76,771 | $12,323 | $15,738 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 56 | $231,792 | $37,058 | $47,517 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $49,983 | $6,582 | $10,246 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $354,534 | $41,305 | $72,679 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $96,473 | $12,436 | $19,777 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 12 | $45,167 | $11,890 | $9,259 | 1.84 |
Respiratory system299 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 | 81 | $61,037 | $10,440 | $12,513 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 74 | $56,010 | $8,775 | $11,482 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 69 | $69,814 | $8,427 | $14,312 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 28 | $127,038 | $18,659 | $26,043 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $48,658 | $5,366 | $9,975 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $49,137 | $5,671 | $10,073 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $49,788 | $6,849 | $10,207 | 1.10 |
Digestive system281 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 37 | $52,528 | $6,531 | $10,768 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 28 | $44,926 | $5,487 | $9,210 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $86,770 | $11,682 | $17,788 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $79,684 | $9,361 | $16,335 | 1.28 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 23 | $169,392 | $32,982 | $34,725 | 5.08 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $97,940 | $14,424 | $20,078 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 22 | $179,956 | $27,513 | $36,891 | 4.52 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 18 | $100,126 | $13,696 | $20,526 | 2.50 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $31,197 | $5,271 | $6,395 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $77,311 | $11,371 | $15,849 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $37,725 | $6,410 | $7,734 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $25,865 | $2,712 | $5,302 | 0.56 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $82,047 | $13,661 | $16,820 | 2.10 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $68,865 | $10,261 | $14,117 | 1.45 |
Circulatory system259 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 90 | $74,803 | $8,714 | $15,335 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 28 | $128,705 | $18,743 | $26,384 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $90,178 | $9,131 | $18,486 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $42,501 | $4,990 | $8,713 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $94,608 | $10,450 | $19,395 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $74,276 | $13,867 | $15,227 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $87,130 | $10,980 | $17,862 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $122,202 | $22,389 | $25,051 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $50,818 | $5,722 | $10,418 | 0.91 |
Nervous system211 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 67 | $88,920 | $12,389 | $18,228 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 52 | $57,275 | $6,331 | $11,741 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 17 | $201,923 | $26,529 | $41,394 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $72,569 | $10,900 | $14,877 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $44,560 | $6,053 | $9,135 | 1.06 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $88,020 | $12,206 | $18,044 | 1.87 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $44,226 | $4,175 | $9,066 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 11 | $81,272 | $14,152 | $16,661 | 2.28 |
| Seizures with MCCMS-DRG 100, medical | 11 | $95,084 | $12,825 | $19,492 | 1.98 |
Kidney and urinary tract199 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 49 | $53,959 | $10,450 | $11,062 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $56,835 | $8,799 | $11,651 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $51,226 | $8,094 | $10,501 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $37,520 | $5,203 | $7,692 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 28 | $50,142 | $6,151 | $10,279 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $33,987 | $5,783 | $6,967 | 1.02 |
Liver, gallbladder and pancreas104 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 18 | $185,959 | $38,336 | $38,122 | 5.51 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 14 | $123,255 | $17,050 | $25,267 | 2.89 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $136,426 | $14,410 | $27,967 | 1.76 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $90,023 | $9,980 | $18,455 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $60,523 | $4,470 | $12,407 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $92,920 | $12,798 | $19,049 | 1.83 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $81,238 | $11,081 | $16,654 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $60,998 | $7,339 | $12,505 | 1.09 |
Musculoskeletal system and connective tissue94 discharges in 5 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 | 29 | $65,245 | $13,683 | $13,375 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $72,895 | $13,821 | $14,944 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $80,306 | $23,851 | $16,463 | 3.66 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $74,189 | $12,460 | $15,209 | 2.04 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $90,618 | $18,484 | $18,577 | 2.95 |
Endocrine, nutritional and metabolic84 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 | 48 | $68,381 | $8,786 | $14,018 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $32,720 | $5,186 | $6,708 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $57,869 | $8,996 | $11,863 | 1.45 |
Injuries, poisonings and toxic effects of drugs25 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 | 13 | $75,702 | $10,393 | $15,519 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $59,042 | $12,466 | $12,104 | 1.82 |
Blood and immune system22 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 | 11 | $48,974 | $9,027 | $10,040 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $60,425 | $6,373 | $12,387 | 0.90 |
Other20 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 | 20 | $176,878 | $30,769 | $36,260 | 4.74 |
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 | $30,857 | $5,192 | $6,326 | 0.88 |
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 | 1,127 | 980 | $26,452 | $1,911 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 136 | 117 | $15,285 | $1,301 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 115 | 114 | $30,790 | $2,065 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 97 | 86 | $10,165 | $1,103 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 82 | 81 | $34,313 | $3,917 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 79 | 74 | $60,159 | $7,864 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 74 | $19,432 | $2,125 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 69 | 66 | $52,936 | $9,971 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 60 | 59 | $23,873 | $3,639 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 43 | $39,879 | $4,920 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 45 | 42 | $26,409 | $2,399 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 42 | 40 | $25,147 | $2,430 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 39 | 37 | $30,761 | $4,019 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 38 | 36 | $16,128 | $1,994 | $2,176 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 35 | $20,541 | $2,216 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 33 | $32,850 | $3,756 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 32 | $7,868 | $1,109 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 29 | $16,832 | $1,999 | $2,141 |
| Complex GI ProceduresAPC 5331 | 32 | 26 | $41,648 | $4,010 | $4,263 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 26 | 26 | $78,334 | $19,274 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 26 | 26 | $38,717 | $7,486 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 22 | $14,213 | $1,372 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $55,950 | $14,244 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 18 | $19,867 | $2,680 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $47,532 | $7,447 | $8,164 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 17 | $77,142 | $13,812 | $14,606 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | 16 | $24,993 | $2,693 | $2,888 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 13 | $13,395 | $2,633 | $2,833 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $15,761 | $1,130 | $1,196 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $28,253 | $4,585 | $4,982 |
| Level 3 Airway EndoscopyAPC 5153 | 11 | $9,715 | $1,085 | $1,264 | |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $17,545 | $4,812 | $5,183 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $45,788 | $6,497 | $7,291 |
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.