Peterson Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Peterson Regional Medical Center, Kerrville, TX in 2024, from traditional Medicare claims. Back to the Peterson Regional Medical Center profile, with quality ratings, finances and negotiated rates.
1,152
Medicare inpatient discharges
In 39 published DRGs
1.49
Case mix index
IPPS FY 2027
13%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
2,933
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system288 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 76 | $29,946 | $8,132 | $7,457 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $23,853 | $4,630 | $5,939 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $99,842 | $11,247 | $24,861 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 29 | $41,315 | $5,725 | $10,287 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $29,130 | $7,627 | $7,253 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $16,897 | $3,324 | $4,207 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $143,815 | $19,238 | $35,810 | 2.87 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $55,846 | $10,448 | $13,906 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $50,466 | $6,383 | $12,566 | 1.08 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $37,258 | $4,502 | $9,277 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $32,441 | $4,561 | $8,078 | 0.75 |
Infectious and parasitic diseases217 discharges in 2 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 | 156 | $49,100 | $12,694 | $12,226 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 61 | $29,070 | $6,090 | $7,238 | 1.03 |
Respiratory system174 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 55 | $33,691 | $7,865 | $8,389 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 46 | $33,729 | $10,598 | $8,398 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $31,064 | $7,630 | $7,735 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $26,019 | $4,966 | $6,479 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $42,070 | $9,212 | $10,475 | 1.40 |
Kidney and urinary tract135 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $28,449 | $4,991 | $7,084 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 30 | $24,263 | $5,649 | $6,042 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $35,392 | $10,531 | $8,812 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $28,177 | $9,717 | $7,016 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $29,840 | $7,674 | $7,430 | 1.17 |
Digestive system127 discharges in 7 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 | 36 | $21,818 | $4,881 | $5,433 | 0.79 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $23,301 | $3,199 | $5,802 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $99,190 | $30,510 | $24,698 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $29,843 | $4,842 | $7,431 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 15 | $35,231 | $6,079 | $8,772 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $74,055 | $15,514 | $18,440 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $24,986 | $5,775 | $6,221 | 1.04 |
Musculoskeletal system and connective tissue68 discharges in 3 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 | 30 | $66,494 | $13,038 | $16,557 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 26 | $64,264 | $13,551 | $16,002 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $58,016 | $10,027 | $14,446 | 1.59 |
Endocrine, nutritional and metabolic64 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 without MCCMS-DRG 641, medical | 46 | $24,793 | $5,075 | $6,173 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 18 | $33,433 | $8,252 | $8,325 | 1.32 |
Nervous system43 discharges in 2 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 | 26 | $46,369 | $5,899 | $11,546 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $51,146 | $12,725 | $12,735 | 2.00 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $25,610 | $5,177 | $6,377 | 0.88 |
Blood and immune system12 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 | 12 | $23,633 | $5,592 | $5,885 | 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 | 956 | 835 | $23,133 | $1,870 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 325 | 187 | $6,682 | $1,584 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 270 | 254 | $47,137 | $9,703 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 153 | 135 | $7,056 | $1,099 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 153 | 117 | $7,075 | $1,309 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 132 | 123 | $7,618 | $1,119 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 118 | 117 | $29,015 | $1,996 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 107 | 99 | $7,908 | $1,335 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 106 | 105 | $24,802 | $3,984 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 98 | 96 | $24,626 | $4,942 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 70 | 67 | $10,929 | $2,215 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 54 | 52 | $13,772 | $2,204 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 43 | $15,494 | $2,406 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 49 | 47 | $20,621 | $3,577 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 39 | $73,306 | $14,500 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 27 | 26 | $4,550 | $1,060 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 26 | 24 | $61,390 | $7,602 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 23 | $9,415 | $1,400 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 22 | $19,474 | $2,392 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 20 | $12,099 | $1,959 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 19 | $28,081 | $4,508 | $4,982 |
| Level 3 Intraocular ProceduresAPC 5493 | 18 | $15,330 | $3,613 | $4,004 | |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 17 | 17 | $56,224 | $7,628 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 16 | 13 | $72,423 | $11,859 | $14,606 |
| Level 2 Endovascular ProceduresAPC 5192 | 15 | 14 | $25,739 | $3,945 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 13 | $14,839 | $2,625 | $2,930 |
| Level 3 Airway EndoscopyAPC 5153 | 11 | 11 | $9,323 | $1,170 | $1,264 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | 11 | $41,057 | $5,332 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $11,385 | $2,141 | $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.