Nacogdoches Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Nacogdoches Medical Center, Nacogdoches, TX in 2024, from traditional Medicare claims. Back to the Nacogdoches Medical Center profile, with quality ratings, finances and negotiated rates.
742
Medicare inpatient discharges
In 29 published DRGs
1.85
Case mix index
IPPS FY 2027
13%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
316
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases227 discharges in 3 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 | 158 | $168,345 | $11,992 | $11,447 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $102,975 | $5,696 | $7,002 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $389,590 | $29,887 | $26,492 | 5.00 |
Respiratory system107 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $132,433 | $10,380 | $9,005 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $118,785 | $7,758 | $8,077 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $99,689 | $4,715 | $6,779 | 0.82 |
Circulatory system91 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 39 | $100,112 | $7,959 | $6,808 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $118,857 | $9,598 | $8,082 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $103,639 | $5,086 | $7,047 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 11 | $83,503 | $5,280 | $5,678 | 0.86 |
Kidney and urinary tract80 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 | 21 | $98,158 | $7,125 | $6,675 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $79,562 | $4,796 | $5,410 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $147,786 | $10,008 | $10,049 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 13 | $84,666 | $5,413 | $5,757 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $94,271 | $9,402 | $6,410 | 1.50 |
Musculoskeletal system and connective tissue69 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 29 | $168,043 | $10,985 | $11,427 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $232,469 | $11,886 | $15,808 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $70,811 | $4,934 | $4,815 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $214,152 | $13,031 | $14,562 | 2.11 |
Digestive system55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $75,051 | $5,518 | $5,103 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $71,449 | $4,510 | $4,859 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $160,115 | $11,273 | $10,888 | 1.79 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 11 | $163,620 | $13,290 | $11,126 | 2.50 |
Nervous system40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $148,892 | $11,674 | $10,125 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 20 | $97,791 | $5,859 | $6,650 | 1.02 |
Endocrine, nutritional and metabolic40 discharges in 2 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 | $99,068 | $7,772 | $6,737 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $72,857 | $4,534 | $4,954 | 0.78 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $84,342 | $4,945 | $5,735 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $74,868 | $5,565 | $5,091 | 0.90 |
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 | 80 | 75 | $44,781 | $1,843 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 59 | 57 | $155,752 | $9,274 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 45 | 39 | $18,699 | $1,115 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 38 | 34 | $20,414 | $1,279 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $93,196 | $3,989 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 17 | 17 | $64,366 | $3,577 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 11 | $11,620 | $1,107 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $115,365 | $4,930 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $50,528 | $2,006 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 11 | 11 | $49,668 | $2,033 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | 11 | $154,812 | $7,907 | $8,874 |
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.