Northwest Texas Healthcare System Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Northwest Texas Healthcare System, Amarillo, TX in 2024, from traditional Medicare claims. Back to the Northwest Texas Healthcare System profile, with quality ratings, finances and negotiated rates.

1,564
Medicare inpatient discharges
In 50 published DRGs
1.95
Case mix index
IPPS FY 2027
19%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
580
Medicare outpatient services
In 19 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases375 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	257	$170,068	$15,249	$15,816	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	68	$353,375	$36,269	$32,864	5.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	26	$100,020	$8,723	$9,302	1.03
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical	12	$233,350	$14,736	$21,702	2.04
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	12	$438,627	$41,394	$40,792	6.96

Circulatory system321 discharges in 12 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	86	$125,298	$11,091	$11,653	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	55	$118,051	$11,865	$10,979	1.59
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	33	$155,803	$14,546	$14,490	1.82
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	23	$68,194	$6,154	$6,342	0.74
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	23	$196,137	$21,679	$18,241	2.87
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical	19	$146,151	$24,756	$13,592	3.24
Syncope and collapseMS-DRG 312, medical	19	$83,738	$7,868	$7,788	0.86
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	15	$68,621	$8,013	$6,382	0.91
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	14	$144,413	$16,550	$13,430	2.16
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	12	$57,793	$5,211	$5,375	0.55
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	11	$81,942	$10,091	$7,621	1.20
Other circulatory system diagnoses with MCCMS-DRG 314, medical	11	$157,694	$15,753	$14,666	2.09

Mental diseases and disorders212 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
PsychosesMS-DRG 885, medical	212	$68,008	$11,191	$6,325	1.37

Respiratory system137 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	54	$120,627	$10,978	$11,218	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	27	$109,241	$12,392	$10,159	1.70
Pulmonary edema and respiratory failureMS-DRG 189, medical	21	$115,778	$9,474	$10,767	1.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	13	$82,895	$9,362	$7,709	1.10
Major chest procedures with MCCMS-DRG 163, surgical	11	$313,900	$37,963	$29,193	4.71
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	11	$88,646	$11,615	$8,244	1.40

Kidney and urinary tract126 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	39	$106,873	$10,732	$9,939	1.50
Kidney and urinary tract infections with MCCMS-DRG 689, medical	25	$94,739	$9,725	$8,811	1.17
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	24	$149,911	$13,211	$13,942	1.65
Renal failure with CCMS-DRG 683, medical	23	$75,055	$7,471	$6,980	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	15	$64,476	$7,179	$5,996	0.81

Musculoskeletal system and connective tissue115 discharges in 6 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	25	$186,492	$16,215	$17,344	2.11
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	24	$179,683	$15,021	$16,711	2.07
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	23	$247,757	$21,615	$23,041	2.95
Fractures of hip and pelvis without MCCMS-DRG 536, medical	15	$63,321	$6,261	$5,889	0.79
Medical back problems without MCCMS-DRG 552, medical	15	$90,176	$7,128	$8,386	0.97
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical	13	$221,411	$17,632	$20,591	2.99

Digestive system95 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	24	$139,015	$14,937	$12,928	1.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	22	$71,017	$8,410	$6,605	0.98
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	18	$77,580	$7,084	$7,215	0.79
Major small and large bowel procedures with CCMS-DRG 330, surgical	17	$180,595	$16,864	$16,795	2.37
Major small and large bowel procedures with MCCMS-DRG 329, surgical	14	$304,124	$30,758	$28,284	4.52

Nervous system78 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	23	$161,018	$15,589	$14,975	2.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	22	$95,474	$8,495	$8,879	1.02
Transient ischemia without thrombolyticMS-DRG 069, medical	21	$100,279	$6,917	$9,326	0.80
Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical	12	$181,441	$16,873	$16,874	2.28

Endocrine, nutritional and metabolic69 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	27	$87,563	$10,630	$8,143	1.32
Diabetes with MCCMS-DRG 637, medical	26	$117,974	$12,490	$10,972	1.45
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	16	$86,963	$6,876	$8,088	0.78

Skin, subcutaneous tissue and breast13 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	13	$89,017	$7,372	$8,279	0.88

Liver, gallbladder and pancreas12 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical	12	$353,541	$31,453	$32,879	2.32

Alcohol and drug use11 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical	11	$63,606	$7,176	$5,915	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
Level 1 Endovascular ProceduresAPC 5191	111	110	$30,423	$1,974	$2,208
Level 3 Endovascular ProceduresAPC 5193	71	64	$76,852	$7,789	$8,874
Comprehensive Observation ServicesAPC 8011	67	66	$49,932	$1,858	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	53	51	$21,025	$1,029	$1,220
Level 3 Vascular ProceduresAPC 5183	47	46	$39,439	$2,150	$2,405
Level 2 Endovascular ProceduresAPC 5192	27	26	$50,918	$3,805	$4,338
Level 4 Endovascular ProceduresAPC 5194	24	22	$123,368	$13,549	$14,606
Level 1 Laparoscopy and Related ServicesAPC 5361	21	21	$63,475	$3,788	$4,358
Level 4 Musculoskeletal ProceduresAPC 5114	18	18	$96,652	$4,946	$5,339
Level 2 Laparoscopy and Related ServicesAPC 5362	18	18	$86,130	$6,540	$8,164
Level 3 Electrophysiologic ProceduresAPC 5213	16	16	$174,355	$17,742	$21,117
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	15	14	$40,305	$1,964	$2,141
Level 2 Musculoskeletal ProceduresAPC 5112	15	15	$31,625	$1,111	$1,196
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	15	14	$43,906	$2,367	$2,636
Level 4 Vascular ProceduresAPC 5184	14	13	$50,816	$3,526	$3,946
Level 2 Upper GI ProceduresAPC 5302	13	13	$19,659	$1,210	$1,445
Level 3 Airway EndoscopyAPC 5153	12	11	$18,933	$1,173	$1,264
Level 5 Gynecologic ProceduresAPC 5415	12	12	$49,997	$3,424	$3,792
Level 4 Gynecologic ProceduresAPC 5414	11	11	$44,135	$2,147	$2,389

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.