North Austin Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Austin Medical Center, Austin, TX in 2024, from traditional Medicare claims. Back to the North Austin Medical Center profile, with quality ratings, finances and negotiated rates.
1,950
Medicare inpatient discharges
In 71 published DRGs
1.80
Case mix index
IPPS FY 2027
11%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,129
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases399 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 | 284 | $119,050 | $12,944 | $10,953 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 52 | $52,731 | $6,678 | $4,851 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 39 | $346,697 | $30,537 | $31,896 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $443,820 | $43,242 | $40,831 | 6.96 |
Circulatory system306 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 96 | $66,557 | $8,833 | $6,123 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $99,518 | $10,598 | $9,156 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $47,477 | $5,049 | $4,368 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $74,743 | $8,046 | $6,876 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 22 | $52,316 | $5,972 | $4,813 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $61,655 | $5,031 | $5,672 | 0.75 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $56,516 | $7,966 | $5,199 | 1.15 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $248,207 | $23,852 | $22,835 | 3.46 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $129,436 | $13,471 | $11,908 | 2.09 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $92,004 | $10,014 | $8,464 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $40,573 | $7,686 | $3,733 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $44,060 | $3,619 | $4,054 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 11 | $209,702 | $12,252 | $19,293 | 1.82 |
Digestive system269 discharges in 11 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 | 51 | $61,868 | $5,399 | $5,692 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 31 | $125,590 | $12,823 | $11,554 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 27 | $70,757 | $6,428 | $6,510 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $261,069 | $26,547 | $24,018 | 4.52 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $76,898 | $7,057 | $7,075 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $56,708 | $4,997 | $5,217 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $186,243 | $14,836 | $17,134 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $83,139 | $9,049 | $7,649 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $89,961 | $10,109 | $8,276 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $146,800 | $10,186 | $13,506 | 1.45 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 12 | $48,920 | $6,000 | $4,501 | 0.97 |
Kidney and urinary tract220 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 53 | $69,986 | $10,279 | $6,439 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 38 | $105,984 | $11,115 | $9,751 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 38 | $56,793 | $7,662 | $5,225 | 1.02 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $50,425 | $5,321 | $4,639 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 28 | $48,805 | $6,070 | $4,490 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $56,876 | $8,183 | $5,233 | 1.17 |
Respiratory system201 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 72 | $71,927 | $9,186 | $6,617 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $75,980 | $8,595 | $6,990 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $76,678 | $10,769 | $7,054 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $87,398 | $9,662 | $8,041 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $56,314 | $6,148 | $5,181 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $215,002 | $15,313 | $19,780 | 2.70 |
Endocrine, nutritional and metabolic120 discharges in 5 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 | $63,988 | $9,285 | $5,887 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 29 | $50,444 | $5,445 | $4,641 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $51,644 | $7,239 | $4,751 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $43,954 | $5,072 | $4,044 | 0.78 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $131,664 | $12,818 | $12,113 | 1.98 |
Nervous system120 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 40 | $84,441 | $12,170 | $7,769 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 18 | $33,658 | $5,666 | $3,097 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $57,036 | $5,445 | $5,247 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $58,330 | $6,140 | $5,366 | 1.02 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $75,182 | $11,727 | $6,917 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 14 | $95,205 | $13,328 | $8,759 | 1.98 |
Liver, gallbladder and pancreas103 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 21 | $116,068 | $13,806 | $10,678 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $80,134 | $11,655 | $7,372 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $142,651 | $10,373 | $13,124 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $143,553 | $8,971 | $13,207 | 1.31 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $80,608 | $7,832 | $7,416 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $140,004 | $11,996 | $12,880 | 1.76 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 11 | $130,878 | $12,115 | $12,041 | 1.67 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $54,822 | $7,140 | $5,044 | 0.95 |
Musculoskeletal system and connective tissue98 discharges in 7 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 | 17 | $200,255 | $12,751 | $18,423 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $38,669 | $5,875 | $3,558 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $204,877 | $18,692 | $18,849 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $192,543 | $14,441 | $17,714 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $188,610 | $12,600 | $17,352 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $42,673 | $6,615 | $3,926 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $42,673 | $5,210 | $3,926 | 0.79 |
Blood and immune system41 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 | 27 | $122,974 | $9,896 | $11,314 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $69,676 | $6,307 | $6,410 | 0.90 |
Skin, subcutaneous tissue and breast32 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 32 | $48,857 | $5,365 | $4,495 | 0.88 |
Mental diseases and disorders27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 27 | $64,026 | $11,228 | $5,890 | 1.76 |
Female reproductive system14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for non-malignancy without cc/mccMS-DRG 743, surgical | 14 | $134,773 | $7,768 | $12,399 | 1.16 |
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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 344 | 317 | $178,599 | $9,851 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 187 | 182 | $33,249 | $1,917 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 125 | 108 | $29,287 | $1,290 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 122 | 114 | $18,743 | $1,137 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 111 | 108 | $69,813 | $3,530 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 109 | 109 | $59,478 | $2,043 | $2,208 |
| Level 6 Urology and Related ServicesAPC 5376 | 109 | 107 | $119,705 | $6,299 | $7,291 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 103 | 101 | $88,106 | $4,007 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 96 | 96 | $133,495 | $7,218 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 86 | 80 | $35,153 | $2,445 | $2,629 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 73 | 73 | $433,320 | $25,270 | $26,719 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 62 | 62 | $109,391 | $4,936 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 59 | 50 | $21,532 | $1,350 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 55 | $36,188 | $1,992 | $2,141 |
| Level 5 ENT ProceduresAPC 5165 | 48 | 48 | $75,855 | $4,107 | $4,436 |
| Level 3 Vascular ProceduresAPC 5183 | 48 | 48 | $39,753 | $2,235 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 44 | 42 | $163,830 | $7,856 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 40 | 36 | $29,887 | $1,428 | $1,516 |
| Level 4 Airway EndoscopyAPC 5154 | 36 | 36 | $70,284 | $2,588 | $2,833 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 27 | 26 | $63,517 | $2,270 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 27 | $288,401 | $14,191 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 24 | $62,746 | $2,327 | $2,636 |
| Level 5 Airway EndoscopyAPC 5155 | 24 | 24 | $108,140 | $4,600 | $5,183 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $93,943 | $4,573 | $4,982 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 18 | $48,848 | $2,021 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 17 | $50,101 | $2,192 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $36,531 | $1,190 | $1,264 |
| Complex GI ProceduresAPC 5331 | 16 | 13 | $100,710 | $3,997 | $4,263 |
| Level 3 Upper GI ProceduresAPC 5303 | 15 | 15 | $48,643 | $2,697 | $2,888 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $49,628 | $2,673 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $18,562 | $1,084 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 12 | $66,260 | $3,854 | $3,946 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 13 | $378,266 | $17,577 | $18,465 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | 11 | $219,026 | $13,772 | $14,606 |
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.