Methodist West Houston Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Methodist West Houston Hospital, Houston, TX in 2024, from traditional Medicare claims. Back to the Methodist West Houston Hospital profile, with quality ratings, finances and negotiated rates.
2,460
Medicare inpatient discharges
In 71 published DRGs
1.88
Case mix index
IPPS FY 2027
16%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
3,339
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system547 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 209 | $56,791 | $9,182 | $10,052 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 51 | $63,666 | $11,621 | $11,269 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $54,234 | $8,872 | $9,599 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 28 | $83,796 | $13,968 | $14,832 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 27 | $396,201 | $44,406 | $70,128 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $32,708 | $5,184 | $5,789 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 22 | $33,095 | $5,926 | $5,858 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $113,227 | $12,888 | $20,041 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 19 | $201,452 | $27,170 | $35,657 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $170,154 | $22,650 | $30,117 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $30,544 | $3,654 | $5,406 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $83,432 | $13,564 | $14,767 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 14 | $392,509 | $36,275 | $69,474 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 14 | $269,135 | $23,064 | $47,637 | 3.24 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $49,463 | $8,468 | $8,755 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $52,227 | $7,194 | $9,244 | 0.97 |
Infectious and parasitic diseases528 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 | 380 | $99,817 | $13,900 | $17,668 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 77 | $53,212 | $7,320 | $9,419 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $199,879 | $31,095 | $35,379 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $137,778 | $12,625 | $24,387 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $374,193 | $40,375 | $66,232 | 6.96 |
Respiratory system360 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 100 | $64,239 | $11,415 | $11,370 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 82 | $62,142 | $9,272 | $10,999 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 62 | $66,877 | $8,787 | $11,837 | 1.23 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 19 | $82,598 | $12,222 | $14,620 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $69,904 | $10,358 | $12,373 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 16 | $233,847 | $32,805 | $41,391 | 4.71 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $55,546 | $7,993 | $9,832 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $34,007 | $6,743 | $6,019 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $44,346 | $5,778 | $7,849 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $165,343 | $20,130 | $29,266 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $184,721 | $18,179 | $32,696 | 2.55 |
Kidney and urinary tract323 discharges in 8 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 | 62 | $74,032 | $12,004 | $13,104 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 60 | $43,438 | $8,426 | $7,689 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 56 | $34,687 | $5,788 | $6,140 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 55 | $56,789 | $10,154 | $10,052 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 48 | $39,155 | $6,209 | $6,930 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $84,963 | $9,324 | $15,038 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $41,636 | $7,779 | $7,370 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $150,238 | $25,988 | $26,592 | 3.70 |
Digestive system239 discharges in 9 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 | 44 | $39,422 | $5,313 | $6,978 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $48,625 | $7,267 | $8,607 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $84,986 | $12,965 | $15,042 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $42,931 | $6,148 | $7,599 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 24 | $57,100 | $8,498 | $10,107 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $136,286 | $16,778 | $24,123 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 17 | $200,396 | $29,962 | $35,470 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $37,871 | $6,539 | $6,703 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $60,712 | $8,964 | $10,746 | 1.45 |
Musculoskeletal system and connective tissue143 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 30 | $36,616 | $6,751 | $6,481 | 0.97 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 28 | $308,892 | $22,823 | $54,674 | 2.48 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 27 | $159,247 | $12,834 | $28,187 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $134,901 | $14,960 | $23,878 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $117,334 | $14,370 | $20,768 | 2.07 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $225,933 | $21,133 | $39,990 | 2.67 |
Nervous system133 discharges in 7 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 | 35 | $53,389 | $6,656 | $9,450 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $79,291 | $13,356 | $14,034 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $59,161 | $11,448 | $10,472 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $61,194 | $7,163 | $10,831 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 15 | $84,376 | $11,976 | $14,935 | 1.98 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $91,317 | $8,071 | $16,163 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $40,651 | $5,737 | $7,195 | 0.80 |
Endocrine, nutritional and metabolic97 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 | 45 | $56,847 | $9,447 | $10,062 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $41,388 | $5,703 | $7,326 | 0.78 |
| Endocrine disorders with CCMS-DRG 644, medical | 17 | $34,506 | $6,947 | $6,108 | 1.06 |
| Diabetes with CCMS-DRG 638, medical | 15 | $43,022 | $6,703 | $7,615 | 0.90 |
Skin, subcutaneous tissue and breast48 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $40,325 | $5,735 | $7,138 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $68,507 | $10,685 | $12,126 | 1.49 |
Blood and immune system30 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 | 19 | $34,553 | $6,904 | $6,116 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $52,537 | $10,264 | $9,299 | 1.40 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $34,083 | $6,003 | $6,033 | 0.86 |
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 | 945 | 831 | $21,408 | $1,996 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 255 | 245 | $116,344 | $10,513 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 206 | 195 | $85,985 | $5,208 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 176 | 128 | $26,680 | $1,408 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 171 | 162 | $20,683 | $1,174 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 131 | 124 | $24,772 | $1,150 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 121 | 121 | $94,719 | $7,579 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 116 | 111 | $47,143 | $2,345 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 102 | 100 | $48,668 | $3,710 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 94 | 93 | $57,604 | $4,133 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 93 | 93 | $18,558 | $2,148 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 77 | 75 | $34,738 | $2,040 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 67 | $38,981 | $2,355 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 65 | 63 | $224,956 | $14,650 | $15,763 |
| Level 4 Urology and Related ServicesAPC 5374 | 62 | 57 | $47,819 | $2,492 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 60 | 60 | $167,037 | $20,334 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 60 | 50 | $13,100 | $1,388 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 48 | 45 | $82,498 | $8,203 | $8,874 |
| Level 5 ENT ProceduresAPC 5165 | 44 | 43 | $53,284 | $4,228 | $4,436 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 40 | 39 | $57,487 | $4,697 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 39 | 38 | $16,221 | $1,183 | $1,204 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 36 | 34 | $281,513 | $27,077 | $26,719 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 29 | $78,285 | $4,054 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 30 | $49,398 | $2,556 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 29 | 24 | $137,059 | $14,091 | $14,606 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 28 | 17 | $37,717 | $3,248 | $4,524 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 26 | 26 | $86,305 | $7,944 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 24 | 22 | $53,005 | $4,223 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 24 | 24 | $19,946 | $2,150 | $2,176 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 23 | $42,564 | $2,767 | $2,833 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 19 | $37,717 | $2,816 | $2,930 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 21 | $76,211 | $5,056 | $5,183 |
| Level 3 Urology and Related ServicesAPC 5373 | 21 | 20 | $31,799 | $1,433 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $33,638 | $2,181 | $2,389 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $62,118 | $3,675 | $3,792 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $69,728 | $6,332 | $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.